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Determinants of Health Literacy and Its Associations With Health-Related Behaviors, Depression Among the Older People With and Without Suspected COVID-19 Symptoms: A Multi-Institutional Study.
Do, Binh N; Nguyen, Phung-Anh; Pham, Khue M; Nguyen, Hoang C; Nguyen, Minh H; Tran, Cuong Q; Nguyen, Thao T P; Tran, Tien V; Pham, Linh V; Tran, Khanh V; Duong, Trang T; Duong, Thai H; Nguyen, Kien T; Pham, Thu T M; Hsu, Min-Huei; Duong, Tuyen Van.
  • Do BN; Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.
  • Nguyen PA; Division of Military Science, Military Hospital 103, Hanoi, Vietnam.
  • Pham KM; International Center for Health Information Technology, Taipei Medical University, Taipei, Taiwan.
  • Nguyen HC; Department of Healthcare Information and Management, Ming Chuan University, Taoyuan City, Taiwan.
  • Nguyen MH; Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam.
  • Tran CQ; President Office, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam.
  • Nguyen TTP; Director Office, Thai Nguyen National Hospital, Thai Nguyen City, Vietnam.
  • Tran TV; President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen City, Vietnam.
  • Pham LV; International Master/Ph.D. Program in Medicine, Taipei Medical University, Taipei, Taiwan.
  • Tran KV; Department of Anesthesiology, Thu Duc District Hospital, Ho Chi Minh City, Vietnam.
  • Duong TT; Director Office, Thu Duc District Health Center, Ho Chi Minh City, Vietnam.
  • Duong TH; Health Management Training Institute, Hue University of Medicine and Pharmacy, Hue, Vietnam.
  • Nguyen KT; Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary.
  • Pham TTM; Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.
  • Hsu MH; Director Office, Military Hospital 103, Hanoi, Vietnam.
  • Duong TV; Department of Pulmonary and Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam.
Front Public Health ; 8: 581746, 2020.
Article in English | MEDLINE | ID: covidwho-976277
Semantic information from SemMedBD (by NLM)
1. Health care facility LOCATION_OF Study
Subject
Health care facility
Predicate
LOCATION_OF
Object
Study
2. Depressive disorder PROCESS_OF Older people
Subject
Depressive disorder
Predicate
PROCESS_OF
Object
Older people
3. Department LOCATION_OF Cross-Sectional Studies
Subject
Department
Predicate
LOCATION_OF
Object
Cross-Sectional Studies
4. Health behavior PROCESS_OF Older people
Subject
Health behavior
Predicate
PROCESS_OF
Object
Older people
5. Health Literacy PROCESS_OF Older people
Subject
Health Literacy
Predicate
PROCESS_OF
Object
Older people
6. Health behavior PROCESS_OF Age Cohort
Subject
Health behavior
Predicate
PROCESS_OF
Object
Age Cohort
7. Health care facility LOCATION_OF Study
Subject
Health care facility
Predicate
LOCATION_OF
Object
Study
8. Depressive disorder PROCESS_OF Older people
Subject
Depressive disorder
Predicate
PROCESS_OF
Object
Older people
9. Department LOCATION_OF Cross-Sectional Studies
Subject
Department
Predicate
LOCATION_OF
Object
Cross-Sectional Studies
10. Health behavior PROCESS_OF Older people
Subject
Health behavior
Predicate
PROCESS_OF
Object
Older people
11. Health Literacy PROCESS_OF Older people
Subject
Health Literacy
Predicate
PROCESS_OF
Object
Older people
12. Health behavior PROCESS_OF Age Cohort
Subject
Health behavior
Predicate
PROCESS_OF
Object
Age Cohort
ABSTRACT

Purpose:

We examined factors associated with health literacy among elders with and without suspected COVID-19 symptoms (S-COVID-19-S).

Methods:

A cross-sectional study was conducted at outpatient departments of nine hospitals and health centers 14 February-2 March 2020. Self-administered questionnaires were used to assess patient characteristics, health literacy, clinical information, health-related behaviors, and depression. A sample of 928 participants aged 60-85 years were analyzed.

Results:

The proportion of people with S-COVID-19-S and depression were 48.3 and 13.4%, respectively. The determinants of health literacy in groups with and without S-COVID-19-S were age, gender, education, ability to pay for medication, and social status. In people with S-COVID-19-S, one-score increment of health literacy was associated with 8% higher healthy eating likelihood (odds ratio, OR, 1.08; 95% confidence interval, 95%CI, 1.04, 1.13; p < 0.001), 4% higher physical activity likelihood (OR, 1.04; 95%CI, 1.01, 1.08, p = 0.023), and 9% lower depression likelihood (OR, 0.90; 95%CI, 0.87, 0.94; p < 0.001). These associations were not found in people without S-COVID-19-S.

Conclusions:

The older people with higher health literacy were less likely to have depression and had healthier behaviors in the group with S-COVD-19-S. Potential health literacy interventions are suggested to promote healthy behaviors and improve mental health outcomes to lessen the pandemic's damage in this age group.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Outpatients / Health Behavior / Depression / Health Literacy / COVID-19 Type of study: Controlled clinical trial / Diagnostic study / Prevalence study / Randomized controlled trials / Risk factors Limits: Aged / Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Front Public Health Year: 2020 Document Type: Article Affiliation country: Fpubh.2020.581746

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Outpatients / Health Behavior / Depression / Health Literacy / COVID-19 Type of study: Controlled clinical trial / Diagnostic study / Prevalence study / Randomized controlled trials / Risk factors Limits: Aged / Female / Humans / Male Country/Region as subject: Asia Language: English Journal: Front Public Health Year: 2020 Document Type: Article Affiliation country: Fpubh.2020.581746