Health literacy assessment of Vidzeme statistical region

Baiba Kondrica, I. Ivanova, T. Grizane
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Abstract

Data on Health Literacy in the population of Latvia is limited. The aim of the study was to determine the Health Literacy impacting factors of inhabitants of Vidzeme Statistical region in Latvia (LV008). Respondent survey (n = 383), using a paper-and-pencil self-administered approach and telephone interviews, was conducted based the European Health Literacy Survey Questionnaire (HLS-EU-Q47). In order to ensure internal consistency and reliability, the authors used Cronbach’s α test (α = 0.965). The confirmatory factor analysis (CFA) allowed to determine that factor results differentiate between genders and there is a strong positive correlation (r = 0.945), that impacts results. Factors Access, Appraise and Apply explained each 30 % of the variance, and factors Understand explained 31 %. HL index division by gender indicated that 47.4 % of female respondents and 46.6 % of male respondents have “limited health literacy” (“inadequate” + “problematic”). The largest age group among respondents are 18-39-year old where there is lower level of education and lower income. However, cases have been observed when respondents even with higher education have “limited health literacy,” which indicates towards a need for further HL research in Latvia, because compared to HL of other member states, LV008 HL index is by 38.9 % larger than the EU average (47.6 %).
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维泽梅统计区卫生素养评价
关于拉脱维亚人口卫生知识普及的数据有限。该研究的目的是确定拉脱维亚Vidzeme统计区居民的健康素养影响因素(LV008)。根据欧洲健康素养调查问卷(HLS-EU-Q47),采用纸笔自我管理方法和电话访谈对受访者进行了调查(n = 383)。为保证内部一致性和信度,采用Cronbach’s α检验(α = 0.965)。验证性因子分析(CFA)允许确定因素结果在性别之间存在差异,并且存在强正相关(r = 0.945),这影响结果。因素准入、评估和应用解释了各30%的差异,因素理解解释了31%的差异。按性别划分的HL指数表明,47.4%的女性答复者和46.6%的男性答复者"卫生知识有限"("不足" + "有问题")。受访者中最大的年龄组是18-39岁,他们的教育水平和收入水平都较低。然而,已观察到的情况是,即使受过高等教育的应答者也“卫生知识有限”,这表明拉脱维亚需要进一步开展HL研究,因为与其他成员国的HL相比,LV008 HL指数比欧盟平均水平(47.6%)高出38.9%。
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