Factors associated with low health literacy among community-dwelling women in Taiwan

Huang, Chi-Hsien; Talley, Paul C.; Lin, Chi‐Wei; Huang, Ruyi; Liu, I-Ting; Chiang, I-Hui; Lu, I‐Cheng; Lai, Yi-Chun; Kuo, Kuang-Ming

doi:10.1080/03630242.2019.1662872

Cited by 16 publications

(23 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It revealed that limited health literacy was associated with poor health status, having more than one long-term illness and the higher use of health care services involving six or more consultations with doctors in the last 12 months [4]. Other studies, in which national versions of the HL questionnaire developed within the HLS-EU project were used, confirmed that low HL may be associated with people's poor self-assessment of health status [12,20], the prevalence of long-term illnesses [12], the higher utilisation of health care resources [14,21], and a lower level of physical activity [22][23][24].Although the scope of information which arises from the HLS-EU-Q47 is extensive, it appears that the size of the tool may result in reduced compliance of respondents, especially if the questionnaire is used as a part of a survey which is also focused on other issues. Therefore, a shortened but also validated, the 16-item version has been used in many surveys (HLS-EU-Q16) [5,12,[25][26][27][28][29].…”

mentioning

confidence: 94%

mentioning

confidence: 94%

See 1 more Smart Citation

Determinants and Consequences of Limited Health Literacy in Polish Society

Duplaga

2020

IJERPH

View full text Add to dashboard Cite

Background: Health literacy (HL) is perceived as one of the most important concepts for modern health promotion activities to be successful. The research undertaken in the context of HL usually focuses on its antecedents and consequences, either for specific groups of patients or society or for the whole population. Objectives: The main aim of this study was to assess the antecedents and consequences of limited health literacy (HL) in a nationally representative sample of the Polish population. Methods: The analysis was carried out on the data obtained from a sample of 1000 Polish citizens through a telephone-based survey undertaken using a short, 16-item questionnaire developed within the European Health Literacy Project (HLS-EU). The total HLS score was calculated according to the guidelines published by the HLS-EU project. Chi2 test and logistic regression models were used for the analysis of the relationships between the variables. Results: The mean HL score (standard deviation) in the study sample was 12.99 (3.11). HL was related to age, marital and vocational status. Limited HL was associated with a lower self-assessment of health (OR, 95% CI: 2.52, 1.54-4.13), the prevalence of obesity and disability (1.71, 1.13-2.57, and 1.92, 1.25-2.94, respectively), less frequent physical activity (0.70, 0.49-0.99), a lower consumption of fruits and vegetables (0.47, 0.34-0.65), and with more frequent hospitalisations (2.02, 1.38-2.95). Conclusions: The assessment of HL using the16-item HLS-EU questionnaire may be a useful tool to enable health behaviours and utilisation of health care resources by society to be predicted.The research undertaken in the context of HL usually focuses on its antecedents and consequences, either for specific groups of patients or citizens or for the whole population. The available evidence from population studies shows that health literacy may depend on sex, age, level of education, economic and/or social status, and the type of vocational activities. In the research carried out to date, it has been demonstrated that lower HL is displayed by men rather than by women [4][5][6][7], by people having lower levels of educational attainment than by those with higher levels [4][5][6][7][8][9][10][11][12], by single people than by married people [7,13], by people with lower social status than by those with a higher status [8,11,14], by people of lower rather than those of higher economic status or income [4,[7][8][9]13,15,16] and, finally, by people living in more challenging conditions [6,8]. In most studies, there was also a general trend for HL decreasing with age [4,6,8,9,15].The efforts undertaken in the last decade resulted in a comprehensive assessment of the consequences of limited health literacy. In 2011, the updated version of the systematic review authored by Berkman et al. [16] was published. This stated that low HL might be associated with more frequent hospital admissions and the use of emergency care; lower participation in screening programmes, e.g., mammography; lower receipt of ...

show abstract

mentioning

confidence: 94%

mentioning

confidence: 94%

Determinants and Consequences of Limited Health Literacy in Polish Society

Duplaga

2020

IJERPH

View full text Add to dashboard Cite

show abstract

“… 13 ) It constitutes the process by which individuals acquire knowledge and motivation and how they understand and access information, express opinions, and make decisions about promoting and maintaining health. 14 , 15 ) A recent study applied HL to promote health among chronically ill patients. 16 , 17 ) Previously, older adults with poor education or limited access to health information (AHI) received health information from healthcare workers and community health volunteers.…”

Section: Introductionmentioning

confidence: 99%

Health Literacy among Older Adults during COVID-19 Pandemic: A Cross-Sectional Study in an Urban Community in Thailand

Pechrapa

Yodmai

Kittipichai

et al. 2021

Ann Geriatr Med Res

View full text Add to dashboard Cite

Background: This study assessed health literacy (HL) and its associated factors among older adults during the coronavirus disease 2019 (COVID-19) pandemic.Methods: This cross-sectional study included older adults in urban communities in Thailand. We randomly selected a total of 421 older adults and performed multiple logistic regression analyses.Results: The average age of the respondents was 70.0±7.1 years. Most respondents were female, married, had a low education level (primary school or lower), were unemployed, and had sufficient income. We observed nonproficient and proficient HL levels in 56.1% and 43.9% of respondents, respectively. The factors influencing HL included attending healthcare services at a tertiary hospital, good accessibility to COVID-19 prevention materials and health information, and provision of a high level of social support from neighbors and health personnel.Conclusion: The results of our study provide important information on the outcome of accessibility and social support among older adults in an urban community during the COVID-19 pandemic. In addition, access to health services, prevention equipment, and information was important for people at risk of HL and helped promote good behaviors.

show abstract

“…Grandparents are generally less attentive and responsive to children’s psychoemotional needs and exhibit different custodial attitudes and practices in child care [ 68 , 69 ]. Regarding education levels, grandparents are less educated than the younger generation in Taiwan [ 67 ], and thus possess less health literacy and accordingly more unhealthy eating behaviors [ 70 ]. Grandparents can be reliable caregivers with multiple benefits, particularly when mothers have full-time jobs [ 69 , 71 ].…”

Section: Discussionmentioning

confidence: 99%

The Role of Caregiver’s Feeding Pattern in the Association between Parents’ and Children’s Healthy Eating Behavior: Study in Taichung, Taiwan

Liao

Deng

2021

Children

View full text Add to dashboard Cite

While parenting style has been linked with parent feeding behavior (FB), little is known about the role FB plays in the relationship between parents’ eating behavior (PEB) and children’s eating behavior (CEB). Based on social learning theory, we hypothesized that children learn to develop healthy CEB by obeying and imitating parents’ healthy eating and feeding behaviors, and that FB is the mediator between PEB and CEB. In total, 257 survey responses from parents of children up to 5 years old were included in the study. Results indicated that CEB did not differ by children’s age, gender, or birth order; for parents, older age and lower educational levels were associated with less healthy unhealthier FB and PEB. Healthy PEB and FB explained 46.8% and 21.7% of the variance in healthy CEB, respectively. The model confirmed that FB reduced the coefficient of healthy PEB from 0.563 to 0.468 and increased the variance explained from 35.0% to 38.5%. FB was a mediator for PEB and CEB. Discussion covers the complexity of ideal parenting styles and child feeding and their associated effects on CEB in varied environments, including different cultures. We concluded that PEB was the main predictor of CEB, and healthy feeding acted as a mediator.

show abstract

Factors associated with low health literacy among community-dwelling women in Taiwan

Cited by 16 publications

References 30 publications

Determinants and Consequences of Limited Health Literacy in Polish Society

Determinants and Consequences of Limited Health Literacy in Polish Society

Health Literacy among Older Adults during COVID-19 Pandemic: A Cross-Sectional Study in an Urban Community in Thailand

The Role of Caregiver’s Feeding Pattern in the Association between Parents’ and Children’s Healthy Eating Behavior: Study in Taichung, Taiwan

Contact Info

Product

Resources

About