Employment Status and Health Literacy in Denmark: A Population-Based Study

Svendsen, Ida Wagner; Damgaard, Maria Busk; Bak, Carsten Kronborg; Bøggild, Henrik; Torp‐Pedersen, Christian; Svendsen, Majbritt Tang; Berg‐Beckhoff, Gabriele

doi:10.3389/ijph.2021.598083

Cited by 20 publications

(14 citation statements)

References 33 publications

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“…As established in previous relevant research, the higher the level of education was, the higher the level of COVID-19 VL was [ 2 , 13 , 15 , 16 ]. Employed participants had a significantly lower level of COVID-19 VL in comparison with unemployed participants, which is in opposition to previous research [ 22 ]. However, Khoshravesh et al [ 23 ] also reported about the borderline level of health literacy of employed people in Iran.…”

Section: Discussioncontrasting

confidence: 99%

Pre-Vaccination COVID-19 Vaccine Literacy in a Croatian Adult Population: A Cross-Sectional Study

Gusar

Konjevoda

Babić

et al. 2021

IJERPH

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Despite world-level efforts and the endeavors of scientists and medical professionals in suppressing the COVID-19 pandemic, inadequate levels of vaccine literacy of the general population can represent a grave obstacle. The aim of this study was to evaluate COVID-19 vaccine literacy in the Croatian adult general population before vaccination began. The specific objectives were to test differences regarding socio-demographic characteristics and to examine perceptions and attitudes about vaccination against COVID-19 considering the level of VL against COVID-19. A cross-sectional study with a translated and psychometrically tested questionnaire was conducted in 1227 participants before the start of vaccination, from 15 to 31 January 2021. The results show a medium level of vaccine literacy (M = 2.37, SD = 0.54) and a significant difference between functional and interactive-critical vaccine literacy (p < 0.001). The level of vaccine literacy grew with the level of education (p = 0.031) and reduced with age (p < 0.001). Participants who were employed, had chronic diseases, took medicine, or consumed alcohol daily had a lower level of vaccine literacy. There is room for progress in the COVID-19 VL level for the adult population in Croatia, especially at the interactive-critical VL, which could have an important role in people accepting the vaccine against the COVID-19 disease. A satisfactory level of vaccine literacy in the population is necessary because it can contribute to the fight against the pandemic.

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Section: Discussioncontrasting

confidence: 99%

Pre-Vaccination COVID-19 Vaccine Literacy in a Croatian Adult Population: A Cross-Sectional Study

Gusar

Konjevoda

Babić

et al. 2021

IJERPH

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“…We observed that employment was associated with inadequate HL which contradicts the results from other studies [64][65][66] where unemployment was associated with inadequate HL. Post hoc analysis of our data showed that those who were unemployed had higher odds of multimorbidity (OR:2.63, 95% CI: 1.3-5.4, p = 0.01), after adjusting for other sociodemographic correlates.…”

Section: Discussioncontrasting

confidence: 99%

Health Literacy and Diabetes Knowledge: A Nationwide Survey in a Multi-Ethnic Population

Asharani

Lau

Roystonn

et al. 2021

IJERPH

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Health literacy is a key determinant of the public health and health climate of the nation. This study examined the functional health literacy of the nation, factors associated with health literacy, and its relationship with diabetes recognition. This cross-sectional survey recruited participants (N = 2895) who were 18 years and above from a population registry through disproportionate stratified sampling. The Brief Health Literacy Screen and other questionnaires were administered through face-to-face interviews, in one of the four national languages (English, Chinese, Malay or Tamil). The majority (80.5%) had adequate functional health literacy and were able to recognise symptoms of diabetes correctly (83.5% overall; 83.7% and 82.2% in those with adequate and inadequate health literacy, respectively). Those with inadequate health literacy had a higher incidence of chronic conditions (p < 0.001) compared to those with adequate health literacy in bivariate analysis. The majority of the sample had sufficient levels of physical activity (83.3%), and more than half reported an unhealthy lifestyle (57.4%). Older age, Chinese ethnicity, those who were employed, with lower education (secondary or below), and were married had significantly higher odds of inadequate health literacy. Health literacy was not associated with lifestyle, physical activity, chronic conditions and diabetes recognition. Health literacy interventions should focus on the disadvantaged social groups for improving their health literacy.

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“…In this study, knowledge and compliance of medication both affected patients' decision-making behaviors, which echoes ndings from previous studies [7,10,39,40]. A positive association between medical knowledge and SDM has been established in prior researches [7,41,42]. Shen et al considered that lower health knowledge undermines patients' self-con dence during communication with their doctors, which results in patients undervaluing the information they provide to doctors [43].…”

Section: Discussionsupporting

confidence: 83%

What factors promote the chronic disease patients’ participation in shared decision making of medication: a cross-sectional survey in Hubei Province, China

Feng

Zong

et al. 2023

Preprint

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Background: Shared decision making (SDM) improves the health status of patients with chronic disease, especially in the condition of poly-medicated patients. This study aims to find the factors associated with chronic disease patients’ participation in SDM of medication. Methods: A total of 1,196 patients with chronic disease were selected using cluster sampling method. The random forest method was applied to sort the importance of independent variables by Mean Decrease Gini coefficient, and the multiple logistic regression was used to explore the key factors associated with patients’ medication decision-making. Results: In this study, 5.18% of patients used informed decision-making (IDM), 37.79% of patients used SDM, and 57.02% of patients used paternalistic model. The random forest showed that the top 10 important factors are exercise, age, education, drinking, disease course, medication knowledge, gender, depression, job type, and compliance. The multiple logistic regression showed that patients over 65 years old, drinking always, with depressive symptoms, poor knowledge and compliance of medication are more likely to use IDM compared to SDM. Moreover, compared to SDM, those patients over 65 years old, exercise infrequently, with disease course over 10 years, depressive symptoms, poor medication knowledge and an occupation of manual labor were more likely to use paternalistic model. Conclusion: Patients’ health behaviors and medication knowledge significantly influenced the patients’ participation in SDM of medication. Related interventions should be executed to ameliorate the health behaviors and medication knowledge of patients with chronic disease to promote them participating in SDM of medication

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Employment Status and Health Literacy in Denmark: A Population-Based Study

Cited by 20 publications

References 33 publications

Pre-Vaccination COVID-19 Vaccine Literacy in a Croatian Adult Population: A Cross-Sectional Study

Pre-Vaccination COVID-19 Vaccine Literacy in a Croatian Adult Population: A Cross-Sectional Study

Health Literacy and Diabetes Knowledge: A Nationwide Survey in a Multi-Ethnic Population

What factors promote the chronic disease patients’ participation in shared decision making of medication: a cross-sectional survey in Hubei Province, China

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