Factors associated with health literacy among school caregivers during Covid-19: a cross-sectional study
DOI:
https://doi.org/10.5902/2179769290110Keywords:
Health Literacy, COVID-19, Caregivers, Primary Prevention, BehaviorAbstract
Objective: To identify the factors associated with health literacy among school caregivers during COVID-19. Method: A cross-sectional study was conducted in schools in a municipality in Minas Gerais, Brazil, in 2022, with 131 school caregivers. Data collection was carried out using a form for sociodemographic and clinical characterization of the population, behavior towards COVID-19, and a health literacy instrument. Descriptive analyses and multiple logistic regression were implemented. Results: Caregivers with higher education (OR = 0.18 p < 0.001), who self-identified as white (OR = 3.49 p = 0.035), and who had no history of COVID-19 (OR = 0.31 p = 0.006) were more likely to have adequate health literacy. Conclusion: Sociodemographic factors and a personal history of SARS-CoV-2 infection are associated with health literacy among school caregivers during the COVID-19 pandemic.
Downloads
References
Ministério da Saúde (BR). Boletim Epidemiológico Especial 43. Doença pelo Coronavírus COVID-19. 2020. Brasília (DF): Ministério da Saúde; 2020 [acesso em 2025 set 30]. Disponível em: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/c/covid-19/boletins-epidemiologicos/boletim-epidemiologico-covid-19-no-43.pdf/view.
Ministério da Saúde (BR). Retrospectiva 2021: as milhões de vacina que trouxeram esperança para o Brasil [Internet]. Brasília (DF): Ministério da Saúde; 2021 [acesso em 2024 out 12]. Disponível em: https://www.gov.br/saude/pt-br/assuntos/noticias/2021/dezembro/retrospectiva-2021-as-milhoes-de-vacinas-covid-19-que-trouxeram-esperanca-para-o-brasil.
Organização Mundial de Saúde (OMS). Fim da COVID-19 como emergência de saúde global [Internet]; Brasília (DF): OMS; 2023 [acesso em 2024 out 12]. Disponível em: https://brasil.un.org/pt-br/230307-chefe-da-organiza%C3%A7%C3%A3o-mundial-da-sa%C3%BAde-declara-o-fim-da-covid-19-como-uma-emerg%C3%AAncia-de-sa%C3%BAde.
Floriano I, Silvinato A, Bacha HA, Barbosa AN, Tanni S, Bernardo WM. Effectiveness of wearing masks during the COVID-19 outbreak in cohort and case-control studies: a systematic review and meta-analysis. J Bras Pneumol. 2023;49(6):e20230003. doi: 10.36416/1806-3756/e20230003.
Mahmoudi J, Xiong C. How social distancing, mobility, and preventive policies affect COVID-19 outcomes: Big data-driven evidence from the District of Columbia-Maryland-Virginia (DMV) megaregion. PLoS One. 2022;17(2):e0263820. doi: 10.1371/journal.pone.0263820.
Acrani GO, Simonetti AB, Amaral CP, Simon TT, Stobbe JC, Lindemann IL. Realização de medidas preventivas contra SARS-CoV-2/Covid-19: um estudo transversal em Passo Fundo, RS. Cad Saúde Colet. 2022;30(4):584-94. doi: 10.1590/1414-462X202230040281.
Bani VD, Gusti PK, Rawul ME, Pakpahan M, Silitonga E. Nursing students’ knowledge and attitude in relation to COVID-19 prevention behavior. Rev Bras Enferm. 2023;76(Suppl 1):e20220588. doi: 10.1590/0034-7167-2022-0588.
Lima-Costa MF, Macinko J, Mambrini JVM. Hesitação vacinal contra a COVID-19 em amostra nacional de idosos brasileiros: iniciativa ELSI-COVID, março de 2021. Epidemiol Serv Saúde. 2022;31(1):e2021469. doi: 10.1590/S1679-49742022000100020.
Batista SR, Souza ASS, Nogueira J, Andrade FB, Thumé E, Teixeira DSC, et al. Comportamentos de proteção contra COVID-19 entre adultos e idosos brasileiros que vivem com multimorbidade: iniciativa ELSI-COVID-19. Cad Saúde Pública. 2020;36 (Suppl 3):e00196120. doi: 10.1590/0102-311X00196120.
Hildebrandt FMP, Costa IM, Meneses LMS, Araújo Neto JL, Melo CF. Predictors of adherence to the COVID-19 pandemic control guidelines. Estud Psicol (Campinas) 2022;39:e200232. doi: 10.1590/1982-0275202239e200232.
Peres F, Rodrigues KM, Silva TL. Literacia em Saúde. Rio de Janeiro: Fiocruz; 2021.
Feldstein LR, Rose EB, Horwitz SM, Collins JP, Newhams MM, Son MBF, et al. Overcoming COVID-19 Investigators; CDC COVID-19 Response Team. Multisystem Inflammatory Syndrome in U.S. Children and Adolescents. N Engl J Med. 2020;383(4):334-46. doi: 10.1056/NEJMoa2021680.
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-9. doi: 10.1016/j.jclinepi.2007.11.008.
Ministério da Saúde (BR). Saúde da criança: crescimento e desenvolvimento [Internet]. Brasília (DF): Ministério da Saúde; 2012 [acesso em 2025 out 01]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/saude_crianca_crescimento_desenvolvimento.pdf.
Apolinario D, Braga RCOP, Magaldi RM, Busse AL, Campora F, Brucki S, et al. Short assessment of health literacy for portuguese-speaking adults. Rev Saúde Pública. 2024;27:e2224. doi: 10.1590/S0034-89102012005000047.
Montelo MPM, Teixeira JRB, Martins KA, Pereira ERS. Fatores associados ao letramento em saúde limitado de pacientes submetidos ao transplante renal. Braz J Transplant. 2024;27:e2224. doi: 10.53855/bjt.v27i1.526_PORT.
Marques SRL, Lemos SMA. Letramento em saúde e fatores associados em adultos usuários da Atenção Primária. Trab Educ Saúde. 2018;16(2):355-9. doi: 10.1590/1981-7746-sol00109.
Costa AC, Conceição AP, Butcher HK , Butcher RCGS. Factors that influence health literacy in patients with coronary artery disease. Rev Latinoam Enferm. 2023;31:e3879. doi: 10.1590/1518-8345.6211.3879.
Sonoda BM, Bonadio CB, Krauser C. Health literacy development of Primary Health Care patients: qualitative research. Rev Bras Enferm. 2024;77(6):e20240154. doi: 10.1590/0034-7167-2024-0154.
Kummee S, Urharmnuay M, Jaikla W, Prapalert K, Chaimakham K. Parental health literacy and preventive behavior of COVID-19 in child development centers [Internet]. J Police Nurs Health Sci. 2022 [cited 2025 Oct 01] ;14(1):14-23. Available from: https://he01.tci-thaijo.org/index.php/policenurse/article/view/254371.
Shoyemi OS, Abdulsalam A, Oni IFD, Hassan AI, Azeez TA. Critical analysis of health literacy and its impact on health outcomes. Med Discov [Internet]. 2024 [cited 2025 Oct 01];3(3):1136. Available from: https://www.meddiscoveries.org/articles/1136.html
Canussú LR, Alho EAS, Cardoso FEL, Tenório APO, Barbosa RHA, Lopes JM, et al. Concordância entre dois instrumentos para avaliação do letramento em saúde. Epidemiol Serv Saúde. 2021;30(2):e2020490.doi: 10.1590/S1679-49742021000200004.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Revista de Enfermagem da UFSM

This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.



