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The Antecedents and Consequences of Health Literacy in an Ecological Perspective: Results from an Experimental Analysis

This study analyses the relationship between the antecedents and consequences of health literacy (HL) at the ecological level among the nations involved in the European Health Literacy Survey (HLS-EU). The antecedents and consequences were investigated by means of proxy indicators. The HL was measur...

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Autores principales: Lorini, Chiara, Ierardi, Francesca, Bachini, Letizia, Donzellini, Martina, Gemmi, Fabrizio, Bonaccorsi, Guglielmo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5923840/
https://www.ncbi.nlm.nih.gov/pubmed/29671791
http://dx.doi.org/10.3390/ijerph15040798
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author Lorini, Chiara
Ierardi, Francesca
Bachini, Letizia
Donzellini, Martina
Gemmi, Fabrizio
Bonaccorsi, Guglielmo
author_facet Lorini, Chiara
Ierardi, Francesca
Bachini, Letizia
Donzellini, Martina
Gemmi, Fabrizio
Bonaccorsi, Guglielmo
author_sort Lorini, Chiara
collection PubMed
description This study analyses the relationship between the antecedents and consequences of health literacy (HL) at the ecological level among the nations involved in the European Health Literacy Survey (HLS-EU). The antecedents and consequences were investigated by means of proxy indicators. The HL was measured using the 47-item HLS-EU questionnaire (HLS-EUQ47) and the Newest Vital Sign (NVS). The two measures stood in significant correlation to the outcomes of the sub-discipline of the Euro Health Consumer Index (r = 0.790 for HLS-EUQ47; r = 0.789 for NVS). The HLS-EUQ47 also stood in correlation to the percentage of population with post-secondary education (r = 0.810), the reading performance for 15-year-old students (r = 0.905), the presence of a national screening program for breast (r = 0.732) or cervical cancer (r = 0.873). The NVS stood in correlation with the unemployment rate (r = −0.778), the Gross Domestic Product (r = 0.719), the Gini coefficient (r = −0.743), the rank of the Euro Patient Empowerment Index (r = −0.826), the expenditure on social protection (r = 0.814), the Consumer Empowerment Index (r = 0.898), the percentage of adults using the internet for seeking health information (r = 0.759), the prevalence of overweight individuals (r = −0.843), the health expenditure (r = 0.766), as well as the percentage of individuals using the internet for interacting with public authorities (r = 0.755). This study provides some preliminary considerations regarding alternative means by which to study HL and proposes new methods for experimentation. The methods and the results could offer a means by which the relationship between society and overall healthcare protection could be strengthened.
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spelling pubmed-59238402018-05-03 The Antecedents and Consequences of Health Literacy in an Ecological Perspective: Results from an Experimental Analysis Lorini, Chiara Ierardi, Francesca Bachini, Letizia Donzellini, Martina Gemmi, Fabrizio Bonaccorsi, Guglielmo Int J Environ Res Public Health Article This study analyses the relationship between the antecedents and consequences of health literacy (HL) at the ecological level among the nations involved in the European Health Literacy Survey (HLS-EU). The antecedents and consequences were investigated by means of proxy indicators. The HL was measured using the 47-item HLS-EU questionnaire (HLS-EUQ47) and the Newest Vital Sign (NVS). The two measures stood in significant correlation to the outcomes of the sub-discipline of the Euro Health Consumer Index (r = 0.790 for HLS-EUQ47; r = 0.789 for NVS). The HLS-EUQ47 also stood in correlation to the percentage of population with post-secondary education (r = 0.810), the reading performance for 15-year-old students (r = 0.905), the presence of a national screening program for breast (r = 0.732) or cervical cancer (r = 0.873). The NVS stood in correlation with the unemployment rate (r = −0.778), the Gross Domestic Product (r = 0.719), the Gini coefficient (r = −0.743), the rank of the Euro Patient Empowerment Index (r = −0.826), the expenditure on social protection (r = 0.814), the Consumer Empowerment Index (r = 0.898), the percentage of adults using the internet for seeking health information (r = 0.759), the prevalence of overweight individuals (r = −0.843), the health expenditure (r = 0.766), as well as the percentage of individuals using the internet for interacting with public authorities (r = 0.755). This study provides some preliminary considerations regarding alternative means by which to study HL and proposes new methods for experimentation. The methods and the results could offer a means by which the relationship between society and overall healthcare protection could be strengthened. MDPI 2018-04-19 2018-04 /pmc/articles/PMC5923840/ /pubmed/29671791 http://dx.doi.org/10.3390/ijerph15040798 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lorini, Chiara
Ierardi, Francesca
Bachini, Letizia
Donzellini, Martina
Gemmi, Fabrizio
Bonaccorsi, Guglielmo
The Antecedents and Consequences of Health Literacy in an Ecological Perspective: Results from an Experimental Analysis
title The Antecedents and Consequences of Health Literacy in an Ecological Perspective: Results from an Experimental Analysis
title_full The Antecedents and Consequences of Health Literacy in an Ecological Perspective: Results from an Experimental Analysis
title_fullStr The Antecedents and Consequences of Health Literacy in an Ecological Perspective: Results from an Experimental Analysis
title_full_unstemmed The Antecedents and Consequences of Health Literacy in an Ecological Perspective: Results from an Experimental Analysis
title_short The Antecedents and Consequences of Health Literacy in an Ecological Perspective: Results from an Experimental Analysis
title_sort antecedents and consequences of health literacy in an ecological perspective: results from an experimental analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5923840/
https://www.ncbi.nlm.nih.gov/pubmed/29671791
http://dx.doi.org/10.3390/ijerph15040798
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