[Literacy in sexual and reproductive health as well as associated variables: multicenter study].

Revista espanola de salud publica Pub Date : 2024-05-14
Juan Guerrero-Núñez, Dámaris Jofré-Olivares, Francisco Guillén-Grima, Inés Aguinaga-Ontoso, Angélica Bacho-Tapia, Leticia Araya-Moraga, Nicole Iturrieta-Guaita, Loreto Villanueva-Pabón, Marisell Correa-Butrón, María Briones-Lorca, Alicia Parada-Navarro, Christian Hernández-Valenzuela, Manuel Ortiz-Llorenz, Marco Marrodán-García, Daniela Goretta-Sandoval, Claudia Vilches-Arredondo
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Abstract

Objective: Limited Health Literacy implies an insufficient understanding of relevant health information, being associated with various variables. The objective of the study was to measure the prevalence of the level of Limited Sexual and Reproductive Health Literacy (AS-SR), its associated variables and the differences in scores between levels of AS-SR, universities and science of study in Chilean university students.

Methods: A multicenter and cross-sectional study, which applied a validated scale to measure levels of AS-SR, was carried out in a sample of 2,186 Chilean university students, categorizing it as high, medium high, medium low and low. The level of Limited AS-SR was obtained by adding the medium-low and low categories. Tests were carried out: descriptive, psychometric and reliability; association, logistic regression and differences between variables of interest.

Results: The prevalence of Limited AS-SR was 52.7%. The variables most associated with the level of Limited AS-SR were: low interest in information about health care (OR=2.819; 95% CI: 2.132-3.726), prevention (OR=2.564; 95% CI: 1.941-3.388), sexuality (OR=2.497; 95% CI: 1.807-3.452) and health promotion (OR=1.515; 95% CI: 1.239-1.853); certain sources of Information (OR=1.915; 95% CI:1.614-2.272); low economic income (OR=1.661; 95% CI: 1.361-2.026), among others. There were statistically significant differences in scores between categories of AS-SR levels, universities and study science. The scale had a reliability of 0.940.

Conclusions: More than half of the students have Limited AS-SR, mainly associated with low interest in health information. The scale presents excellent psychometric indicators, being recommended for diagnoses of health situations.

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[性健康和生殖健康扫盲以及相关变量:多中心研究]。
目的:有限的健康知识意味着对相关健康信息的理解不足,并与各种变量相关联。本研究旨在测量智利大学生性与生殖健康知识有限水平(AS-SR)的普遍性、其相关变量以及不同水平、大学和专业之间的差异:在 2 186 名智利大学生样本中开展了一项多中心横断面研究,采用经过验证的量表来测量 AS-SR 水平,将其分为高、中高、中低和低四个等级。有限 AS-SR 水平是由中低和低两类相加得出的。测试包括:描述性测试、心理测试和可靠性测试;关联测试、逻辑回归测试和相关变量之间的差异测试:结果:有限 AS-SR 的患病率为 52.7%。与有限 AS-SR 水平最相关的变量是:对保健信息(OR=2.819;95% CI:2.132-3.726)、预防信息(OR=2.564;95% CI:1.941-3.388)、性信息(OR=2.497;95% CI:1.807-3.452)和健康促进(OR=1.515;95% CI:1.239-1.853);某些信息来源(OR=1.915;95% CI:1.614-2.272);经济收入低(OR=1.661;95% CI:1.361-2.026)等。AS-SR水平、大学和学习科学类别之间的得分差异具有统计学意义。量表的信度为 0.940:半数以上学生的 AS-SR 水平有限,主要与对健康信息的低兴趣有关。该量表具有良好的心理测量指标,建议用于健康状况诊断。
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