Comprehensive Health Literacy Among Undergraduates: A Ghanaian University-Based Cross-Sectional Study.
Comprehensive Health Literacy Among Undergraduates: A Ghanaian University-Based Cross-Sectional Study.
复制标题
DOI：
10.3928/24748307-20190903-01
复制
发表时间：
2019-10-01
影响因子：
--
通讯作者：
Gabriel, Gulis
中科院分区：
文献类型：
--
作者：
Evans, Ansu-Yeboah;Anthony, Edusei;Gabriel, Gulis
背景：健康素养是获取、理解和使用健康信息以增进健康的能力。健康素养研究使人们了解了健康素养与健康结果和促进健康的行为之间的关系。健康素养对健康促进至关重要，但加纳大学生的健康素养知识水平存在差距。目的：本研究旨在了解夸梅·恩克鲁马科技大学本科生的健康素养水平及其社会人口学影响因素。方法：采用多阶段整群抽样的横断面调查方法，从该大学6所学院抽取500名学生，剔除其中的485人进行数据分析。结果：约55%的学生健康素养有限(20.4%的学生健康素养不足，34.2%的学生健康素养有问题)。学生在获取和评估健康信息，特别是与心理健康有关的健康素养方面表现不佳。多因素Logistic回归分析显示，影响学生健康素养有限的因素在不同性别之间存在差异，但总体上与大学类型、自尊、健康状况、学习年限等因素有关。[HLRP：健康素养研究与实践。2019年；3(4)：e227-e237.].PLAIN语言摘要：这项研究表明，即使对于加纳的受教育者，特别是弱势群体，健康素养也可能是一个挑战。大学生不应该被认为是健康素养，应该实施有助于提高他们健康素养的干预措施。
BACKGROUND: Health literacy is the ability to access, understand, and use health information for enhancing health. Health literacy research has led to the understanding of its associations with health outcomes and health-promoting behavior. Health literacy is essential to health promotion, but a gap exists in the knowledge of health literacy in Ghana, especially among university students.OBJECTIVE: This study aimed to ascertain the levels of health literacy and its sociodemographic determinants among undergraduate university students of Kwame Nkrumah University of Science and Technology.METHODS: A cross-sectional survey was conducted using multistage cluster sampling to select 500 students from six colleges of the University; of those, 485 were included for data analysis after exclusions. Health literacy was assessed using the 16-item short version of the European Consortium for Health Literacy Questionnaire.KEY RESULTS: About 55% of students were found to have limited health literacy (20.4% had "inadequate" health and 34.2% had "problematic" health literacy). Students performed low on health literacy dimensions dealing with the access and appraisal of health information, especially relating to mental health. Multivariate logistic regression showed that factors associated with limited health literacy differed for each gender but generally included college type, self-esteem, health status, and year of study.CONCLUSIONS: Interventions need to be implemented to improve students' health literacy. [HLRP: Health Literacy Research and Practice. 2019;3(4):e227-e237.].PLAIN LANGUAGE SUMMARY: The study reveals that health literacy may be a challenge even for the educated in Ghana especially among vulnerable people. University students should not be assumed to be health-literate and interventions that will help enhance their literacy in health should be implemented.