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JERLIU N, KAMBERI H, MONE I, KRASNIQI P, BURAZERI G. Sociodemographic Determinants of Health Literacy Among University Students of Health Sciences in Kosovo. Zdr Varst 2025; 64:121-128. [PMID: 40026372 PMCID: PMC11870317 DOI: 10.2478/sjph-2025-0015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2024] [Accepted: 01/19/2025] [Indexed: 03/05/2025] Open
Abstract
Objective Our objective was to assess the level and sociodemographic correlates of health literacy (HL) among university students of health sciences in Kosovo. Methods A cross-sectional study was conducted in Kosovo during February-April 2024, including 470 students of health sciences from the universities of Prishtina and Gjakova (≈86% females; mean age: 20.7±2.7 years; response rate: 70%). The internationally standardised European Health Literacy Survey Questionnaire (HLS-EU-Q) was self-administered, along with information on sociodemographic factors. Binary logistic regression was used to assess the independent sociodemographic correlates of HL. Results Only 7% of the students exhibited "inadequate and/or problematic" HL, whereas about 93% of participants displayed "sufficient and/or excellent" HL. In multivariable-adjusted binary logistic regression models, "inadequate and/or problematic" HL was strongly and positively associated with the male gender only (OR=3.6, 95%CI=1.5-8.9). Conclusions We evidenced a relatively high general HL level among university students of health sciences in Kosovo, especially among females. Enhancing HL among future health professionals could guide policies that prioritise embedding health education and resources into higher education institutions, potentially improving students' health behaviours and health outcomes, as a major prerequisite for their future work with patients and communities.
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Affiliation(s)
- Naim JERLIU
- Faculty of Medicine, University of Prishtina, Prishtina, Kosovo
- National Institute of Public Health of Kosovo, Prishtina, Kosovo
| | - Haxhi KAMBERI
- Faculty of Medicine, University “Fehmi Agani”, Gjakova, Kosovo
- Regional Hospital “Isa Grezda”, Gjakova, Kosovo
| | - Iris MONE
- Faculty of Medicine, University of Medicine, Tirana, Albania
| | | | - Genc BURAZERI
- Faculty of Medicine, University of Medicine, Tirana, Albania
- Department of International Health, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands
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Barros A, Pereiro M, Espanha R. Assessing Cancer Knowledge among Health Students in Portugal. PORTUGUESE JOURNAL OF PUBLIC HEALTH 2025; 43:5-13. [PMID: 40171514 PMCID: PMC11957474 DOI: 10.1159/000542196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2023] [Accepted: 10/14/2024] [Indexed: 04/03/2025] Open
Abstract
Introduction Cancer is the second leading cause of death worldwide and its incidence has been increasing. It is estimated that almost half of all cancer cases could be prevented by lifestyles changes. Cancer knowledge may be key to addressing this growing trend. This study focused on health students and its primary objective was to evaluate students' knowledge and perceptions about cancer. Methods In this study, the tool "Students Knowledge and Perceptions about Cancer" was used to retrieve quantitative data about students' knowledge. Their perceptions were evaluated using a Likert scale that ranged from "Don't know" to "Know almost everything." This tool was shared on LinkedIn and Facebook, making the sampling method non-probabilistic. Results and Discussion From a sample of 170 health students, 72.4% (123) got more than half of the questions right. Lung cancer is the topic with lower knowledge. Overall, there seems to be a positive statistically significant correlation between students' knowledge and their perceptions about their knowledge (p ≤ 0.05). Despite the satisfactory levels of general knowledge about cancer, there should be more campaigns that are appealing to students that emphasise prevention as a mean to reduce cancer incidence. There is still work to be done to have more awareness among health students, especially regarding risk behaviours and screenings related to cancer. New studies with more representative samples should be conducted.
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Affiliation(s)
- Ana Barros
- Sociedade Portuguesa de Pneumologia, Lisbon, Portugal
| | | | - Rita Espanha
- Iscte – Instituto Universitário de Lisboa, Lisbon, Portugal
- Centro de Investigação e Estudos de Sociologia (CIES-Iscte), Lisbon, Portugal
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Mourad N, Kharroubi S, Nasreddine L, Hwalla N. A higher global diet quality score is associated with lower risk of obesity among male university students in Lebanon: a pilot study. Front Nutr 2024; 11:1479448. [PMID: 39713783 PMCID: PMC11658971 DOI: 10.3389/fnut.2024.1479448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2024] [Accepted: 11/25/2024] [Indexed: 12/24/2024] Open
Abstract
Objective This pilot study aims to assess the diet quality amongst Lebanese male university students using the Global Diet Quality Score (GDQS), identify its association with obesity, and determine the key drivers of consumption of foods associated with higher NCDs risk. Methods A cross-sectional survey was conducted using a convenience sampling approach, comprising 385 male students aged between 18 and 24 years at the American University of Beirut. Dietary data was collected using 24-h recall, where participants detailed all foods and beverages consumed in the past 24 h, including portion sizes. Sociodemographic, anthropometric, lifestyle factors and drivers of food consumption data were also collected. GDQS scores were categorized as high (≥23), moderate (15-23), or low (< 15) indicating low, moderate and high NCD risk, respectively. A multiple logistic regression was applied to assess association of GDQS with sociodemographic and anthropometric variables. Results The results showed that the majority of male university students had low (47%) or moderate (47%) GDQS scores, with only a small proportion (4%) showing high scores. Foods contributing to low GDQS scores were determined, with taste emerging as the primary factor influencing food group consumption. Additionally, individuals in health-related majors and higher academic year of study had higher GDQS scores, and those with higher GDQS scores had a lower risk of obesity. The study findings suggest that a high proportion of the study sample are at a higher risk of NCDs given their dietary quality, demonstrated an association between low GDQS scores and obesity risk, and identified education as a predictor of diet quality. Conclusion This study calls for larger studies assessing dietary habits and quality amongst Lebanese university students to provide context-specific evidence for the development of targeted interventions aimed at the promotion of healthier eating habits in this population group and curbing the NCDs epidemic in the country.
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Affiliation(s)
| | | | - Lara Nasreddine
- Department of Nutrition and Food Sciences, Faculty of Agricultural and Food Sciences, American University of Beirut, Beirut, Lebanon
| | - Nahla Hwalla
- Department of Nutrition and Food Sciences, Faculty of Agricultural and Food Sciences, American University of Beirut, Beirut, Lebanon
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Wang Y, Zhang J, Huang K. A study on the effect of school and family environments and self-efficacy on health literacy of college students. Front Public Health 2024; 12:1449819. [PMID: 39211899 PMCID: PMC11358104 DOI: 10.3389/fpubh.2024.1449819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2024] [Accepted: 08/05/2024] [Indexed: 09/04/2024] Open
Abstract
Background Health literacy is an important means to improve health outcomes and reduce health disparities. It plays an important role in promoting multiple health-related behaviors of individuals. Numerous studies have demonstrated a number of sociodemographic and school characteristics, and family related factors were related to health literacy among college students. However, these characteristics and factors were relatively unchangeable. Research on the relationship between factors, that can be intervened, and health literacy remains scarce. This study aims to explore the association between personal and changeable environmental factors, and the level of health literacy in college students. Methods A cross-sectional study, which used a stratified random sampling method, was conducted at a university in Wuhan (N = 447). The survey questionnaire included sociodemographic characteristics, the School Environment Questionnaire, the Family Environment Questionnaire, the General Self-Efficacy Scale Questionnaire, and the Health Literacy Questionnaire. We used Spearman correlation tests, and Student's tests or analyses of variance to describe the relationship among continuous variables. In addition, we employed linear regression analysis to test the mediating effect based on the bias-corrected nonparametric percentile Bootstrap method. Results Factors related to socioeconomic status, such as living costs (p = 0.011), residential area (p = 0.003), annual household income (p = 0.001), and parents' education level (fathers: p = 0.001; mothers: p = 0.01) and occupation type (fathers: p < 0.001; mothers: p = 0.044), had close correlations with health literacy. School and family environments and self-efficacy had a positive impact on college students' health literacy (β = 0.235, p < 0.001; β = 0.323, p < 0.001; β = 0.489, p < 0.001). Self-efficacy had a mediating effect on the relationship between school and family environments, as well as health literacy. The total, direct, and indirect effects of the school environment on health literacy were 0.235, 0.157, and 0.078, respectively. The total, direct, and indirect effects of the family environment on health literacy were 0.323, 0.189, and 0.134, respectively. Conclusion This study confirms that improving school and family environments could directly or indirectly increase college students' health literacy through promoting their self-efficacy. Socioeconomic status has a significant impact on their health literacy. Moreover, other factors that affect students' health literacy and relationships among self-efficacy, surrounding environments, and health literacy may need to be explored in the future.
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Affiliation(s)
- Yan Wang
- Hospital, China University of Geosciences (Wuhan), Wuhan, Hubei, China
| | - Jiayu Zhang
- School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Kai Huang
- Luohu District Center for Disease Control and Prevention, Shenzhen, Guangdong, China
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Smith GD, Lai VKW, Poon S, Penny KI. Translation, cross-cultural adaptation, and validation of the Chinese version of the COVID-19 health literacy scale in nursing students. Nurse Educ Pract 2023; 72:103784. [PMID: 37832372 DOI: 10.1016/j.nepr.2023.103784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 09/01/2023] [Accepted: 09/19/2023] [Indexed: 10/15/2023]
Abstract
BACKGROUND Effective communication is an essential component of high-quality nursing care. Health literacy, the ability to access, describe, evaluate and apply health information to make informed decisions, is an important component of effective communication in nursing. Nurses, including student nurses, with good levels of health literacy (HL) are well positioned to communicate reliable public health-related information effectively, at times like the COVID-19 global pandemic. At this time, many nursing students have been at the frontline of patient education, as such, it would be expected that they have high levels of HL. However, it has been suggested that there is the need to improve HL levels in nursing students. AIMS The aim of this study was to analyse the structure of item response of a back translated Chinese version of the COVID-HLS-Q22 questionnaire and to assess the coronavirus-related HLof Chinese speaking nursing students in Hong Kong using the COVID-HLS-Q22-CN. METHODS A cross-sectional study of 97 undergraduate nursing students was conducted using two self-reported questionnaires. The HLS-EU-16 scale, with face validity already established, was used to assess scale equivalence Using a cross-over study approach, student participants were randomly assigned in sequential order. The validation process was performed in five phases: direct translation, translation synthesis, back translation, consolidation with experts, and testing with the students. The intended outcome of this study will be a formally tested model of the Chinese version of the COVID-HLS-Q22-CN, that can be replicated in Chinese population. RESULTS Factorial equivalence was present across language versions in both questionnaires. Internal consistency was excellent for COVID-HLS-Q22-CN (coefficient alpha for Chinese version of questionnaire, 0.957 and English version, 0.953). This suggested that the four subscale are stable across the two questionnaires. CONCLUSION The COVID-HLS-Q22-CN has proven to be a feasible and reliable tool in the assessment of Hong Kong based Chinese speaking nursing students. The emergence of issues around COVID-related HL further highlights the need to include the teaching of critical health literacy skills within nurse education, preparing the healthcare professionals of the future for public health emergencies.
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Affiliation(s)
| | - Veronica Ka Wai Lai
- CPsychol. Children's Hospital Research Institute of Manitoba, Department of Pediatrics and Child Health, University of Manitoba, Canada
| | - Sara Poon
- Caritas Institute of Higher Education, Hong Kong
| | - Kay I Penny
- Institute of Applied Health Sciences, University of Aberdeen, United Kingdom
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Sadeghian R, Hamedani MA, Salehipour S, Sarabandi A, Kiani F, Babamohamadi H. The health literacy level and its related factors in Iranian women with breast cancer undergoing chemotherapy. Front Public Health 2023; 11:1150148. [PMID: 37841736 PMCID: PMC10568019 DOI: 10.3389/fpubh.2023.1150148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 09/13/2023] [Indexed: 10/17/2023] Open
Abstract
Background Breast Cancer (BC) is the most common cause of female mortality throughout the world. Promoting public awareness about this disease is the most crucial method of its prevention or control. The present study was carried out to determine the health literacy level and its related factors in women with BC. Methods This cross-sectional study was conducted on BC patients undergoing chemotherapy in two teaching hospitals affiliated to Zahedan University of Medical Sciences in 2020. A total of 210 patients referred to these chemotherapy centers were selected by purposive sampling. The data collection tools included a demographic information form and a health literacy questionnaire for Iranian women with BC. The collected data were analyzed using descriptive and inferential statistics (logistic regression) in SPSS-22. p-values less than 0.05 were considered statistically significant. Results The mean total score of the health literacy of women with BC undergoing chemotherapy was 40.35 ± 19.01, which suggests an insufficient health literacy. The health literacy had a significant relationship with variables including university education (OR = 4.41, p = 0.005) and supplementary insurance coverage (OR = 5.83, p < 0.001). Conclusion The findings showed that university education and supplementary insurance coverage are associated with a higher health literacy among women with BC. Improving these factors and paying further attention to their role in the promotion of health literacy can help enhance the health literacy of women with BC.
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Affiliation(s)
- Reyhaneh Sadeghian
- Department of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Hormozgan, Iran
| | - Mahsa Asadollahi Hamedani
- Department of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Hormozgan, Iran
| | - Sajad Salehipour
- Department of Nursing, School of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
| | - Anahita Sarabandi
- Department of Dentistry, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Fatemeh Kiani
- Department of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Hassan Babamohamadi
- Department of Nursing, School of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
- Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran
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Pailaha AD. Public health nursing: Challenges and innovations for health literacy in rural area. Public Health Nurs 2023; 40:769-772. [PMID: 37392096 DOI: 10.1111/phn.13223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 06/10/2023] [Accepted: 06/16/2023] [Indexed: 07/02/2023]
Abstract
Health literacy is a critical component of public health nursing, particularly in rural areas where access to health services is severely limited. As it relates to quality of care, cost of care, safety of care, and appropriate decision-making in general public health, health literacy can also be seen as an important public policy issue. Several challenges that can be found in rural communities in terms of access to health literacy, such as limited access to healthcare services, limited resources, low literacy rate, cultural and language barriers, financial constraints, and digital divide. Based on these challenges, several innovations can be pursued such as community-based health education, health literacy training among healthcare professionals, digital health technology, partnerships with community-based organizations, health literacy radio programs, and community health ambassadors. This reflection highlights the challenges and innovations that nurses can do to overcome the problem of low-health literacy in rural communities. In the future, the development of community empowerment and technology will be needed to refine the progress made so that a gradual increase in health literacy in rural communities can be seen.
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Affiliation(s)
- Aprianto Daniel Pailaha
- Nurse IPD, Department of Nursing, Siloam Hospitals Agora, Cempaka Putih, Central Jakarta, Jakarta Special Capital Region, Indonesia
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Church S, Ejder Apay S, Gurol A, Slaveva Y, Mills R. Student midwives' perspectives of women's sexual and reproductive health literacy in Turkey. SEXUAL & REPRODUCTIVE HEALTHCARE 2023; 37:100864. [PMID: 37331301 DOI: 10.1016/j.srhc.2023.100864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 05/05/2023] [Accepted: 05/24/2023] [Indexed: 06/20/2023]
Abstract
OBJECTIVE This study focused on the issues surrounding health literacy in the context of women's sexual and reproductive health (SRH), the significance and availability of information for midwives and women; and the socio-cultural influences and barriers related to women's level of health literacy. METHODS A cross sectional on-line survey was distributed to 280 student midwives in their 2nd 3rd and 4th year of a midwifery programme. This paper focuses on the responses from 138 students which were analysed using descriptive and non-parametric tests. RESULTS Student midwives indicated their level of agreement regarding women's ability to access, understand, and appraise information they received verbally and in written form about the six main SRH topics (namely contraception, STIs, abortion, Pap tests and cervical cancer, and fertility and pregnancy), from their midwife but agreement was much lower regarding women's access to SRH information from peers and their families. False beliefs were ranked as the most common barrier to accessing information and services. Students ranked being a refugee, being from a rural area, being educated to a primary school level or not formally educated, as having the greatest negative impact on women's health literacy. CONCLUSIONS Findings from this study indicate the role that the sociocultural background of Islamic culture plays in the disparities in sexual and reproductive health literacy (SRHL) for women from the perspective of student midwives. Our findings indicate the need for future research to focus on women as participants to gain their first-hand experiences of SRHL.
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Affiliation(s)
- Sarah Church
- School of Nursing & Midwifery, Institute of Health & Social Care, London South Bank University, London, United Kingdom.
| | - Serap Ejder Apay
- Faculty of Health Sciences, Atatürk University & Atateknokent Company, Erzurum, Turkey
| | - Ayse Gurol
- Faculty of Health Sciences, Erzurum Technical University, Turkey
| | - Yoanna Slaveva
- School of Nursing & Midwifery, Institute of Health & Social Care, London South Bank University, London, United Kingdom
| | - Rhianna Mills
- School of Nursing & Midwifery, Institute of Health & Social Care, London South Bank University, London, United Kingdom
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Rustami E, Toçi D, Poshi K, Peka E, Pano I, Pula A. Determinants of Inadequate Health Literacy Among Faculty of Medical Technical Sciences Students in Albania: Cross-Sectional Survey. JMIR Form Res 2023; 7:e46476. [PMID: 37463034 PMCID: PMC10394598 DOI: 10.2196/46476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 04/04/2023] [Accepted: 04/07/2023] [Indexed: 07/21/2023] Open
Abstract
BACKGROUND Health literacy (HL) refers to people's ability to find, understand, and use health information in order to make appropriate health decisions. Health literacy among students is important so that tomorrow's health professionals can deliver high-quality health care and enhance patient education and communication. OBJECTIVE In this context, the aim of this study was to assess the HL level of Faculty of Medical Technical Sciences (FMTS) students in order to shed light on this underresearched topic in Albanian settings. METHODS A cross-sectional study involving 193 FMTS students of various study branches (nursing, midwifery, physiotherapy, and laboratory technician) was carried out during June 22-29, 2022, on the premises of the FMTS Faculty in Tirana, Albania. The international European Health Literacy Survey Questionnaire (HLS-EU-Q) standardized questionnaire, validated in Albanian, was used to collect information about FMTS students' general HL through a face-to-face interview. Basic sociodemographic information was collected as well. Binary logistic regression was used to assess the factors associated with inadequate, problematic, or limited HL. RESULTS The mean level of general HL was 37.2 (on a scale from 0 [minimum HL] to 50 [maximal HL]). About one-quarter of FMTS students had inadequate (9/193, 4.7%) or problematic (38/193, 19.7%) HL, 51.3% (99/193) had sufficient HL, and 24.4% (47/193) had excellent HL. The prevalence of limited HL (inadequate and problematic HL) was higher among male than female students (6/12, 50% vs 41/181, 22.6%, respectively) and those with lower social and economic status. Upon adjusting for confounding effects, the only factor significantly increasing the likelihood of limited HL was male gender (odds ratio 8.13, 95% CI 1.68-39.39). Findings suggested that low social and economic status also increased the likelihood of limited HL, but such associations did not reach statistical significance. CONCLUSIONS To our knowledge, this is the first study exploring the level of HL and its associated factors among FMTS students in Albania. The prevalence of limited HL was relatively high among FMTS students. There is a need for targeted interventions to increase the HL of nursing and midwifery students, such as the inclusion of HL subjects in the nursing curriculum.
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Affiliation(s)
- Etleva Rustami
- Department of Clinical Subject, University of Medicine Tirane, Tirane, Albania
| | - Dorina Toçi
- Institution of Public Health, University of Medicine in Tirane, Tirane, Albania
| | - Klodiana Poshi
- Department of Clinical Subject, University of Medicine Tirane, Tirane, Albania
| | - Elida Peka
- Department of Clinical Subject, University of Medicine Tirane, Tirane, Albania
| | - Irida Pano
- Department of Clinical Subject, University of Medicine Tirane, Tirane, Albania
| | - Alma Pula
- Department of Clinical Subject, University of Medicine Tirane, Tirane, Albania
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Ramón-Arbués E, Granada-López JM, Antón-Solanas I, Cobos-Rincón A, Rodríguez-Calvo A, Gea-Caballero V, Tejada-Garrido CI, Juárez-Vela R, Echániz-Serrano E. Factors related with nursing students' health literacy: a cross sectional study. Front Public Health 2023; 11:1053016. [PMID: 37275493 PMCID: PMC10234423 DOI: 10.3389/fpubh.2023.1053016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Accepted: 04/07/2023] [Indexed: 06/07/2023] Open
Abstract
Background Nursing professionals have a crucial role in promoting health literacy in health services, so it is necessary to ensure health literacy skills in future health professionals. Objective The objective of the study was to examine the health literacy of nursing students and its associated factors. Methods A cross-sectional descriptive study was carried out on 460 nursing students. For data collection, a semi-structured questionnaire was obtained on sociodemographic characteristics, perception and health care, use of the health system and lifestyles. In addition, health literacy was assessed using the European Health Literacy Questionnaire. Results 6.1% of the participants had an inadequate level of health literacy and 36.5% problematic. The probability of having sufficient health literacy is directly associated with age; and inversely with smoking, prolonged screen time and living alone (p < 0.05). Conclusion A large percentage of nursing students need to improve their health literacy skills. It is necessary to integrate a greater number of contents in health literacy in the curriculum of nursing students.
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Affiliation(s)
- Enrique Ramón-Arbués
- Faculty of Health Sciences, San Jorge University, Villanueva de Gállego, Spain
- SAPIENF Investigation Group, Zaragoza, Spain
| | - José Manuel Granada-López
- Department of Nursing and Physiatry, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- GIISA021 Seguridad y Cuidados Investigation Group, Zaragoza, Spain
| | - Isabel Antón-Solanas
- SAPIENF Investigation Group, Zaragoza, Spain
- Department of Nursing and Physiatry, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - Ana Cobos-Rincón
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Antonio Rodríguez-Calvo
- Department of Anesthesia, Complex University of Salamanca, Salamanca, Spain
- Faculty of Medicine, University of Salamanca, Salamanca, Spain
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, Valencian International University, Valencia, Spain
- Community Health and Care Research Group, SALCOM, Valencia, Spain
| | - Clara Isabel Tejada-Garrido
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Raúl Juárez-Vela
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Emmanuel Echániz-Serrano
- SAPIENF Investigation Group, Zaragoza, Spain
- Department of Nursing and Physiatry, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
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Messer M, Murau T. Förderung organisationaler Gesundheitskompetenz aus Sicht von Pflegefachpersonen. Ergebnisse einer qualitativen Studie. PRÄVENTION UND GESUNDHEITSFÖRDERUNG 2022. [DOI: 10.1007/s11553-022-00993-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Zusammenfassung
Hintergrund
Gesundheitseinrichtungen sind gefordert, Patient*innen in ihrer Gesundheitskompetenz zu unterstützen und zu fördern. Dabei kommt Pflegefachpersonen eine bedeutsame Rolle zu, auf die Informationsfähigkeiten und -bedarfe von Patient*innen einzugehen. Bislang ist jedoch kaum untersucht, inwieweit die Pflegepraxis auf diese Aufgabe vorbereitet ist.
Ziel
Ziel der Studie ist es, die Ausgangslage in pflegerischen Informations- und Beratungssituationen zu beschreiben, auf die die Bestrebungen der Förderung der organisationalen Gesundheitskompetenz treffen.
Methode
Es wurden 21 leitfadengestützte Interviews mit Pflegefachpersonen durchgeführt. Die Auswertung erfolgte thematisch kodierend.
Ergebnisse
Die Ergebnisse zeigen, dass sich Pflegefachpersonen auf eine Ad-hoc-Informationsvermittlung spezialisiert haben, in der Aufklärung und Wissensvermittlung im Vordergrund stehen. Beratende und schulende Ansätze finden sich kaum. Adressiert wird ein breites Feld an Informationsthemen, das von Gesundheitsförderung und Prävention bis zu Fragen der Behandlung, Koordination und des Selbstmanagements reicht. Hier zeigt sich eine direkte Passfähigkeit an Konzepte der organisationalen Gesundheitskompetenz. Deutlich wird jedoch, dass es nach dem Berufseinstieg an strukturierten Qualifikationsmöglichkeiten für Pflegefachpersonen zum Thema Kommunikation mangelt. Informationstechniken erarbeiten sie sich durch Erfahrungslernen mit zunehmender Berufserfahrung überwiegend selbst.
Schlussfolgerungen
Die Ergebnisse liefern Hinweise auf die aktuelle Praxis der Vermittlung von gesundheitskompetenzfördernden Informationen durch Pflegefachpersonen. Sie bieten Ansatzpunkte für die zukünftige Konzeptentwicklung, etwa Pflegefachpersonen gezielter in ihrem Qualifikationsbedarf zu unterstützen.
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Bánfai-Csonka H, Bánfai B, Jeges S, Betlehem J. Understanding Health Literacy among University Health Science Students of Different Nationalities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11758. [PMID: 36142030 PMCID: PMC9517253 DOI: 10.3390/ijerph191811758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 09/08/2022] [Accepted: 09/14/2022] [Indexed: 06/16/2023]
Abstract
An adequate level of health literacy is essential for clear communication between patients and health care workers. The internationalization of universities is increasing in the field of health care. The aims of our research were to measure (1) the level of health literacy and its correlation among university students and (2) the relationship between the different instruments measuring health literacy. A cross-sectional study was conducted in the 2020/2021 academic year. The questionnaire included questions on sociodemographic status, study data, health status, and health literacy level. According to the HLS-EU-Q16 health literacy questionnaire, more than half of the students had a limited HL level in disease prevention (52.4%) and health promotion (58.4%) subindexes. Nationality was found to be an influencing factor (p < 0.001). According to the NVS, 80.1% of the students had an adequate HL level. A significant correlation was found between the results and nationality (p = 0.005). None of the Chew questions demonstrated a correlation with nationality (q1 p = 0.269, q2 p = 0.368, q3 p = 0.528). Nationality is a key factor in the level of subjective and functional health literacy. We need to measure both types of levels to see the real results.
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Affiliation(s)
- Henrietta Bánfai-Csonka
- Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- Institute of Emergency Care and Pedagogy of Health, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
- Emergency Department, Clinical Center, University of Pécs, 7624 Pécs, Hungary
| | - Bálint Bánfai
- Institute of Emergency Care and Pedagogy of Health, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
| | - Sára Jeges
- Institute of Emergency Care and Pedagogy of Health, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
| | - József Betlehem
- Institute of Emergency Care and Pedagogy of Health, Faculty of Health Sciences, University of Pécs, 7621 Pécs, Hungary
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Cetinkaya S, Askan F, Gunes NEO, Todil T, Yuruk E. E-health literacy of nursing students and investigation of factors affecting e-health literacy during COVID-19 pandemic process: A cross-sectional study. Medicine (Baltimore) 2022; 101:e30148. [PMID: 36107588 PMCID: PMC9439628 DOI: 10.1097/md.0000000000030148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The lack of knowledge on health literacy affects all segments of society, particularly health workers. The objectives were to identify nursing students' means of accessing information during the coronavirus disease 2019 pandemic, their level of health literacy, and the factors that affect it. This cross-sectional study was conducted in Turkey among 398 nursing students of Çukurova University and Van Yüzüncü Yil University between June 1 and June 30, 2020. As a data collection tool, E-Health Literacy Scale was used, with students' characteristics and personal information form related to Internet use. These forms were converted to the online format. The survey link was sent to the students' smartphones and/or e-mails to ask them to participate. Majority of participants were Van Yüzüncü Yil University nursing students (63.8%). E-SYO score average of all students was found to be 29.42 ± 4.39 (min = 14, max = 40); it was is found be at a good level. They used the Internet as the first source of information about coronavirus disease 2019 (65.1%).Among the participants, 65.8% stated that it was important to access the health resource on the Internet and 19.1% of the participants thought that it was very important. It was found that Internet use was being used for >3 times a day (72.9%). The age, class, gender, family type, income level, high school from which they graduated from, and their working status significantly were statistically affecting their health literacy (P < .05). The health literacy scale scores were significant and higher than those who did not know the concept of health literacy, and those who perceived Internet skills well and very well than those who perceived them poorly (P < .05). Nursing students were found to have good average health literacy averages. Improving the health literacy is important for making individuals healthier.
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Affiliation(s)
- Senay Cetinkaya
- Department of Nursing, Çukurova University, Adana, Turkey
- *Correspondence: Senay Cetinkaya, Faculty of Health Sciences, Department of Nursing, Child Health and Diseases Nursing, Çukurova University, Adana, Turkey (e-mail: , )
| | | | - N. Ecem Oksal Gunes
- Çukurova University, Health Sciences Institute, Nursing Care Main Branch of Science, Adana, Turkey
| | - Tugba Todil
- Çukurova University, Health Sciences Institute, Nursing Care Main Branch of Science, Adana, Turkey
| | - Emel Yuruk
- Çukurova University, Health Sciences Institute, Nursing Care Main Branch of Science, Adana, Turkey
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Evaluation of the effectiveness of a health literacy education program during the pandemic. MARMARA MEDICAL JOURNAL 2022. [DOI: 10.5472/marumj.1121841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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González-López JR, Rodríguez-Gázquez MDLA. Do health literacy levels of nursing students change throughout the study programme? A cross-sectional study. BMJ Open 2022; 12:e047712. [PMID: 35022165 PMCID: PMC8756281 DOI: 10.1136/bmjopen-2020-047712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES The aim of this research was to analyse if the level of health literacy (HL) of nursing students changes throughout the study programme. DESIGN A cross-sectional study with anonymous self-reporting was conducted. PARTICIPANTS/SETTING 329 public university nursing students in Seville, Spain; 243 of the first year and 86 of the fourth. INTERVENTIONS The short Spanish version of the Health Literacy Survey Questionnaire-European Union was used to evaluate HL. PRIMARY AND SECONDARY OUTCOME MEASURES The proportions of the limited level of HL were compared between academic years and the crude and corrected OR were calculated with the Mantel-Haenszel test to evaluate the effect of confusion of the sex variable on the HL level and academic year relationship. A logistic regression model with step-by-step analysis was run, including the independent variables sex, age, marital status, academic year and HL level (limited/sufficient) as the dependent variable. RESULTS 62.1% of the participants of the first year versus 47.7% of the fourth year had a limited literacy level for a crude OR of 1.5 (95% CI 1.10 to 2.21; p=0.014) and a corrected by sex OR of 1.8 (95% CI 1.10 to 2.96; p=0.026). Only the strata in women had a statistically significant relationship. The logistic regression model ratified that the HL was a function exclusive to the academic year. CONCLUSION The HL level of nursing students increases from the first to the fourth academic year, even when controlling for sex. Although the HL level in the fourth academic year was greater than that of the first, both groups had inadequate HL levels. It is hence recommended to implement intervention strategies, which reinforce in the curriculum the knowledge and experiences related with health communication and education to ensure that future professionals improve their HL. Achieving adequate HL is crucial to be able to provide care to patients, their families and the community.
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Affiliation(s)
- José Rafael González-López
- Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, Seville, Spain
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Munangatire T, Tomas N, Mareka V. Nursing students' understanding of health literacy and health practices: a cross-sectional study at a university in Namibia. BMC Nurs 2022; 21:8. [PMID: 34983503 PMCID: PMC8725331 DOI: 10.1186/s12912-021-00776-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Accepted: 11/25/2021] [Indexed: 11/10/2022] Open
Abstract
Background A poor understanding of health literacy and inadequate health practices among nurses can be detrimental to a population’s health. The starting point of solving this problem is through the provision of methodical health literacy and health practice education in the nursing curriculum. This study explored nursing students’ understanding of the concept of ‘health literacy’ and their health practices at a university in Namibia. Methods A descriptive cross-sectional study was carried out among 205 nursing students. A simple stratified sampling method was used and data were collected using a self-reporting Understanding of Health Literacy (UHL) questionnaire. Pearson correlation, independent t-test and One-way ANOVA were used to analyse the data. Results The overall mean Understanding of Health Literacy score was 13.04 ± 1.52. The majority (n = 157; 76.5%) of the students were found to have adequate health literacy scores, 21.5% had moderate health literacy scores, and only 2% had inadequate health literacy scores. The overall mean health practice score was 32.4 ± 5.50. Most (n = 106; 51.7%) of the students were found to have poor health practices, 44.4% had average health practices, and just 3.9% had good health practices. There was no significant relationship between the health literacy levels and health practices of the students (p = 0.63). Conclusions Nursing students have a good understanding of the concept of health literacy, but more effort can be made to translate this understanding into health literacy skills. There is a need to investigate the contributing factors to poor health practices, as well as develop strategies that can support good health practices among nursing students. These health literacy skills could then be transferred into the students' professional careers as nurses. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-021-00776-z.
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Affiliation(s)
| | - Nestor Tomas
- Department of Nursing, University of Namibia, P.O. Box 88, Rundu, Namibia
| | - Violetha Mareka
- Department of Nursing, University of Namibia, P.O. Box 88, Rundu, Namibia
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Zakar R, Iqbal S, Zakar MZ, Fischer F. COVID-19 and Health Information Seeking Behavior: Digital Health Literacy Survey amongst University Students in Pakistan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:4009. [PMID: 33920404 PMCID: PMC8069684 DOI: 10.3390/ijerph18084009] [Citation(s) in RCA: 53] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 04/04/2021] [Accepted: 04/08/2021] [Indexed: 12/18/2022]
Abstract
Amid the COVID-19 pandemic, digital health literacy (DHL) has become a significant public health concern. This research aims to assess information seeking behavior, as well as the ability to find relevant information and deal with DHL among university students in Pakistan. An online-based cross-sectional survey, using a web-based interviewing technique, was conducted to collect data on DHL. Simple bivariate and multivariate linear regression was performed to assess the association of key characteristics with DHL. The results show a high DHL related to COVID-19 in 54.3% of students. Most of the Pakistani students demonstrated ~50% DHL in all dimensions, except for reliability. Multivariate findings showed that gender, sense of coherence and importance of information were found to be significantly associated with DHL. However, a negative association was observed with students' satisfaction with information. This led to the conclusion that critical operational and navigations skills are essential to achieve COVID-19 DHL and cope with stress, particularly to promote both personal and community health. Focused interventions and strategies should be designed to enhance DHL amongst university students to combat the pandemic.
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Affiliation(s)
- Rubeena Zakar
- Department of Public Health, University of the Punjab, Lahore 54590, Pakistan;
| | - Sarosh Iqbal
- Institute of Social and Cultural Studies, University of the Punjab, Lahore 54590, Pakistan;
| | | | - Florian Fischer
- Institute of Public Health, Charité–Universitätsmedizin Berlin, 10117 Berlin, Germany
- Institute of Gerontological Health Services and Nursing Research, Ravensburg-Weingarten University of Applied Sciences, 88250 Weingarten, Germany
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Koduah AO, Amoah PA, Nkansah JO, Leung AYM. A Comparative Analysis of Student and Practising Nurses' Health Literacy Knowledge in Ghana. Healthcare (Basel) 2021; 9:healthcare9010038. [PMID: 33406747 PMCID: PMC7823597 DOI: 10.3390/healthcare9010038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Revised: 12/22/2020] [Accepted: 12/22/2020] [Indexed: 11/23/2022] Open
Abstract
This study examined student and practising nurses’ health literacy knowledge, and its correlates in Ghana. It was underpinned by an adapted version of the Institute of Medicine’s (IOM) conceptual framework of health literacy. We used convenience and snowball sampling techniques to collect data from 876 nurses (477 student nurses and 399 practising nurses) in a cross-sectional survey from February 2019 to June 2019. The respondents were drawn from all the former ten administrative regions of Ghana. Approximately 75.4% of the respondents had heard of health literacy. However, health literacy knowledge was generally low (average score of 6.6 out of 20) among both groups, with student nurses (average score of 5.8 out of 20) having significantly lower scores than practising nurses (average score of 7.4 out of 20). Factors associated with health literacy knowledge among student nurses included gender (male, B = −0.499, p < 0.01), trust in others (B = −0.874, p < 0.001), cultural values (B = 0.276, p < 0.001), year of study (B = 0.244, p < 0.05), and frequency of curative care use (B = −0.236, p < 0.05). For practising nurses, trust (B = −1.252, p < 0.01), cultural values (B = 0.357, p < 0.01), and working experience (B = 0.612, p < 0.01) were associated with their health literacy knowledge. Thus, responses targeted at gaps in health literacy knowledge of student and practising nurses must be sensitive to personal characteristics (e.g., gender), social values (e.g., issues of trust, and cultural beliefs and practices), as well as factors relating to nursing education and experience.
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Affiliation(s)
- Adwoa Owusuaa Koduah
- Center of Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China;
| | - Padmore Adusei Amoah
- Institute of Policy Studies, Asia Pacific Institute of Ageing Studies, and School of Graduate Studies, Lingnan University, Hong Kong SAR, China
- Correspondence:
| | | | - Angela Y. M. Leung
- Centre for Gerontological Nursing, WHO Collaborating Centre for Community Health Services (WHOCC), School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China;
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Health Literacy among Health and Social Care University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072273. [PMID: 32230985 PMCID: PMC7177671 DOI: 10.3390/ijerph17072273] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/09/2020] [Revised: 03/03/2020] [Accepted: 03/25/2020] [Indexed: 11/18/2022]
Abstract
Health literacy has been defined by the World Health Organization as the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health. Its importance in reducing inequalities makes health literacy a thematic area that should be addressed in the training of professionals in the fields of healthcare, Social Work and Education. The objective of this study was to define the health literacy levels of students from the Universities of Girona and Barcelona (Spain) and the Regional Institute of Social Work in Perpignan (France). A cross-sectional study was conducted among students of Nursing, Social Work, Primary Education and Special Education in the 2017–2018 academic year. Sociodemographic and academic variables were considered and the HLS-EU-Q16 questionnaire was used to study health literacy levels. In total, 219 students with an average age of 24.9 participated. Of these, 64.4% were studying Social Work, 23.7% Nursing, 5.9% Primary Education, and 5.9% Special Education. Of the total sample, 36.5% were classified as sufficient in health literacy. The total average score of the health literacy index was 11.1; 13.2 among Nursing students; 10.5 among Social Work students; 10.1 among Primary Education students, and 10.1 among Special Education students (p < 0.001). Nursing students obtained the best results and healthcare was the highest rated subdomain, more than disease prevention and health promotion.
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