Health literacy in phases of health information processing in the Czech population
Background Low level of health literacy (HL), defined as an individual's ability to process health information, is strongly associated with higher mortality and morbidity. In earlier analysis of cross-sectional survey in Czechia in 2014, 59% of subjects showed a low level of HL, with particular...
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| Veröffentlicht in: | European journal of public health 2021-10, Vol.31 (Supplement_3) |
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| creator | Polcrova, A Lustigova, M Pavlovska, I Maranhao Neto, GA Pikhart, H Kucera, Z Gonzalez-Rivas, JP |
| description | Background
Low level of health literacy (HL), defined as an individual's ability to process health information, is strongly associated with higher mortality and morbidity. In earlier analysis of cross-sectional survey in Czechia in 2014, 59% of subjects showed a low level of HL, with particularly worrying results in area of health promotion (64% with low levels of HL). The levels of HL in phases of health information processing, however, were not included.
Aim
To describe the level of HL in phases of obtaining, understanding, evaluating, and applying health information, and to assess social determinants of HL in these phases.
Methods
18 to 65 years old subjects from a random population-based Czech sample from 2014 were evaluated using a cross-sectional design. The level of HL was determined by Health Literacy Index (HLI, range 0-50). A low level of HL was defined as HLI |
| doi_str_mv | 10.1093/eurpub/ckab165.636 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_TOX</sourceid><recordid>TN_cdi_proquest_journals_2597248825</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/eurpub/ckab165.636</oup_id><sourcerecordid>2597248825</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1536-d467f105578d95cc02a711c3b1c6ee7fcbbcb9c6ef2007c7ceb47e9980d472e53</originalsourceid><addsrcrecordid>eNqNkFFLwzAUhYMoOKd_wKeAz92StEnaRxnqhIEgCr6FJLuxnV1Tk_Zh_nozux_g0z1wv3Pv4SB0S8mCkipfwhj60SztlzZU8IXIxRma0UIUWS7Ix3nSlNCMMsEu0VWMO0IIlyWbodc16HaocdsMELQ94KbDfa0jROwdrqdl0zkf9npofFoGbyHGpvs8okMNePUDtsa978f2D7lGF063EW5Oc47eHx_eVuts8_L0vLrfZJbyXGTbQkhHCU85thW3ljAtKbW5oVYASGeNsaZK2jFCpJUWTCGhqkqyLSQDns_R3XQ3RfoeIQ5q58fQpZeK8UqyoizZkWITZYOPMYBTfWj2OhwUJerYnZq6U6fuVOoumbLJ5Mf-P_wvRq51TQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2597248825</pqid></control><display><type>article</type><title>Health literacy in phases of health information processing in the Czech population</title><source>Oxford Journals Open Access Collection</source><creator>Polcrova, A ; Lustigova, M ; Pavlovska, I ; Maranhao Neto, GA ; Pikhart, H ; Kucera, Z ; Gonzalez-Rivas, JP</creator><creatorcontrib>Polcrova, A ; Lustigova, M ; Pavlovska, I ; Maranhao Neto, GA ; Pikhart, H ; Kucera, Z ; Gonzalez-Rivas, JP</creatorcontrib><description>Background
Low level of health literacy (HL), defined as an individual's ability to process health information, is strongly associated with higher mortality and morbidity. In earlier analysis of cross-sectional survey in Czechia in 2014, 59% of subjects showed a low level of HL, with particularly worrying results in area of health promotion (64% with low levels of HL). The levels of HL in phases of health information processing, however, were not included.
Aim
To describe the level of HL in phases of obtaining, understanding, evaluating, and applying health information, and to assess social determinants of HL in these phases.
Methods
18 to 65 years old subjects from a random population-based Czech sample from 2014 were evaluated using a cross-sectional design. The level of HL was determined by Health Literacy Index (HLI, range 0-50). A low level of HL was defined as HLI <33. Logistic regression was used to assess the association between a low level of HL and social status.
Results
In total, 996 participants (51% females) were included. The prevalence of low level of HL was 64% in obtaining, 56% in understanding, 70% in evaluating and 64% in applying. A low level of HL was associated with a low perceived social status in all phases of information processing even after adjustment for age, gender, education, self-reported health condition, physical activity, BMI and smoking status (ORs 3.2, 2.0, 3.4 and 2.8, respectively, for obtaining, understanding, evaluating and applying, all p-values<0.05).
Conclusions
People with lower social status have a higher risk of a low level of HL in all phases, with the highest risk in the phase of health information evaluation which was determined as the most problematic. Further intervention should aim to support individual skills in decision making and actions in fields of healthcare, disease prevention, and health promotion including the availability of relevant understandable information for all social groups in the population.
Key messages
The most problematic area of health literacy is health information evaluation.
People with lower social status have a higher risk of a low level of health literacy.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckab165.636</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Data processing ; Decision making ; Disease prevention ; Evaluation ; Health care ; Health education ; Health literacy ; Health promotion ; Information processing ; Intervention ; Literacy ; Morbidity ; Phases ; Physical activity ; Physical fitness ; Public health ; Risk ; Smoking ; Social groups ; Social interactions ; Social status</subject><ispartof>European journal of public health, 2021-10, Vol.31 (Supplement_3)</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. 2021</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1603,27865,27923,27924</link.rule.ids><linktorsrc>$$Uhttps://dx.doi.org/10.1093/eurpub/ckab165.636$$EView_record_in_Oxford_University_Press$$FView_record_in_$$GOxford_University_Press</linktorsrc></links><search><creatorcontrib>Polcrova, A</creatorcontrib><creatorcontrib>Lustigova, M</creatorcontrib><creatorcontrib>Pavlovska, I</creatorcontrib><creatorcontrib>Maranhao Neto, GA</creatorcontrib><creatorcontrib>Pikhart, H</creatorcontrib><creatorcontrib>Kucera, Z</creatorcontrib><creatorcontrib>Gonzalez-Rivas, JP</creatorcontrib><title>Health literacy in phases of health information processing in the Czech population</title><title>European journal of public health</title><description>Background
Low level of health literacy (HL), defined as an individual's ability to process health information, is strongly associated with higher mortality and morbidity. In earlier analysis of cross-sectional survey in Czechia in 2014, 59% of subjects showed a low level of HL, with particularly worrying results in area of health promotion (64% with low levels of HL). The levels of HL in phases of health information processing, however, were not included.
Aim
To describe the level of HL in phases of obtaining, understanding, evaluating, and applying health information, and to assess social determinants of HL in these phases.
Methods
18 to 65 years old subjects from a random population-based Czech sample from 2014 were evaluated using a cross-sectional design. The level of HL was determined by Health Literacy Index (HLI, range 0-50). A low level of HL was defined as HLI <33. Logistic regression was used to assess the association between a low level of HL and social status.
Results
In total, 996 participants (51% females) were included. The prevalence of low level of HL was 64% in obtaining, 56% in understanding, 70% in evaluating and 64% in applying. A low level of HL was associated with a low perceived social status in all phases of information processing even after adjustment for age, gender, education, self-reported health condition, physical activity, BMI and smoking status (ORs 3.2, 2.0, 3.4 and 2.8, respectively, for obtaining, understanding, evaluating and applying, all p-values<0.05).
Conclusions
People with lower social status have a higher risk of a low level of HL in all phases, with the highest risk in the phase of health information evaluation which was determined as the most problematic. Further intervention should aim to support individual skills in decision making and actions in fields of healthcare, disease prevention, and health promotion including the availability of relevant understandable information for all social groups in the population.
Key messages
The most problematic area of health literacy is health information evaluation.
People with lower social status have a higher risk of a low level of health literacy.</description><subject>Data processing</subject><subject>Decision making</subject><subject>Disease prevention</subject><subject>Evaluation</subject><subject>Health care</subject><subject>Health education</subject><subject>Health literacy</subject><subject>Health promotion</subject><subject>Information processing</subject><subject>Intervention</subject><subject>Literacy</subject><subject>Morbidity</subject><subject>Phases</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Public health</subject><subject>Risk</subject><subject>Smoking</subject><subject>Social groups</subject><subject>Social interactions</subject><subject>Social status</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7TQ</sourceid><recordid>eNqNkFFLwzAUhYMoOKd_wKeAz92StEnaRxnqhIEgCr6FJLuxnV1Tk_Zh_nozux_g0z1wv3Pv4SB0S8mCkipfwhj60SztlzZU8IXIxRma0UIUWS7Ix3nSlNCMMsEu0VWMO0IIlyWbodc16HaocdsMELQ94KbDfa0jROwdrqdl0zkf9npofFoGbyHGpvs8okMNePUDtsa978f2D7lGF063EW5Oc47eHx_eVuts8_L0vLrfZJbyXGTbQkhHCU85thW3ljAtKbW5oVYASGeNsaZK2jFCpJUWTCGhqkqyLSQDns_R3XQ3RfoeIQ5q58fQpZeK8UqyoizZkWITZYOPMYBTfWj2OhwUJerYnZq6U6fuVOoumbLJ5Mf-P_wvRq51TQ</recordid><startdate>20211020</startdate><enddate>20211020</enddate><creator>Polcrova, A</creator><creator>Lustigova, M</creator><creator>Pavlovska, I</creator><creator>Maranhao Neto, GA</creator><creator>Pikhart, H</creator><creator>Kucera, Z</creator><creator>Gonzalez-Rivas, JP</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20211020</creationdate><title>Health literacy in phases of health information processing in the Czech population</title><author>Polcrova, A ; Lustigova, M ; Pavlovska, I ; Maranhao Neto, GA ; Pikhart, H ; Kucera, Z ; Gonzalez-Rivas, JP</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1536-d467f105578d95cc02a711c3b1c6ee7fcbbcb9c6ef2007c7ceb47e9980d472e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Data processing</topic><topic>Decision making</topic><topic>Disease prevention</topic><topic>Evaluation</topic><topic>Health care</topic><topic>Health education</topic><topic>Health literacy</topic><topic>Health promotion</topic><topic>Information processing</topic><topic>Intervention</topic><topic>Literacy</topic><topic>Morbidity</topic><topic>Phases</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Public health</topic><topic>Risk</topic><topic>Smoking</topic><topic>Social groups</topic><topic>Social interactions</topic><topic>Social status</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Polcrova, A</creatorcontrib><creatorcontrib>Lustigova, M</creatorcontrib><creatorcontrib>Pavlovska, I</creatorcontrib><creatorcontrib>Maranhao Neto, GA</creatorcontrib><creatorcontrib>Pikhart, H</creatorcontrib><creatorcontrib>Kucera, Z</creatorcontrib><creatorcontrib>Gonzalez-Rivas, JP</creatorcontrib><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Polcrova, A</au><au>Lustigova, M</au><au>Pavlovska, I</au><au>Maranhao Neto, GA</au><au>Pikhart, H</au><au>Kucera, Z</au><au>Gonzalez-Rivas, JP</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health literacy in phases of health information processing in the Czech population</atitle><jtitle>European journal of public health</jtitle><date>2021-10-20</date><risdate>2021</risdate><volume>31</volume><issue>Supplement_3</issue><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Background
Low level of health literacy (HL), defined as an individual's ability to process health information, is strongly associated with higher mortality and morbidity. In earlier analysis of cross-sectional survey in Czechia in 2014, 59% of subjects showed a low level of HL, with particularly worrying results in area of health promotion (64% with low levels of HL). The levels of HL in phases of health information processing, however, were not included.
Aim
To describe the level of HL in phases of obtaining, understanding, evaluating, and applying health information, and to assess social determinants of HL in these phases.
Methods
18 to 65 years old subjects from a random population-based Czech sample from 2014 were evaluated using a cross-sectional design. The level of HL was determined by Health Literacy Index (HLI, range 0-50). A low level of HL was defined as HLI <33. Logistic regression was used to assess the association between a low level of HL and social status.
Results
In total, 996 participants (51% females) were included. The prevalence of low level of HL was 64% in obtaining, 56% in understanding, 70% in evaluating and 64% in applying. A low level of HL was associated with a low perceived social status in all phases of information processing even after adjustment for age, gender, education, self-reported health condition, physical activity, BMI and smoking status (ORs 3.2, 2.0, 3.4 and 2.8, respectively, for obtaining, understanding, evaluating and applying, all p-values<0.05).
Conclusions
People with lower social status have a higher risk of a low level of HL in all phases, with the highest risk in the phase of health information evaluation which was determined as the most problematic. Further intervention should aim to support individual skills in decision making and actions in fields of healthcare, disease prevention, and health promotion including the availability of relevant understandable information for all social groups in the population.
Key messages
The most problematic area of health literacy is health information evaluation.
People with lower social status have a higher risk of a low level of health literacy.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><doi>10.1093/eurpub/ckab165.636</doi><oa>free_for_read</oa></addata></record> |
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| issn | 1101-1262 1464-360X |
| language | eng |
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| source | Oxford Journals Open Access Collection |
| subjects | Data processing Decision making Disease prevention Evaluation Health care Health education Health literacy Health promotion Information processing Intervention Literacy Morbidity Phases Physical activity Physical fitness Public health Risk Smoking Social groups Social interactions Social status |
| title | Health literacy in phases of health information processing in the Czech population |
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