Screening everyday health information literacy among four populations.

BACKGROUND: People face varying obstacles when interacting with health information in their everyday lives. OBJECTIVES: This study aims to examine the applicability of a multidimensional Everyday Health Information Literacy (EHIL) screening tool in detecting people with challenges in accessing, understanding, evaluating and using health information in everyday situations. METHODS: Previously collected EHIL screening tool data from Finnish upper secondary school students (n = 217), Finnish young men (n = 1450), Finnish adults with an increased risk for metabolic syndrome (n = 559) and Namibian university students (n = 271) were reanalysed to examine the factorial structure of the tool and to compare the groups. Statistical analyses included exploratory factor analyses, calculation of mean factor scores and one-way analysis of variance. RESULTS: A three factor structure ('awareness', 'access', 'assessment') for the screening tool was supported based on the Finnish samples. However, the Namibian data did not follow a similar structure. Significant differences in groupwise factor scores were discovered. DISCUSSION: The findings suggest that the multidimensional EHIL screening tool can be used in pointing out areas where individuals or groups may need support. CONCLUSION: The tool may be useful to health information and library services workers when counselling or educating the public.

Use of and trust in health information on the Internet: a nationwide eight-year follow-up survey.

Already in its infancy, the World Wide Web was predicted to be a prime tool to promote healthier behaviors. The purpose of this paper is to compare the use of and trust in health information on the Internet during two points of time, 2001 and 2009. The target group of the study is the Finnish population aged 18-65 years. The empirical material is based on two similar postal surveys. Over the period, growth in Internet use was rapid. The results also show a huge growth in use of and trust in health information on the Internet. But still, the e-Health visions evoked in the late 1990s are far from fulfilled, since too many people seem not to seek or obtain health information from the Internet at all. Furthermore, still in 2009, approximately one-third of the respondents had no conception ('do not know') about the online health information reliability, due to the fact that they had used it too rarely or not at all.

Health information literacy in everyday life: a study of Finns aged 65-79 years.

This article examines the health information literacy of elderly Finns. The results are based on a survey conducted in January 2011. The questionnaire was distributed to 1000 persons that were randomly drawn from the Finnish Population Register. The respondents were aged 65-79 years (mean age 70 years) and lived in the Turku region in Finland. A total of 281 questionnaires (28%) were returned. χ(2) analyses were used to find possible relationships between demographic factors, as well as interest, seeking activity, current self-rated health and different dimensions of health information literacy, including needs, seeking and use of health-related information. Significant relationships were found between education level, interest in health information, seeking activity, self-rated current health and dimensions of health information literacy. Some categories of elderly people are more vulnerable regarding obtaining and use of health information: those with lower levels of education, those with poor health, and those who are not interested in and active at seeking information. For people who are found in any of these categories, it is important that available health-related information is understandable and can be accessed without too much effort-something that information providers should take into account.

Human information behaviour and physiological measurements as a basis to tailor health information. An explorative study in a physical activity intervention among prediabetic individuals in Northern Finland.

OBJECTIVE: To explore through an interdisciplinary approach the potential to tailor health information on the basis of human information behaviour (HIB) on par with the results of basic physiological measurements of individuals' health. METHODS: The data were collected at the baseline of a physical activity and diabetes prevention intervention with 72 prediabetic participants, conducted in Oulu, Finland, by the University of Oulu and Oulu Deaconess Institute in 2010. Body mass index (BMI), fitness classifications and glucose values were obtained from all prediabetic participants. The interest in, the search for and the use of information on nutrition, physical activity and diabetes were examined through a self-report questionnaire with a response rate of 95.8%. The data were analysed with the SPSS statistics 18 software. RESULTS AND CONCLUSIONS: The study shows that information behaviour of prediabetic individuals differs according to their BMI and fitness level. Poor physical fitness classifications and high BMI values were associated with an increased desire to receive tailored information on nutrition and physical activity frequently. These results add knowledge on the types and preferred frequencies of tailored information. Because of the small sample size, the results should be validated further.

Prevalence of building-related symptoms as an indicator of health and productivity.

BACKGROUND: The prevalence of building-related symptoms (BRS) is commonly used to characterize the indoor air quality in office buildings. To analyze the costs of building renovation and the improvement of the indoor environment, it is useful to quantitatively relate the prevalence or intensity of BRS to productivity. The intent of this study is to summarize the links between the BRS and productivity, and demonstrate this linkage in two case buildings. MATERIAL AND METHODS: A literature was surveyed for studies that measured simultaneously the prevalence or intensity of BRS and subjectively reported or objectively measured productivity. Case studies in two office environments were performed. An association between the prevalence of BRS and productivity of workers in a call center and in an insurance office were investigated. In the first case study, the productivity was expressed using the direct productivity metrics, namely the number of telephone contacts during active working hours while in the second case, the productivity was assessed by using the data concerning sick leave rates. RESULTS: Employees who report more BRS also have more often absences which relate to indoor environment quality (IEQ). Their productivity is lower than those who have better IEQ in their offices. Despite uncertainties related to the data concerning recorded sick leave and self-reported productivity, the number of studies showing an association between BRS and productivity or sick leave suggests that such a relationship exists. The present case studies also demonstrated an association between the BRS and the direct productivity. Based on the data from the call center, a reduction of 10%-units in the prevalence of general symptoms (such as fatigue, headache, nausea, etc.) corresponded with a gain of 1.5% in performance. Based on the findings in the insurance company, a reduction of 10%-units in the prevalence of irritation symptoms corresponded with a decrease of 0.7% in the short-term absenteeism. CONCLUSIONS: A review of 23 studies suggests that a linkage exists between typical BRS and productivity indicators such as task or work performance or absence from work. Quantitative associations between BRS and productivity were demonstrated in two office environments. Quantitative associations between BRS and economic metrics enable cost-benefits analysis.

Particle concentration profile in a vertical displacement flow: a study in an industrial hall.

The effect of displacement flow on the distribution of aerosol concentration was investigated in an industrial hall. According to the displacement ventilation principle, vertical upflow is accomplished by introducing fresh air, cooler than room air, into the occupied zone near floor level. The fresh air is introduced from low-velocity devices and heated by warm processes. This technique allows warm air contaminants to rise to the ceiling, and the rising plume is then exhausted close to the ceiling. This study presents the results of a field study conducted in an industrial environment. The aerosol properties and behavior, especially the vertical gradients, are characterized in a displacement flow field. The results indicate that the fine particles, less than 1 microm in diameter, are transported away from the breathing zone by the ventilation process. However, the air quality is significantly influenced by the emission source, and therefore the number concentration of fine and ultrafine (smaller than 0.1 microm in diameter) aerosol particles in the breathing zone was clearly elevated compared to that of the incoming clean air. The vertical gradients displayed clear size dependence; the strongest gradients were found for particles between 0.003 and 0.015 microm in diameter.

Work environment effects on labor productivity: an intervention study in a storage building.

BACKGROUND: Although increased attention has been focused on the relationship between occupational health and productivity, solid scientific data on this topic are sparse. The purpose of the present case study was to assess the relationship between productivity and work environment in a storage building. MATERIALS AND METHODS: The study was implemented as an intervention consisting of the renovation of a harbor storage facility. The study design consisted of a single group of employees working in the storage hall. The physical and chemical factors, perceived environment, and labor productivity were measured before and after the renovation. RESULTS: As a result of the renovation, thermal conditions, air quality, and lighting conditions improved notably. In addition, the employees' subjective evaluations showed the significant decrease in dissatisfaction ratings. The direct measure for the labor productivity, expressed as zinc tons/work-hour (tn) increased about 9% after the renovation. DISCUSSION: We conclude that increased productivity is most likely related to the combined effect of the improved work environment, i.e., better thermal climate, reduced contaminant concentrations, and better lighting conditions.

On-line monitoring of solvent emission rates using an open path FTIR analyser.

Solvent mixture concentrations in paint and resin manufacture were on-line monitored using a portable open path Fourier transform infrared (OP-FTIR) analyser in order to determine solvent emission rates into workspaces. The mean solvent emission rate was 0.46 kg/h in paint production and 0.35 kg/h in resin manufacture. Expressed as emission factor, i.e. evaporated portion of the total solvent mass used, the corresponding values were 0.01% for paint production and 0.1% for resin manufacture. The OP-FTIR instrument together with advanced spectra analysis software facilitated a rapid identification of solvent mixtures and on-line concentration monitoring with good temporal resolution. The analyser seems to be particularly useful in industrial hygiene applications where spatial average concentrations are needed. The further benefit of the open path instrument is that no sampling lines, pumps or sample cells are needed.