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Health Literacy, eHealth Literacy, Adherence to Infection Prevention and Control Procedures, Lifestyle Changes, and Suspected COVID-19 Symptoms Among Health Care Workers During Lockdown: Online Survey.
Do, Binh N; Tran, Tien V; Phan, Dung T; Nguyen, Hoang C; Nguyen, Thao T P; Nguyen, Huu C; Ha, Tung H; Dao, Hung K; Trinh, Manh V; Do, Thinh V; Nguyen, Hung Q; Vo, Tam T; Nguyen, Nhan P T; Tran, Cuong Q; Tran, Khanh V; Duong, Trang T; Pham, Hai X; Nguyen, Lam V; Nguyen, Kien T; Chang, Peter W S; Duong, Tuyen Van.
  • Do BN; Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.
  • Tran TV; Division of Military Science, Military Hospital 103, Hanoi, Vietnam.
  • Phan DT; Director Office, Military Hospital 103, Hanoi, Vietnam.
  • Nguyen HC; Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.
  • Nguyen TTP; Division of Military Science, Military Hospital 103, Hanoi, Vietnam.
  • Nguyen HC; Director Office, Military Hospital 103, Hanoi, Vietnam.
  • Ha TH; Faculty of Nursing, Hanoi University of Business and Technology, Hanoi, Vietnam.
  • Dao HK; Nursing Office, Viet Duc University Hospital, Hanoi, Vietnam.
  • Trinh MV; Director Office, Thai Nguyen National Hospital, Thai Nguyen, Vietnam.
  • Do TV; President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam.
  • Nguyen HQ; Health Management Training Institute, Hue University of Medicine and Pharmacy, Thua Thien Hue, Vietnam.
  • Vo TT; Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary.
  • Nguyen NPT; Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi, Vietnam.
  • Tran CQ; Director Office, E Hospital, Hanoi, Vietnam.
  • Tran KV; Director Office, General Hospital of Agricultural, Hanoi, Vietnam.
  • Duong TT; Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh, Vietnam.
  • Pham HX; Director Office, Quang Ninh General Hospital, Quang Ninh, Vietnam.
  • Nguyen LV; Director Office, Bai Chay Hospital, Quang Ninh, Vietnam.
  • Nguyen KT; Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, Vietnam.
  • Chang PWS; Director Office, Trieu Phong District Health Center, Quang Tri, Vietnam.
  • Duong TV; General Planning Department, Da Nang Oncology Hospital, Da Nang, Vietnam.
J Med Internet Res ; 22(11): e22894, 2020 11 12.
Article in English | MEDLINE | ID: covidwho-895258
Semantic information from SemMedBD (by NLM)
1. Symptoms PROCESS_OF Health Personnel
Subject
Symptoms
Predicate
PROCESS_OF
Object
Health Personnel
2. Health Literacy PROCESS_OF Male population group
Subject
Health Literacy
Predicate
PROCESS_OF
Object
Male population group
3. Health Literacy PROCESS_OF Health Personnel
Subject
Health Literacy
Predicate
PROCESS_OF
Object
Health Personnel
4. Symptoms PROCESS_OF Health Personnel
Subject
Symptoms
Predicate
PROCESS_OF
Object
Health Personnel
5. Health Literacy PROCESS_OF Male population group
Subject
Health Literacy
Predicate
PROCESS_OF
Object
Male population group
6. Health Literacy PROCESS_OF Health Personnel
Subject
Health Literacy
Predicate
PROCESS_OF
Object
Health Personnel
ABSTRACT

BACKGROUND:

The COVID-19 pandemic has imposed a heavy burden on health care systems and governments. Health literacy (HL) and eHealth literacy (as measured by the eHealth Literacy Scale [eHEALS]) are recognized as strategic public health elements but they have been underestimated during the pandemic. HL, eHEALS score, practices, lifestyles, and the health status of health care workers (HCWs) play crucial roles in containing the COVID-19 pandemic.

OBJECTIVE:

The aim of this study is to evaluate the psychometric properties of the eHEALS and examine associations of HL and eHEALS scores with adherence to infection prevention and control (IPC) procedures, lifestyle changes, and suspected COVID-19 symptoms among HCWs during lockdown.

METHODS:

We conducted an online survey of 5209 HCWs from 15 hospitals and health centers across Vietnam from April 6 to April 19, 2020. Participants answered questions related to sociodemographics, HL, eHEALS, adherence to IPC procedures, behavior changes in eating, smoking, drinking, and physical activity, and suspected COVID-19 symptoms. Principal component analysis, correlation analysis, and bivariate and multivariate linear and logistic regression models were used to validate the eHEALS and examine associations.

RESULTS:

The eHEALS had a satisfactory construct validity with 8 items highly loaded on one component, with factor loadings ranked from 0.78 to 0.92 explaining 76.34% of variance; satisfactory criterion validity as correlated with HL (ρ=0.42); satisfactory convergent validity with high item-scale correlations (ρ=0.80-0.84); and high internal consistency (Cronbach α=.95). HL and eHEALS scores were significantly higher in men (unstandardized coefficient [B]=1.01, 95% CI 0.57-1.45, P<.001; B=0.72, 95% CI 0.43-1.00, P<.001), those with a better ability to pay for medication (B=1.65, 95% CI 1.25-2.05, P<.001; B=0.60, 95% CI 0.34-0.86, P<.001), doctors (B=1.29, 95% CI 0.73-1.84, P<.001; B 0.56, 95% CI 0.20-0.93, P=.003), and those with epidemic containment experience (B=1.96, 95% CI 1.56-2.37, P<.001; B=0.64, 95% CI 0.38-0.91, P<.001), as compared to their counterparts, respectively. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures (B=0.13, 95% CI 0.10-0.15, P<.001; B=0.22, 95% CI 0.19-0.26, P<.001), had a higher likelihood of healthy eating (odds ratio [OR] 1.04, 95% CI 1.01-1.06, P=.001; OR 1.04, 95% CI 1.02-1.07, P=.002), were more physically active (OR 1.03, 95% CI 1.02-1.03, P<.001; OR 1.04, 95% CI 1.03-1.05, P<.001), and had a lower likelihood of suspected COVID-19 symptoms (OR 0.97, 95% CI 0.96-0.98, P<.001; OR 0.96, 95% CI 0.95-0.98, P<.001), respectively.

CONCLUSIONS:

The eHEALS is a valid and reliable survey tool. Gender, ability to pay for medication, profession, and epidemic containment experience were independent predictors of HL and eHEALS scores. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures, healthier lifestyles, and a lower likelihood of suspected COVID-19 symptoms. Efforts to improve HCWs' HL and eHEALS scores can help to contain the COVID-19 pandemic and minimize its consequences.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychometrics / Health Personnel / Telemedicine / Health Literacy / SARS-CoV-2 / COVID-19 Type of study: Diagnostic study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: J Med Internet Res Journal subject: Medical Informatics Year: 2020 Document Type: Article Affiliation country: 22894

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychometrics / Health Personnel / Telemedicine / Health Literacy / SARS-CoV-2 / COVID-19 Type of study: Diagnostic study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: J Med Internet Res Journal subject: Medical Informatics Year: 2020 Document Type: Article Affiliation country: 22894