Evaluation of Health Literacy in Academics at the University of Ghana: A Cross-sectional Study | |
| Journal of Health Literacy | |
| دوره 10، شماره 2 - شماره پیاپی 37، تیر 2025، صفحه 57-67 اصل مقاله (1.98 M) | |
| نوع مقاله: Original Article | |
| شناسه دیجیتال (DOI): 10.22038/jhl.2024.76614.1508 | |
| نویسندگان | |
| Patience Aseweh Abor1؛ Carlos Kokuvi Tetteh* 2 | |
| 1Department of Health Services Management, University of Ghana Business School, Legon. | |
| 2Institute of Statistical, Social, and Economic Research (ISSER), University of Ghana. | |
| چکیده | |
| Background and Objectives: Research has shown that low health literacy levels can result in delayed access to information for timely disease diagnosis, diminished self-care abilities, and a higher prevalence of chronic diseases, ultimately contributing to increased mortality rates. In this study, we explored the determinants of health literacy among academics at the University of Ghana, assessed the prevalence of chronic diseases, and analysed health literacy factors based on the sex of the academics. Material and Methods: This cross-sectional study involved academics from the University of Ghana, selected using an enhanced voluntary response sampling method. A self-administered health literacy survey questionnaire was distributed to participants via staff emails. Bivariate and multivariate analyses were conducted to address the study objectives. Results: The study reveals that a smaller proportion of the academics (31% of the sample) have chronic conditions. While having a chronic condition is positively associated with health literacy, it does not significantly impact it. The findings indicate that “actively managing health” and “appraising health information” positively and significantly influence health literacy, although their impact is relatively modest. Conversely, “navigating the healthcare system” has a substantial and significant effect on health literacy. Interestingly, “social support for health” negatively affects the likelihood of health literacy among academics. Conclusion: The study concludes that health literacy among the university academics is shaped by factors including sex, “actively managing health”, “social support for health”, “appraisal of health information”, and “navigating the healthcare system”. The prevalence of chronic diseases among the sampled academics was low. In terms of health literacy differences by sex, male academics were mainly influenced by “having sufficient information to manage health” and “navigating the healthcare system”, while female academics were primarily influenced by “having sufficient information to manage health”. | |
| کلیدواژهها | |
| Health Literacy؛ Chronic Disease؛ Universities؛ Academics | |
| مراجع | |
|
1. Peerson A & Saunders M. Health literacy revisited: what do we mean and why does it matter? Health promotion international 2009; 24(3), 285-296. https://doi.org/10.1093/heapro/dap014 PMid:19372101
2. Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, & Brand H. Health literacy and public health: a systematic review and integration of definitions and models. BMC public health 2012;12(1), 1-13. https://doi.org/10.1186/1471-2458-12-80 PMid:22276600 PMCid:PMC3292515
3. Kickbusch I, Pelikan JM, Apfel F, & Tsouros A. Health literacy 2013, WHO Regional Office for Europe.
4. Tugut N, Yesildag Celik B, & YÄlmaz A. Health Literacy and Its Association with Health Perception in Pregnant Women. Journal of Health Literacy 2021; 6(2), 9-20.
5. Chen X, Hay JL, Waters EA, Kiviniemi MT, Biddle C, Schofield E, ... & Orom, H. Health literacy and use and trust in health information. Journal of health communication 2018; 23(8), 724-734. https://doi.org/10.1080/10810730.2018.1511658 PMid:30160641 PMCid:PMC6295319
6. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion international 2000; 15(3), 259-267. https://doi.org/10.1093/heapro/15.3.259
7. Zarcadoolas, C., Pleasant, A., & Greer, D. S. Understanding health literacy: an expanded model. Health promotion international, 2005; 20(2), 195-203. https://doi.org/10.1093/heapro/dah609 PMid:15788526
8. Garcia-Codina, O, Juvinyà-Canal D, Amil-Bujan P, Bertran-Noguer C, González-Mestre MA, Masachs-Fatjo E, ... & Saltó-Cerezuela E. Determinants of health literacy in the general population: results of the Catalan health survey. BMC public health 2019; 19(1), 1-12. https://doi.org/10.1186/s12889-019-7381-1 PMid:31420029 PMCid:PMC6698033
9. World Health Organization. WHO global strategy on people-centered and integrated health services: interim report (No. WHO/HIS/SDS/2015.6). 2015, World Health Organization.
10. World Health Organization. A road to equity: health literacy from a public health perspective. Public health panorama 2019; 5(2-3), 127-129.
11. Cho YI, Lee SYD, Arozullah AM, & Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Social science & medicine 2008; 66(8), 1809-1816. https://doi.org/10.1016/j.socscimed.2008.01.003 PMid:18295949
12. Olyani S, Gholian Aval M, Tehrani H, & Mahdiadeh M. School-based mental health literacy educational interventions in adolescents: a systematic review. Journal of Health Literacy 2021; 6(2), 69-77.
13. İnkaya B, Tüzer H. Investigation of Health Literacy of Reading Students in Social and Health Sciences of a University. Kocaeli Medical Journal 2018; 7(3),124-9. https://doi.org/10.5505/ktd.2018.27146 https://doi.org/10.5505/ktd.2018.27146
14. Karamali M, Yaghoubi M, & Parandeh A. Scientific mapping of papers related to health literacy using co-word analysis in MEDLINE. Iranian Journal of Health Education and Health Promotion 2021; 9(3), 280-295. https://doi.org/10.52547/ijhehp.9.3.280
15. Heijmans M, Waverijn G, Rademakers J, van der Vaart R, & Rijken M. Functional, communicative, and critical health literacy of chronic disease patients and their importance for self-management. Patient education and counselling 2015; 98(1), 41-48. https://doi.org/10.1016/j.pec.2014.10.006 PMid:25455794
16. Hendriks M, & Rademakers J. Relationships between patient activation, disease-specific knowledge, and health outcomes among people with diabetes; a survey study. BMC health services research 2014; 14(1), 1-9. https://doi.org/10.1186/1472-6963-14-393 PMid:25227734 PMCid:PMC4175625
17. Kartal M, Tuluce D, & Ersin F. Evaluation of Health Literacy in Academics at a University of Turkey. Journal of Health Literacy 2022; 7(1), 9-16.
18. Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: an updated systematic review. Annals of Internal Medicine, 155(2), 97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005 PMid:21768583
19. Zhang, N. J., Terry, A., & McHorney, C. A. (2016). Impact of health literacy on medication adherence: a systematic review and meta-analysis. Annals of Pharmacotherapy, 48(6), 741-751. https://doi.org/10.1177/1060028014526562 PMid:24619949
20. Howard, D. H., Gazmararian, J., & Parker, R. M. (2006). The impact of low health literacy on the medical costs of Medicare managed care enrollees. The American Journal of Medicine, 118(4), 371-377. https://doi.org/10.1016/j.amjmed.2005.01.010 PMid:15808134
21. Parker, R., Ratzan, S. C., & Lurie, N. (2003). Health literacy: A policy challenge for advancing high-quality health care. Health Affairs, 22(4), 147-153. https://doi.org/10.1377/hlthaff.22.4.147 PMid:12889762
22. Kutner, M., Greenberg, E., Jin, Y., & Paulsen, C. (2006). The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. NCES 2006-483. National Center for Education Statistics.
23. Miller, E. A., West, M. D., Brown, T. M., Sim, I., & Ganchoff, C. (2007). Health literacy and adherence to medical treatment in chronic and acute illness: A meta-analysis. Journal of the American Medical Association, 288(4), 512-519.
24. Paasche-Orlow, M. K., Parker, R. M., Gazmararian, J. A., Nielsen-Bohlman, L. T., & Rudd, R. R. (2005). The prevalence of limited health literacy. Journal of General Internal Medicine, 20(2), 175-184. https://doi.org/10.1111/j.1525-1497.2005.40245.x PMid:15836552 PMCid:PMC1490053
25. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.
26. Osborn, C. Y., Cavanaugh, K., Wallston, K. A., & Rothman, R. L. (2011). Self-efficacy links health literacy and numeracy to glycemic control. Journal of Health Communication, 16(sup3), 91-104.
27. Artinian NT., Fletcher GF, Mozaffarian D, Kris-Etherton P, Van Horn L, Lichtenstein AH, ... & Burke LE. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: a scientific statement from the American Heart Association. Circulation 2010; 122(4), 406-441. https://doi.org/10.1161/CIR.0b013e3181e8edf1 PMid:20625115 PMCid:PMC6893884
28. Smith Jr, SC, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA, ... & Taubert KA. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation. Circulation, 2011;124(22), 2458-2473. https://doi.org/10.1161/CIR.0b013e318235eb4d PMid:22052934
29. Dunn P, & Conard S. Improving health literacy in patients with chronic conditions: a call to action. International journal of cardiology 2018; 273, 249-251. https://doi.org/10.1016/j.ijcard.2018.08.090 PMid:30193793
30. Osborne RH, Batterham RW, Elsworth GR, Hawkins M, Buchbinder R. The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). BMC public health, 2013;13, 1-7. https://doi.org/10.1186/1471-2458-13-658 PMid:23855504 PMCid:PMC3718659
31. Jessup RL, Osborne RH, Beauchamp A, Bourne A, Buchbinder R. Health literacy of recently hospitalised patients: a cross-sectional survey using the Health Literacy Questionnaire (HLQ). BMC health services research, 2017;17, 1-2. https://doi.org/10.1186/s12913-016-1973-6 PMid:28103914 PMCid:PMC5244731
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