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Objetivo: Determinar las habilidades y conocimientos sobre las tecnologías de la información y la comunicación (TIC) de los ingresantes a la carrera de Licenciatura en Enfermería de una institución superior pública de Bahía Blanca, Provincia de Buenos Aires, Argentina. Metodología: Estudio observacional, descriptivo, transversal y cuantitativo. Se implementó un instrumento conformado por 59 preguntas con opciones de respuesta cerrada orientado a valorar las competencias digitales en los ingresantes a la carrera. Resultados: Participaron 386 ingresantes, mayormente de género femenino (85.49 %), del primer ciclo (74.35 %) y con 20 años o menos de edad (47.15 %). El 98.19 % tenía acceso a internet, el 79.27 % tiene computadora y más del 80 % tiene un amplio uso de redes sociales (WhatsApp, Instagram) y correo electrónico. Los ingresantes se autoevaluaron competentes en el programa MS Word, mientras que en MS Excel se declararon menos competentes. Hay desconocimiento y bajo desarrollo de habilidades para generar contenido, y un amplio despliegue de habilidades para buscar y descargar información de la web. La edad, el género, el tiempo diario de uso de internet y el ciclo de ingreso mostraron relación con el dominio de las herramientas digitales aplicadas a la educación. Conclusiones: Se identificó un desarrollo intermedio de competencias digitales aplicadas a la educación, lo que podría ameritar el diseño de programas que nivelen estas habilidades durante el proceso de ingreso o durante la formación.
Objetivo: determinar habilidades e conhecimentos sobre as tecnologias da informação e comunicação (TIC) dos calouros no curso de bacharelado em enfermagem em uma instituição pública de ensino superior na cidade de Bahía Blanca, província de Buenos Aires, Argentina. Metodologia: estudo observacional, descritivo, transversal e quantitativo. Foi utilizado um instrumento composto por 59 perguntas com opções de resposta fechada para avaliar as competências digitais dos calouros do curso. Resultados: Participaram 386 estudantes, em sua maioria do gênero feminino (85,49 %), do primeiro ciclo estudantil (74,35 %) e com idade igual ou inferior a 20 anos (47,15 %). 98,19 % tinham acesso à internet, 79,27 % tinham computador e mais de 80 % usavam amplamente as redes sociais (WhatsApp, Instagram) e o e-mail. Os calouros se auto-avaliaram competentes no programa MS Word, enquanto no MS Excel se declararam menos competentes. Há desconhecimento e baixo desenvolvimento de habilidades para gerar conteúdo e uma ampla demonstração de habilidades para pesquisar e baixar informações da web. A idade, o gênero, o tempo diário de uso da Internet e o ciclo de ingresso estudantil mostraram relação com o domínio das ferramentas digitais aplicadas à educação. Conclusões: Foi identificado um desenvolvimento intermediário de competências digitais aplicadas à educação, o que poderia demandar a concepção de programas que nivelem essas competências durante o processo de admissão ou durante a formação.
Objective: To determine the skills and knowledge about information and communication technologies (ICT) of entrants to the Bachelor's Degree in Nursing at a public higher institution in Bahía Blanca, Province of Buenos Aires, Argentina. Methodology: Observational, descriptive, transversal and quantitative study. An instrument was implemented consisting of 59 questions with closed response options aimed at assessing digital competencies in those entering the career. Results: 386 entrants participated, mostly female (85.49 %), from the first cycle (74.35 %) and 20 years old or younger (47.15%). 98.19 % had access to the internet, 79.27 % have a computer and more than 80 % have extensive use of social networks (WhatsApp, Instagram) and email. The entrants evaluated themselves as competent in the MS Word program, while in MS Excel they declared themselves less competent. There is a lack of knowledge and low development of skills to generate content and a wide range of skills to search and download information from the web. Age, gender, daily time of Internet use and entry cycle showed a relationship with the mastery of digital tools applied to education. Conclusions: An intermediate development of digital competencies applied to education was identified, and a high one for the use of social networks. The variables age, gender, daily time of Internet use and entry cycle were related to the knowledge and skills for using ICT applied to education.
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Introduction: The drinking habit is an important factor of metabolic imbalance among people with diabetes. However, individuals with higher levels of health literacy can perform behaviors that create barriers to the emergence of complications of this disease. Checking the health reading related to the drinking habit can be useful to reduce the consequences of diabetes. Objective: To identify the factors associated with health literacy related to the addiction among people with diabetes assisted by primary health care. Methods: Cross-sectional study conducted in health units in the city of Montes Claros, MG, Brazil. Demographic and economic conditions were analyzed, in addition to the levels of health literacy assessed from the instrument Alcohol Health Literacy. Results: The study included 215 people with diabetes with a mean age of 60.73 years, mostly women (63.7%; n=137). Lower levels of alcohol health literacy were present in 31.2% (n=67) of the participants. The following variables were associated with lower levels of health literacy: sex (men, OR 0.46; 95%CI 0.23-0.94; p=0.032), low schooling (early childhood education, OR 7.00; 95%CI 2.55-19.20; p<0.001; illiterate, OR 28.06; 95%CI 4.40-178.83); and spending on diabetes-related drugs (OR 2.27; 95%CI 1.14-4.50; p=0.019). Conclusion: There were better levels of health literacy related to the habit of alcohol use among men, with higher education and who did not have spending on diabetes-related drugs.
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RESUMEN Introducción. El alfabetismo científico comprende habilidades para explicar los fenómenos científicamente, evaluar la ciencia e interpretar sus resultados. Para asegurar su correcta medición es necesario disponer de herramientas validadas en diversos idiomas. Objetivo. Adaptar y validar, al español del Perú, un instrumento para medir las habilidades en alfabetismo científico en estudiantes de medicina. Métodos. La adaptación cultural del Test of Scientific Literacy Skills (TOSLS) tuvo seis pasos. Primero, una traducción independiente y simultánea del inglés al español. Luego, síntesis de ambas traducciones y traducción inversa, seguida de la comparación con la versión original y su retrotraducción. Luego, se realizó una prueba piloto y un estudio transversal con estudiantes de medicina en Lima, Perú. El último paso comprendió la evaluación psicométrica utilizando el modelo de Rasch. El instrumento tuvo 28 preguntas de opción múltiple con una única respuesta correcta. Resultados. Enrolamos 300 estudiantes. El coeficiente Kuder-Richadson fue 0,742. Los ítems mostraron unidimensionalidad e independencia local (MADaQ3 = 0,054). El ítem 12 fue el más difícil, el 5 resultó el más fácil. Los estadísticos infit y outfit de los ítems estuvieron en el rango de 0,7 a 1,3 logits. La curva de función de información brindó información con mayor precisión en el nivel de habilidad ubicado entre -1 y 0 logits. Hubo correspondencia entre la dificultad de los ítems y la habilidad en alfabetismo científico. Conclusión. La versión en español mantuvo los 28 ítems del TOSLS original y tuvo aceptable consistencia interna. Los ítems tuvieron propiedades aceptables, independientemente de la habilidad en alfabetismo científico de los estudiantes.
ABSTRACT Introduction. Scientific literacy comprises skills to explain phenomena scientifically, evaluate science and interpret its results. Validated tools in different languages are needed to ensure their correct measurement. Objective. To adapt and validate, to Peruvian Spanish, an instrument to measure scientific literacy skills in medical students. Methods. The cultural adaptation of the Test of Scientific Literacy Skills (TOSLS) into Spanish had six steps. First, an independent, simultaneous translation from English into Spanish was performed. Then, both translations were synthesised and back-translated, followed by comparison with the original version and back-translation. This was followed by a pilot test and a cross-sectional study with medical students in Lima, Peru. The last step involved psychometric evaluation using the Rasch model. The instrument consisted of 28 multiple-choice questions with only one correct answer. Results. 300 students were enrolled. The Kuder-Richadson coefficient was 0.742. The items showed unidimensionality and local independence (MADaQ3 = 0.054). Item 12 was the most difficult, while item 5 was the easiest. The infit and outfit statistics of the items were in the range of 0.7 to 1.3 logits. The test information function provided information with greater precision at skill levels between -1 and 0 logits. There was a correspondence between item difficulty and scientific literacy ability. Conclusion. The Spanish version retained the 28 items of the original TOSLS and had acceptable internal consistency. The items had acceptable properties, independently of students' scientific literacy ability.
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Health consumption upgrading is an important way to benefit residents'livelihood,protect health and promote the construction of healthy China.It analyzes the practical foundation and development dilemma of China's health consumption upgrading in the new period through literature and logical analysis,and puts forward strategies to alleviate the dilemma.It concludes that in the new period,China's health consumption upgrading has the practical foundation of significant effect of health poverty alleviation policies,continuous upgrading of national health consumption concepts,and continuous emergence of health science and technology innovations,but also faces the development dilemmas of unstable health market order,insufficient supply of health products,insufficient application of health science and technology,and lack of deep cultivation of health literacy.Accordingly,the following strategies are proposed to alleviate the difficulties:strengthen top-level design to create a new"environment"for health consumption;promote diversified participation to meet the new"demand"for health consumption;strengthen technology-driven to build a new"industry"for health consumption;and cultivate health literacy.Cultivating health literacy and cultivating new"potential"for healthy consumption.
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Objective:To investigate the stateand related factors of mental health literacy in college freshmen.Methods:A total of 8 014 college freshmen in the class of 2022 from a comprehensive university in Henan Province were selected.They were assessed with a self-administered general information questionnaire and the Mental Health Literacy Scale(MHLS).Results:The average total score of freshmen on the MHLS was(111.55±9.84),and the MHLS total scores were higher in female freshmen than in male freshmen(P＜0.001).Multiple linear regression analysis showed that gender was significantly negatively associated with total MHLS scores(β=-0.24,P＜0.001),and whether or not they had taken mental health education courses(β=0.09)and whether or not they had read psychology-related books(β=0.08)were positively associated with total MHLS score(Ps＜0.001).Conclusion:In this study,the mental health literacy in freshmen is at amoderate level,with higher levels of mental health literacy in females,those who have taken mental health education courses,and those who have read books on psychology.
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The role and function of nurses in the application of assisted reproductive technology were sorted out.Addressing potential ethical dilemmas,this paper analyzed the restrictive factors in dealing with difficulties in nursing practice and proposed the construction of a nursing ethics literacy system.It is suggested to improve ethical rules and education systems,strengthen case education,enhance risk prevention capabilities,and cultivate a healthy ethical culture,so as to effectively enhance nurses'ethical literacy.
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Objective:To investigate the level of health literacy and its influencing factors among residents aged 15-69 years with different chronic disease in Zhejiang Province.Methods:In this cross-sectional study, a stratified multistage whole cluster random sampling method was used to select 19 200 permanent residents aged 15-69 years from 30 monitoring sites in Zhejiang Province from June to November 2022, and a household questionnaire survey was carried out with the National Health Literacy Monitoring Questionnaire for the Population. The content of the survey included socio-demographic characteristics, health-related factors and health literacy level. A total of 19 200 questionnaires were distributed and 19 051 were collected, of which 18 857 (98.98%) were valid. The χ2 test was used to compare the health literacy levels of residents with different chronic diseases, and logistic regression was used to analyze the influencing factors of the health literacy levels. Results:The health literacy level of residents aged 15-69 in Zhejiang Province in 2022 was 38.36%. Among them, the health literacy level of patients with multiple chronic diseases was much lower than those with single chronic disease and those without chronic disease (14.70% vs 25.37%, 42.21%) ( χ2=483.05, P<0.001). It was positively associated between having multiple chronic diseases and insufficient health literacy ( OR=1.26, 95% CI: 1.01-1.58); compared with those without chronic disease ( OR=1.00), patients with multiple chronic diseases were significantly more likely to have inadequate health literacy in basic knowledge and concepts ( OR=1.29, 95% CI: 1.03-1.63), health behaviors ( OR=1.24, 95% CI: 1.01-1.53), basic skills ( OR=1.37, 95% CI: 1.11-1.69), and health information literacy ( OR=1.27, 95% CI: 1.08-1.50). Conclusions:The number of chronic diseases is a key factor that affects the residents′ health literacy level, and people with multiple chronic diseases are often associated with a higher risk of inadequate health literacy.
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[Objective]To explore residents'science popularization status of traditional Chinese medicine(TCM)and its influential factors,and provid scientific suggestions for the formulation of strategies and methods of TCM science popularization,taking Sanfu herbal patch(SHP)as an example.[Methods]Online questionnaires and Logistic regression analysis were applied to study residents'cognition,behavior and willingness on SHP and its influential factors,and explor the effective strategies and methods of TCM science popularization.[Results]Residents'cognitive accuracy rates of SHP's efficacy in treating diseases were 22.9％for bronchitis or chronic obstructive pulmonary disease,21.4％for rhinitis,19.3％for health care and immunity enhancement,and those of treatment methods were 35.0％for the reimbursement by medical insurance and 20.3％for the number of medication per course.Only 7.8％of residents experienced the treatment.Ways of acquiring SHP knowledge were few,namely,personal communication(26.6％)and internet(22.6％).Patients with underlying diseases,with odds ratio(OR)of 2.44(P＜0.05),were the most important factor promoting the cognitive accuracy of diseases that can be treated with SHP.Female(OR=1.70,P＜0.01)and insured residents(OR=2.41,P＜0.01)were factors that promoted the cognitive accuracy of treatment methods.The demand rate of knowledge was 71.7％,and that of the elderly was 100％;and approval rates of SHP science popularization at home and abroad were 78.2％and 80.0％.[Conclusion]Residents'science knowledge and application level of SHP were low,but their passion to try,learn and communicate it was very high.Therefore,it was suggested to increase the micro education of specific TCM treatments,take female,patients with basic diseases,insured residents and the elderly as starting points,expanding the audience,create diversified paths,and improve the precise implementation of science popularization strategies,so as to improve the health literacy of residents and promote the development of healthy China.
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ObjectiveTo comprehensively analyze the impact of health literacy on fourth-grade students in a primary school in Changning District through the implementation of interactive interventions， providing a theoretical basis for the effective implementation of school health literacy initiatives. MethodsUsing a cluster random sampling method， the effects of a 6-month interactive intervention were assessed among all fourth-grade students through two rounds of health literacy questionnaires conducted before and after the intervention. ResultsFollowing the intervention， there was a significant increase in the overall rate of health literacy （86.80%）， knowledge of health beliefs （71.57%）， adherence to a healthy lifestyle （92.89%）， and basic health skills （76.14%） （P<0.001）. The rate of formation of student health behaviors after the intervention （90.10%） increased by 16.02% compared to the pre-intervention level （P<0.05）. ConclusionConducting interactive interventions can stimulate students’ enthusiasm for self-directed learning， facilitate the formation of health behaviors， and reduce the risk of disease occurrence. This approach plays a positive role in promoting students’ physical and mental health development and enhancing their level of health literacy.
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【Objective】 To clarify the concept of health literacy among children and adolescents with accidental injuries through literature review and analysis. 【Methods】 A systematic search was conducted across multiple databases, including China National Knowledge Infrastructure, Wanfang database, VIP database, China Biomedical literature database, PubMed, CINAHL, and PscyINFO database. The literature was analyzed using Rodgers′ evolutionary concept analysis method. 【Results】 A total of 56 articles were included. The health literacy of children and adolescents with accidental injuries comprised three conceptual attributes:cognition, emotion and behavior. The influencing factors included children′s demographic factors, family and school related factors and social related factors. The result can be beneficial to reduce the occurrence of injury events, save family economic expenditure and alleviate the burden on social medical resources. However, there is currently a lack of specific measurement tools for assessing health literacy in this population, as the existing evaluation items are drawn from general health literacy scales. 【Conclusions】 The concept of health literacy among children and adolescents with accidental injuries is multifaceted and evolving. Future research should focus on exploring the characteristics of health literacy among children and adolescents of different ages and regions from their own perspectives. Additionally, efforts should be made to refine the concept and develop specialized measurement tools to facilitate further studies in this area.
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ObjectiveThe aim is to understand the current situation of death literacy among Chinese residents in the Guangdong-Hongkong-Macao Greater Bay Area and explore educational approaches to enhance the death literacy of the social public. MethodThe Death Literacy Index was conducted among 2，002 residents in the Guangdong-Hong Kong-Macao Greater Bay Area， which included 29 items from four dimensions namely practice， experience， fact， and community. ResultsThe average score of death literacy among the respondents was moderate （6.70）， with scores for practical and experiential knowledge （7.32， 7.50） higher than those for factual and community knowledge （6.20， 6.10）. The weakest content included discussing bereavement with people who have just lost loved ones （5.07）， laws and regulations related to death at home （5.35）， and providing support for the terminal person and their families in the community. ConclusionThe death literacy of the Chinese residents in the Greater Bay Area was moderate， in which community knowledge was the weakest with a lack of concern and support for the terminal person and the caregivers. Therefore， community health promotion strategies were proposed to strengthen death education for the public and promote the death literacy of the residents.
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Objective@#To understand the level of nutritional literacy and its influencing factors among schoolage children in grades 4-9 in Guizhou Province, and to explore the relationship between nutritional literacy and physical health, so as to provide reference for improving nutritional literacy and physical health of schoolage children.@*Methods@#Using multistage stratified cluster sampling method, 1 155 schoolage children in grades 4-6 in elementary school and grades 7-9 in secondary schools in three prefectural and municipal cities of Guizhou Province (Zunyi, Tongren, and Bijie) were sampled from February to July 2023, and were surveyed for nutritional literacy by using the "Food and Nutritional Literacy Questionnaire for Chinese Schoolage Children", and their physical health data (data on body measurement indicators, such as height, weight, lung capacity, and vertical jump) were obtained from the physical health surveillance platform. Pearson correlation analysis and binary Logistic regression modeling were used to explore the association between nutritional literacy and physical health.@*Results@#The nutritional literacy score of the study population was (63.50±8.63), and the scores of each level of nutritional literacy in descending order were interactivity (66.09±13.99), functionality (63.84±8.80), and criticism (61.15±14.65); and the scores of cognitive domain of nutritional literacy, and skill domain were (64.71±10.77) (62.97±9.21); food selection, food preparation, and food intake dimension scores were (64.68±13.52) (56.39±12.17) (63.63±10.04), respectively. Differences in the total nutritional literacy scores of schoolaged children who were only children or not, by gender, ethnicity, grade level, primary caregiver, primary caregivers education, and family economic situation were statistically significant (t/F=2.88, -3.28, 5.02, 18.32, 4.67, 32.47, 32.53, P<0.05); the physical health pass rate was 85.8%, and the mean scores of the total physical health score, physical form, physical function, and physical fitness dimensions were (71.86±10.52) (93.29±12.06) (72.12±14.42) (67.26±13.13), respectively; after controlling for confounders, the nutritional literacy scores were positively correlated with physical health (OR=1.03, 95%CI=1.01-1.05, P<0.05).@*Conclusion@#Nutritional literacy scores of schoolage children in grades 4-9 in Guizhou Province are low, and there is a positive correlation between nutritional literacy and physical health in this school age children.
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Objective To explore the mediating role of cognitive function in the association between literacy level and depressive symptoms in middle-aged and elderly people in China. Methods Using the fourth national follow-up data of the China Health and Elderly Care Tracking Survey 2018, 8 124 middle-aged and elderly people aged 45 years and above were included as the study subjects. The PROCESS 4.0 program was used to test the mediating effect of cognitive function between literacy level and depressive symptoms, and the Bootstrap method was used for the mediator variable validation. Results The detection rate of depressive symptoms among middle-aged and elderly people in China was 38.10%. After controlling for gender, place of residence, marital status, smoking, alcohol consumption, and exercise, literacy level was a negative predictor of depressive symptoms in middle-aged and elderly people (β =－0.480, t =－11.248, P<0.001). Cognitive function accounted for 58.75% of the amount of mediating effect between literacy level and depressive symptoms. Conclusion Literacy level and cognitive function are associated with depressive symptoms in middle-aged and elderly people. Literacy level can influence depressive symptoms directly or indirectly through the mediation of cognitive dysfunction.
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Objective To explore the mediating effect of health-promoting lifestyle on the relationship between health literacy and stigma among middle-aged and elderly patients with type 2 diabetes mellitus (T2DM). Methods A stratified random sampling method was used to select 415 patients with T2DM from three general hospitals in Weifang to conduct a questionnaire survey using the Disease Stigma Assessment Scale for Type 2 Diabetes Mellitus (DSAS-2), the Health Literacy Scale, and the Type 2 Diabetes Health Promotion Scale (T2DHPS). Results Sickness stigma was negatively correlated with health literacy (r=-0.547, P<0.01) and negatively correlated with health promotion (r=-0.505, P<0.01), while health promotion was positively correlated with health literacy (r=0.398, P<0.01). Health-promoting lifestyle mediated the association between health literacy and stigma (β=0.0383, P<0.01), with the mediating effect accounting for 16.00% of the total effect. Conclusion Health literacy can influence the stigma of patients with type 2 diabetes mellitus through health promotion lifestyle, suggesting that the stigma of patients with diabetes can be improved through health promotion lifestyle intervention.
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Objective:To investigate the current situation of sitting time and health literacy among high school students in China,in order to provide a basis for improving their physical and mental health levels.Methods:A stratified random cluster sampling method was used to investigate the length of sitting time and health literacy of first and second grade high school students from 31 provinces,cities,and au-tonomous regions in China(data did not include that of Hong Kong and Macao Special Administrative Re-gion,and Taiwan Province of China).The Kruskal-Wallis H method,independent sample Mann-Whit-ney U test,and regression model were used to analyze the influencing factors of sitting time and total health literacy score.Results:(1)The total score of health literacy was statistically significant(P＜0.01)in different regions,urban and rural distribution,annual family income,parents'educational background,age,and gender.(2)The length of sitting was statistically significant(P＜0.01)among multiple groups in different regions,family annual income,parental education,and gender.However,there was no statistically significant difference between groups of different ages and urban-rural distribution(P＞0.05).(3)The analysis of multiple linear regression model showed that the total score of health literacy was positively correlated with the family's annual income and the mother's education,and nega-tively correlated with the father's education and the length of sitting.Standardized regression coefficientβcomparison:Father's education(-0.32)＞family annual income(0.15)＞mother's education(0.09)＞average daily sitting time(-0.02),with father's education having the greatest impact,fol-lowed by family annual income.The length of sitting was positively related to the family's annual income and the mother's educational background,and negatively related to the total score of health literacy.Standardized regression coefficientβ comparison:Annual family income(0.14)＞education background of mother(0.13)＞total score of health literacy(-0.02),with the impact of annual family income the largest,followed by education background of mother.Conclusion:China's first and second grade high school students generally spend a long time sitting every day,and the level of health literacy is generally low.The level of health literacy and sitting time are negatively correlated with each other,and are most in-fluenced by the educational background of high school students'parents and their family economic levels.
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Objective To understand the current status of health literacy among caregivers of patients with liver cancer and its influencing factors so as to provide a basis for improving the level of health literacy among caregivers of patients with liver cancer.Methods Using convenience sampling method,the caregivers of the liver cancer patients,who were admitted to the Department of Interventional Radiology of a certain grade ⅢA hospital in Changsha City,Hunan Province of China between April and October of 2022 and who met the inclusion and exclusion criteria,were selected as the research objects.The general information questionnaire,Health Literacy of Caregivers Scale-Cancer(HLCS-C),and Simplified Coping Style Questionnaire(SCSQ)were used to conduct the survey.Multiple linear regression analysis was used to analyze the factors influencing the health literacy among caregivers of patients with liver cancer.Results A total of 204 valid questionnaires were collected.The score of health literacy of caregivers was(123.08±16.66)points.The results of multiple linear regression analysis showed that the residence location,the monthly income per capita of the family,the number of hospitalization times,the length of care,work/study status,and coping style were the main factors influencing the health literacy(P<0.001),which explained 81.9％of the total variance.Conclusion The health literacy among the caregivers of patients with liver cancer is at a moderate level.Clinical medical staff can implement individualized health education by evaluating caregivers with different characteristics,encourage caregivers to seek and grasp disease-related information,and help the caregivers to adopt positive coping styles,so as to improve their health literacy.
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Objective:To understand the potential categories of e-health literacy of elderly diabetic patients in community, and analyze the relationship between each category and physical activity level, in order to provide theoretical basis for formulating intervention measures to improve e-health literacy of elderly diabetic patients.Methods:This study was across-sectional survey. Elderly diabetic patients from 3 community health service centers in Fenyang City, Shanxi Province were selected by convenient sampling method from January to June 2023. General data questionnaire, e-Health Literacy Scale and International Physical Activity Questionnaire were used to investigate the elderly diabetic patients. Mplus8.0 was used for potential profile analysis, and SPSS 26.0 software was used to compare the differences in physical activity levels among different categories of e-health literacy.Results:Totally 248 elderly diabetes patients in the community aged 60-88 (63.8 ± 6.4) years, 135 males (54.4%) and 113 females (45.6%). The e-health literacy scores of 248 elderly diabetic patients in community were (17.70 ± 5.30), which could be divided into three potential categories: general low literacy group (56.0%, 139/248), high evaluation ability-medium literacy group (18.2%, 45/248) and high access ability-high literacy group (25.8%, 64/248). Three potential categories of physical activity levels were (1 464.74 ± 190.37), (2 094.40 ± 139.70), (2 368.44 ± 157.27) metabolic equivalent-min per week, and the difference was statistically significant ( F=118.83, P<0.001). Conclusions:The e-health literacy of elderly diabetic patients in community can be divided into three potential categories, and the physical activity level of patients with different e-health literacy categories is different. It is suggested that targeted intervention should be conducted based on the homogenous group of elderly diabetic patients with e-health literacy to improve their physical activity level.
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Objective:To analyze the correlation between frailty and health literacy in elderly patients with chronic cardiac insufficiency.Methods:The convenience sampling method was used to select 290 elderly patients with chronic cardiac insufficiency who were hospitalized in the Department of Geriatrics and Department of Cardiovascular Medicine of a tertiary first-class hospital in Wuhu City from Mar 2022 to Jun 2022.The patients were investigated with the general information questionnaire,FRAIL scale,Health Literacy Management Scale,etc.Spearman analysis was used to analyze the correlation between frailty and health literacy.Binary logistic regression were used to analyze the risk factors of frailty in elderly patients with chronic cardiac insufficiency.Results:The incidence of frailty in elderly patients with chronic cardiac insufficiency was 22.8% .Spearman analysis showed that the total score of health literacy was negatively correlated with frailty(r=-0.291,P= 0.000).Results of binary logistic regression analysis showed that health literacy score(OR=0.419,95% CI:0.266-0.908),long-term insomnia(OR=6.466,95% CI:2.099-19.914),nutritional risk(OR=11.202,95% CI:3.983-31.508),depression risk(OR=10.014,95% CI:1.963-51.075),chronic disease types≥5(OR=12.784,95% CI:3.811-42.878),exercise self-efficacy(OR=0.512,95% CI:0.304-0.956),and chronic disease information acquisition ability(OR=0.512,95% CI:0.304-0.956)were independent predictors of frailty in elderly patients with chronic cardiac insufficiency(P＜0.05).Conclusions:The incidence of frailty in elderly patients with chronic cardiac insufficiency is high,and clinical staff should pay more attention to the elderly with frailty,especially patients with long-term insomnia,risk of nutrition and depression,coexistence of chronic diseases,low level of health literacy and exercise self-efficacy.Targeted measures should be actively taken to improve the quality of life of patients and reduce the readmission rate.
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ObjectiveFocusing on digital health literacy， this study elucidated the current research status， focal points， and developmental trends in this field over the past decade through bibliometric analysis and knowledge mapping of relevant papers. MethodsUtilizing software such as CiteSpace and VOSviewer， this study analyzed literature on digital health literacy from 2012 to 2022 retrieved from the Web of Science （WoS） database， employing bibliometric approaches such as keyword co-occurrence， timeline clustering， keyword burst detection， and author collaboration networks. ResultsThe research generally exhibited a continuing upward trend in publication volume； application fields were concentrated in disciplines such as mathematics and medicine； keywords include healthcare， intervention measures， health management， and technological applications. Research in digital health literacy （DHL） has evolved from an early focus on mobile health and behavior change to mid-term focus on health information and internet technology， and more recently to a greater focus on mental health and information technology applications， as well as the application of digital health and mobile technology in health behaviors， reflecting the field’s continuous development towards diversification. ConclusionResearch on digital health literacy is steadily growing and has received widespread recognition and attention from the academic community. With the development of mobile technologies and data science， the field of DHL is expected to make more in-depth research and application breakthroughs in education， scientific research， healthcare， public health， and social welfare.
الملخص
ObjectiveTo analyze the current occupational health literacy (OHL) level and its influencing factors among drivers in transportation industry. Methods A total of 880 drivers of taxi companies, passenger transport companies, freight companies and online booking companies were selected as the research subjects using the judgment sampling method. The Occupational Health Literacy Questionnaire of National Key Populations was used to conduct a survey on their OHL levels via online questionnaires, and the influencing factors of OHL were analyzed. Results The OHL level of the research subjects was 54.32% (478/880). The OHL levels in the dimensions of occupational health legal knowledge, basic knowledge of occupational health protection, basic skills of occupational health protection, healthy working style and behavior were 55.34%, 79.55%, 58.30% and 46.25%, respectively. The results of the multivariate logistic regression analysis showed that the OHL levels of drivers in passenger transport and freight companies were higher than that in taxi companies (all P<0.01). The OHL levels of drivers in private enterprises, foreign-funded enterprises, and other enterprises were lower than those in state-owned enterprises (all P<0.05). The OHL levels of drivers in large enterprises were lower than that of drivers in micro-enterprises (P<0.05). The OHL levels of drivers worked >5-10 years and >10 years were lower than that of drivers working 1-5 years (all P<0.05). Conclusion There is a considerable room for improvement in the OHL levels of drivers in the transportation industry. The category, economic type, and scale of the employing unit and driving work year of the current position are the main influencing factors of OHL levels.