Literacia para a saúde e qualidade de vida: estudo transversal
DOI:
https://doi.org/10.5902/2179769289774Palavras-chave:
Letramento em Saúde, Determinantes Sociais da Saúde, Educação Física e Treinamento, Promoção da Saúde, Educação em SaúdeResumo
Objetivo: identificar o nível de literacia para a saúde (LS) para a compreensão de saúde e qualidade de vida em uma população vinculada a um projeto de extensão universitária que visa à adesão à atividade física. Método: pesquisa transversal, quantitativa. A LS foi mensurada virtualmente pela versão brasileira do European Health Literacy Survey Questionnaire short-short form (HLS-EU-Q6). Foram executados três Generalized Linear Model. Resultados: 913 participantes, sendo 95,4% do sexo feminino e 59,3% acima de 50 anos. Escolaridade e idade se apresentaram como preditoras no domínio “Avaliação e aplicação de informações no campo do cuidado à saúde” (Wald=13,85;p=0,017; Wald=8,42;p=0,004, respectivamente). A idade foi preditora para prevenção de doenças (Wald=5,20;p=0,023). Sugere-se que graduação aumenta o LS para avaliar e implementar informações quando comparado à escolaridade até 5º ano (Beta=-0,918;p=0,005); de 6º a 8º/9º ano (Beta=-0,609;p=0,050); ensino médio (Beta=-0,498;p=0,005). Conclusão: a escolaridade e a idade foram fatores que se associaram à LS.
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Liu C, Wang D, Liu C, Jiang J, Wang X, Chen H, et al. What is the meaning of health literacy? A systematic review and qualitative synthesis. Fam Med Community Health. 2020 May;8(2):e000351. doi: 10.1136/fmch-2020-000351. DOI: https://doi.org/10.1136/fmch-2020-000351
Pavão ALB, Werneck GL, Saboga-Nunes L, Sousa RA. Avaliação da literacia para a saúde de pacientes portadores de diabetes acompanhados em um ambulatório público. Cad Saúde Pública;37(10):e00084819. doi: 10.1590/0102-311X00084819. DOI: https://doi.org/10.1590/0102-311x00084819
Van Kessel R, Wong BLH, Clemens T, Brand H. Digital health literacy as a super determinant of health: more than simply the sum of its parts. Internet Interv. 2022 Feb 07;27:100500. doi: 10.1016/j.invent.2022.100500. DOI: https://doi.org/10.1016/j.invent.2022.100500
Heilmann L. Doing competence: on the performativity of literacy and numeracy from a post-structural viewpoint. Int Rev Educ. 2020;66:167-182. doi: 10.1007/s11159-020-09841-2. DOI: https://doi.org/10.1007/s11159-020-09841-2
Golbeck AL, Ahlers-Schmidt CR, Paschal AM, Dismuke SE. A definition and operational framework for health numeracy. Am J Prev Med. 2005;29(4):375-6. doi: 10.1016/j.amepre.2005.06.012. DOI: https://doi.org/10.1016/j.amepre.2005.06.012
Kickbusch I, Piselli D, Agrawal A, Balicer R, Banner O, Adelhardt M, et al. The lancet and financial times commission on governing health futures 2030: growing up in a digital world. Lancet. 2021;398(10312):1727-6. doi: 10.1016/S0140-6736(21)01824-9. DOI: https://doi.org/10.1016/S0140-6736(21)01824-9
Madrigal D, Claustro M, Wong M, Bejarano E, Olmedo L, English P. Developing youth environmental health literacy and civic leadership through community air monitoring in Imperial County, California. Int J Environ Res Public Health. 2020;17(5):1537. 10.3390/ijerph17051537. DOI: https://doi.org/10.3390/ijerph17051537
Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80. doi: 10.1186/1471-2458-12-80. DOI: https://doi.org/10.1186/1471-2458-12-80
Yusoff HAM, Hamzah MR, Manaf ARA, Ismail A, Ahmad Y, Hussin H. The influence of health literacy on health outcomes: a systematic literature review perspective. AIP Conference Proceedings. 2021 May 03;2339(1):020105. doi: 10.1063/5.0044287. DOI: https://doi.org/10.1063/5.0044287
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Viera A, Crotty K, et al. Health literacy interventions and outcomes: an updated systematic review. Evid Rep Technol Assess (Full Rep). 2011:(199):1-941.
Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42:159-73. doi: 10.1146/annurev-publhealth-090419-102529. DOI: https://doi.org/10.1146/annurev-publhealth-090419-102529
Schillinger D. The Intersections Between Social Determinants of Health, Health Literacy, and Health Disparities. Stud Health Technol Inform. 2020;269:22-41. doi: 10.3233/SHTI200020; Schillinger D. Social determinants, health literacy, and disparities: intersections and controversies. Health Lit Res Pract. 2021;5(3):e234-43. doi: 10.3928/24748307-20210712-01 .
Santana S, Brach C, Harris L, Ochiai E, Blakley C, Bevington F, et al. Updating health literacy for healthy people 2030: defining its importance for a new decade in public health. J Public Health Manag Pract. 2021;27(Suppl 6):S258-64 doi: 10.1097/PHH.0000000000001324. DOI: https://doi.org/10.1097/PHH.0000000000001324
Mialhe FL, Moraes KL, Bado FMR, Brasil VV, Sampaio HAC, Rebustini F. Psychometric properties of the adapted instrument European Health Literacy Survey Questionnaire short-short form. Rev Latinoam Enferm. 2021;29. doi: 10.1590/1518-8345.4362.3436. DOI: https://doi.org/10.1590/1518-8345.4362.3436
Thomas E, Battaglia G, Patti A, Brusa J, Leonardi V, Palma A, et al. Physical activity programs for balance and fall prevention in elderly: a systematic review. Medicine (Baltimore). 2019 Jul;98(27):e16218. doi: 10.1097/MD.0000000000016218. DOI: https://doi.org/10.1097/MD.0000000000016218
Duggal NA, Niemiro G, Harridge SDR, Simpson RJ, Lord JM. Can physical activity ameliorate immunesenescence and thereby reduce age-related multi-morbidity? Nat Rev Immunol. 2019;19(9):563-72. doi: 10.1038/s41577-019-0177-9. DOI: https://doi.org/10.1038/s41577-019-0177-9
Iso-Markku P, Kujala UM, Knittle K, et al. Physical activity as a protective factor for dementia and Alzheimer’s disease: systematic review, meta-analysis and quality assessment of cohort and case-control studies. Br J Sports Med. 2022;56(12):701-9. doi: 10.1136/bjsports-2021-104981. DOI: https://doi.org/10.1136/bjsports-2021-104981
Cunningham C, O'Sullivan R, Caserotti P, Tully MA. Consequences of physical inactivity in older adults: a systematic review of reviews and meta-analyses. Scand J Med Sci Sports. 2020;30(5):816-27. doi: 10.1111/sms.13616. DOI: https://doi.org/10.1111/sms.13616
Yusuf S, Joseph P, Rangarajan S, Islam S, Mente A, Hystad P, et al. Modifiable risk factors, cardiovascular disease, and mortality in 155, 722 individuals from 21 high-income, middle-income, and low-income countries (PURE): A prospective cohort study. Lancet. 2020;395(10226):795-808. doi: 10.1016/S0140-6736(19)32008-2. DOI: https://doi.org/10.1016/S0140-6736(19)32008-2
Marcus K, Balasubramanian M, Short S, Sohn W. Culturally and linguistically diverse (CALD): terminology and standards in reducing healthcare inequalities. Aust N Z J Public Health. 2022;46(1):7-9. doi: 10.1111/1753-6405.13190. DOI: https://doi.org/10.1111/1753-6405.13190
Picavet HSJ. Perspectives on health inequity. J Epidemiol Community Health. 2002;56(1):80. doi: 10.1136/jech.56.1.80. DOI: https://doi.org/10.1136/jech.56.1.80
IUHPE Global Health Literacy Working Group. IUHPE position statement on health literacy: A practical vision for a health literate world. Global Health Promot. 2018;25(4):79-88. doi: 10.1177/1757975918814421. DOI: https://doi.org/10.1177/1757975918814421
Brunello G, Fort M, Schneeweis N, Winter-Ebmer R. The causal effect of education on health: What is the role of health behaviors? Health Econ. 2016;25(3):314-36. doi: 10.1002/hec.3141. DOI: https://doi.org/10.1002/hec.3141
Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008;67(12):2072-8. doi: 10.1016/j.socscimed.2008.09.050; Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000;15(3):259-67. doi: 10.1093/heapro/15.3.259.
Breilh J. The social determination of health and the transformation of rights and ethics: a meta-critical methodology for responsible and reparative science. Global Public Health. 2023;18(1):2193830. doi: 10.1080/17441692.2023.2193830. DOI: https://doi.org/10.1080/17441692.2023.2193830
Abel T, McQueen D. Critical health literacy and the COVID-19 crisis. Health Promot Int. 2020;35(6):1612-3. doi:10.1093/heapro/daaa040. DOI: https://doi.org/10.1093/heapro/daaa040
Paakkari L, Okan O. COVID-19: Health literacy is an underestimated problem. Lancet Public Health. 2020;5(5):e249-50. doi:10.1016/S2468-2667(20)30086-4. DOI: https://doi.org/10.1016/S2468-2667(20)30086-4
Sørensen K. COVID-19: Digital health literacy is a key to saving time, costs and lives [Internet]. ICT & Health, 2020 [cited 2024 Nov 02]. Available from: https://www.ictandhealth.com/news/covid-19-digital-health-literacy-is-a-key-to-saving-time-costs-and-lives.
Van den Broucke S. Why health promotion matters to the COVID-19 pandemic, and vice versa. Health Promot Int. 35(2):181-6. doi: 10.1093/heapro/daaa042. DOI: https://doi.org/10.1093/heapro/daaa042
Howell EL, Brossard D. (Mis)informed about what? What it means to be a science-literate citizen in a digital world. Proc Natl Acad Sci U S A. 2021;118(15):e1912436117. doi: 10.1073/pnas.1912436117. DOI: https://doi.org/10.1073/pnas.1912436117
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