scholarly journals How Does Health Literacy Modify Indicators of Health Behaviour and of Health? A Longitudinal Study with Trainees in North Germany

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 2
Author(s):  
Peter Koch ◽  
Zita Schillmöller ◽  
Albert Nienhaus

Background: Health literacy (HL) is a resource that can help individuals to achieve more control over their health and over factors that influence health. In the present follow-up study, we have investigated the extent to which HL in trainees changes over time and whether or to what extent HL influences health behaviour and health. Methods: In 2017, we performed a baseline survey (T0) of trainees from six different branches, who were contacted through vocational colleges in four northern federal states in Germany. The survey was repeated at the midpoint of their training in 2019 (T1). Demographic data were surveyed, together with information on HL (HLS-EU-Q16), health behaviour and on health status (psychological well-being, subjective health status). Multivariate regression analyses were performed in SPSS 26. Results: Three hundred and ninety-one (391) data sets were evaluated, with a follow-up rate of 27%; 79% of the trainees were female. The mean age was 21.2 years. Over all subjects, the mean HL increased over time ( (SD): 11.9 (2.9) to 12.2 (2.9), p = 0.070). This increase was only statistically significant for the health service trainees ( (SD): 12.1 (2.8) to 12.5 (2.9), p = 0.019). Relative to persons with adequate HL, the odds ratio over time for impaired psychological well-being was increased by 230% in persons with inadequate HL (OR: 3.3, 95% CI: 1.70–6.32, p < 0.001). For persons with problematical HL, the corresponding increase in odds ratio was 110% (OR: 2.1, 95% CI: 1.30–3.38, p = 0.002). Relative to persons with adequate HL, trainees with inadequate HL exhibited a significant increase in odds ratio of 2.8 over time for poor or less good subjective health status (OR: 2.8, 95% CI: 1.23–6.33, p = 0.014). Conclusions: We observed a positive longitudinal association between HL and health. A significant increase in HL was observed in trainees in the health service. Thus the study shows that the concept of HL may provide a potential preventive approach for trainees.

2011 ◽  
pp. P3-285-P3-285
Author(s):  
Sandra Schindler ◽  
Matthias Mohlig ◽  
Natalia Kremenevskaya ◽  
Michael Buchfelder ◽  
Christof Schofl

2011 ◽  
Vol 21 (4) ◽  
pp. 444-453 ◽  
Author(s):  
Camille L. Hancock Friesen ◽  
Mark Robertson ◽  
David Liu ◽  
Haley Burton ◽  
Katherine Fleming ◽  
...  

AbstractBackgroundCanadian Cardiovascular Society consensus guidelines recommend that tetralogy of Fallot patients be seen by a congenital cardiologist every 2 years. In Atlantic Canada, tetralogy of Fallot patients are followed up at either tertiary or satellite clinics, which are held in the community and attended by paediatric cardiologists. The effectiveness of satellite clinics in congenital cardiac disease follow-up is unproven. Our objective was to compare patient-reported quality of life measures to determine whether these were impacted by the site of follow-up.MethodsWe included patients with tetralogy of Fallot undergoing surgical repair at the Izaak Walton Killam Health Centre from 1 November, 1972 to 31 May, 2002. Quality of life surveys, SF-10 or SF-36v2, were administered to consenting patients. We analysed the subjective health status by patient age and site of follow-up.ResultsOf the 184 eligible patients, 72 were lost to follow-up. Of the locatable patients, 61% completed the questionnaires. In all, 90% (101 out of 112) were followed up at recommended intervals. Of the 112 (68%) patients, 76 were followed up at a tertiary clinic. These patients were older, with a mean age of 18.4 years versus 14.7 years, and scored higher on the SF-36 physical component summary (52.6 versus 45.7, p = 0.02) compared with satellite clinic patients. The SF-36 mental component summary scores were similar for patients regardless of the site of follow-up. SF-10 physical and psychosocial scores were similar regardless of the site of follow-up.ConclusionTetralogy of Fallot patients followed at either satellite or tertiary clinics have similar subjective health status.


PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258484
Author(s):  
Rhiannon Phillips ◽  
Khadijeh Taiyari ◽  
Anna Torrens-Burton ◽  
Rebecca Cannings-John ◽  
Denitza Williams ◽  
...  

Public perceptions of pandemic viral threats and government policies can influence adherence to containment, delay, and mitigation policies such as physical distancing, hygienic practices, use of physical barriers, uptake of testing, contact tracing, and vaccination programs. The UK COVID-19 Public Experiences (COPE) study aims to identify determinants of health behaviour using the Capability, Opportunity, Motivation (COM-B) model using a longitudinal mixed-methods approach. Here, we provide a detailed description of the demographic and self-reported health characteristics of the COPE cohort at baseline assessment, an overview of data collected, and plans for follow-up of the cohort. The COPE baseline survey was completed by 11,113 UK adult residents (18+ years of age). Baseline data collection started on the 13th of March 2020 (10-days before the introduction of the first national COVID-19 lockdown in the UK) and finished on the 13th of April 2020. Participants were recruited via the HealthWise Wales (HWW) research registry and through social media snowballing and advertising (Facebook®, Twitter®, Instagram®). Participants were predominantly female (69%), over 50 years of age (68%), identified as white (98%), and were living with their partner (68%). A large proportion (67%) had a college/university level education, and half reported a pre-existing health condition (50%). Initial follow-up plans for the cohort included in-depth surveys at 3-months and 12-months after the first UK national lockdown to assess short and medium-term effects of the pandemic on health behaviour and subjective health and well-being. Additional consent will be sought from participants at follow-up for data linkage and surveys at 18 and 24-months after the initial UK national lockdown. A large non-random sample was recruited to the COPE cohort during the early stages of the COVID-19 pandemic, which will enable longitudinal analysis of the determinants of health behaviour and changes in subjective health and well-being over the course of the pandemic.


2020 ◽  
Author(s):  
Mako Iida ◽  
Kazuhiro Watanabe ◽  
Naonori Yasuma ◽  
Daisuke Nishi ◽  
Norito Kawakami

Abstract Backgrounds: Subjective well-being and subjective health status are significant indicators of healthy lives, and might be influenced by personal values shaped in adolescence. However, there are no studies that have examined the association between personal values in adolescence and subjective well-being in adulthood. The purpose of this study was to investigate this association in a large community adult sample in Japan. Methods: This was a cross-sectional study with retrospective recall, using data from a Japanese study on stratification, health, income, and neighborhood (J-SHINE) survey. We used data for demographic variables and outcome variables (i.e., meaning in life, life satisfaction, and subjective health status) in a Wave 1 survey, and data regarding personal values (i.e., value priorities based on Schwartz’s theory of basic values and commitment to values) at the age of 15 in a Wave 3 survey. Multiple linear regression analysis was conducted to investigate the association between personal values at the age of 15 and meaning in life, life satisfaction, and subjective health status in adulthood. Results: A total of 2,413 adults from the J-SHINE sample were included in the analysis. The adolescent values of “having influence on society,” “actively challenging,” “having and keeping a belief,” “exploring what you were interested in,” “graduating from a famous school,” and commitment to values were positively and significantly associated, while “being evaluated by others” in adolescence was negatively associated with meaning in life in adulthood. At the same time, commitment to values in adolescence was positively and significantly associated with life satisfaction in adulthood. With subjective health status in adulthood, the adolescent value of “graduating from a famous school” had a positive and significant correlation, while “maintain a stable life” had a negative and significant association. Conclusions: Personal values related to openness to change and self-enhancement, and commitment to values in adolescence might be associated with better subjective well-being and subjective health status in adulthood. The findings could be useful for programs that invest in adolescence, which can bring many benefits to adulthood.


2014 ◽  
Vol 28 (12) ◽  
pp. 1180-1188 ◽  
Author(s):  
Mialinn A Lindvall ◽  
Anette Forsberg

Objective: To investigate the effects of body awareness therapy on balance, mobility, balance confidence, and subjective health status in persons with stroke. Design: A pilot randomized controlled study with follow-up at one and 4–6 weeks after the intervention period. Setting: Four primary healthcare centres in Örebro County Council. Subjects: Persons more than six months post stroke, with walking ability of 100 metres. Intervention: The experimental intervention was body awareness therapy in groups once a week for eight weeks. The controls were instructed to continue their usual daily activities. Main measures: Berg Balance Scale, Timed Up and Go Test, Timed Up and Go Test with a cognitive component, 6-minute walk test, and Timed-Stands Test. Self-rated balance confidence was assessed using the Activities-specific Balance Confidence Scale, and subjective health status using the Short Form 36 (SF-36) questionnaire. Results: A total of 46 participants were included (mean age 64 years); 24 in the experimental intervention group and 22 in the control group. No significant differences in changed scores over time were found between the groups. Within the experimental intervention group, significant improvements over time was found for the tests Berg Balance Scale, Timed Up and Go cognitive, and 6-minute walk test. Within the control group, significant improvements over time were found for the Timed Up and Go Cognitive, and the Timed-Stands Test. Conclusion: In comparison to no intervention, no effects were seen on balance, mobility, balance confidence, and subjective health status after eight weeks of body awareness therapy.


1993 ◽  
Vol 13 (2) ◽  
pp. 213-244 ◽  
Author(s):  
Ann Bowling ◽  
Morag Farquhar

ABSTRACTRelatively little is known about what has been termed cultural gerontology, or the experience of ageing among members of particular ethnic minority groups. One of the greatest gaps in current knowledge relates to the subjective health status and use of health services among elderly people in ethnic minorities, particularly those who are Jewish. The research results reported here are from a survey of elderly people in City and Hackney, London, of whom 16% were Jewish. They show that Jewish respondents were more likely than other elderly people to report problems with emotional well-being, with mental and physical health and with functional ability (tasks of daily living). Jewish respondents were also more likely to use services, particularly health services, than other respondents. The associations with service use generally remained after health status had been controlled for.


2019 ◽  
Vol 1 (9) ◽  
pp. 8
Author(s):  
Dalia Antiniene ◽  
Rosita Lekaviciene

<p>This study explores relationships among high school students’ emotional intelligence, subjective health status, depressiveness, anxiety and psychological well-being. Participants were 16–19 years old students (<em>n</em>=371) from high schools in various regions of Lithuania. The results suggested that total emotional intelligence positively correlates with psychological well-being and negatively correlates with subjective health status, depressiveness, and anxiety subscales.</p>


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