Employment Status and Health Literacy in Denmark: A Population-Based Study

Objectives: Examining whether specific population groups who are not working and those who have an employment have the same health literacy level.Methods: Data were retrieved from a nationally representative cross-sectional study of the Danish population conducted with the health literacy questionnaire (HLS-EU-Q16) in 2016 and 2017. Socio-demographic characteristics were drawn from national registers. Odds ratio for the association between employment status and health literacy was estimated from logistic regression models, adjusted for socio-demographic characteristics. Probability weights were used to adjust for differences in responses.Results: Logistic regression analyses showed that receiving unemployment benefits, social assistance, employment and support allowance, retirement pension and sickness benefit were significantly associated with having inadequate health literacy compared to being employed in any industry. The highest odds ratio for inadequate health literacy was present for receiving unemployment benefit OR = 1.78 (95% CI: 1.23–2.56).Conclusion: Population groups not working and receiving economic public support have higher odds of inadequate health literacy competencies compared to those active in the labor force, considering age and socioeconomic factors. The result contributes to understanding health disparities in connection to occupational situation.

Download Full-text

‘The newest vital sign among pregnant women attending women wellness and research Centre in Qatar: a cross-sectional study’

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03542-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sarah Naja ◽

Rowaida Elyamani ◽

Abdullah Al Ibrahim ◽

Noora Al Kubaisi ◽

Rayan Itani ◽

...

Keyword(s):

Logistic Regression ◽

Health Literacy ◽

Pregnant Women ◽

Vital Sign ◽

Educational Background ◽

The State ◽

Cross Sectional ◽

Measurement Tools ◽

Newest Vital Sign ◽

Inadequate Health Literacy

Abstract Background Health literacy is a vital strategy to consider when designing health-promoting programs, and health literacy is a priority in Qatar’s national health agenda. In the context of pregnancy, inadequate health literacy has been linked to several adverse outcomes among pregnant women such as unplanned conception, smoking, and lack of multi-vitamin intake. Given the paucity of data, this study aimed to assess the level of health literacy and its determinants among pregnant women in the State of Qatar. Methods An analytical cross-sectional design was utilized. First, we piloted the measurement tools on 10% of the calculated sample size. Accordingly, the items of the measurement tools were revised. Next, we utilized a structured questionnaire to interview the participants about their socio-demographic characteristics, pregnancy-related factors, and the Newest Vital Sign Tool. A chi-square test was employed to investigate the association level among variables, with significance set to P < 0.05. A logistic regression model was used to identify the factors associated with a low literacy level. Results We found that almost four in 10 pregnant women (n = 138,45.4%) had inadequate health literacy. Furthermore, the insufficient level of health literacy was significantly associated with low educational background, decreased household income, and primigravida. However, uncontrolled glycaemia was the only significant predictor of inadequate health literacy through logistic regression. The scale was found to be reliable, with a calculated Cronbach’s alpha of 0.8. Conclusions Low health literacy is common among pregnant women in the State of Qatar. Thus, public health officials should focus on delivering tailored health literacy interventions to pregnant women in the country.

Download Full-text

Associations of Quantity Smoked and Socioeconomic Status With Smoke-Free Homes and Cars Among Daily Smokers

Health Education & Behavior ◽

10.1177/10901981211010437 ◽

2021 ◽

pp. 109019812110104

Author(s):

Annie Pelekanakis ◽

Jennifer L. O’Loughlin ◽

Katerina Maximova ◽

Annie Montreuil ◽

Jodi Kalubi ◽

...

Keyword(s):

Socioeconomic Status ◽

Logistic Regression ◽

Household Income ◽

Employment Status ◽

Telephone Survey ◽

Low Ses ◽

Annual Household Income ◽

Cross Sectional ◽

Shs Exposure ◽

Independent Association

Introduction An association between socioeconomic status (SES) and smoke-free private spaces among smokers could be due to heavier smoking among low SES smokers. We assessed whether quantity smoked or SES are independently associated with smoke-free homes or cars in daily smokers. Method Data were drawn from a cross-sectional telephone survey (2011–2012) of 750 daily smokers age ≥18 years in Quebec, Canada (45% response). Multivariable logistic regression was used to model the independent association between (a) number of cigarettes smoked per day, and (b) each of educational attainment, annual household income, or active employment status and smoke-free homes or cars. Results Participants were 41.0 years old on average, 57% were female. Median (IQR) number of cigarettes smoked per day was 14 (10, 20). Forty-eight percent of participants reported smoke-free homes; 34% reported smoke-free cars. Quantity smoked was strongly associated with both smoke-free homes and cars. Income and education (but not actively employed) were associated with smoke-free homes. None of the SES indicators were associated with smoke-free cars. Conclusions Interventions targeting smokers to promote smoke-free homes and cars should incorporate components to help smokers reduce quantity smoked or preferably, to quit. Interventions targeting smoke-free homes will also need to address SES inequalities by education and income. Our data suggest that reduction in quantity smoked may help smokers reduce SHS exposure in cars, but that an inequality lens may not be relevant.

Download Full-text

0705 High Incidence Of Inadequate Health Literacy In Adults With Obstructive Sleep Apnea Is Not Associated With Positive Airway Pressure Use

SLEEP ◽

10.1093/sleep/zsaa056.701 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A268-A269

Author(s):

A J Watach ◽

B Saconi ◽

A M Sawyer

Keyword(s):

Obstructive Sleep Apnea ◽

Logistic Regression ◽

Health Literacy ◽

Sleep Apnea ◽

Airway Pressure ◽

Positive Airway Pressure ◽

Lead Author ◽

Obstructive Sleep ◽

The Relationship ◽

Inadequate Health Literacy

Abstract Introduction Inadequate health literacy (HL) is associated with 1.5 - 3 times increased risk for poor health outcomes, nonadherence and lack of skills needed to manage one’s own health. Inadequate HL prevalence in adults with obstructive sleep apnea (OSA) may be as high as 30%. The relationship between HL and positive airway pressure (PAP) adherence has been rarely examined. Methods A secondary analysis of prospective observational data was conducted to: 1) examine the prevalence of inadequate HL in adults with newly-diagnosed OSA and 2) determine if inadequate HL is associated with 1-wk and 1-mo PAP use. HL was measured using a 3-item Health Literacy Screening Questionnaire. Descriptive statistics, multiple linear regression, and logistic regression were used. Results Participants (n=67) were white (85%), males (52%) and females (48%), middle-aged (50±12 yrs), 64.2% had a middle to high school education and severe OSA (mean AHI 38.2±21 events/hr). Mean PAP use was 4.62±2.43 hrs/night at 1-wk and 4.33±2.27hrs/night at 1-mo. Using a threshold of ≥4 hrs/night, 64% were adherent at 1-wk and 60% at 1-mo. Sixty two percent (n=42) screened positive for inadequate HL. A positive screen for inadequate HL (by individual screening items or by cumulative number of items screened positive) was not associated with PAP use (mean hr/night) at 1-wk or 1-mo (not retained in the final model). HL was also not associated with PAP non-adherence (<4hrs/night) or PAP failure (<2hrs/night) by logistic regression. Conclusion Inadequate HL may be prevalent in adults with OSA. OSA and PAP patient education content and design should align with HL abilities and skills. Disease and treatment education are influential on PAP adherence. Future research should consider adequacy of three generalized items to assess HL and disease-specific HL as more robust measures are available. Larger, heterogeneous sample sizes are needed to precisely estimate the relationship between HL and PAP adherence. Support Lead author receives support from NIH/NHLBI Award T32 HL07953.

Download Full-text

Does Availability of Worksite Supports for Physical Activity Differ by Industry and Occupation?

American Journal of Health Promotion ◽

10.1177/0890117116668795 ◽

2016 ◽

Vol 32 (3) ◽

pp. 517-526 ◽

Cited By ~ 6

Author(s):

Elizabeth A. Dodson ◽

J. Aaron Hipp ◽

Jung Ae Lee ◽

Lin Yang ◽

Christine M. Marx ◽

...

Keyword(s):

Physical Activity ◽

Logistic Regression ◽

Odds Ratio ◽

International Physical Activity Questionnaire ◽

Response Rate ◽

Metropolitan Areas ◽

Employee Health ◽

Cross Sectional ◽

Independent Variables ◽

Activity Questionnaire

Purpose: To explore combinations of worksite supports (WSS) for physical activity (PA) that may assist employees in meeting PA recommendations and to investigate how availability of WSS differs across industries and occupations. Design: Cross-sectional. Setting: Several Missouri metropolitan areas. Participants: Adults employed >20 h/wk outside the home. Measures: Survey utilized existing self-reported measures (eg, presence of WSS for PA) and the International Physical Activity Questionnaire. Analysis: Logistic regression was conducted for 2 outcome variables: leisure and transportation PA. Independent variables included 16 WSS. Of particular interest were interaction effects between WSS variables. Analyses were stratified by 5 occupation and 7 industry types. Results: Overall, 2013 people completed the survey (46% response rate). Often, availability of 1 WSS did not increase the likelihood of meeting PA recommendations, but several pairs of WSS did. For example, in business occupations, the odds of meeting PA recommendations through transportation PA increased when employees had access to showers and incentives to bike/walk (odds ratio [OR] = 1.6; 95% confidence interval [CI] = 1.16-2.22); showers and maps (OR = 1.25; 1.02-1.55); maps and incentives to bike/walk (OR = 1.48; 1.04-2.12). Conclusion: Various combinations of WSS may increase the likelihood that employees will meet PA recommendations. Many are of low or no cost, including flexible time for exercise and maps of worksite-adjacent walk/bike routes. Findings may be instructive for employers seeking to improve employee health through worksite PA.

Download Full-text

951Can cancer-related health literacy predict cancer preventive behaviours?

International Journal of Epidemiology ◽

10.1093/ije/dyab168.373 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

Author(s):

Patricia Chiaotzu Lee ◽

Ayan Mao ◽

Pei Dong ◽

Kun Wang ◽

Wuqi Qiu

Keyword(s):

Logistic Regression ◽

Health Literacy ◽

Cancer Prevention ◽

Information Seeking ◽

Multinomial Logistic Regression ◽

Cancer Information ◽

Cross Sectional ◽

Multinomial Logistic Regression Analysis ◽

Health Promotion And Education ◽

Cancer Literacy

Abstract Background Health literacy has direct relevance to outcomes in patients with cancer. An adequate level of health literacy may increase uptake of screening and other supportive cancer prevention programs, which may contribute to improved outcomes. However, existing literature is limited in measuring cancer-specific health literacy and its role in cancer prevention. This study aims to investigate the relationship between cancer-related health literacy and cancer preventive behaviours through a population survey in Beijing, China. Methods A cross-sectional design was utilised to collect survey data such as respondents’ sociodemographic characteristics, cancer-related health literacy, cancer status and cancer prevention behaviours. Logistic regression modelling was applied to identify significant sociodemographic predictors for cancer literacy. Multinomial logistic regression analysis was further performed to determine the association between cancer-related health literacy and cancer preventive behaviours after adjusting for effects from sociodemographic variables. Results The findings confirmed that cancer-related health literacy was significant in predicting participants’ cancer preventive behaviours, including individual’s cancer information seeking behaviour, intention to participate in cancer screenings, early diagnosis and treatments. In addition, the results also showed that respondents’ gender, age, education, household income, residential region and cancer status were significantly associated with their levels of cancer-related health literacy. Conclusions/Key messages The results of this study have provided useful evidence on the importance of applying cancer-related health literacy to predict individual’s cancer preventive behaviours. The study has also identified the variations in cancer literacy between different sub-population groups. Future studies can develop targeted health promotion and education campaigns for more effective cancer prevention.

Download Full-text

THE ANALYSIS OF FACTORS INFLUENCING GRADUATION ACHIEVEMENT IN NURSE COMPETENCE TEST OF NURSE PROFESSION PROGRAM

Jurnal Cakrawala Pendidikan ◽

10.21831/cp.v37i2.19881 ◽

2018 ◽

Vol 37 (2) ◽

Author(s):

Lukmanulhakim Lukmanulhakim ◽

Lenny Stia Pusporini

Keyword(s):

Logistic Regression ◽

Odds Ratio ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Factors Influencing ◽

Nurse Competence ◽

Competence Test ◽

Chi Square Analysis ◽

Simple Logistic

Abstract: Competence test is conducted to fulfil the graduates’ performance competence standards. Nurse competence is oriented to the performance quality in giving a comprehensive care. Study intends to identify factors influencing graduation achievement in UKNI of Nurse Profession Program students of STIKes Faletehan Serang. It is a quantitative study with analytical correlational design and cross sectional approach. Samples are 106 respondents who were selected by using total sampling technique. The statistical used are Chi Square and simple logistic regression prediction model. The Chi Square analysis result with α = 0.05 finds p value of the three variables are 0.804 (anxiety and family support), and 1.000 (peers support). Besides, the analysis result of other three variables obtains p value of 0.034 (GPA), p value of 0.000 (liveliness), and p value of 0.000 (try out result). The analysis result of simple logistic regression shows that Odds Ratio (OR) of liveliness variable is 156.734. The research results can be an evaluation material to increase graduation achievement in UKNI are the benchmark of improving the implementation of university quality assurance. Keywords: capaian kompetensi, kompetensi perawat, uji kompetensi Ners, progra profesi Ners ANALISIS FAKTOR YANG MEMPENGARUHI CAPAIAN KELULUSAN UJI KOMPETENSI NERS MAHASISWA PROGRAM PROFESI NERS Abstrak: Uji kompetensi dilaksanakan untuk mencapai lulusan yang memenuhi standar kompetensi kinerja. Kompetensi perawat berorientasi terhadap kualitas kinerja dalam memberikan pelayanan keperawatan secara komprehensif.Penelitian bertujuan untuk mengetahaui faktor-faktor yang mempengaruhi capaian kelulusan UKNI mahasiswa Program Profesi Ners STIKes Faletehan Serang. Penelitian berjenis kuantitatif dengan rancangan korelasi analitik melalui pendekatan Cross Sectional.Sampel penelitian sebanyak 106 responden yang diambil dengan teknik total sampling. Data dikumpulkan lewat angket. Analisis data dilakukan dengan menggunakan Chi Square dan regresi logistik sederhana model prediksi.Hasil analisis uji Chi Square dengan α = 0.05, ketiga variabel diperoleh p value sebesar 0,804 (kecemasan dan dukungan keluarga), serta 1,00 (dukungan teman sebaya). Hasil analisis ketiga variabel lainnya diperoleh p value sebesar 0.034(IPK Akademik), 0.000 (keaktfikan), dan 0.000 (try out nasional). Hasil analisis regresi logistik, teridentifikasi Odds-Ratio (OR) dari variabel keaktifan adalah 156.734.Hasil ini dapat dijadikan evaluasi dalam peningkatan capaian kelulusan UKNI yang merupakan tolak ukur dalam penyelenggaraan penjaminan mutu perguruan tinggi. Kata kunci : capaian kompetensi, kompetensi perawat, uji kompetensi Ners, progra profesi Ners

Download Full-text

Nutritional Value and Utilization of Yams (Dioscorea steriscus) by Residents of Bindura Town High Density Suburbs, Zimbabwe

Advances in Agriculture ◽

10.1155/2016/5934738 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

S. Washaya ◽

J. F. Mupangwa ◽

E. Muranda

Keyword(s):

Logistic Regression ◽

Odds Ratio ◽

Employment Status ◽

Nutritional Value ◽

Food Supplement ◽

Sampling Procedure ◽

Education Level ◽

Chi Square ◽

Education Status ◽

Multistage Sampling

The objective of this study was to assess utilization levels, availability, nutritional value, and magnitude of sales by vendors ofDioscorea steriscusby residents of Bindura. A multistage sampling procedure was used to select respondents. Data were subjected to Chi-square, logistic regression, and correlation to determine the effects of demographic determinants on utilization ofD. steriscus. Questionnaires were used to collect data. Results show that education status and period of stay significantly affect the consumption ofD. steriscus(P<0.05). It was also observed that consumption is frequent between lunch and supper (47%) compared to breakfast.D. steriscushas high iron (6.8%), ash (2.06%), and CF (16.8%) contents but it is low in protein (0.83%). Irrespective of gender of respondent, suburb of residence, size of family, period of stay, education level, employment status, and source of income, respondents will growD. steriscusfor use as food supplement (odds ratio = 0.475). The period of stay (r=0.08) and education level (r=0.08) positively affect the growing ofD. steriscus.D. steriscuscan be used as source of energy and can also be used possibly for medicinal purposes. Further study is required on possibility of phytochemicals and cytotoxic components to justify its use.

Download Full-text

Health Literacy and Diabetes Knowledge: A Nationwide Survey in a Multi-Ethnic Population

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18179316 ◽

2021 ◽

Vol 18 (17) ◽

pp. 9316

Author(s):

P. V. Asharani ◽

Jue Hua Lau ◽

Kumarasan Roystonn ◽

Fiona Devi ◽

Wang Peizhi ◽

...

Keyword(s):

Physical Activity ◽

Health Literacy ◽

Chronic Conditions ◽

Functional Health ◽

Bivariate Analysis ◽

Functional Health Literacy ◽

Unhealthy Lifestyle ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Inadequate Health Literacy

Health literacy is a key determinant of the public health and health climate of the nation. This study examined the functional health literacy of the nation, factors associated with health literacy, and its relationship with diabetes recognition. This cross-sectional survey recruited participants (N = 2895) who were 18 years and above from a population registry through disproportionate stratified sampling. The Brief Health Literacy Screen and other questionnaires were administered through face-to-face interviews, in one of the four national languages (English, Chinese, Malay or Tamil). The majority (80.5%) had adequate functional health literacy and were able to recognise symptoms of diabetes correctly (83.5% overall; 83.7% and 82.2% in those with adequate and inadequate health literacy, respectively). Those with inadequate health literacy had a higher incidence of chronic conditions (p < 0.001) compared to those with adequate health literacy in bivariate analysis. The majority of the sample had sufficient levels of physical activity (83.3%), and more than half reported an unhealthy lifestyle (57.4%). Older age, Chinese ethnicity, those who were employed, with lower education (secondary or below), and were married had significantly higher odds of inadequate health literacy. Health literacy was not associated with lifestyle, physical activity, chronic conditions and diabetes recognition. Health literacy interventions should focus on the disadvantaged social groups for improving their health literacy.

Download Full-text

Internet Use, Risk Awareness, and Demographic Characteristics Associated With Engagement in Preventive Behaviors and Testing: Cross-Sectional Survey on COVID-19 in the United States

Journal of Medical Internet Research ◽

10.2196/19782 ◽

2020 ◽

Vol 22 (6) ◽

pp. e19782 ◽

Cited By ~ 11

Author(s):

Siyue Li ◽

Bo Feng ◽

Wang Liao ◽

Wenjing Pan

Keyword(s):

United States ◽

Marital Status ◽

Employment Status ◽

Internet Use ◽

The United States ◽

Demographic Characteristics ◽

Risk Awareness ◽

Preventive Behaviors ◽

Cross Sectional Survey ◽

Cross Sectional

Background During the coronavirus disease (COVID-19) pandemic, engagement in preventive behaviors and getting tested for the virus play a crucial role in protecting people from contracting the new coronavirus. Objective This study aims to examine how internet use, risk awareness, and demographic characteristics are associated with engagement in preventative behaviors and testing during the COVID-19 pandemic in the United States. Methods A cross-sectional survey was conducted on Amazon Mechanical Turk from April 10, 2020, to April 14, 2020. Participants’ internet use (in terms of the extent of receiving information pertaining to COVID-19), risk awareness (whether any immediate family members, close friends or relatives, or people in local communities tested positive for COVID-19), demographics (sex, age, ethnicity, income, education level, marital status, and employment status), as well as their engagement in preventative behaviors and testing were assessed. Results Our data included 979 valid responses from the United States. Participants who received more COVID-19–related health information online reported more frequent effort to engage in all types of preventive behaviors: wearing a facemask in public (odds ratio [OR] 1.55, 95% CI 1.34-1.79, P<.001), washing hands (OR 1.58, 95% CI 1.35-1.85, P<.001), covering nose and mouth when sneezing and coughing (OR 1.78, 95% CI 1.52-2.10, P<.001), keeping social distance with others (OR 1.41, 95% CI 1.21-1.65, P<.001), staying home (OR 1.40, 95% CI 1.20-1.62, P<.001), avoiding using public transportation (OR 1.57, 95% CI 1.32-1.88, P<.001), and cleaning frequently used surfaces (OR 1.55, 95% CI 1.34-1.79, P<.001). Compared with participants who did not have positive cases in their social circles, those who had immediate family members (OR 1.48, 95% CI 8.28-26.44, P<.001) or close friends and relatives (OR 2.52, 95% CI 1.58-4.03, P<.001) who tested positive were more likely to get tested. Participants’ sex, age, ethnicity, marital status, and employment status were also associated with preventive behaviors and testing. Conclusions Our findings revealed that the extent of receiving COVID-19–related information online, risk awareness, and demographic characteristics including sex, ethnicity, age, marital status, and employment status are key factors associated with US residents’ engagement in various preventive behaviors and testing for COVID-19.

Download Full-text

Pemakaian Kelambu Berinsektisida pada Anak Usia 0-4 Tahun terhadap Kejadian Malaria

Kesmas National Public Health Journal ◽

10.21109/kesmas.v9i2.517 ◽

2014 ◽

Vol 9 (2) ◽

pp. 194

Author(s):

Raden Ayu Aisyah ◽

Dewi Susanna

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Length Of Stay ◽

Odds Ratio ◽

Design Research ◽

Bed Nets ◽

Insecticide Treated Nets ◽

Cross Sectional ◽

Meaningful Relationship ◽

Insecticide Treated Bed Nets

Penelitian ini bertujuan untuk mengetahui hubungan pemakaian kelambu berinsektisida dengan kejadian malaria pada anak usia 0-4 tahun di wilayah Puskesmas Galang Kecamatan Galang Kota Batam tahun 2013. Desain penelitian adalah potong lintang pada 132 responden. Hasil penelitian membuktikan bahwa pada tingkat signifikansi 5% terdapat hubungan bermakna antara jenis kelambu (OR = 4,6), lama pemakaian kelambu (OR = 2,9), cara pencucian kelambu (OR = 3,6), cara menjemur kelambu (OR = 2,8), dan pencelupan ulang kelambu (OR = 3,6) memiliki hubungan yang bermakna dengan kejadian malaria. Pendidikan (OR = 2,9), pekerjaan (OR = 2,8), dan lama bermukim (OR = 3,1) memiliki hubungan yang bermakna dengan kejadian malaria. Analisis regresi logistik menemukan bahwa odds ratio tertinggi dan terendah berturut- turut adalah jenis kelambu yang tidak berinsektisida, lama bermukim ² 2 tahun dan cara mencuci dengan dikucek, disikat dan direndam. The Use of Insecticide Treated Nets in Children Aged 0-4 Years with Incidence of MalariaThis research aimed to know the relation of the use of ITNs (Insecticide Treated Nets) with incidence of malaria in children aged 0-4 years in Primary Heatlh Care Galang Galang Sub District Batam City 2013. Design research was a cross-sectional in 132 respondents. The research has proves that there were meaningful relationship between types of nets (OR = 4.6), while the use of Insecticide Treated Nets (OR = 2.9), the way in washing nets (OR = 3.6), job (OR = 2.8), and retreated insecticide (OR = 3.6) have a meaningful relationship with incidence of malaria. So are education (OR = 2.9), employment (OR = 2.8), and length of stay (OR = 3.1) had a significant association with the incidence of malaria. Logistic regression analysis found that the odds ratio is the highest and the lowest row is not the type of insecticide-treated bed nets, long settled ² 2 years and by washing with rubbed, brushed and soaked.

Download Full-text