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1.
Background
The concept of health literacy originates from the United States and has been discussed there for several years. It has increasingly received attention in Germany. However, clarity about what health literacy means and also a conceptual discussion are still missing.Objectives and methods
This article points out important steps of the health literacy concept development. First, the English-language debate about health literacy is described, followed by a summary of the current debate about health literacy in Germany. The basis is a literature search of scientific databases and journals (German and English publications were included).Results and conclusion
Since its initial discussion, health literacy has undergone several conceptual transformations, changing from a functional to a multidimensional concept, for which a consensual concept understanding and systematic delineation from similar concepts is still lacking. Future efforts of concept discussion should, therefore, be to prevent further expansion of the concept and distinguish it from similar concepts.2.
Background
Low health literacy is considered a worldwide health threat. The purpose of this study is to assess the prevalence and socio-demographic covariates of low health literacy in Taiwanese adults and to investigate the relationships between health literacy and health status and health care utilization. 相似文献3.
Background
Low literacy is common in Hong Kong and China, especially among the females and the elderly. These are often the patients with the greatest health care needs. However little is known about how low literacy affects the ability of patients to obtain adequate medical care and comply with the recommendations of health professionals. 相似文献4.
Health in the 'hidden population' of people with low literacy. A systematic review of the literature
Background
Much of the evidence of an association between low functional or health literacy and poor health comes from studies that include people who have various cognitive difficulties or who do not speak the dominant language of their society. Low functional or health literacy among these people is likely to be evident in spoken conversation. However, many other people can talk readily about health and other issues but have problems using written information. Consequently, their difficulties may be far less evident to healthcare professionals, creating a 'hidden population' whose functional or health literacy problems have different implications because they are less likely to be recognised and addressed. 相似文献5.
Aleksandra Jovic-Vranes Vesna Bjegovic-Mikanovic Jelena Marinkovic Nikola Kocev 《International journal of public health》2011,56(2):201-207
Objective
Our objective was to evaluate the health literacy and its association with sociodemographic variables, the self-perception of health and the presence of chronic conditions in primary health-care patients. 相似文献6.
Objectives
To summarize evidence about (1) the costs of limited health literacy (HL) and (2) the cost-effectiveness of interventions to improve limited HL. 相似文献7.
Background
Information on patient experience and satisfaction with individual physicians could play an important role for performance measures, improved health care and health literacy. Physician rating sites (PRSs) bear the potential to be a widely available source for this kind of information. However, patient experience and satisfaction are complex constructs operationalized by multiple dimensions. The way in which PRSs allow users to express and rate patient experience and satisfaction could likely influence the image of doctors in society and the self-understanding of both doctors and patients. This study examines the extent to which PRSs currently represent the constructs of patient experience and satisfaction. 相似文献8.
Benjamin J Powers Maren K Olsen Eugene Z Oddone Carolyn T Thorpe Hayden B Bosworth 《BMC health services research》2008,8(1):219
Background
Limited literacy is common among patients with chronic conditions and is associated with poor health outcomes. We sought to determine the association between literacy and blood pressure in primary care patients with hypertension and to determine if this relationship was consistent across distinct systems of healthcare delivery. 相似文献9.
Mehran Alijanzadeh PhD Rafat Yahaghi MSc Jalal Rahmani DDS Nahid Yazdi MD Elahe Jafari MSc Hashem Alijani MSc Narges Zamani BS Razie Fotuhi BS Elham Taherkhani BS Zeinab Buchali MSc Masoume Zarenejad MSc Narges Mahmoudi BS Najmeh Shahmahdi MSc Leila Poorzolfaghar MSc Safie Ahmadizade BS Azam Shahbazkhania MSc David Gozal PhD Chung-Ying Lin PhD Amir H. Pakpour PhD 《Health expectations》2023,26(6):2349-2360
Background
Health literacy and e-health literacy are important factors helping people shape awareness of health behaviours in different aspects, including sleep hygiene behaviours. Good sleep hygiene behaviours promote sleep quality and are beneficial to overall mental wellbeing.Objective
We aimed to examine if sleep hygiene behaviours may mediate the association between health literacy/e-health literacy and mental wellbeing.Methods
Adult Iranian subjects (n = 9775; mean [SD] age = 36.44 [11.97] years; 67.3% females) completed the Health Literacy Instrument for Adults, eHealth Literacy Scale, three items on sleep hygiene behaviour that have been used in prior research and the Short Warwick Edinburgh Mental Wellbeing Scale. Data were then subjected to structural equation modelling (SEM) including 500 bootstrapping resampling to examine whether sleep hygiene is a mediator in the relationship between health literacy/e-health literacy and mental wellbeing.Findings
Both health literacy and e-health literacy were significantly associated with mental wellbeing (r = .63 for health literacy and .39 for e-health literacy; p < .001) and sleep hygiene behaviours (r = .58 for health literacy and .36 for e-health literacy; p < .001). Sleep hygiene behaviours were significantly associated with mental wellbeing (r = .42; p < .001). Moreover, SEM that incorporated bootstrapping approaches indicated that sleep hygiene behaviours were significant mediators in the association between health literacy/e-health literacy and mental wellbeing.Conclusions
We conclude that health literacy and e-health literacy are associated with mental health wellbeing in the Iranian population. Additionally, the association could be mediated via sleep hygiene behaviours.Patient or Public Contribution
The study was co-designed with healthcare providers from the vice-Chancellor's Office for Health Affairs of Qazvin University of Medical Sciences as equal partners. Moreover, the women's health volunteers were involved in the design of the study. 相似文献10.
‘Distributed health literacy’: longitudinal qualitative analysis of the roles of health literacy mediators and social networks of people living with a long‐term health condition 下载免费PDF全文
Michelle Edwards PhD Fiona Wood PhD Myfanwy Davies PhD Adrian Edwards MB BS MRCP MRCGP PhD 《Health expectations》2015,18(5):1180-1193
11.
Darcy A. Freedman Kimberly D. Bess Holly A. Tucker David L. Boyd Arleen M. Tuchman Kenneth A. Wallston 《American journal of preventive medicine》2009
Public health literacy is an emerging concept necessary to understand and address the broad array of factors, such as climate change, globalization, and poverty, that influence the public's health. Whereas health literacy has traditionally been operationalized as an individual-level construct, public health literacy takes into account the complex social, ecologic, and systemic forces affecting health and well-being. However, public health literacy has not yet been fully articulated. This paper addresses this gap by outlining a broad, new definition of public health literacy. This definition was developed through an inductive analytic process conducted in 2007 by a multidisciplinary research team, and two expert-panel sessions were convened to assess the consensual validity of the emergent definition. Based on this process, public health literacy is defined as the degree to which individuals and groups can obtain, process, understand, evaluate, and act on information needed to make public health decisions that benefit the community. Three dimensions of public health literacy—conceptual foundations, critical skills, and civic orientation—and related competencies are also proposed. Public health literacy is distinct from individual-level health literacy, and together, the two types of literacy form a more comprehensive model of health literacy. A five-part agenda is offered for future research and action aimed at increasing levels of public health literacy. 相似文献
12.
Die Einstellung von zukünftigen Lehrpersonen zum Impfen vor und nach einer Informationsveranstaltung
Background
Vaccination has been a hot topic in Western countries for many years. As a result, vaccination coverage rates have dropped in many countries, a development that has raised serious concerns, especially in medicine.Aims
This study investigated whether young adults’ conceptual biomedical knowledge could foster their critical reasoning about, and rejection of, vaccination myths. The project made use of a health promotion week at a school for teacher education. The students’ attitudes toward vaccination were investigated by means of a questionnaire administered before and after an intervention.Results
Our results show a significant change in the students’ judgment regarding seven statements for and against vaccination. Therefore, the teaching of conceptual biomedical knowledge can have an impact on the health literacy of adolescents and young adults. Those involved in health promotion and prevention should dedicate more attention to questions and concepts of science education. 相似文献13.
Background
Health literacy has been recognized as an important factor influencing health behaviors and health outcomes. However, its definition is still evolving, and the tools available for its measurement are limited in scope. Based on the conceptualization of health literacy within the Health Empowerment Model, the present study developed and validated a tool to assess patient’s health knowledge use, within the context of asthma self-management.Methods
A review of scientific literature on asthma self-management, and several interviews with pulmonologists and asthma patients were conducted. From these, 19 scenarios with 4 response options each were drafted and assembled in a scenario-based questionnaire. Furthermore, a three round Delphi procedure was carried out, to validate the tool with the participation of 12 specialists in lung diseases.Results
The face and content validity of the tool were achieved by face-to-face interviews with 2 pulmonologists and 5 patients. Consensus among the specialists on the adequacy of the response options was achieved after the three round Delphi procedure. The final tool has a 0.97 intra-class correlation coefficient (ICC), indicating a strong level of agreement among experts on the ratings of the response options. The ICC for single scenarios, range from 0.92 to 0.99.Conclusions
The newly developed tool provides a final score representing patient’s health knowledge use, based on the specialist’s consensus. This tool contributes to enriching the measurement of a more advanced health literacy dimension. 相似文献14.
Ingvild Dalen John P Buonaccorsi Petter Laake Anette Hjartåker Magne Thoresen 《Emerging themes in epidemiology》2006,3(1):1-11
Background
The epidemiologic literature is replete with conceptual discussions about causal inference, but little is known about how the causal criteria are applied in public health practice. The criteria for causal inference in use today by epidemiologists have been shaped substantially by their use over time in reports of the U.S. Surgeon General on Smoking and Health. 相似文献15.
R. J. J. Gobbens K. G. Luijkx M. T. Wijnen-Sponselee J. M. G. A. Schols 《The journal of nutrition, health & aging》2010,14(3):175-181
Objectives
Most conceptual and operational definitions of frailty place heavy emphasis on the physical problems encountered by older people. The accompanying models are based largely on a medical model. An integral approach is almost never adopted. This study aims to develop both an integral operational definition of frailty and an integral conceptual model of frailty. 相似文献16.
Background
Hypothyroidism causes considerable morbidity. Low knowledge coupled with inadequate health literacy may lead to poor prevention and management. This study aimed to assess health information-seeking behavior and hypothyroid knowledge among South Indian hypothyroid patients.Methods
This cross-sectional study was conducted in October 2013 in Saveetha Medical College, Chennai, India. Hundred clinically diagnosed hypothyroid patients ≥18 years were interviewed in a hospital using a 57-item questionnaire to gather information on their socio-demographics, self-reported disease history, hypothyroid-related knowledge, health information sources, health literacy and health information-seeking behavior. Hypothyroidism was assessed by free T3 and T4 levels.Results
Mean age of participants was 38 years (SD=12) with median age of 39.5 years, majority of the participants being females (77%) and living in urban setting (52%). Mean free T3 level was 0.0137ng/dl (SD= 0.003) and mean free T4 was 0.7ng/dl (SD= 0.06). Ninety three percent of the participants received initial hypothyroidism education from their physicians at the time of diagnosis. Half of the participants had incorrect hypothyroidism-related knowledge; similar between both genders. Participants with inadequate health literacy had poor knowledge about the hypothyroidism. Hypothyroidism-related health information was sought almost exclusively from health professionals, predominantly regarding treatment, linked to their faith in qualified medical assistance. Economic status primarily determined healthcare-seeking behavior. Marital status, education level, annual household income and health literacy were significantly associated with knowledge.Conclusion
Participants having higher educational qualification, higher annual household income and adequate health literacy had considerable knowledge about hypothyroidism. Developing multi-factorial and tailored health education for patients with marginal or inadequate health literacy is needed. Exploring healthcare institutions as a medium for delivery of such education should be explored. 相似文献17.
18.
Bas Geboers Andrea F. de Winter Sophie L. W. Spoorenberg Klaske Wynia Sijmen A. Reijneveld 《Quality of life research》2016,25(11):2869-2877
Purpose
Low health literacy is an important predictor of poor health outcomes and well-being among older adults. A reason may be that low health literacy decreases older adults’ self-management abilities. We therefore assessed the association between health literacy and self-management abilities among adults aged 75 and older, and the impact of demographic factors, socioeconomic factors, and health status on this association.Methods
We used data of 1052 older adults, gathered for a previously conducted randomized controlled trial on Embrace, an integrated elderly care model. These data pertained to health literacy, self-management abilities, demographic background, socioeconomic situation, and health status. Health literacy was measured by the validated three-item Brief Health Literacy Screening instrument. Self-management abilities were measured by the validated Self-Management Ability Scale (SMAS-30).Results
After adjustment for confounders, self-management abilities were poorer in older adults with low health literacy (β = .34, p < .001). This was more pronounced in medium- to high-educated older adults than in low-educated older adults. Sex, age, living situation, income, presence of chronic illness, and mental health status did not moderate the association between health literacy and self-management abilities.Conclusions
Low health literacy is associated with poor self-management abilities in a wide range of older adults. Early recognition of low health literacy among adults of 75 years and older and interventions to improve health literacy might be very beneficial for older adults.19.
Improving health literacy in a Japanese community population—A pilot study to develop an educational programme 下载免费PDF全文
Hirono Ishikawa PhD Ikuko Yamaguchi BA Don Nutbeam PhD Mio Kato PhD Tsuyoshi Okuhara MPH Masafumi Okada MD PhD Takahiro Kiuchi MD PhD 《Health expectations》2018,21(4):814-821
Objective
Although a growing number of interventional studies on health literacy have been conducted recently, the majority were designed in clinical settings, focusing mainly on functional health literacy. This study evaluated a programme designed to improve health literacy in a community population, with a scope of going beyond functional health literacy.Methods
In collaboration with an Approved Specified Nonprofit organization (NPO), we evaluated a five‐session programme designed to provide basic knowledge on health‐care policy and systems, current issues in health care in Japan, patient roles and relationships with health‐care providers and interpersonal skills. In total, 67 of 81 programme participants agreed to participate in the study, and 54 returned the completed questionnaires at baseline and at follow‐up. Health literacy and trust in the medical profession were measured at baseline and at follow‐up. Participants’ learning through the programme was qualitatively analysed by thematic analysis.Results
Quantitative examinations of the changes in health literacy and degree of trust in medical professionals between the baseline and follow‐up suggested that health literacy significantly improved after implementing the programme. The thematic analysis of participants’ learning throughout the programme suggested that they not only acquired knowledge and skills but also experienced a shift in their beliefs and behaviours.Discussion
Providing individuals who are motivated to learn about health‐care systems and collaborate with health‐care providers with the necessary knowledge and skills may improve their health literacy, which could enable them to maintain and promote their health and that of their family and other people around them. 相似文献20.