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Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal Study.

UNLABELLED: Background: Despite the fact that tobacco use during pregnancy produces adverse perinatal effects, some women continue to smoke. Health literacy (HL) is essential for health outcomes in adults. However, little is known about HL in pregnant women or postpartum women. The study aimed to analyse the relationship between the degree of HL of women during the early puerperium and tobacco use during pregnancy. METHODS: A multicentre, descriptive, cross-sectional study was carried out with women in the early puerperium in a region of eastern Spain, between November 2017 and May 2018. Thei…

Health literacy associated with blood pressure but not other cardiovascular disease risk factors among dialysis patients.

BACKGROUND: Limited health literacy is prevalent and has been linked to adverse patient outcomes. We examined the relationship between health literacy and cardiovascular disease (CVD) risk factors, including blood pressure (BP) parameters, lipids, waist-to-hip ratio (WHR), body mass index (BMI), and tobacco utilization among dialysis patients. METHODS: We conducted a cross-sectional study of 72 participants in a prospective cohort study of vascular calcification in newly initiated dialysis patients. Health literacy was assessed using the Short Test of Functional Health Literacy (S-TOFHLA) in …

Health literacy, cervical cancer risk factors, and distress in low-income African-American women seeking colposcopy.

OBJECTIVES: To describe the relationship between health literacy, distress, and cervical cancer risk factors in women at high risk for developing cervical cancer. DESIGN: Cross-sectional, prospective cohort design. SETTING: Two university-based gynecological oncology colposcopy clinics and 3 Planned Parenthood community dinics. PATIENTS/PARTICIPANTS: One hundred-thirty English-speaking African-American women > or = 18 years referred for colposcopy following abnormal Pap testing. MAIN OUTCOME MEASURES: Avoidance and Intrusion subscales of the Impact of Events Scale (IES), Rapid Estimate of …

Cross-Cultural Adaptation and Psychometric Validation of a Diabetes-Specific Health Literacy Scale in Mainland China.

PURPOSE: The study aimed to cross-culturally adapt and psychometrically test the Mandarin version of the Chinese Health Literacy Scale for Diabetes (M-CHLSD). PATIENTS AND METHODS: A cross-sectional study was conducted in Beijing with 221 adults diagnosed with type 2 diabetes. The adaptation followed a rigorous five-step process: forward translation, synthesis, back translation, expert review (utilizing a two-round Delphi method), and cognitive interviews using the Questionnaire Appraisal System. Psychometric properties of the M-CHLSD were evaluated using reliability, content validity, and co…

The Effects of a Short Video Intervention on Digital Health Literacy Skills: An Online Randomised Controlled Trial.

BACKGROUND: Social media has an influence on public health communication. There are growing concerns about digital health literacy, and how younger adults find good-quality health information online, and their ability to use and appraise it. OBJECTIVE: To test a digital health literacy intervention addressing critical appraisal of online health information for younger adults focused on three core elements: Who said it? When did they say it? Why did they say it? DESIGN: Participants were randomised to receive the intervention via one of three formats: (1) a short-animated video, (2) a TikTok-…

Breaking barriers: mental health literacy and stigma in Addis Ababa's schools - a qualitative study in Ethiopia.

OBJECTIVES: To explore the mental health literacy of school communities and stigma against students with mental disorders in Ethiopia's specific context. DESIGN: Qualitative study using in-depth and key informant interview guides. PARTICIPANTS: Nine teaching and psychosocial support staff participants (five men and four women; years of experience ranging between 2 and 35; three school counsellors, two clinical nurses, two special needs teachers, one counselling psychologist and one class principal teacher) were purposefully recruited on the basis of their proximity to the students' academic …

Development and validation of a rapid health literacy assessment tool for Chinese primary and secondary school students.

Health literacy (HL) plays a vital role in shaping health behaviors and long-term well-being. Existing HL assessment tools for children and adolescents remain fragmented, with limited theoretical foundations, limited age adaptability, and insufficient psychometric validation. A scientifically developed, developmentally appropriate, and psychometrically strong measurement tool specifically designed for younger populations can support HL monitoring, health promotion, and educational evaluation. This study conceptualized HL for children and adolescents and developed the Chinese Rapid Health Liter…

Determinants of health literacy in Iran: a systematic review and meta-analysis of quantitative studies (2001-2024).

BACKGROUND: Health literacy is a critical social determinant of health and a key lever for reducing health inequities. Understanding its determinants is essential for designing effective public health interventions. OBJECTIVE: This study aimed to synthesize quantitative evidence on the individual- and contextual-level determinants of health literacy among the Iranian population. METHODS: Following PRISMA 2020 guidelines, we systematically searched PubMed, Scopus, Web of Science, Cochrane Library, and Iranian databases (SID, Magiran) for observational and interventional studies published betw…

Organizational health literacy in Austria-policy developments and results from a pilot assessment in primary care.

Within the health literacy (HL) discourse, the development and spread of organizational health literacy (OHL) reflects a shift from viewing HL as an individual trait to a systems-level responsibility, as organizational structures can hinder or support individual HL. By improving these structures, the HL of targeted populations can be systematically strengthened, helping to mitigate socio-economic effects on health outcomes and promoting health equity. Austria began work on OHL in the 2010s, earlier than many European countries. Inspired by the US Institute of Medicine's "10 attributes of healt…

Factors associated with limited health literacy in a culturally diverse population in Finland: a cross-sectional study.

Limited health literacy (HL) has been associated with many adverse health outcomes. Limited HL contributes to adverse outcomes; however, evidence on effective strategies to enhance it remains limited. In this study, we examined HL prevalence in the general Finnish and migrant origin populations and investigate which sociodemographic, health-related, and migration-related factors are associated with limited HL. Data were collected from 2022 to 2023 as part of the cross-sectional population surveys Terve Suomi and MoniSuomi. The analysis included individuals aged 20-74 years (n = 9717), with HL …

Lower Health Literacy Is Associated with Poorer Diet Quality in Korean Adults: An Association Masked by Age.

Background/Objectives: Diet quality is a leading modifiable determinant of non-communicable disease, yet its upstream, person-level determinants are seldom studied. We examined whether health literacy is associated with overall diet quality in a nationally representative Korean sample. Methods: This cross-sectional study analyzed 5353 adults aged ≥19 years from the 2024 Korea National Health and Nutrition Examination Survey. Health literacy, measured with a validated 10-item instrument, was analyzed as score-based categories, continuously, and as the official binary indicator; diet quality was…

Development and Psychometric Validation of the Human Papillomavirus Prevention Health Literacy Scale for College Students in Taiwan.

BACKGROUND: Human papillomavirus (HPV) is a common sexually transmitted virus associated with several types of cancer. Because college students are a high-risk group, understanding their health literacy with regard to HPV prevention is critical. However, no suitable measurement tools are currently available for this purpose. PURPOSE: In this study, an HPV Prevention Health Literacy Scale (HPV-HLS) was developed, and its reliability and validity were assessed. METHODS: A cross-sectional design was used, and the developed scale was validated on a sample of 372 college students from two univers…

Health Literacy and Acceptance of COVID-19 Preventive Measures and Vaccination in the European Union: A Scoping Review.

BACKGROUND: Health literacy is becoming increasingly important in the field of public health as it contributes to individuals' social empowerment. During the coronavirus disease 2019 (COVID-19) pandemic, preventive measures (mask usage, physical distancing, hand washing) and vaccination against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) shaped the degree of infection of the population, and their acceptance was associated with a multitude of factors, health literacy included. The aim of this scoping review is to explore the impact of all health literacy dimensions (namely, und…

Latent Profile Analysis of Health Information Literacy in COPD Patients and Its Association with Quality of Life.

BACKGROUND: Health information literacy (HIL) is crucial to patients' quality of life with chronic obstructive pulmonary disease (COPD). However, individual differences in HIL among COPD patients remain underexplored. PURPOSE: This study aimed to determine COPD patients' HIL profiles, investigate the factors influencing these profiles, and assess their association with quality of life (QoL). METHODS: Using convenience sampling, a cross-sectional study was conducted in hospitals across Hunan Province, China, from October 2023 to June 2024. Data were collected using a sociodemographic question

Measurement of critical health literacy in primary school pupils: a Polish validation of the Claim Evaluation Tools.

OBJECTIVES: Amid increasing adolescents' immersion in media information and their vulnerability to mis/disinformation and the screen time negative health correlates, competences of critical thinking about health gains in significance. The Claim Evaluation Tools (CET) assess the understanding of claims about treatment effects and enable critical health literacy measurement in different populations. It has not been adapted and tested in Central Europe before. DESIGN: The process of cultural adaptation covered three phases: translation and cultural adaptation, testing and psychometric analysis. …

Investigating health literacy and its associations with fear of childbirth in pregnant women: a cross-sectional study.

Health literacy is crucial for women to access and utilize health information effectively, especially during the pivotal stages of pregnancy and early motherhood. This cross-sectional study aimed to explore the relationship between health literacy and fear of childbirth (FOC) among 270 pregnant women attending prenatal clinics in Qom, Iran. Health literacy was assessed using the Health Literacy for Iranian Adults questionnaire, while FOC was measured with the Hartman questionnaire. The results indicated that 29.6% of the participants had limited health literacy, with a significant difference i…

Health literacy and syphilis knowledge: findings from a national survey of U.S. women of reproductive age.

BACKGROUND: After decades of relative stability, syphilis rates among reproductive-age women in the United States have sharply increased, with maternal cases tripling between 2016 and 2022. This surge has also contributed to a concerning rise in congenital syphilis. Gaps in healthcare access and stigma surrounding sexually transmitted infections have compounded the problem. Focused public health initiatives are needed to strengthen prevention, screening, and treatment efforts. METHODS: We conducted a national survey to assess health literacy and syphilis knowledge among 643 women aged 18 to 4…

Избежание распространения информации о здоровье и грамотность в области электронного здравоохранения у пациентов с множественным склерозом: перекрестное корреляционное исследование.

ИСТОРИЯ ВОПРОСА И АИСЮ: Избежание информации означает преднамеренное уклонение или задержку доступа к свободно доступной, но нежелательной информации, а грамотность в области электронного здравоохранения означает способность людей понимать, оценивать, находить и использовать медицинские знания, полученные из электронных источников. Цель настоящего исследования состоит в том, чтобы изучить уровень распространения медицинской информации и грамотности в области электронного здравоохранения среди пациентов с множественным склерозом (МС) в провинции Фарс, Иран, а также их взаимосвязь друг с другом.

Совпадение в аннотации оригинала
BACKGROUND AND AIMS: Information avoidance refers to deliberately evading or delaying access to freely accessible but undesired information, and eHealth literacy refers to people's capability to comprehend, assess, find, and use health knowledge derived from electronic sources. The present study aims to investigate the health information avoidance and eHealt…

Cancer Health Literacy and Its Correlated Factors in the United Arab Emirates-A Cross Sectional Study.

INTRODUCTION: Cancer Health literacy (CHL) is the health literacy related to cancer knowledge, prevention, treatment, screening, and access to services. It is an important indicator of people's adherence to screening and preventive measures, which helps to reduce the incidence and prevalence of cancer. The study assessed the CHL level and its association with relevant socio-demographic characteristics and sources of information among primary health care patients and visitors in the United Arab Emirates (UAE). METHODS: A cross-sectional study recruited survey participants who consented to resp…

Impact of research paradigms on low-income female caregivers and their children: an oral health literacy discourse.

OBJECTIVE: Despite the vast knowledge gained through research and public health surveillance, dental caries prevalence among children from l … ntitative designs included cross-sectional studies using surveys and various indices to assess oral health literacy (OHL) levels and oral health status. Exclusion criteria were non-English studies and studies that did not include female caregivers. RESULTS: Nine primary research articles were selected for analysis. The positivist paradigm was dominant in 7 of 9 …