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Health Literacy and Preventive Behaviors Modify the Association between Pre-Existing Health Conditions and Suspected COVID-19 Symptoms: A Multi-Institutional Survey.
Nguyen, Tan T; Le, Nga T; Nguyen, Minh H; Pham, Linh V; Do, Binh N; Nguyen, Hoang C; Nguyen, Huu C; Ha, Tung H; Dao, Hung K; Nguyen, Phuoc B; Trinh, Manh V; Do, Thinh V; Nguyen, Hung Q; Nguyen, Thao T P; Nguyen, Nhan P T; Tran, Cuong Q; Tran, Khanh V; Duong, Trang T; Pham, Thu T M; Duong, Tuyen Van.
  • Nguyen TT; Department of Orthopedics, Can Tho University of Medicine and Pharmacy, Can Tho 941-17, Vietnam.
  • Le NT; Director Office, Can Tho University of Medicine and Pharmacy Hospital, Can Tho 941-17, Vietnam.
  • Nguyen MH; Allied Health & Human Performance, Higher Degree Research, University of South Australia, Adelaide 5000, SA, Australia.
  • Pham LV; International Ph.D. Program in Medicine, Taipei Medical University, Taipei 110-31, Taiwan.
  • Do BN; Department of Pulmonary & Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong 042-12, Vietnam.
  • Nguyen HC; Director Office, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong 042-12, Vietnam.
  • Nguyen HC; Department of Infectious Diseases, Vietnam Military Medical University, Hanoi 121-08, Vietnam.
  • Ha TH; Division of Military Science, Military Hospital 103, Hanoi 121-08, Vietnam.
  • Dao HK; Director Office, Thai Nguyen National Hospital, Thai Nguyen City 241-24, Vietnam.
  • Nguyen PB; President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen City 241-17, Vietnam.
  • Trinh MV; Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi 113-08, Vietnam.
  • Do TV; Director Office, E Hospital, Hanoi 113-08, Vietnam.
  • Nguyen HQ; Director Office, General Hospital of Agricultural, Hanoi 125-16, Vietnam.
  • Nguyen TTP; Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh 161-23, Vietnam.
  • Nguyen NPT; Director Office, Kien An Hospital, Hai Phong 046-09, Vietnam.
  • Tran CQ; Director Office, Quang Ninh General Hospital, Quang Ninh 011-08, Vietnam.
  • Tran KV; Director Office, Bai Chay Hospital, Quang Ninh 011-21, Vietnam.
  • Duong TT; Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh 011-24, Vietnam.
  • Pham TTM; Health Management Training Institute, Hue University of Medicine and Pharmacy, Thua Thien Hue 491-20, Vietnam.
  • Duong TV; Department of Health Economics, Corvinus University of Budapest, 1093 Budapest, Hungary.
Int J Environ Res Public Health ; 17(22)2020 11 19.
Article in English | MEDLINE | ID: covidwho-934499
ABSTRACT
People with pre-existing health conditions (PEHC) are vulnerable to viral infection while health literacy (HL) and preventive behaviors (PB) have been shown to benefit people during the COVID-19 pandemic. The aim of this study was to examine the association between PEHC and suspected COVID-19 symptoms (S-COVID-19-S), and to investigate the modification effect of HL and PB. A cross-sectional study was conducted on 8291 participants visiting outpatient departments at 18 hospitals and health centers across Vietnam from 14 February to 31 May 2020. Data were collected regarding participant's characteristics, HL, PB, PEHC, and S-COVID-19-S. Regression models were used for analyzing the associations. Results showed that people with PEHC had a 3.38 times higher likelihood of having S-COVID-19-S (odds ratio, OR, 3.38; 95% confidence interval, 95% CI, 3.01, 3.79; p < 0.001). In comparison to participants without PEHC and with the lowest HL score, those with PEHC and one HL score increment had a 7% lower likelihood of having S-COVID-19-S (OR, 0.93; 95% CI, 0.92, 0.94; p < 0.001). In comparison to participants without PEHC and not adhering to mask wearing, those with PEHC and adhering to mask wearing had a 77% lower likelihood of having S-COVID-19-S (OR, 0.23; 95% CI, 0.16, 0.32; p < 0.001). Higher HL and adherence to mask wearing can protect people from having S-COVID-19-S, especially in those with PEHC.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Health Behavior / Coronavirus Infections / Health Literacy / Pandemics Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Year: 2020 Document Type: Article Affiliation country: Ijerph17228598

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Health Behavior / Coronavirus Infections / Health Literacy / Pandemics Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Year: 2020 Document Type: Article Affiliation country: Ijerph17228598