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Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis

BACKGROUND: Health literacy comprises the ability to identify, obtain, interpret and act upon health information. Low health literacy is a major risk factor for hospitalizations, use of emergency care and premature mortality among others. Known risk factors for low health literacy such as lower educ...

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Autores principales: Singh, Hunny, Kolschen, Jonathan, Samkange-Zeeb, Florence, Brand, Tilman, Zeeb, Hajo, Schüz, Benjamin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9338662/
https://www.ncbi.nlm.nih.gov/pubmed/35906567
http://dx.doi.org/10.1186/s12889-022-13851-0
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author Singh, Hunny
Kolschen, Jonathan
Samkange-Zeeb, Florence
Brand, Tilman
Zeeb, Hajo
Schüz, Benjamin
author_facet Singh, Hunny
Kolschen, Jonathan
Samkange-Zeeb, Florence
Brand, Tilman
Zeeb, Hajo
Schüz, Benjamin
author_sort Singh, Hunny
collection PubMed
description BACKGROUND: Health literacy comprises the ability to identify, obtain, interpret and act upon health information. Low health literacy is a major risk factor for hospitalizations, use of emergency care and premature mortality among others. Known risk factors for low health literacy such as lower educational attainment, migration history and chronic illnesses overlap with those for long-term unemployment – in itself a risk factor for low health literacy. These factors are difficult to address in interventions to support health literacy. Therefore, the objective of this review is to identify potentially modifiable predictors of HL in populations potentially affected by long-term unemployment. METHODS: A rapid review (PROSPERO registration number: 290873) was carried out in Pubmed and SCOPUS including quantitative studies on potentially modifiable predictors of health literacy in working-age populations following PRISMA guidelines for systematic reviews. Where possible, reported effect sizes were transformed into r, and random-effects meta-analyses were conducted where appropriate to pool effect sizes for the association between modifiable predictors and health literacy. RESULTS: In total, 4765 titles and abstracts were screened, 114 articles were assessed in full-text screening, and 54 were included in the review. Forty-one effect sizes were considered for 9 different meta-analyses. Higher language proficiency, higher frequency of internet use, using the internet as a source of health information more often, being more physically active, more oral health behaviours, watching more health-related TV and a good health status were significantly associated with higher health literacy. Significant heterogeneity suggests between-study differences. CONCLUSIONS: Improving language proficiency and/or providing information in multiple and simplified languages, together with reliable and accessible health information on the internet and in linear media are potentially promising targets to improve health literacy levels in working-age populations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-13851-0.
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spelling pubmed-93386622022-07-31 Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis Singh, Hunny Kolschen, Jonathan Samkange-Zeeb, Florence Brand, Tilman Zeeb, Hajo Schüz, Benjamin BMC Public Health Research BACKGROUND: Health literacy comprises the ability to identify, obtain, interpret and act upon health information. Low health literacy is a major risk factor for hospitalizations, use of emergency care and premature mortality among others. Known risk factors for low health literacy such as lower educational attainment, migration history and chronic illnesses overlap with those for long-term unemployment – in itself a risk factor for low health literacy. These factors are difficult to address in interventions to support health literacy. Therefore, the objective of this review is to identify potentially modifiable predictors of HL in populations potentially affected by long-term unemployment. METHODS: A rapid review (PROSPERO registration number: 290873) was carried out in Pubmed and SCOPUS including quantitative studies on potentially modifiable predictors of health literacy in working-age populations following PRISMA guidelines for systematic reviews. Where possible, reported effect sizes were transformed into r, and random-effects meta-analyses were conducted where appropriate to pool effect sizes for the association between modifiable predictors and health literacy. RESULTS: In total, 4765 titles and abstracts were screened, 114 articles were assessed in full-text screening, and 54 were included in the review. Forty-one effect sizes were considered for 9 different meta-analyses. Higher language proficiency, higher frequency of internet use, using the internet as a source of health information more often, being more physically active, more oral health behaviours, watching more health-related TV and a good health status were significantly associated with higher health literacy. Significant heterogeneity suggests between-study differences. CONCLUSIONS: Improving language proficiency and/or providing information in multiple and simplified languages, together with reliable and accessible health information on the internet and in linear media are potentially promising targets to improve health literacy levels in working-age populations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-13851-0. BioMed Central 2022-07-30 /pmc/articles/PMC9338662/ /pubmed/35906567 http://dx.doi.org/10.1186/s12889-022-13851-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Singh, Hunny
Kolschen, Jonathan
Samkange-Zeeb, Florence
Brand, Tilman
Zeeb, Hajo
Schüz, Benjamin
Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis
title Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis
title_full Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis
title_fullStr Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis
title_full_unstemmed Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis
title_short Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis
title_sort modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9338662/
https://www.ncbi.nlm.nih.gov/pubmed/35906567
http://dx.doi.org/10.1186/s12889-022-13851-0
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