Determinants and Consequences of Limited Health Literacy in Polish Society

Duplaga, Mariusz

doi:10.3390/ijerph17020642

Cited by 47 publications

(70 citation statements)

References 35 publications

(93 reference statements)

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“…Health literacy is well explored in many different populations around the world, including the elderly population. However, in many studies, the elderly constituted only part of the studied group, e.g., in the Polish national research by Słońska et al [ 32 ] and Duplaga [ 33 ]. Therefore, our intention in this current study was to focus only on seniors’ health literacy level, collecting data in face-to-face interviews after cognitive pre-screening of every respondent.…”

Section: Introductionmentioning

confidence: 99%

The Level of Health Literacy of Seniors Living in Eastern Region of Poland. Preliminary Study

et al. 2020

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Health literacy (HL) is recognised as an important, modifiable factor in the self-management and health performance of elderly people. The aim of this preliminary study was to identify and analyse the level of health literacy among the elderly living in one of the eastern regions in Poland. The cross-sectional study was conducted among a convenience sample of 200 seniors aged 65+ after cognitive pre-screening with the use of the Montreal Cognitive Assessment (MoCA) scale. To collect data, the Polish version of the HLS-EU-Q47 was used. More than half of the elderly surveyed presented problematic levels of general HL (GEN-HL), and also problematic levels of other dimensions: health care health literacy (HC-HL), disease prevention health literacy (DP-HL), and health promotion health literacy (HP-HL). The level of seniors’ HL is dependent on the level of their education, place of living, participation in activities run by Daily Center for the Elderly, and their self-assessment of health condition (p < 0.05). These results imply the important message that there is a need to create initiatives and programs improving health literacy targeted at seniors living in rural areas, those with lower levels of education, and those with poor access to activities organised by institutions supporting seniors.

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Section: Introductionmentioning

confidence: 99%

The Level of Health Literacy of Seniors Living in Eastern Region of Poland. Preliminary Study

et al. 2020

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“…The total HL score was calculated only if there were at least 14 meaningful responses to the individual questions [ 42 ]. The response options “very difficult” and “difficult” were evaluated as “0” and “easy” and “very easy” as “1” [ 42 , 45 ]. Based on the total score, three categories of HL were established: “inadequate” for a score below 9, “problematic” for the range from 9 to 12, and “sufficient” for a score greater than 12 [ 42 ].…”

Section: Methodsmentioning

confidence: 99%

The Use of Fitness Influencers’ Websites by Young Adult Women: A Cross-Sectional Study

Duplaga

2020

IJERPH

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The growth of the fitness industry observed in the last decade has been accompanied by the emergence of an occupation as a social media fitness influencer. The most popular are able to accumulate millions of followers. The marketing potential of fitness influencers is a subject of interest, not only for the fitness industry but also for other sectors offering products related to health, wellness, or healthy nutrition. However, the activities of fitness influencers related to the promotion of physical activity and healthy lifestyle converge with the aims of those promoting public health. The main objective of this study was to make an assessment of the determinants of regular access to fitness influencers’ sites (FIS) and their relationship with the health behaviors of young adult women. It was based on the data originating from an online survey on a representative sample of Polish women aged 18–35 years. Chi2 test, univariate, and multiply logistic regression models were used to determine the relationships between FIS and the variables related to the respondents’ characteristics of and their health behaviors. FIS were accessed by 29.3% of respondents (n = 1030) at least once a week. It was found that those living in cities with a population ranging from 20,000 to 100,000 were more likely to access FIS than those living in rural areas. Similarly, greater access was made by those in a high-income household rather than those with the lowest income, by those with inadequate rather than those with problematic health literacy and by those with high rather than low e-health literacy. The use of FIS was significantly associated with the consumptions of fruit and vegetables (OR, 95%CI: 2.77, 2.01–3.82), physical activity (1.74, 1.27–2.38), breast self-examination (1.54, 1.11–2.13), and also with the greater use of e-cigarettes (1.63, 1.09–2.43) and increased consumption of alcohol (1.37, 1.01–1.88). In conclusion, as access to Internet resources run by fitness influencers was a prevailing predictor of young adult Polish women’s health behaviors, FIS may play a potentially important role in promoting a healthy lifestyle in this population. However, it should be remembered that there are complex patterns of associations with specific behaviors, e.g., the use of e-cigarettes or alcohol consumption.

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“…The survey was carried out with a 58-item questionnaire, including a 16-item short version of the Health Literacy Survey Questionnaire (HLS-EU-Q16) [24]; an 8-item Polish version of the eHealth Literacy Scale (Pl-eHEALS) [25,26] and a set of the items asking about the utilisation of health care resources; health status; the use of the Internet; opinions on public health interventions and sociodemographic characteristics. More details on the sampling procedure and the structure of the questionnaire is available elsewhere [3].…”

Section: Surveymentioning

confidence: 99%

“…The response options "very difficult" and "difficult "were assigned with value "0" and "easy" and "very easy" with value "1". The total score ranged from 0-16 [3,24]. The eHL score was calculated as the sum of individual scores after assigning values from 1 to 5 to the response options (from "decidedly not" to "decidedly yes").…”

Section: Variablesmentioning

confidence: 99%

“…There is growing evidence that insufficient HL may be associated with many unfavourable effects. These include displaying unhealthy behaviours [2,3], lower attention to preventive actions [4], lower knowledge about the disease, not following the physician's recommendations and limited understanding of the treatment regimen [5][6][7], worse control of the disease [8], and even, a higher risk of hospitalisation and mortality [9]. Some authors also indicated that the lower HL of people is associated with higher expenditure on health care [10].…”

Section: Introductionmentioning

confidence: 99%

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The Acceptance of Key Public Health Interventions by the Polish Population Is Related to Health Literacy, But Not eHealth Literacy

Duplaga

2020

IJERPH

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Background: Public health and health promotion rely on many different interventions, which range from health education and communication, through community mobilisation and changes to environmental conditions, to legal and fiscal actions. The introduction of the increased tax on sugar-sweetened beverages (SSB), popularly called sugar tax (ST), and a mandatory programme of vaccinations are the strategies inciting the most vivid discussions in Polish society. The study was intended to assess the determinants of the attitudes of Polish society regarding the ST and to vaccinations. Methods: For the analysis, the data originating from the survey of a representative adult sample of Polish society (n = 1000) was used. The survey was based on computer-assisted telephone interviewing (CATI). The assessment of the relationships between the selected variables and the opinions about the introduction of the ST and the safety and effectiveness of vaccinations were carried out using the chi2 test and univariate logistic regression models. Results: The acceptance of the ST and vaccination showed a significant relationship to the level of health literacy (HL) but not to eHealth literacy (eHL). Respondents having a higher rather than lower HL; older rather than younger; married rather than singles; retired, or on a disability pension, rather than vocationally active and nonusers of the Internet rather than users were more likely to show an acceptance for both interventions. Those more frequently using health care services and those with chronic diseases showed a greater belief in the safety and effectiveness of vaccinations. Conclusions: The relationship between the opinions of the two public health interventions analysed and the sociodemographic variables demonstrated similar patterns. Interestingly, the opinions were associated only with HL and not with eHL and users of the Internet were more sceptical about the interventions.

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Determinants and Consequences of Limited Health Literacy in Polish Society

Cited by 47 publications

References 35 publications

The Level of Health Literacy of Seniors Living in Eastern Region of Poland. Preliminary Study

The Level of Health Literacy of Seniors Living in Eastern Region of Poland. Preliminary Study

The Use of Fitness Influencers’ Websites by Young Adult Women: A Cross-Sectional Study

The Acceptance of Key Public Health Interventions by the Polish Population Is Related to Health Literacy, But Not eHealth Literacy

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