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Literacy and health

Jane Lloyd, Louise Thomas, Gawaine Powell-Davies, Regina Osten, Mark Harris
Definitions of health literacy have tended to focus on the abilities of patients and communities, rather than on the ability of the health system and its services to respond to patients' different levels of health literacy. However, health literacy is increasingly being recognised as part of a dynamic, two-way relationship, affected by both organisational factors (e.g. tailoring of communication and care to patients' needs) and community factors (e.g. individuals' ability to perceive and seek care). Developing a more comprehensive understanding of health literacy is an important step towards improving health literacy...
June 14, 2018: Public Health Research & Practice
Janet Warren, Isabelle Guelinckx, Barbara Livingstone, Nancy Potischman, Michael Nelson, Emma Foster, Bridget Holmes
PURPOSE: In recent years, evidence has emerged about the importance of healthy fluid intake in children for physical and mental performance and health, and in the prevention of obesity. Accurate data on water intake are needed to inform researchers and policymakers and for setting dietary reference values. However, to date, there are few published data on fluid or water intakes in children. This is due partly to the fact that drinking water is not always reported in dietary surveys. The aim of this paper is to review the current status of the literature and highlight the challenges of assessing total fluid intake in children and adolescents...
June 2018: European Journal of Nutrition
Amy E Albright, Rebecca S Allen
Human papillomavirus (HPV) is currently the most common sexually transmitted disease in the United States, with potentially serious health consequences, including cervical cancer. Young adults are particularly at risk of infection, but many remain unvaccinated. Low health literacy may contribute to poor knowledge of HPV and lack of vaccine uptake, and women living in the Southeastern United States are particularly at risk for lower vaccination rates and cervical cancer screening adherence. Three-hundred-sixty undergraduates at a Southeastern U...
June 19, 2018: Journal of Community Health
Ipsa Mohapatra, Adrija Roy
INTRODUCTION: Breast milk provides nutritional, immunological, behavioral, and economic benefits and helps to build mother-infant bonding. Antenatal mothers need to be sufficiently aware about the benefits of breastfeeding. OBJECTIVES: The aim of this study is to assess the awareness and perception of breastfeeding among antenatal mothers and to find out any association between sociodemographic factors and breastfeeding awareness. METHODOLOGY: A cross-sectional study was conducted among 250 antenatal women residing in the urban slums of field-practice area of urban health and training center; using a predesigned, pretested, semi-structured interview schedule...
2018: Journal of Education and Health Promotion
Natsuka Tohmiya, Etsuko Tadaka, Azusa Arimoto
OBJECTIVE: Stress has major socioeconomic implications for all spheres of employment. It is a trigger for depression, and affects absenteeism, turnover, productivity, morale and suicide. Positive or negative cognitive stress appraisal can be a self-care strategy that affects workers' ability to cope with stress. This study examined cognitive stress appraisal among workers and identified related individual and environmental factors. DESIGN: Cross-sectional study using self-administered postal questionnaires...
June 19, 2018: BMJ Open
Parichat Wonggom, Huiyun DU, Robyn A Clark
AIM: The aim of this study is to evaluate the effectiveness of an avatar-based education application for improving knowledge and self-care behavior in patients with heart failure. BACKGROUND: Avatar-based technologies for supporting education are an innovative approach for patients with low literacy, low health literacy and English as a second language. The use of avatar technologies for patient education has shown benefits in improving knowledge, self-care behaviors and quality of life in chronic diseases such as cancer, diabetes and depression...
June 19, 2018: Journal of Advanced Nursing
Maartje P Poelman, S Coosje Dijkstra, Hanne Sponselee, Carlijn B M Kamphuis, Marieke C E Battjes-Fries, Marleen Gillebaart, Jacob C Seidell
BACKGROUND: Food literacy refers to the capability to make healthy food choices in different contexts, settings and situations. The aim of this study is to develop and validate the self-perceived food literacy (SPFL) scale, to assess individuals' level of food literacy, including a knowledge, skills and behavior to plan, manage, select, prepare and eat food healthfully. METHODS: An initial set of 50 items for the SPFL scale were generated based on expert insights and literature...
June 18, 2018: International Journal of Behavioral Nutrition and Physical Activity
Cathleen E Willging, David H Sommerfeld, Elise Trott Jaramillo, Erik Lujan, Roxane Spruce Bly, Erin K Debenport, Steven P Verney, Ron Lujan
BACKGROUND: Public insurance reforms of the past two decades have failed to substantively address the healthcare needs of American Indians in general, let alone the particular needs of American Indian elders, ages 55 years and older. Historically, this population is more likely to be uninsured and to suffer from greater morbidities, poorer health outcomes and quality of life, and lower life expectancies compared to all other United States aging populations, representing a neglected group within the healthcare system...
June 18, 2018: BMC Health Services Research
Tengiz Verulava, Lana Khuchua, Iago Kachkachishvili, Revaz Jorbenadze
Health problems are substantially increased in homeless populations who have higher prevalence's of infectious diseases than do general population. They have relatively earlier onset of sexual activity, and due to lack of information, many facilities for the practice of unprotected sex and low level of condom usage increase the risk of sexually transmitted infections (STIs). This study aims to identify the knowledge and prevention of STIs among homeless people. An analytic cross-sectional study was conducted in a Tbilisi municipal shelter...
July 2018: International Quarterly of Community Health Education
Bas Geboers, Sijmen A Reijneveld, Jaap A R Koot, Andrea F de Winter
Low health literacy (HL) is associated with many negative health outcomes, and is a major challenge in public health and healthcare. Interventions to improve outcomes associated with HL are needed. In this paper, we aim to develop a comprehensive HL intervention model. We used a multimethod approach, consisting of (1) a literature review of articles listed in MEDLINE, presenting HL intervention models, (2) online consultation of international HL experts, and (3) two consensus meetings with members ( n = 36 and 27) of a consortium studying HL among older adults (50+) in Europe...
June 15, 2018: International Journal of Environmental Research and Public Health
Honglin Chen, Iris Chi, Ruotong Liu
OBJECTIVES: Our study aimed to explore patterns and predictors of hospital utilization among Chinese older adults in the context of a rapidly aging population and increasing health care costs in contemporary China. METHODS: This study used a national representative sample aged 60 years or older ( N = 11,511) from the China Longitudinal Aging Social Survey in 2014. We applied Andersen's social behavioral model and stepwise logistic regression to identify predictors of hospital utilization...
June 1, 2018: Journal of Aging and Health
Ann F Jacobson, Veronica Sumodi, Nancy M Albert, Robert S Butler, Lori DeJohn, Donna Walker, Kelly Dion, Hua-Li Lin Tai, Donna M Ross
BACKGROUND: More evidence is needed about factors that influence self-management behaviors in persons with heart failure. OBJECTIVE: To test a correlational mediation model of the independent variables of health literacy, patient activation, and heart failure knowledge with heart failure self-management behaviors. METHODS: The study used a prospective, cross-sectional, correlational design. Correlation and multiple regression were used to analyze associations among variables...
June 14, 2018: Heart & Lung: the Journal of Critical Care
Naykky Singh Ospina, Ana Castaneda-Guarderas, Russell Ward, Juan P Brito, Spyridoula Maraka, Claudia Zeballos Palacios, Kathleen J Yost, Diana S Dean, Victor M Montori
PURPOSE: Fine-needle aspiration biopsy of the thyroid is an increasingly common outpatient procedure. Patients are counseled about the indications and risks of this procedure and informed consent is obtained. We aimed to assess the extent to which patients acquired necessary knowledge during this process. METHODS: Survey study conducted in a thyroid nodule clinic at a referral center. Adult patients who had just undergone a thyroid biopsy were asked to complete a survey, including eight questions regarding the indications and potential outcomes of thyroid biopsy...
June 16, 2018: Endocrine
Patrick N Mwangala, Symon M Kariuki, Moses K Nyongesa, Paul Mwangi, Esther Chongwo, Charles R Newton, Amina Abubakar
Epilepsy is frequently associated with neurocognitive impairments, mental health, and psychosocial problems but these are rarely documented in low- and middle-income countries. The aim of this study was to examine the neurocognitive outcomes, depressive symptoms, and psychosocial adjustments of people with epilepsy (PWE) in Kilifi, Kenya. We evaluated the impact of these outcomes on health-related quality of life. Self-report, interviewer-administered measures of depression (Major Depression Inventory) and quality of life (RAND SF-36) were administered to 63 PWE and 83 community controls...
June 12, 2018: Epilepsy & Behavior: E&B
Tala Al-Rousan, Zaker Schwabkey, Lara Jirmanus, Brett D Nelson
Background: The United Nations has declared the Syrian refugee crisis to be the biggest humanitarian emergency of our era. Neighbouring countries, such as Jordan, strain to meet the health needs of Syrian refugees in addition to their own citizens given limited resources. Objectives: This study aimed to determine the perspectives of Syrian refugees in Jordan, Jordanian health care providers and other stakeholders in addressing the public health issues of the refugee crisis...
June 10, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
Jessica E Murphy, Laura Smock, Jo Hunter-Adams, Ziming Xuan, Jennifer Cochran, Michael K Paasche-Orlow, Paul L Geltman
Little is known about the impacts of health literacy and English proficiency on the health status of Somali refugees. Data came from interviews in 2009-2011 of 411 adult Somali refugees recently resettled in Massachusetts. English proficiency, health literacy, and physical and mental health were measured using the Basic English Skills Test Plus, the Short Test of Health Literacy in Adults, and the Physical and Mental Component Summaries of the Short Form-12. Associations were analyzed using multiple linear regression...
June 15, 2018: Journal of Immigrant and Minority Health
Andrea K Newman, Shweta Kapoor, Beverly E Thorn
Background: Chronic pain is a serious health problem with high rates of health care utilization (HCU). Many patients become stymied in a perpetual cycle of unsuccessful attempts to find relief from suffering through frequent health care visits. Especially within low-income populations, the burdens of health care services are especially unpleasant due to significant financial costs, barriers to transportation, and high levels of stress. This study aimed to examine factors associated with HCU for chronic pain in low-income settings...
June 13, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Marc A Probst, Craig F Tschatscher, Christine M Lohse, M Fernanda Bellolio, Erik P Hess
BACKGROUND: Shared decision-making in the Emergency Department (ED) can increase patient engagement for patients presenting with chest pain. However, little is known regarding which factors are associated with actual patient involvement in decision-making or patients' desired involvement in emergency care decisions. We examined which factors were associated with patients' actual and desired involvement in decision-making among ED chest pain patients. METHODS: This is a secondary analysis of data from a randomized trial of a shared decision-making intervention in ED patients with low-risk chest pain...
June 15, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Gin-Liang Chee, Dianne Wynaden, Karen Heslop
INTRODUCTION: Registered nurses working in the area of mental health complete either a psychiatric/mental health or comprehensive/generalist nursing program, and their education preparation influences their physical health care nursing practices. The differences in educational preparation may be a contributory factor to nurses' delivery of physical health care to young people experiencing first episode psychosis. This paper addresses an identified gap in nursing practices related to physical health care of young mental health service users...
June 14, 2018: Journal of Psychiatric and Mental Health Nursing
Shuaijun Guo, Rebecca Armstrong, Elizabeth Waters, Thirunavukkarasu Sathish, Sheikh M Alif, Geoffrey R Browne, Xiaoming Yu
OBJECTIVE: Improving health literacy at an early age is crucial to personal health and development. Although health literacy in children and adolescents has gained momentum in the past decade, it remains an under-researched area, particularly health literacy measurement. This study aimed to examine the quality of health literacy instruments used in children and adolescents and to identify the best instrument for field use. DESIGN: Systematic review. SETTING: A wide range of settings including schools, clinics and communities...
June 14, 2018: BMJ Open
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