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Deng JS, Huang CL, Hu QY, Shi L, Chen XY, Luo X, Tung TH, Zhu JS. Impact of prior SARS-CoV-2 infection on college students' hesitancy to receive additional COVID-19 vaccine booster doses: A study from Taizhou, China. Prev Med Rep 2024; 41:102709. [PMID: 38576514 PMCID: PMC10992892 DOI: 10.1016/j.pmedr.2024.102709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 03/27/2024] [Accepted: 03/28/2024] [Indexed: 04/06/2024] Open
Abstract
Purpose This study aimed to examine the impact of a history of SARS-CoV-2 infection on the hesitancy of college students to receive additional COVID-19 vaccine booster doses. Methods A population-based self-administered online survey was conducted in July 2024 in Taizhou, China. A total of 792 respondents were included in this study. Logistic regression was conducted to identify factors associated with college students' hesitation to receive booster doses of the COVID-19 vaccine. Results Of 792 respondents, 32.2 % hesitated to receive additional doses of the COVID-19 vaccine booster. Furthermore, 23.5 % of the respondents reported an increase in hesitancy to receiving additional COVID-19 vaccine booster doses compared to before they were infected with SARS-CoV-2. In the regression analyses, college students who had a secondary infection were more hesitant to receive additional COVID-19 vaccine booster doses (OR = 0.481, 95 % CI: (0.299-0.774), P = 0.003). Moreover, students with secondary infections who were male (OR = 0.417, 95 % CI: 0.221-0.784, P = 0.007), with lower than a bachelor's degree (OR = 0.471, 95 % CI: 0.272-0.815, P = 0.007), in non-medical majors (OR = 0.460, 95 % CI: 0.248-0.856, P = 0.014), and sophomores or below (OR = 0.483, 95 % CI: 0.286-0.817, P = 0.007) were more hesitant to receive additional COVID-19 vaccine booster doses. Conclusion A history of SARS-CoV-2 infection affects college students' hesitation to receive additional COVID-19 vaccine booster doses, which was higher in those who experienced secondary infections.
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Affiliation(s)
- Jing-Shan Deng
- Department of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang 317000, China
| | - Chun-Lian Huang
- Department of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang 317000, China
| | - Qiong-Ying Hu
- School of Medicine, Taizhou University, 1139 Shifu Road, Jiaojiang District, Taizhou, Zhejiang 318000, China
| | - Lei Shi
- Enze Nursing College, Taizhou Vocational and Technical College, Taizhou, Zhejiang 318000, China
| | - Xiao-Ying Chen
- Department of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang 317000, China
| | - Xu Luo
- Department of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang 317000, China
| | - Tao-Hsin Tung
- Evidence-based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang 317000, China
| | - Jian-Sheng Zhu
- Department of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang 317000, China
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Weber TM, Sinojia S, Shao C, Chu DI, Kinard BE. What Is Health Literacy Among Orthognathic Surgery Patients? J Oral Maxillofac Surg 2024; 82:434-442. [PMID: 38280726 DOI: 10.1016/j.joms.2024.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Revised: 01/01/2024] [Accepted: 01/03/2024] [Indexed: 01/29/2024]
Abstract
BACKGROUND Health literacy of orthognathic surgery patients has not been thoroughly evaluated. PURPOSE The purpose of this study was to estimate health literacy and identify risk factors associated with inadequate health literacy in orthognathic surgery patients. STUDY DESIGN, SETTING, SAMPLE A cross-sectional study was implemented utilizing patients ages 14-80 years who presented for orthognathic surgery evaluation between September 2021 and December 2022. Subjects were excluded from the study if they did not complete the orthognathic surgery evaluation, were not between the ages of 14-80 years old, or did not complete the Brief Health Literacy Screening Tool (BRIEF) questionnaire during intake. Subjects who have not undergone orthognathic surgery but completed the initial evaluation for orthognathic surgery were included in the study. PREDICTOR VARIABLES The predictor variables were a set of risk factors for inadequate health literacy: age, sex, primary language, race, estimated household income, and diagnosis. MAIN OUTCOME VARIABLE The main outcome variable was health literacy assessed using the BRIEF questionnaire. During intake, subjects completed the BRIEF questionnaire consisting of four questions scored on an ordinal scale of 1-5. Inadequate health literacy was defined as a BRIEF score ≤16. COVARIATES Not applicable. ANALYSES Bivariate and multivariate analyses were performed. P < .05 was considered statistically significant. RESULTS Of 150 patients presenting for orthognathic surgery, fifteen percent of patients had inadequate health literacy via the BRIEF test. The mean age of those with adequate health literacy was 27.9 years (standard deviation, ±12.5) compared to 18.5 years (standard deviation, ±5.7) for those with inadequate health literacy (P = <.001). After adjusting for sex, language, race, estimated household income, and diagnosis via multivariate analysis, increasing age was associated with decreased odds of inadequate health literacy (adjusted odds ratio = 0.81; confidence interval, 0.72-0.92; P = <.001). CONCLUSION AND RELEVANCE In the complex process of orthognathic surgery, it is essential to identify patients with inadequate health literacy that may require additional health literacy interventions. Ultimately, 15% of orthognathic surgery subjects had inadequate health literacy, and younger patients were the most susceptible as the odds of inadequate health literacy decreased with increasing age.
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Affiliation(s)
- Timothy M Weber
- Resident-in-Training, Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham School of Dentistry, Birmingham, AL
| | - Smit Sinojia
- Former Student, University of Alabama at Birmingham School of Dentistry, Birmingham, AL
| | - Connie Shao
- Resident-in-Training, Department of Surgery, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL
| | - Daniel I Chu
- Professor, Vice Chair, Health Services Research, Selwyn M. Vickers, MD, FACS Endowed Chair, Department of Surgery, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL
| | - Brian E Kinard
- Associate Professor, Department of Oral and Maxillofacial Surgery, Department of Orthodontics, University of Alabama at Birmingham School of Dentistry, Birmingham, AL.
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Cheong KY, Syed Mahmud SMB, Chng NW, Kwek GJ, Yan CC, Yeung MT. Cross-sectional survey of health literacy among health science students in Singapore. J Med Access 2024; 8:27550834231222382. [PMID: 38306366 PMCID: PMC10822080 DOI: 10.1177/27550834231222382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 12/07/2023] [Indexed: 02/04/2024]
Abstract
Background Health literacy proficiency is essential for health care professionals to provide quality patient care. There is limited research exploring health literacy proficiency among undergraduate health science students. Objectives To determine health literacy among health science students in Singapore using the electronic Health Literacy Questionnaire (HLQ). Design A cross-sectional survey using purposive sampling was conducted among undergraduate health science students. Methodology This study hypothesises that health literacy is influenced by gender, and it increases with the level of health science education, attributed to the increased exposure to the health care system and health care education as undergraduates progress through the years of study. Eligible students from the 4-year entry-level programmes of diagnostic radiography, dietetics, occupational therapy, physiotherapy, radiation therapy and speech and language therapy, aged from 21 to 50, were invited. Exclusion criteria were students who were no longer studying due to dropping out or having immediately graduated from these programmes and students in the accelerated programmes whose studies would be completed in less than 4 years. Results In total, 111 respondents (72 females and 37 males) completed surveys (response rate, 7.7%) returned from physiotherapy (n = 69), occupational therapy (n = 25), diagnostic radiography (n = 12) and dietetics (n = 5), with nil from radiation therapy and speech and language therapy. All participants were English literate. Female participants demonstrated higher HLQ with a mean total score of 30.67 (standard deviation (SD) = 0.61) versus male participants 29.83 (SD = 0.53). Year 2, 3 and 4 students generally scored higher than Year 1 across all nine HLQ scales. Overall, dietetics students had the highest total score on the HLQ, while the diagnostic radiography students had the lowest scores for all the nine HLQ scales. Conclusion This study established the health literacy level of health science students in Singapore. Gender and years of study influenced health literacy levels, supporting the hypothesis.
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Affiliation(s)
- Kenrick Y Cheong
- Health and Social Sciences Cluster, Singapore Institute of Technology, Singapore
- Department of Physiotherapy, Singhealth Polyclinics, Singapore
| | | | - Nicole W Chng
- Health and Social Sciences Cluster, Singapore Institute of Technology, Singapore
| | - Geralyn J Kwek
- Health and Social Sciences Cluster, Singapore Institute of Technology, Singapore
| | - Clement C Yan
- Health and Social Sciences Cluster, Singapore Institute of Technology, Singapore
- Department of Physiotherapy, Sengkang General Hospital, Singapore
| | - Meredith T Yeung
- Health and Social Sciences Cluster, Singapore Institute of Technology, Singapore
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Portela-Pino I, Hernaiz-Sanchez A, Lomba-Portela L. Evaluation of health literacy and its predictive formative factors among Spanish military personnel. Mil Psychol 2023:1-8. [PMID: 37921646 DOI: 10.1080/08995605.2023.2274755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 10/10/2023] [Indexed: 11/04/2023]
Abstract
Health literacy (HL) is an aspect that has been widely studied. However, in the military population there are hardly any studies on the influence of educational variables. Knowing the level of health literacy of military professionals is important as it has an impact on adequate health decision making, avoids the abuse of health services and makes it possible to ask for help when needed, especially in aspects related to mental health. The aim of this study was to measure the level of literacy, as well as its association with other training variables in a sample of military personnel. The study was carried out in 695 military personnel of the Spanish Army. A cross-sectional observational design was used, using a survey with the HLS-EU-Q47 scale. Among the results, it stands out that the level of health literacy of the military is high compared to the rest of the population. The results showed that the level of HL does not seem to be influenced by the level of languages, nor by the degree they hold, nor by experiences abroad. On the other hand, it was observed that the performance of professional internships and work in multidisciplinary teams, extracurricular training, does influence the level of HL, especially in the dimension related to health promotion. This fact seems to mean that the military have learned during these experiences to keep abreast of health-related issues, to understand, to value and to form a considered opinion on health-related information.
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Affiliation(s)
- Iago Portela-Pino
- Department of Health Sciences, Faculty of Health Sciences, Isabel I University, Burgos, Spain
| | | | - Lucía Lomba-Portela
- Department of Didactics, School Organisation and Research, University of Vigo, Vigo, Spain
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Wang YY, Huang XC, Yuan J, Wu YB. Exploring the Link between Family Health and Health Literacy among College Students: The Mediating Role of Psychological Resilience. Healthcare (Basel) 2023; 11:1859. [PMID: 37444692 DOI: 10.3390/healthcare11131859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 06/18/2023] [Accepted: 06/20/2023] [Indexed: 07/15/2023] Open
Abstract
Enhancing health literacy is of the utmost importance to enhance the physical and mental well-being of college students. Unfortunately, there has been limited research investigating the means of improving college students' health literacy through the perspective of families. Family health is an interdisciplinary and complex concept that involves multiple factors, and it provides a holistic perspective on the overall well-being of the family unit. Thus, this study aims to examine the relationship between family health and health literacy and scrutinize the mediating role of psychological resilience. A valid sample of 5473 students was collected from a university in November-December 2022 and was assessed using regression analysis. The findings reveal that family health has a positive association with the health literacy of college students (β = 0.56, p < 0.001), with psychological resilience playing a critical mediating role (β = 0.11, 95% CI: [0.09, 0.13]). Therefore, the family ought to be recognized as a fundamental mechanism to enhance college students' health literacy. Additionally, it is essential to emphasize the amelioration of psychological distress among college students and enhance their psychological resilience, which will be helpful for their overall health consciousness and proficiency.
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Affiliation(s)
- Yan-Yan Wang
- School of Economics and Management, Beijing Institute of Graphic Communication, Beijing 102600, China
| | - Xin-Cheng Huang
- School of Economics and Management, Beijing Institute of Graphic Communication, Beijing 102600, China
| | - Jie Yuan
- Jitang College of North China University of Science and Technology, Tangshan 063210, China
| | - Yi-Bo Wu
- School of Public Health, Peking University, Beijing 100080, China
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Beasley L, Hoffman S, Houtz J. Health literacy and mental well-being among university students in the United States. J Am Coll Health 2023:1-7. [PMID: 37094235 DOI: 10.1080/07448481.2023.2199335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Objective: Exploration of the relationship between mental health constructs and physical health constructs can help practitioners better understand the mental health of vulnerable populations, such as college students in the United States. The purpose of this exploratory study was to investigate the connection between mental well-being and health literacy of US college students. Participants: The sample included 410 undergraduate students (63% white; 71% female) attending universities across the United States. Methods: Participants completed the All Aspects of Health Literacy Scale and the Warwick-Edinburgh Mental Well-being Scale. Univariate and bivariate statistics were observed for all study variables, and three linear regression models were run to see whether functional, communicative, and/or critical health literacy scores predicted mental well-being. Conclusions: Findings suggest that health literacy was associated with improved mental well-being among US college students, which has implications for health programming at US universities, such as the coordination of physical and mental healthcare.
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Noblin AM, Zraick RI, Miller AN, Schmidt-Owens M, Deichen M, Tran K, Patel R. Readability and Suitability of Information Presented on a University Health Center Website. Perspect Health Inf Manag 2022; 19:1f. [PMID: 36348731 PMCID: PMC9635048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
This study evaluated the readability and suitability of a university health center public website. Readability formulas estimated the reading grade and age required for comprehension of health information. The Suitability Assessment of Materials (SAM) instrument determined adequacy of the webpages for the intended audience. Readability showed the reading grade level, representing the youngest reader able to process the material, ranged from 10.1 to 14.6, averaging 12.5 (midway through 12th grade in the US educational system). Full comprehension required higher education levels, up to postgraduate. Suitability scores for some webpages indicated deficiencies in readability, motivation to learn, and instructions for healthy behavior changes. Content on the website may be difficult for some students to comprehend based on the reading grade level, but overall suitability results are satisfactory. All webpage updates should bear these parameters in mind to ensure content is fully accessible to college students, faculty, and staff.
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Noblin A, Gabriel MH, Cortelyou-Ward K, Holmes K. Health literacy among visiting college students in the U.S.: A pilot study. J Am Coll Health 2022; 70:589-597. [PMID: 32432972 DOI: 10.1080/07448481.2020.1758114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Revised: 03/06/2020] [Accepted: 04/13/2020] [Indexed: 06/11/2023]
Abstract
Objective This study examined the health literacy of international college students from Colombia visiting the United States. Participants: Thirty (30) students from a Colombian university completed the survey in October 2017. Methods: This pilot study surveyed international college students using the eHEALS and Newest Vital Signs (NVS) health literacy tools to determine the health literacy of this group. Although these students spoke English, a translator was provided. Results: The results show 63% of participants agreed they were confident with filling out health forms alone. In terms of finding helpful health resources on the Internet, 87% of participants felt they knew how to find health information, while 80% felt they knew where to find the resources. Conclusion: There was no association between the health literacy and the confidence of completing forms alone or the perception of using the Internet to answer health questions and knowing where to find helpful resources on the Internet.
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Affiliation(s)
- Alice Noblin
- Department of Health Management and Informatics, University of Central Florida, Orlando, Florida, USA
| | - Meghan Hufstader Gabriel
- Department of Health Management and Informatics, University of Central Florida, Orlando, Florida, USA
| | - Kendall Cortelyou-Ward
- Department of Health Management and Informatics, University of Central Florida, Orlando, Florida, USA
| | - Khristen Holmes
- Department of Health Management and Informatics, University of Central Florida, Orlando, Florida, USA
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Oberne A, Vamos C, Wright L, Wang W, Daley E. Does health literacy affect fruit and vegetable consumption? An assessment of the relationship between health literacy and dietary practices among college students. J Am Coll Health 2022; 70:134-141. [PMID: 32150517 DOI: 10.1080/07448481.2020.1727911] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 01/22/2020] [Accepted: 02/02/2020] [Indexed: 06/10/2023]
Abstract
Objective To explore the association between health literacy and fruit and vegetable (F&V) consumption among college students. Participants: In 2018, undergraduate students from a large, southeastern university were recruited to participate in this study. Methods: Participants (n = 436) completed an online survey assessing health literacy, F&V intake, and personal, situational, and societal and environmental determinants of health literacy. Results: There was a significant association between general health literacy, F(2, 161.54) = 6.52, p < .001; disease prevention health literacy, F(2, 214.22) = 4.788, p < .01; and health promotion health literacy, F(2, 138.35) = 5.53, p < .01 with F&V consumption. Students with excellent health literacy consumed significantly more fruits and vegetables than students with limited health literacy. Conclusions: Health literacy may play an important role in F&V consumption among college students. Future research should explore the relationship between the health literacy and dietary practice decision-making to inform intervention development among college students.
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Affiliation(s)
- Alison Oberne
- College of Public Health, University of South Florida, Tampa, Florida, USA
| | - Cheryl Vamos
- College of Public Health, University of South Florida, Tampa, Florida, USA
| | - Lauri Wright
- Department of Nutrition and Dietetics, University of North Florida, Jacksonville, Florida, USA
| | - Wei Wang
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada
| | - Ellen Daley
- College of Public Health, University of South Florida, Tampa, Florida, USA
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Beasley L, Hoffman S, Andelin R. Physical health literacy of student-athletes. Health Soc Care Community 2021; 29:e116-e125. [PMID: 33278318 DOI: 10.1111/hsc.13251] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 10/04/2020] [Accepted: 11/11/2020] [Indexed: 06/12/2023]
Abstract
Student-athletes are a vulnerable population who face many unique stressors and often engage in risky physical behaviours. Understanding that high levels of health literacy (HL) can lead to improved health knowledge and decreased negative health outcomes, the purpose of this study was to assess the HL of both student-athletes and their non-athlete peers attending NCAA Division I, II and III institutions. Specifically, guided by Nutbeam's (2000) framework of HL, we assessed functional, communicative and critical HL in 205 student-athletes and 205 non-athlete students using the All Aspects of Health Literacy Scale. Compared to non-athletes, student-athletes had lower functional HL (b = 0.20; p < .001; d = 0.21), lower communicative HL (b = 0.12; p < .01; d = 0.13) and higher critical HL (b = 0.11; p < .05; d = 0.11). These findings suggest that additional interventions may be needed to increase the self-sufficiency of student-athletes to care for personal physical health. As social work in sport is an emerging subspecialty of the profession, social workers may consider increased involvement in advocating for this group by working with individuals, coaches and teams to decrease stigma in requesting health services, attending to the complexity of interacting systems and stressors in student-athletes' lives in therapeutic interventions, and connecting them to empowering health education resources.
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Kakutani Y, Murata M, Koiwa A, Ono M, Sasahara I, Omi N. Development of Dietary Information Literacy Scale for Competition (DILS-C) in Japanese College Athletes. J Nutr Sci Vitaminol (Tokyo) 2021; 67:21-27. [PMID: 33642461 DOI: 10.3177/jnsv.67.21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
This study aimed to examine the scale for reliability and validity of the dietary information literacy scale for competition (DILS-C) in college athletes. This cross-sectional study was performed using a self-report questionnaire for college athletes who belong to the club of the university located in Ibaraki prefecture, Japan, from October to December 2014. The final sample comprised 953 college athletes, 684 males and 269 females, aged 18 to 22 y. Following item selection by exploratory factor analysis, the scale's reliability and validity were examined via internal consistency and confirmatory factor analysis. Furthermore, a retest for 376 athletes was conducted at about 3-wk intervals. Factor analysis of literacy measure indicated that the scale consists two sub-scales-communicative literacy and critical literacy. The Cronbach's α coefficient assessing the internal consistency reliability was acceptable (communicative literacy=0.84, critical literacy=0.79). Excellent goodness-of-fit indices of communicative and critical literacy were obtained by confirmatory factor analysis (GFI=0.95, AGFI=0.92, CFI=0.95, RMSEA=0.08). Retest reliability was within an allowable range (communicative literacy ICC=0.52, critical literacy ICC=0.50). The present study suggested that the reliability and factorial validity were confirmed in the DILS-C in college athletes.
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Affiliation(s)
- Yuya Kakutani
- Faculty of Health and Nutrition, Osaka Shoin Women's University
| | - Mayu Murata
- Graduate School of Comprehensive Human Science, University of Tsukuba
| | - Akane Koiwa
- Graduate School of Comprehensive Human Science, University of Tsukuba
| | - Miho Ono
- Institute of Food Sciences & Technologies, Ajinomoto Co., Inc
| | - Ikuko Sasahara
- Institute of Food Sciences & Technologies, Ajinomoto Co., Inc
| | - Naomi Omi
- Faculty of Health and Sport Sciences, University of Tsukuba
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Lange M, Löwe A, Stassen G, Schaller A. Health literacy, health status and health behaviors of German students- study protocol for the "Healthy Habits" cohort study. BMC Public Health 2021; 21:1523. [PMID: 34362337 PMCID: PMC8344330 DOI: 10.1186/s12889-021-11542-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 07/23/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The emerging adulthood is traditionally viewed as a time of optimal health, but also as a critical life span, characterized by changing life circumstances and the establishment of an individual lifestyle. Especially university life seems to hold several challenges impeding the manifestation of a health supporting manner, as many students tend to show a poorer health behavior and a higher amount of health-related problems than comparable age groups. This, along with a steady growth of the higher education sector, brings increased attention to the university setting in the context of prevention. To date, there are few empirical longitudinal and coherent cross-sectional data on the status of students' health literacy, health status, and health behaviors, and on the impact of the study format on students' health. The aim of this prospective cohort study is to reduce this research gap. METHODS Starting during winter semester 2020/21, the prospective cohort study collects data on health literacy, health status and health behavior on a semester-by-semester basis. All enrolled students of the IST University of Applied Sciences, regardless of study format and discipline, can participate in the study at the beginning of their first semester. The data are collected digitally via a specifically programmed app. A total of 103 items assess the subjectively perceived health status, life and study satisfaction, sleep quality, perceived stress, physical activity, diet, smoking, alcohol consumption, drug addiction and health literacy. Statistical analysis uses (1) multivariate methods to look at changes within the three health dimensions over time and (2) the association between the three health dimensions using multiple regression methods and correlations. DISCUSSION This cohort study collects comprehensive health data from students on the course of study. It is assumed that gathered data will provide information on how the state of health develops over the study period. Also, different degrees of correlations of health behavior and health literacy will reveal different impacts on the state of students' health. Furthermore, this study will contribute to empirically justified development of target group-specific interventions. TRIAL REGISTRATION German Clinical Trials Register: DRKS00023397 (registered on October 26, 2020).
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Affiliation(s)
- Martin Lange
- Department of Fitness and Health, IST University of Applied Sciences, Erkrather Straße 220 a-c, 40233, Düsseldorf, Germany.
| | - Alexandra Löwe
- Department of Fitness and Health, IST University of Applied Sciences, Erkrather Straße 220 a-c, 40233, Düsseldorf, Germany
| | - Gerrit Stassen
- Working Group Physical Activity-Related Prevention Research, Institute of Movement Therapy and Movement-oriented Prevention and Rehabilitation, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany
| | - Andrea Schaller
- Working Group Physical Activity-Related Prevention Research, Institute of Movement Therapy and Movement-oriented Prevention and Rehabilitation, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany
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Abstract
PurposeThis study aims to understand how college students' personal and health-related characteristics are related to their reading behaviors and cognitive outcomes of Facebook health information through eye tracking data and cognitive outcomes.Design/methodology/approachThis study analyzed users' gaze movement data and results of recall and recognition tests to investigate users' reading patterns and their consequences with cognitive outcomes. The gaze movements are analyzed with eye tracking data including the average fixation count and time to first fixation.FindingsThe results of reading patterns show that Texts and Images are highly viewed and viewed immediately by participants when the posts were presented. There was no clear pattern with fixation counts to determine cognitive outcomes. However, the findings of study suggest that there is a clear pattern of reading Facebook posts with areas of interest (AOIs). Among five AOIs observed, participants viewed Images first and then Texts when a Facebook post is presented. On the other hand, they read Texts more carefully than Images. The findings of this study suggest that while images contribute to gaining users' attention, a clear and precise message needs to be delivered in text message to ensure readers' correct understanding and application of health information.Originality/valueThe user-centered evidence on reading behaviors and cognitive outcomes will make contributions to how health professionals and health organizations can make optimal use of Facebook for effective health information communication.Peer reviewThe peer-review history for this article is available at: https://publons.com/publon/10.1108/OIR-05-2020-0177
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Storey A, Hanna L, Missen K, Hakman N, Osborne RH, Beauchamp A. The Association between Health Literacy and Self-Rated Health Amongst Australian University Students. J Health Commun 2020; 25:333-343. [PMID: 32419661 DOI: 10.1080/10810730.2020.1761913] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Health literacy is the capacity to understand, access, and effectively utilize health information and healthcare to make informed health decisions. This cross-sectional study uses the multi-dimensional Health Literacy Questionnaire (HLQ) to investigate associations between demographic characteristics, self-rated health and health literacy among students (n = 932) in two Australian universities. We used Pearson's chi-square to determine differences in self-rated health between demographic groups, Cohen's defect Sizeto measure differences in HLQ scale scores between demographic groups, and logistic regression to determine associations between HLQ scores and self-rated health. A clear association was found between self-rated health and health literacy: as health literacy increased, so did self-rated health. Findings also demonstrate lower health literacy for culturally and linguistically diverse students, and those studying Arts compared to Health degrees. Lower self-rated health was correlated with HLQ scales including being less active in managing one's own health, having less social support for one's health, possessing insufficient health information and lower confidence in navigating the healthcare system. This study provides a comprehensive picture of potentially vulnerable students and identifies strategies for supporting their health endeavors while studying at university.
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Affiliation(s)
- Alana Storey
- School of Health and Social Development, Deakin University , Melbourne, Australia
| | - Lisa Hanna
- School of Health and Social Development, Deakin University , Melbourne, Australia
| | - Karen Missen
- School of Nursing and Healthcare Professions, Federation University , Churchill, Australia
| | - Natalie Hakman
- School of Health and Social Development, Deakin University , Melbourne, Australia
| | - Richard H Osborne
- Centre for Global Health and Equity, Swinburne University of Technology , Hawthorn, Australia
| | - Alison Beauchamp
- Monash School of Rural Health , Warragul, Victoria, Australia
- Department of Medicine - Western Health, University of Melbourne , Melbourne, Australia
- Australian Institute for Musculoskeletal Science , Melbourne, Australia
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Dolezel D, Shanmugam R, Morrison EE. Are college students health literate? J Am Coll Health 2020; 68:242-249. [PMID: 30457454 DOI: 10.1080/07448481.2018.1539001] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2018] [Revised: 10/07/2018] [Accepted: 10/15/2018] [Indexed: 06/09/2023]
Abstract
Objective: To examine the health literacy of college students. Participants: A convenience sample of 245 graduate and undergraduate college students. Methods: During February-April of 2018 participants completed the Short Test of Functional Health Literacy which assessed literacy on two passages describing a thyroid scan, and basic healthcare insurance information. Results: Most college students displayed adequate health literacy (99.2%). The ANOVA analyses revealed college classification was the most significant predictor, followed by ethnicity, sex, and primary language. Age was significantly related to health literacy, when holding college classification constant. Interestingly, college major, healthcare work experience, or having health care credentials were not predictors of health literacy. Conclusion: This group of college students had adequate health literacy skills. However, the results of this study revealed demographic disparities that suggest further study.
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Affiliation(s)
- Diane Dolezel
- Health Information Management Department, Texas State University, San Marcos, TX, USA
| | - Ram Shanmugam
- School of Health Administration, Texas State University, San Marcos, TX, USA
| | - Eileen E Morrison
- School of Health Administration, Texas State University, San Marcos, TX, USA
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16
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Abstract
BACKGROUND Health literacy is a multidimensional concept that is considered a primary public health concern. This concept is often neglected in research, and the evidence regarding health literacy in college students is limited. The aim of this study was two-fold: to determine the needs and limitations of health literacy among college students and to explore the relationships among the nine dimensions of health literacy and sociodemographic factors, including age, gender, nationality, year of study, field of study, smoking status, history of chronic diseases, use of on-campus gym, and the intention to exercise on-campus. METHODS This study was conducted using a cross-sectional approach. A total of 520 college students participated in this study. The average age was 21.03 years (SD = 2.29), with 47.5% males and 52.5% females. Data were collected using a demographics questionnaire and the Health Literacy Questionnaire (HLQ). In addition to descriptive statistics, multivariate analysis of variance (MANOVA) and follow-up analyses were performed to explore any statistically significant mean differences among levels of health literacy and sociodemographic factors. RESULTS The levels of health literacy on the nine HLQ scales were lower than the levels reported in the literature. Multivariate analysis showed a significant effect of age, gender, smoking status, year of study, and field of study on the level of health literacy. Follow-up analyses revealed that female students, students from the health-related faculties, and those who do not smoke have higher levels of health literacy compared to their counterparts. A detailed comparison between the levels of the HLQ scales was made based on students' demographic characteristics. The field of study had the most prominent effect on the level of college students' health literacy; mean differences were statistically significant (p < .001), and effect sizes were large (ranging from .66 to 1.35 for the nine scales of the HLQ). CONCLUSION College students' health literacy is influenced by demographic characteristics. Such variations could amplify some of the existing health disparities. The implications of the findings on health, health promotion, and interprofessional education are discussed.
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Affiliation(s)
- Jehad A. Rababah
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110 Jordan
| | - Mohammed M. Al-Hammouri
- Community and Mental Health Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | | | - Mohammed Aldalaykeh
- Community and Mental Health Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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Evans AY, Anthony E, Gabriel G. Comprehensive Health Literacy Among Undergraduates: A Ghanaian University-Based Cross-Sectional Study. Health Lit Res Pract 2019; 3:e227-e237. [PMID: 31637363 PMCID: PMC6786689 DOI: 10.3928/24748307-20190903-01] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Accepted: 02/13/2019] [Indexed: 11/30/2022] Open
Abstract
Background: Health literacy is the ability to access, understand, and use health information for enhancing health. Health literacy research has led to the understanding of its associations with health outcomes and health-promoting behavior. Health literacy is essential to health promotion, but a gap exists in the knowledge of health literacy in Ghana, especially among university students. Objective: This study aimed to ascertain the levels of health literacy and its sociodemographic determinants among undergraduate university students of Kwame Nkrumah University of Science and Technology. Methods: A cross-sectional survey was conducted using multistage cluster sampling to select 500 students from six colleges of the University; of those, 485 were included for data analysis after exclusions. Health literacy was assessed using the 16-item short version of the European Consortium for Health Literacy Questionnaire. Key Results: About 55% of students were found to have limited health literacy (20.4% had “inadequate” health and 34.2% had “problematic” health literacy). Students performed low on health literacy dimensions dealing with the access and appraisal of health information, especially relating to mental health. Multivariate logistic regression showed that factors associated with limited health literacy differed for each gender but generally included college type, self-esteem, health status, and year of study. Conclusions: Interventions need to be implemented to improve students' health literacy. [HLRP: Health Literacy Research and Practice. 2019;3(4):e227–e237.] Plain Language Summary: The study reveals that health literacy may be a challenge even for the educated in Ghana especially among vulnerable people. University students should not be assumed to be health-literate and interventions that will help enhance their literacy in health should be implemented.
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Affiliation(s)
- Ansu-Yeboah Evans
- Address correspondence to Ansu-Yeboah Evans, MBChB, MSPH, Komfo Anokye Teaching Hospital, P. O. Box KS 16444, Kumasi, Ghana, AK-034-7016;
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Nobles AL, Curtis BA, Ngo DA, Vardell E, Holstege CP. Health insurance literacy: A mixed methods study of college students. J Am Coll Health 2019; 67:469-478. [PMID: 29979956 DOI: 10.1080/07448481.2018.1486844] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2017] [Revised: 05/08/2018] [Accepted: 06/04/2018] [Indexed: 06/08/2023]
Abstract
Objective: This study examines the health insurance literacy, or the ability to use health insurance effectively, of college students. Participants: A total of 455 students from a large, public university completed an online questionnaire in November 2016. Methods: A questionnaire examined students' knowledge of commonly encountered health insurance terms and ability to apply that knowledge to determine cost-sharing in a clinical setting. Results: The majority of students were able to correctly identify the most commonly encountered terms, but could not identify terms related to plan types and options. Eighty-eight percent of students could not determine their cost-sharing for two presented scenarios. Approximately half of the students indicated they had been confused about their health insurance plan, with one-quarter of students stopping or delaying medical care due to confusion. Conclusions: Outreach and education for students should target specific deficits in knowledge such as those identified in this study.
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Affiliation(s)
- Alicia L Nobles
- a Department of Systems and Information Engineering, School of Engineering and Applied Science , University of Virginia , Charlottesville , Virginia , USA
| | - Brett A Curtis
- b Department of Human Services, Curry School of Education , University of Virginia , Charlottesville , Virginia , USA
| | - Duc A Ngo
- c Department of Student Health, Division of Student Affairs , University of Virginia , Charlottesville , Virginia , USA
| | - Emily Vardell
- d School of Library and Information Management , Emporia State University , Emporia , Kansas , USA
| | - Christopher P Holstege
- c Department of Student Health, Division of Student Affairs , University of Virginia , Charlottesville , Virginia , USA
- e Departments of Emergency Medicine and Pediatrics, School of Medicine , University of Virginia , Charlottesville , Virginia , USA
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Khaleghi M, Shokravi FA, Peyman N, Moridi M. Evaluating the Effect of Educational Interventions on Health Literacy through Social Networking Services to Promote Students' Quality of Life. Korean J Fam Med 2019; 40:188-193. [PMID: 30997783 PMCID: PMC6536911 DOI: 10.4082/kjfm.18.0060] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Accepted: 07/12/2018] [Indexed: 11/24/2022] Open
Abstract
Background Studies have shown the health literacy effects on the general state of health and its related factors, as well as health outcomes, physical and mental health, and health-related quality of life. This study aimed to investigate the effect of training based on health literacy through social networking strategies to promote health-related quality of life among students of Islamic Azad University, Shahr Rey Branch, Iran. Methods This randomized controlled trial was conducted on 120 students with poor or average quality of life score. Participants were randomly assigned into experimental and control groups (60 participants each). Health literacy and quality of life data were collected at baseline, immediately after, and 3 months after intervention. The educational intervention was conducted online using social networking services. Data were analyzed using SPSS ver. 16.0 (SPSS Inc., Chicago, IL, USA). Results The results showed no significant differences between the two groups in terms of health literacy and quality of life at baseline (P=0.979 and 0.269, respectively). The mean score of health literacy and quality of life in the experimental group, compared with the control group, significantly increased immediately after and 3 months after the intervention (P<0.001). Conclusion The educational intervention administered by applying health literacy strategies online, through social networking services, can be effective in improving the quality of life of students.
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Affiliation(s)
- Mahnaz Khaleghi
- Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Farkhonde Amin Shokravi
- Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Nooshin Peyman
- Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.,Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Science, Mashhad, Iran
| | - Maryam Moridi
- Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
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20
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Shi Y, Luo L. Chinese College Students' Health Information Seeking Behavior: Implications for Academic Libraries. The Journal of Academic Librarianship 2019. [DOI: 10.1016/j.acalib.2019.01.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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21
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Rajah R, Hassali M, Murugiah M. A systematic review of the prevalence of limited health literacy in Southeast Asian countries. Public Health 2019; 167:8-15. [DOI: 10.1016/j.puhe.2018.09.028] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Revised: 09/05/2018] [Accepted: 09/30/2018] [Indexed: 11/22/2022]
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Avci G, Kordovski VM, Woods SP. A Preliminary Study of Health Literacy in an Ethnically Diverse University Sample. J Racial Ethn Health Disparities 2018; 6:182-188. [PMID: 29980990 DOI: 10.1007/s40615-018-0512-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Revised: 06/21/2018] [Accepted: 06/28/2018] [Indexed: 10/28/2022]
Abstract
There is a considerable body of research on health literacy in adult healthcare settings, mostly among at-risk clinical populations. However, much less is known about health literacy among youth transitioning to adulthood, including college students. Despite the protective effects of higher levels of education, some college students might have other risk factors for low health literacy (i.e., minority status). Hence, the purpose of the present study was to explore health literacy in an ethnically diverse public urban university. Although a majority of the students performed within the adequate range, we observed a subset of Hispanic and foreign students with lower health literacy, particularly in the domain of numeracy. Our preliminary results suggest that, contrary to common belief, there exists a vulnerable subpopulation of college students that have difficulty understanding and using health-related information. Health professionals should be alert to possible low health literacy among college students that may interfere with communication of vital health-related information and decision-making.
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Affiliation(s)
- Gunes Avci
- Department of Psychology, University of Houston, 3695 Cullen Boulevard Room 126, Houston, TX, 77204-5022, USA.
| | - Victoria M Kordovski
- Department of Psychology, University of Houston, 3695 Cullen Boulevard Room 126, Houston, TX, 77204-5022, USA
| | - Steven P Woods
- Department of Psychology, University of Houston, 3695 Cullen Boulevard Room 126, Houston, TX, 77204-5022, USA
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Hussein SH, Almajran A, Albatineh AN. Prevalence of health literacy and its correlates among patients with type II diabetes in Kuwait: A population based study. Diabetes Res Clin Pract 2018; 141:118-125. [PMID: 29729374 DOI: 10.1016/j.diabres.2018.04.033] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2017] [Revised: 03/24/2018] [Accepted: 04/17/2018] [Indexed: 10/17/2022]
Abstract
AIMS The purpose of this study is to estimate the prevalence of health literacy among patients with type II diabetes and investigate its association with several covariates. No studies were conducted in the Arabian Gulf region characterizing such factors for this population. METHODS A cross sectional study was implemented in which 359 type II diabetes patients were recruited from diabetes centers across Kuwait. Health literacy was measured by STOFHLA. Multivariate linear regression was applied to investigate the relationship between health literacy and several covariates. RESULTS About 44.5% had inadequate, 19.5% marginal, and 35.5% adequate health literacy. Patients with inadequate health literacy were more likely to be older, females, widowed, low education, with income less than 500 KD/month. Multivariate linear regression indicated residence, nationality, education level, and age were significantly associated with health literacy. Adding marital status and gender, hierarchical linear regression revealed that 43.4% of the variability was accounted for. CONCLUSION Inadequate health literacy is high in Kuwait. Interventions should be implemented to improve health literacy. This will reduce the prevalence of diabetes-related complications, produce better diabetes outcomes, and improve patients' quality-of-life. Health literacy should be an integral part to health promotion and chronic diseases' management programs in Kuwait.
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Affiliation(s)
- Shaimaa H Hussein
- Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait
| | - Abdullah Almajran
- Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait
| | - Ahmed N Albatineh
- Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait.
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Rosenbaum JE, Johnson BK, Deane AE. Health literacy and digital media use: Assessing the Health Literacy Skills Instrument - Short Form and its correlates among African American college students. Digit Health 2018; 4:2055207618770765. [PMID: 29942630 PMCID: PMC6016563 DOI: 10.1177/2055207618770765] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2018] [Accepted: 03/20/2018] [Indexed: 11/17/2022] Open
Abstract
Improving health literacy is increasingly seen as a solution to health problems and inequalities. This study assesses how one of the more recent measures of health literacy, the Health Literacy Skills Instrument – Short Form, performs among African American college students, and ascertains if and how media use relates to health literacy. Results indicate that both the use of health-related websites and apps as well as overall time spent with the media were positively, but conditionally, linked to health literacy. However, findings also pointed to the need for further test development.
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Affiliation(s)
| | - Benjamin K Johnson
- Department of Communication Science, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
| | - Amber E Deane
- Research Institute, Doctors Hospital at Renaissance, USA
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Cheng HL, Wang C, McDermott RC, Kridel M, Rislin JL. Self-Stigma, Mental Health Literacy, and Attitudes Toward Seeking Psychological Help. Journal of Counseling & Development 2018. [DOI: 10.1002/jcad.12178] [Citation(s) in RCA: 93] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Hsiu-Lan Cheng
- Department of Counseling Psychology; University of San Francisco
| | - Cixin Wang
- Department of Counseling, Higher Education, and Special Education; University of Maryland, College Park
| | - Ryon C. McDermott
- Department of Counseling and Instructional Sciences; University of South Alabama
| | - Matthew Kridel
- Department of Counseling and Instructional Sciences; University of South Alabama
| | - Jamey Leeanne Rislin
- Department of Counseling and Educational Psychology; New Mexico State University
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Sukys S, Cesnaitiene VJ, Ossowsky ZM. Is Health Education at University Associated with Students' Health Literacy? Evidence from Cross-Sectional Study Applying HLS-EU-Q. Biomed Res Int 2017; 2017:8516843. [PMID: 29130048 DOI: 10.1155/2017/8516843] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Accepted: 09/07/2017] [Indexed: 02/06/2023]
Abstract
Background Despite the large number of studies assessing health literacy, little research has been conducted with young adults. Since health literacy is related to the setting in which health information is provided, our study aim was to measure health literacy competencies in a sample of university students and to evaluate the relationships between these competencies and their university health education. Methods A total of 912 university students (aged 18–24 years) completed the 47-item European Health Literacy Survey Questionnaire (HLS-EU-Q47). Results Perceived difficulties with health information were related to gender, with male students reporting significantly lower health literacy scores. Studying more health education-related subjects was associated with a higher health literacy competency, due to these students' higher rates of accessing and understanding health information in the health promotion domain. Conclusion Health literacy among young adult university students is insufficient. The subjects they study are related to their university health education; in particular, the number of health-related subjects they study is positively related to students' health promotion domain-based competencies.
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Rosario C, Modeste N, Dos Santos H, Handysides D, Gamboa-Maldonado T, Boyd K. An examination of ecological predictors of health literacy in black college students. J Am Coll Health 2017; 65:423-431. [PMID: 28617106 DOI: 10.1080/07448481.2017.1341894] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2016] [Revised: 03/07/2017] [Accepted: 04/19/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE Health literacy is a determinant of health, but disparities in health literacy persist. This study examined the influence of ecological factors on college students' health literacy. PARTICIPANTS During January 2016 a nonrandom sample of black undergraduate students (n = 298) aged 18-24 were recruited from enrollment lists at two urban universities in the Southeastern United States. METHODS Information on health literacy as well as numerous intrapersonal, social, and cultural-environment factors was obtained using an electronic questionnaire and then statistically modeled. RESULTS Ecological factors accounted for 28.7% of the variance in health literacy. In particular, reappraisal (B = 0.323, p < .001), suppression (B = -0.289, p < .001), campus health education (B = 0.192, p < .05), campus tobacco culture (B = -0.174, p < .05), and perceived norms (B = -0.153, p < .05) directly predicted health literacy. CONCLUSIONS Although intrapersonal factors influence health literacy, the sociocultural environment of college can also foster or hinder college students' health literacy.
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Affiliation(s)
- Carrie Rosario
- a Department of Public Health Education , University of North Carolina Greensboro , Greensboro , North Carolina , USA
| | - Naomi Modeste
- b School of Public Health, Loma Linda University , Loma Linda , California , USA
| | - Hildemar Dos Santos
- b School of Public Health, Loma Linda University , Loma Linda , California , USA
| | - Daniel Handysides
- b School of Public Health, Loma Linda University , Loma Linda , California , USA
| | | | - Kendal Boyd
- c Department of Psychology , Loma Linda University , Loma Linda , California , USA
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Lederer AM, Oswalt SB. The Value of College Health Promotion: A Critical Population and Setting for Improving the Public’s Health. American Journal of Health Education 2017. [DOI: 10.1080/19325037.2017.1316692] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Mullan J, Burns P, Weston K, Mclennan P, Rich W, Crowther S, Mansfield K, Dixon R, Moselen E, Osborne R. Health Literacy amongst Health Professional University Students: A Study Using the Health Literacy Questionnaire. Education Sciences 2017; 7:54. [DOI: 10.3390/educsci7020054] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Abstract
AbstractUniversity students in Zimbabwe lack immediate access to accurate health information. There is lack of explicit and integrated structures for disseminating health information to students in Zimbabwe. Informed by the salutogenic theory of health, the study assessed the health information needs of students and evaluated existing health information dissemination methods at National University of Science and Technology (NUST), Zimbabwe, in developing a framework for disseminating health information. A case study strategy was used to gather data within the pragmatic paradigm of grounded constructivism. The findings reveal that students need health information on a wide range of health topics and prefer mobile electronic media, workshops, qualified health professionals and peers for their health needs. There are significant gaps between the strategies that are being used by NUST to disseminate health information and the health information needs of the students. Therefore, this paper proposes a needs-based, integrated information dissemination framework for promoting health amongst students. The proposed framework emphasizes utilization of synchronous information and communication technologies, the need for integration of activities, a viable policy, health information literacy training and the use of a mix of persuasion techniques as an effective health promotion strategy.
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Goltz HH, Bergman M, Goodson P. Explanatory Models of Genetics and Genetic Risk among a Selected Group of Students. Front Public Health 2016; 4:111. [PMID: 27376052 PMCID: PMC4893687 DOI: 10.3389/fpubh.2016.00111] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2015] [Accepted: 05/19/2016] [Indexed: 11/30/2022] Open
Abstract
This exploratory qualitative study focuses on how college students conceptualize genetics and genetic risk, concepts essential for genetic literacy (GL) and genetic numeracy (GN), components of overall health literacy (HL). HL is dependent on both the background knowledge and culture of a patient, and lower HL is linked to increased morbidity and mortality for a number of chronic health conditions (e.g., diabetes and cancer). A purposive sample of 86 students from three Southwestern universities participated in eight focus groups. The sample ranged in age from 18 to 54 years, and comprised primarily of female (67.4%), single (74.4%), and non-White (57%) participants, none of whom were genetics/biology majors. A holistic-content approach revealed broad categories concerning participants’ explanatory models (EMs) of genetics and genetic risk. Participants’ EMs were grounded in highly contextualized narratives that only partially overlapped with biomedical models. While higher education levels should be associated with predominately knowledge-based EM of genetic risk, this study shows that even in well-educated populations cultural factors can dominate. Study findings reveal gaps in how this sample of young adults obtains, processes, and understands genetic/genomic concepts. Future studies should assess how individuals with low GL and GN obtain and process genetics and genetic risk information and incorporate this information into health decision making. Future work should also address the interaction of communication between health educators, providers, and genetic counselors, to increase patient understanding of genetic risk.
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Affiliation(s)
- Heather Honoré Goltz
- University of Houston-Downtown, Houston, TX, USA; Baylor College of Medicine, Houston, TX, USA
| | - Margo Bergman
- Milgard School of Business, University of Washington-Tacoma , Tacoma, WA , USA
| | - Patricia Goodson
- Department of Health & Kinesiology, Texas A&M University , College Station, TX , USA
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Abstract
This work examines where 18- to 30-year-old college students seek health information on the Internet and how they determine site and message credibility. Using a qualitative methodology, five focus groups were conducted with 18- to 30-year-old college students, and transcripts were analyzed with MaxQDA text analysis software. The study revealed that 18- to 30-year-old college students have Internet health information source preferences, reasons for seeking health information on the Internet, and message design factors that improve their perception of site and message credibility. We conclude that the Internet and social media show great promise as effective health communication channels for 18- to 30-year-old college students and confirm that preferred Internet/social media sites can be utilized by health educators to present important risk management/disease prevention information to 18- to 30-year-old college students. In addition, message design factors can lend credibility to both sites and the health information delivered there.
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Sansom-Daly UM, Lin M, Robertson EG, Wakefield CE, McGill BC, Girgis A, Cohn RJ. Health Literacy in Adolescents and Young Adults: An Updated Review. J Adolesc Young Adult Oncol 2016; 5:106-18. [PMID: 26859721 DOI: 10.1089/jayao.2015.0059] [Citation(s) in RCA: 90] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
PURPOSE Health literacy is important for health outcomes in adults. However, little is known about the health literacy of adolescents and young adults (AYAs). The purpose of this study was to provide an updated systematic review examining health literacy among AYAs with and without chronic illness. Specifically, the review considered (1) what sources of health information AYAs use; (2) how well AYAs are able to understand, communicate, and critically evaluate health-related information; and (3) whether health literacy is associated with health behaviors and outcomes. METHODS A systematic search was conducted for literature published in peer-reviewed journals using Medline, Embase, and PsycINFO databases. RESULTS Of 603 articles reviewed, 14 studies met the inclusion criteria, six of which examined health literacy in a chronic illness population. Studies reported high usage for information sources, though no clear links between source type and health literacy emerged. Adequate health literacy was reported in at least 60% of participants, though poor functional literacy was reported. Few studies explored communicative or critical health literacy; those that did indicated that AYAs experience challenges in these domains. Poorer health literacy was associated with some adverse health outcomes, such as obesity and smoking. For AYAs with a chronic illness, there were mixed findings between health literacy and medication adherence. CONCLUSION Understanding the challenges AYAs face with regards to complex developing communicative and critical health literacy skills is crucial. Due to the paucity of research in this field, addressing health literacy across all AYAs will provide a valuable step in guiding research in AYAs with cancer.
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Affiliation(s)
- Ursula M Sansom-Daly
- 1 Kids Cancer Centre, Sydney Children's Hospital , Randwick, Australia .,2 Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales , Australia .,3 Sydney Youth Cancer Service, Prince of Wales/Sydney Children's Hospital , Randwick, Australia
| | - Merry Lin
- 1 Kids Cancer Centre, Sydney Children's Hospital , Randwick, Australia .,2 Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales , Australia
| | - Eden G Robertson
- 1 Kids Cancer Centre, Sydney Children's Hospital , Randwick, Australia .,2 Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales , Australia
| | - Claire E Wakefield
- 1 Kids Cancer Centre, Sydney Children's Hospital , Randwick, Australia .,2 Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales , Australia
| | - Brittany C McGill
- 1 Kids Cancer Centre, Sydney Children's Hospital , Randwick, Australia .,2 Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales , Australia
| | - Afaf Girgis
- 4 Centre for Oncology Education and Research Translation (CONCERT), Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSW Medicine, University of New South Wales , Kensington, Australia
| | - Richard J Cohn
- 1 Kids Cancer Centre, Sydney Children's Hospital , Randwick, Australia .,2 Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, University of New South Wales , Australia
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Al-jumaili AA, Al-rekabi MD, Sorofman B. Evaluation of instruments to assess health literacy in Arabic language among Iraqis. Res Social Adm Pharm 2015; 11:803-13. [DOI: 10.1016/j.sapharm.2015.02.002] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2015] [Revised: 02/09/2015] [Accepted: 02/10/2015] [Indexed: 11/21/2022]
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Hansen HR, Shneyderman Y, Belcastro PA. Investigating the Association of Health Literacy With Health Knowledge and Health Behavior Outcomes in a Sample of Urban Community College Undergraduates. American Journal of Health Education 2015. [DOI: 10.1080/19325037.2015.1055016] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Abstract
AIMS AND OBJECTIVES The purpose of this study is to develop and evaluate the psychometric properties of the Chinese version of short-form Test of Functional Health Literacy in Adolescents. BACKGROUND Assessing health literacy is vital to design health education programme; however, there are no measurement tools exist for use specifically in Chinese adolescents. DESIGN A non-experimental design was used to test the psychometric properties of the Test of Functional Health Literacy in Adolescents. METHODS The short-form Test of Functional Health Literacy in Adolescents was translated and back translated into a Chinese language version. Thirty high school students were recruited to validate the scenario of Test of Functional Health Literacy in Adolescents. Based on the multiple-stage stratified random sampling method, 300 high school students from four counties in Taiwan were invited to participate in this study to evaluate the psychometric properties of Test of Functional Health Literacy in Adolescents. RESULTS The Functional Health Literacy in Adolescents had good internal consistency reliability and excellent test-retest reliability. Confirmatory factor analysis resulted in a one-factor solution. CONCLUSION Contrary to the original version of the Test of Functional Health Literacy in Adolescents, the findings revealed that the 36-item, one-factor model for the Test of Functional Health Literacy in Adolescents is the best-fit model. RELEVANCE TO CLINICAL PRACTICE This is a suitable instrument to assess health literacy levels in Chinese adolescents before health education programmes can be appropriately planned, implemented and evaluated.
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Affiliation(s)
- Li-Chun Chang
- Department of Nursing, Chang-Gung University of Science and Technology, Tao-Yuan, Taiwan.
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Ryan MP. Modifying Preconceptions about the Safe and Effective Use of Aspirin: Product Label Comprehension as Knowledge Updating. Appl Psychol Health Well Being 2011. [DOI: 10.1111/j.1758-0854.2011.01057.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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