Health Promotion Literacy Research Articles

Which factor, food literacy or health promotion literacy, predicts women’s healthy eating habits better? Results of a study in western Iran

ABSTRACT The objective of this study was to examine the individual contributions of food literacy and health promotion literacy components to healthy eating habits. By exploring these relationships, we aim to enhance our understanding of the factors that shape individuals’ dietary choices and behaviors. In 2022, a cross-sectional study was conducted using survey methodology. The study sample was selected using the cluster sampling method, and data was collected using a standardized questionnaire among women aged 18 and older in Kermanshah city in western Iran. The findings of the study revealed that 26.4% of women demonstrated high levels of food knowledge, 44.4% exhibited high food skills, and 28.4% displayed high resilience. Additionally, 38.5% of participants demonstrated high health promotion literacy, while 47.9% exhibited high levels of healthy eating habits. Furthermore, the results indicated a significant relationship between the components of food literacy and healthy eating habits. Notably, an increase in health promotion literacy was found to positively correlate with improved healthy eating habits. Given that a significant proportion of women in the study exhibited low levels of food knowledge, it becomes crucial to prioritize efforts to enhance women’s understanding of nutrition and food-related information.

Health literacy time trends in Germany

Abstract Background Health literacy (HL) is becoming increasingly important in the European public health sector. Since the Health information landscape is changing constantly there is a need for monitoring HL regularly in order to observe the influence of these changes, to enable trend statements and to obtain precise information on the societal and individual factors. For the first time, this has been done for the population in Germany. Methods Cross-sectional data collected in the adult population in Germany in 2014 (n = 1.940) and 2020 (n = 504) was used. The instrument HLS-EU-Q47 was used to measure HL in the domains of health care, disease prevention and health promotion. Changes between time points were analysed on the population level as well as in several population groups. Results The HL of the German population has become lower within the observed six years. This is evident in all three domains but is most pronounced in health promotion literacy. This trend is particularly visible among people with low social status and financial deprivation. Single health information tasks that are precepted as more difficult involve the evaluation of information and handling information from the media. Conclusions Over time, dealing with health and disease-related information has become more difficult. As this development is mainly driven by socioeconomically disadvantaged population groups, it has apparently increased social inequality in the health sector. Due to more complex and demanding health information, which lately result in an ‘infodemic’, it seems that these groups in particular are overburdened and cannot raise the resources and skills to adequately engage with health information. Key messages • HL interventions should focus on socioeconomically disadvantaged population groups to counteract the increasing health inequality. • Monitoring HL should be included in public health surveillance to determine needs and challenges for health policies as well as achievements of interventions.

Improving Patient Health Literacy in Hospitals - A Challenge for Hospital Health Education Programs.

BackgroundThe health literacy of hospital patients has become a very important issue, especially in the face of emerging infectious diseases. The design of and measures used by hospitals, however, have not yet taken into account whether patients can develop their health literacy through the process of medical treatment. Hospitals should take on this role as part of health education programs.MethodsA cross-sectional survey was conducted at pre-admission testing center patients waiting to be hospitalized in a regional teaching hospital. A purposive sampling method was used to recruit 406 patients via self-administered questionnaires.ResultsAmong the 406 participants, 36.1% had adequate health literacy. There were significant differences in age, education attainment, and history of chronic diseases for health literacy. The ability to find and judge information on health was lower. Watching health-related TV programs was positively correlated with health literacy. Health literacy, health promotion literacy, and understanding information on health were positively correlated to self-care and management. 65.8% of patients did not understand the treatment for which they were being admitted. Health literacy, healthcare health literacy, the ability to judge health information were positively related to understanding the treatment.ConclusionHealth literacy is a critical facilitating factor in improving self-care and management and understanding treatment on admission. Health education programs cannot, however, be one-size-fits-all. To help patients change their behavior, the change must be made easy. To this end, health information in the form of entertainment programs and simplified materials may be useful and even necessary.

Food and health promotion literacy among employees with a low and medium level of education in the Netherlands

BackgroundPrior research indicates a positive association between socioeconomic position and health literacy levels. We hypothesize comparable socioeconomic gradients for food literacy. This study aims to determine the level of self-perceived food literacy and health promotion literacy among adults with a low and medium level of education and from various subgroups, as well as the association between these food and health literacy levels. Furthermore, this study aims to explore the associations of self-perceived food literacy (SPFL) and health promotion literacy (HPL) in BMI.MethodsA cross-sectional study was conducted among employees with a low and medium level of education. Descriptive analyses were performed to compute SPFL and HPL levels. Analyses of variance were performed to test differences between subgroups. The correlation between SPFL and HPL was computed by Pearson’s r. Multivariate linear regression analyses were used to explore 1) the association between SPFL and HPL adjusted for demographic characteristics 2) the associations between SPFL and HPL in BMI.ResultsThe majority (63.1%) of all participants (n = 222) scored low on SPFL and 34.5% scored inadequate or problematic on HPL. No significant educational or weight-status differences were found in SPFL or HPL levels. On most levels, women compared to men and older compared to younger employees scored significantly higher. A small positive correlation between the two mean levels was found, r = .25, P < .001 (n = 203). Multivariate linear regression analyses showed a significant association between SPFL and HPL (B = .31, 95% CI = .15–.48). No significant associations between SPFL and HPL in BMI were found.ConclusionsThis study suggests there is room for improvement in SPFL and HPL among adults with a low and medium level of education. Future research should consider comparing low and middle socioeconomic with high socioeconomic groups when exploring food and health literacy. Regarding health promotion activities for adults with a low and medium level of education, it is recommended to focus on improving both food and health literacy. Furthermore, more research is needed to explore direct proxies of weight-status to better understand the role of food and health literacy in overweight patterns.

Health literacy and health outcomes in China\u2019s floating population: mediating effects of health service

BackgroundThe floating population in China consists primarily of internal immigrants and represents a typical health vulnerable group. Poor health literacy has recently become an obstacle in the accessibility and utilization of health services for the vulnerable population, leading to adverse health outcomes. This study aimed to examine whether health literacy affected health outcomes in China’s floating population and whether health service utilization had a mediating effect between health literacy and health outcomes.MethodThe current study utilized a cross-sectional stratified, multistage, proportional to scale (PPS) study in Zhejiang Province, China, in November and December 2019. In total, 657 valid self-reported questionnaires were recovered and used for data collection. Questionnaires included questions regarding sociodemographic characteristics, health literacy, health outcomes, and health service utilization. Confirmatory factor analysis was used to test questionnaire validity; descriptive statistics were used to understand the demographic characteristics of the floating population; and structural equation modeling was used to determine whether health service utilization mediated health literacy and health outcomes.ResultsWe report positive correlations between health literacy, health service utilization, and health outcomes. Mediation analysis demonstrated that health service utilization had partial mediating effects between health literacy and health outcomes. In the relationship between health literacy and health outcomes, the indirect effects of health service utilization accounted for 6.6–8.7% of the total effects.ConclusionComplete health literacy, through health care literacy and health promotion literacy, affects the mobile population’s initiative to use health services, which, in turn, affects health outcomes. Thus, improving the health literacy of the floating population will help to improve health outcomes. Furthermore, health service providers should enhance the diversity of health service supply to ensure that the floating population has the external resources to improve personal health literacy.

Health Promotion in the Age of Social Media: Evaluation of Word Press as a Platform for Developing Postgraduate Student Skills

Aims: The present study reports on the evaluation of a postgraduate assignment in which students produced a health promotion website. The aim of the study was to examine the application of WordPress as a platform for developing contemporary skills in health promotion practice. Study design: A mixed methods study including the use of focus groups, survey, document analysis and literature review. Place and Duration of Study: A health promotion course as part of a UK-based MSc in Public Health/Environmental Health between September and December 2013. Methodology: Following a pilot development stage, 27 students were supported to produce a WordPress health promotion assignment. These were content and thematically analysed. Students completed a baseline and follow-up questionnaire on digital and health promotion literacy, and self-efficacy. Approximately half the group took part in focus groups to examine students’ perceptions of the assignment. Results: Participants were able to apply the web-based platform to a wide range of health promotion contexts. The central messages were supported through the use of hierarchically organized web-pages; extensive visual, audio-visual and diagrammatic elements; and contextual fields of theory, research and practice. Participants were able to present frameworks for incorporating interactive and dialogical components, but these areas were challenging within the context of the assignment. Questionnaire outcomes suggested group level improvements in the measures. Focus group themes concerned the role of previous experience; motivation; perceived advantages; challenges; help-seeking strategies; perceived benefits; and proposed improvements. Conclusion: Off-the-shelf blog-sites are a promising platform for developing skills in social media and health promotion. The study found good acceptability and feasibility from a student perspective. The assignment offered professional credibility in terms of the development of multi-media presentation, public and professional communication skills. Pedagogically this mode of assignment raises interesting challenges in the assessment of logical thought, critical reasoning and synthesis of argument.