Assessment of health literacy among outpatient clinics attendees at Ain Shams University Hospitals, Egypt: a cross-sectional study

Assessment of health literacy among outpatient clinics attendees at Ain Shams University Hospitals, Egypt: a cross-sectional study
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DOI:
10.1016/j.puhe.2017.06.024
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发表时间:
2017-10-01
期刊:
影响因子:
5.2
通讯作者:
Abdelhafez, A.
Abdelhafez, A.
中科院分区:
医学3区
文献类型:
--
作者:
Almaleh, R.;Helmy, Y.;Abdelhafez, A.

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目的:开展本研究的目的是衡量艾因夏姆斯大学 (ASU) 医院门诊就诊者样本(即患者和同伴)的健康素养 (HL) 并调查与 HL 不足相关的因素。研究设计:这是一项横断面研究。方法:该研究针对 ASU 医院 El-Demerdash 大学医院门诊就诊的 805 名就诊者进行。瑞典功能性健康素养量表的阿拉伯语版本和欧洲健康素养调查问卷(短版)用于评估 HL。使用相关性和二元逻辑回归检验分析HL水平及其影响因素。结果:发现81%的参与者综合健康素养有限(CHL;34.3%不充分,46.7%有问题),而只有18.9%的参与者CHL充足。关于功能健康素养(FHL),发现 84% 的人 FHL 有限(50.6% 不充分,33.4% 有问题),而只有 16.1% 的 FHL 足够。女性 FHL 更可能不足。另一方面,男性、教育水平较低的个人、被确定为患者的参与者以及 FHL 不足的参与者更有可能患有不充分的 CHL。结论:我们的大多数研究人群患有有限的 HL。有必要进行广泛的研究,以探讨多机构和国家层面问题的严重程度,并调查更多的解释因素。 (C) 2017 英国皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Objectives: The aim of conducting this study is to measure health literacy (HL) and to investigate the factors associated with inadequate HL in a sample of outpatient clinics attendees (i.e. patients and companions) at Ain Shams University (ASU) Hospitals.Study design: It is a cross-sectional study.Methods: The study was conducted on 805 attendees of the outpatient clinics at El-Demerdash University Hospital of ASU Hospitals. The Arabic versions of the Swedish Functional Health Literacy Scale and the European Health Literacy Survey Questionnair-dshort version-were used to assess HL. The level of HL and factors influencing it were analyzed using correlation and binary logistic regression tests.Results: It was found that 81% of the participants had limited comprehensive health literacy (CHL; 34.3% inadequate and 46.7% problematic), while only 18.9% had sufficient CHL. Regarding functional health literacy (FHL), it was found that 84% had limited FHL (50.6% inadequate and 33.4% problematic), while only 16.1% had sufficient FHL. Females were more likely to have inadequate FHL. On the other hand, males, individuals with low educational levels, and attendees identified as patients as well as participants with inadequate FHL were more likely to have inadequate CHL.Conclusion: The majority of our study population has limited HL. Extensive research is warranted to explore the extent of the problem on multi-institutional and national levels and to investigate more explanatory factors. (C) 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.