Health Education Journal最新文献_第10页

Changing perspectives among pre-health undergraduates through a brief weight bias pedagogical intervention 通过短暂的体重偏差教学干预改变健康前本科生的观点

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2023-03-07 DOI: 10.1177/00178969231159960

N. Bolter, Daria Sosna, M. Arauzo, G. George

Background: Weight stigma and bias are present in education, employment, and health care institutions, and have increased in recent years. College students in pre-health majors have been documented to hold weight biases, and interventions to mitigate these beliefs have had varying results. Objectives: This study’s purpose was to assess the impact of a pedagogical intervention regarding weight stigma outcomes among first-year students. Method: Three instructors of lower-division health and social science courses implemented a 3-module lecture series on weight stigma, the environmental sources of weight variability, and body appreciation. Participants (N = 81; 48 from intervention (INT) classrooms, 33 from comparison [COM] classrooms) completed an end-of-semester survey regarding their anti-fat biases, fat phobia, and body appreciation, and a subset (n = 13) participated in a semi-structured interview about their experiences. Results: Results revealed no outcome differences between the treatment versus comparison groups, although self-reported body mass index (BMI) was a significant covariate (p = .008). A significant correlation emerged between BMI and fear of fat scores for COM (r = .52, p < .01) but not for INT students (r = .28, p > .05), suggesting the intervention may have impacted how students form their anti-fat biases in relation to their BMI. Qualitative findings yielded five themes – connected course material with personal experiences; learned about weight stigma; shifted perspective on weight stigma; recognised application of weight stigma; material to future career; and valued learning about weight stigma – that provided insight into how the intervention positively affected students. Conclusion: Informed by the findings from this study, future interventions should take a more immersive pedagogical approach.

背景:体重歧视和偏见存在于教育、就业和卫生保健机构中，并且近年来有所增加。据记载，健康预科专业的大学生有体重偏见，减轻这些偏见的干预措施产生了不同的结果。目的:本研究的目的是评估教学干预对一年级学生体重耻辱感结果的影响。方法:三名低年级健康与社会科学课程的教师实施了一套3单元的系列讲座，内容涉及体重耻辱感、体重变异的环境来源和身体欣赏。参与者(N = 81;来自干预班(INT)的48人，来自比较班(COM)的33人完成了一项关于他们的反肥胖偏见、肥胖恐惧症和身体欣赏的期末调查，其中一部分(n = 13)参加了关于他们经历的半结构化访谈。结果:结果显示治疗组与对照组之间没有结果差异，尽管自我报告的体重指数(BMI)是一个显著的协变量(p = 0.008)。COM学生的BMI和对脂肪的恐惧得分之间存在显著的相关性(r = 0.52, p < 0.01)，而INT学生则没有(r = 0.28, p < 0.05)，这表明干预可能影响了学生如何形成与BMI相关的反脂肪偏见。定性研究结果产生了五个主题——将课程材料与个人经历联系起来;了解了体重耻辱感;改变了对体重病耻感的看法;重量污名的公认应用;材料给未来的事业;并且重视了解体重歧视——这让我们了解了干预是如何对学生产生积极影响的。结论:根据本研究的发现，未来的干预措施应该采取更加沉浸式的教学方法。

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引用次数: 0

Parental engagement in child sexual abuse prevention education in Hong Kong 香港家长参与预防儿童性虐待教育

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2023-03-07 DOI: 10.1177/00178969231159968

Wen Xu, M. Cheung

Objective: This study examined three dimensions of parental engagement in Child Sexual Abuse (CSA) prevention education (knowledge, attitudes and practices) to determine whether increased knowledge and attitudes favouring CSA education led to increases in parental behaviours while controlling for multiple factors. Design: A random, digitally selected sample of 508 Hong Kong parents with at least one child in primary school answered a 47-question telephone survey designed by social workers and educators at a local community agency. Method: Parental knowledge and attitudes were measured by scales, scored from 5 to 25 each. Three variables measured parental practices: sex-related topics discussed with the referenced child, CSA-prevention learning methods and a weighted score of CSA-prevention discussions. Univariate tests and multivariate analysis of covariance (MANCOVA) were used to analyse the data. Results: A two-way MANCOVA indicated that attitudes were significantly associated with all the parental practices measured, while knowledge was correlated only with the covered sex-related topics. Parental gender and child gender revealed statistically significant differences in the results. Conclusion: To encourage parental engagement in CSA prevention, educators can empower parents to take on the roles of supporters, planners, implementers and collaborators to deliver sexual health education. Praxis-oriented topics such as ‘how to talk to children’ in a standardised CSA curriculum may improve parental participation and increase their motivation to become peer trainers.

目的：本研究考察了父母参与儿童性虐待（CSA）预防教育的三个维度（知识、态度和实践），以确定支持CSA教育的知识和态度的增加是否会导致父母行为的增加，同时控制多种因素。设计：一项由当地社区机构的社会工作者和教育工作者设计的47个问题的电话调查由508名香港至少有一个孩子上小学的家长随机数字选择。方法：采用量表对父母的知识和态度进行测量，每个量表的得分从5分到25分。三个变量测量了父母的做法：与参考儿童讨论的性别相关话题、CSA预防学习方法和CSA预防讨论的加权得分。采用单变量检验和多变量协方差分析（MANCOVA）对数据进行分析。结果：双向MANCOVA表明，态度与所测量的所有父母实践显著相关，而知识仅与所涵盖的性别相关主题相关。父母性别和孩子性别在结果中显示出统计学上的显著差异。结论：为了鼓励父母参与CSA预防，教育工作者可以赋予父母权力，让他们扮演支持者、规划者、实施者和合作者的角色，提供性健康教育。以实践为导向的主题，如标准化CSA课程中的“如何与孩子交谈”，可以提高家长的参与度，并增加他们成为同伴培训师的动机。

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引用次数: 0

The Good Behaviour Game: Maintaining students' physical distancing in physical education classes during the COVID-19 pandemic. 良好行为游戏：在新冠肺炎大流行期间，在体育课上保持学生的身体距离

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2023-03-01 Epub Date: 2023-01-12 DOI: 10.1177/00178969221147609

Olfa Tounsi, Abdessalem Koubaa, Omar Trabelsi, Liwa Masmoudi, Bessem Mkaouer, Khaled Trabelsi, Haitham Jahrami, Cain Ct Clark, Mourad Bahloul

Background: Maintaining physical distancing is one of the most important steps to enforce in educational institutions to reduce the risk of transmission of COVID-19. However, close proximity and physical contact between students are often considered 'normal' during physical education (PE) classes, making it challenging for PE teachers to ensure physical distancing.

Objectives: The aim of this study was to assess the effect of the implementation of the Good Behaviour Game (GBG) in maintaining physical distancing in PE settings in times of the COVID-19 pandemic.

Method: In a quasi-experimental design, two groups were separately designated as an experimental group (20 classes involving 220 students) and a control group (20 classes involving 231 students). They were all enrolled in the eighth grade of the Tunisian education system. In the experimental group, the PE teacher managed physical distancing by administering the GBG. Physical distancing was evaluated by direct observation of videos of filmed PE sessions using a code grid. It was measured twice for the two groups using Kinovea software.

Results: Quantitative data analyses showed that the level of maintaining physical distancing increased after the GBG intervention in the experimental group (p < .001). Furthermore, greater percent changes between pre- and post-intervention were identified in the experimental group compared to the control group (120% vs 1%, respectively).

Conclusion: The GBG was effective in ensuring students' physical distancing when implemented in PE settings.

背景：保持身体距离是教育机构为降低新冠肺炎传播风险而采取的最重要措施之一。然而，在体育课上，学生之间的亲密接触和身体接触通常被认为是“正常的”，这使得体育老师很难确保身体距离。目的：本研究旨在评估新冠肺炎大流行期间实施良好行为游戏（GBG）在体育环境中保持身体距离的效果。方法：采用准实验设计，将两组学生分别设为实验组（20个班，220名学生）和对照组（20班，231名学生）。他们都是突尼斯教育系统八年级的学生。在实验组中，体育老师通过使用GBG来管理物理距离。物理距离是通过使用代码网格直接观察体育课的视频来评估的。使用Kinovea软件对两组患者进行了两次测量。结果：定量数据分析显示，实验组在GBG干预后保持物理距离的水平增加（p < .001）。此外，与对照组相比，实验组在干预前和干预后的百分比变化更大（分别为120%和1%）。结论：GBG在体育教学中能有效地保证学生的身体距离。

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引用次数: 0

Ruth Freeman (1954–2021) 露丝·弗里曼(1954-2021)

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2023-03-01 DOI: 10.1177/00178969221147934

G. Humphris

引用次数: 0

Community partners’ experiences with medical students’ service-learning activities 社区合作伙伴在医学生服务学习活动中的经验

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2023-02-19 DOI: 10.1177/00178969231157698

M. Pellerano, Lori Fingerhut, Susan Giordano, Eshan Kaul, Brittany A. Baptiste, Manuel E. Jimenez, Eric Jahn

Background: The perspectives of community partners about their experiences working with medical students and how service-learning experiences affect the communities they serve remains understudied. Objective: This study addressed gaps in the literature by reporting on in-depth interviews conducted with community partners who participated in a well-established medical school service-learning programme. Design: A qualitative study was undertaken using semi-structured interviews and an edited coding strategy. Setting: A convenience sample was recruited from a database of organisations working with the medical school’s service-learning organisation. Method: Between 2017 and 2020, the researchers conducted semi-structured interviews with community-based organisation partners who worked with medical students through a service-learning initiative in an urban, underserved area of New Jersey, USA. The authors coded transcripts and identified themes after extensive reading, reflection and team discussion of transcripts and coded text. Authors confirmed thematic saturation after 20 interviews with 21 participants representing 18 different agencies. Results: Three main themes were developed: (1) medical students as role models, (2) community partners’ role in shaping medical student education, and (3) reciprocity between community-based organisations and the service-learning programme. Participants found that medical students connected well with young clients and motivated them to pursue higher education or healthcare careers especially when they had a shared ethnic or cultural background. Community partners helped medical students better understand ethnically and socioeconomically diverse communities from a whole-person perspective. Participants described collaborative learning and reciprocity between the service-learning programme and community-based organisations as a ‘win-win’ situation – with clients, the organisation and medical students all benefitting. Conclusion: Findings illustrate the importance of reciprocity between medical students and community partners. Incorporating partners in the design and evaluation of service-learning programmes is essential to understanding how community and academic health centres can better collaborate to promote health equity.

背景：社区合作伙伴对他们与医学生合作的经历以及服务学习经历如何影响他们所服务的社区的看法仍然没有得到充分的研究。目的：本研究通过报道对参与完善的医学院服务学习计划的社区合作伙伴进行的深入访谈，填补了文献中的空白。设计：采用半结构化访谈和编辑编码策略进行定性研究。设置：从与医学院服务学习组织合作的组织数据库中招募了一个方便样本。方法：2017年至2020年间，研究人员对在美国新泽西州一个服务不足的城市地区通过服务学习计划与医学生合作的社区组织合作伙伴进行了半结构化访谈。作者在对成绩单和编码文本进行广泛阅读、反思和团队讨论后，对成绩单进行了编码，并确定了主题。作者在对代表18个不同机构的21名参与者进行了20次采访后证实了主题饱和。结果：形成了三个主要主题：（1）医学生作为榜样，（2）社区合作伙伴在塑造医学生教育中的作用，以及（3）社区组织和服务学习计划之间的互惠。参与者发现，医学生与年轻客户关系良好，并激励他们追求高等教育或医疗保健事业，尤其是当他们有共同的种族或文化背景时。社区合作伙伴帮助医学生从全人的角度更好地了解种族和社会经济多元化的社区。参与者将服务学习计划和社区组织之间的合作学习和互惠描述为“双赢”局面，客户、组织和医学生都从中受益。结论：研究结果说明了医学生和社区伙伴之间互惠的重要性。让合作伙伴参与服务学习方案的设计和评估，对于了解社区和学术卫生中心如何更好地合作促进卫生公平至关重要。

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引用次数: 1

Exercise referral scheme participant characteristics, referral mode and completion status 运动转诊计划参与者特征、转诊模式及完成情况

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2023-02-17 DOI: 10.1177/00178969231156108

R. Portman, A. Levy, S. Allen, S. Fairclough

Objective: There is recent evidence that exercise referral schemes (ERSs) are beginning to permit self-referral access. Notwithstanding this, to date it is unknown whether key referral characteristics, such as age, gender and socioeconomic status are associated with a greater likelihood of self-referring to an ERS, and whether self-referral participants are more or less likely to complete schemes, than traditional healthcare referrals. Design/Setting: This study presents an evaluation and cross-sectional exploration of key participant referral characteristics of those (n = 647) who signed up to ‘Active West Lancs’; a 12-week ERS in the northwest of England. Methods: Chi-square analysis, tests of difference and binary logistic regression were conducted to explore associations between key referral characteristics and (1) the likelihood of accessing Active West Lancs via a self- or healthcare-referral and (2) the likelihood of completion. Results: About 56% of participants accessed the scheme via self-referral. These participants were more likely to be women, to report a musculoskeletal primary health condition, to access a specific site and to do so during spring. The scheme had an overall completion rate of 42.2%. Participants who were older, resided in less socioeconomically deprived neighbourhoods, and accessed a specific site were more likely to complete. Self-referral participants were not more or less likely to complete than those who enrolled via healthcare-referral. Conclusion: These data do not directly identify a clear benefit or detriment to Active West Lancs’ incorporation of self-referral participants. Notwithstanding this, enabling self-referral ERS access may widen scheme participation opportunities among those reluctant to seek referral from a healthcare provider and reduce the administrative burden for healthcare providers themselves.

目标：最近有证据表明，运动转介计划（ERS）开始允许自我转介。尽管如此，到目前为止，尚不清楚年龄、性别和社会经济地位等关键转诊特征是否与更大的自我转诊ERS的可能性有关，以及自我转诊参与者是否比传统的医疗转诊更有可能完成计划。设计/设置：本研究对注册“活跃的西部Lancs”的参与者（n=647）的关键参与者转介特征进行了评估和横断面探索；英格兰西北部为期12周的ERS。方法：进行卡方分析、差异检验和二元逻辑回归，以探讨关键转诊特征与（1）通过自我或医疗转诊获得Active West Lancs的可能性和（2）完成转诊的可能性之间的关系。结果：约56%的参与者通过自我推荐进入该计划。这些参与者更有可能是女性，报告肌肉骨骼的主要健康状况，访问特定地点，并在春季访问。该计划的总体完成率为42.2%。年龄较大、居住在社会经济贫困程度较低的社区并进入特定地点的参与者更有可能完成。自我转诊参与者完成的可能性并不比那些通过医疗转诊注册的参与者大。结论：这些数据并没有直接确定Active West Lancs纳入自我推荐参与者的明显益处或损害。尽管如此，允许自我转诊ERS可以扩大那些不愿寻求医疗保健提供者转诊的人参与计划的机会，并减轻医疗保健提供者自身的行政负担。

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引用次数: 0

Identification of Facebook posts on nephrology-related terms that benefit patient outreach 识别有利于患者推广的肾脏病相关术语的Facebook帖子

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2023-02-14 DOI: 10.1177/00178969231156078

R. Abdullah, N. Zakaria, L. Mushahar, S. Yakob

Objective: The impact of social media on public health has been examined in various studies. However, none have explored user engagement based on the type of Facebook posts related to renal disease. Therefore, the present study sought to determine which type of nephrology-related posts have greater user engagement. Setting: Facebook pages. Methods: The posts on a specific Facebook page curated by a team of nephrologists in Malaysia were examined in this cross-sectional study. The type of post, likes, comments, shares of a post and reach of a post were used for data analysis. Analysis of variance was used to quantify the relative contribution of each independent variable to the odds of the post being highly liked or shared. The Kruskal–Wallis test was used to compare links, photos, shared videos, status and videos for parameters such as reach, the number of times a specific piece of content has been displayed on a screen (impressions), and user engagement. Results: Shared videos and photos received the highest median reach of 5,862 and 5,880, respectively. People who ‘liked’ the page in 2019, 2020 and 2021 numbered 193, 4,196 and 2,835, respectively. Among the types of content on the Facebook page, photos and shared videos received the highest median lifetime reach of the post compared to links, status and videos in terms of ‘people who liked the page’. Conclusion: The study findings suggest that posting a video or photo maximises the chance of engagement and meaningfully impacts public health outcomes.

目的:社交媒体对公众健康的影响已经在各种研究中进行了检验。然而，还没有一家研究机构根据Facebook上与肾脏疾病相关的帖子类型来研究用户参与度。因此，本研究试图确定哪种类型的肾病相关帖子具有更大的用户参与度。设置:Facebook页面。方法:在这个横断面研究中，对马来西亚一组肾病学家管理的特定Facebook页面上的帖子进行了检查。数据分析使用了帖子的类型、喜欢、评论、帖子的分享和帖子的覆盖范围。方差分析用于量化每个自变量对帖子被高度喜欢或分享的几率的相对贡献。Kruskal-Wallis测试用于比较链接、照片、共享视频、状态和视频等参数，如覆盖范围、特定内容在屏幕上显示的次数(印象)和用户参与度。结果:共享视频和照片的平均访问量最高，分别为5,862和5,880。2019年、2020年和2021年，“赞”人数分别为193人、4196人和2835人。在Facebook页面上的内容类型中，与链接、状态和视频相比，照片和共享视频的平均终身访问量最高。结论:研究结果表明，发布视频或照片可以最大限度地增加参与的机会，并对公共卫生结果产生有意义的影响。

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引用次数: 0

A qualitative evaluation of remote training to develop a fitness surveillance system. 远程训练的定性评估以开发健身监测系统

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2023-02-01 Epub Date: 2022-11-25 DOI: 10.1177/00178969221139198

Cate A Egan, Christopher B Merica, David R Paul, Laura Bond, Seth Rose, Andrew Martin, Chantal Vella

Objectives: In the USA, 18% of school-aged young people are classified as obese, and rural populations appear to be particularly at risk. Achieving high levels of fitness reduces the risk of obesity and underlying health conditions. To better understand youth obesity trends and fitness levels, annual fitness testing ([FT], that is, surveillance) in schools has been recommended. Although many K-12 schools conduct FT, surveillance programmes that compile unified standardised test results are rare.

Design: Qualitative design.

Setting: Physical education teachers from 11 schools (n = 13; n = 4 men) participated in remote training about conducting FitnessGram FT.

Methods: Data included two semi-structured interviews per teacher on experiences with distance fitness training, implementing FitnessGram, and data entry for annual surveillance.

Results: Inductive analysis using axial and open coding identified four themes: (1) barriers prior to study, (2) study training, (3) implementation challenges and suggestions and (4) teacher feedback. Teachers had an interest in FT but lacked the recommended training and equipment needed to implement it annually.

Conclusion: Teachers believed the training they received (as part of this study) prepared them to collect reliable and valid data, and that FT had benefits for their students and programmes. Every teacher expressed interest in reporting annual surveillance data. Efforts to train teachers for FT through virtual professional development may be a viable means of establishing a unified surveillance system.

目标：在美国，18%的学龄年轻人被归类为肥胖，农村人口似乎特别危险。实现高水平的健身可以降低肥胖和潜在健康状况的风险。为了更好地了解青少年肥胖趋势和健康水平，建议在学校进行年度健康测试（[FT]，即监测）。尽管许多K-12学校都进行FT，但汇编统一标准化考试结果的监督项目很少。设计：定性设计。背景：来自11所学校的体育老师（n = 13；n = 4名男性）参加了关于进行FitnessGram FT的远程培训。方法：数据包括每位教师两次关于远程健身培训、实施FitnessGram的经验的半结构化访谈，以及年度监测的数据输入。结果：使用轴向和开放编码的归纳分析确定了四个主题：（1）学习前的障碍，（2）学习培训，（3）实施挑战和建议，以及（4）教师反馈。教师们对FT很感兴趣，但缺乏每年实施FT所需的推荐培训和设备。结论：教师们相信，他们接受的培训（作为本研究的一部分）使他们能够收集可靠有效的数据，并且FT对他们的学生和课程有好处。每位教师都表示有兴趣报告年度监测数据。通过虚拟专业发展为FT培训教师的努力可能是建立统一监督系统的可行手段。

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引用次数: 0

Evaluating the feasibility of delivering a sleep education programme in secondary schools 评估在中学实施睡眠教育计划的可行性

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2023-01-31 DOI: 10.1177/00178969231152960

Stephanie McCrory, M. Crawford, L. Fleming

Background: School-based sleep education programmes can promote the importance of sleep health and may improve adolescent sleep. To date, only limited research has examined the feasibility of integrating sleep programmes into the school curriculum. Objectives: This study evaluated the feasibility, acceptability and preliminary efficacy of the Strathclyde intervention to encourage good sleep health in teenagers (SIESTA). Methods: A total 171 students (12–15 years, 53% women) from secondary schools in Scotland participated in the study. Recruitment and retention, data collection and design procedures were assessed to establish feasibility. Qualitative feedback on acceptability was collected via focus group discussions. Outcome measures assessing insomnia symptoms, sleep hygiene, depression, anxiety and stress were completed at baseline and post-intervention to explore the preliminary effects of SIESTA. Results: All schools that were approached consented to participate, and most students completed assessments at both time points (171) with a dropout rate of 5%. Assessment measures provided sufficient data to compare baseline and post-intervention values. Training and delivery manuals ensured successful delivery of the programme. Qualitative feedback indicated SIESTA was acceptable, and students spoke favourably about the content, delivery and techniques. Students reported that SIESTA was age-appropriate, relevant and the techniques were beneficial. There were significant improvements in insomnia and stress, but no improvements were noted for sleep hygiene, depression or anxiety. Conclusion: The findings suggest that SIESTA is feasible and acceptable for delivery via the school curriculum. The results indicate that a controlled trial is required to further investigate the efficacy of SIESTA implemented in an educational context.

背景：以学校为基础的睡眠教育计划可以提高睡眠健康的重要性，并可能改善青少年的睡眠。迄今为止，只有有限的研究考察了将睡眠计划纳入学校课程的可行性。目的：本研究评估了斯特拉斯克莱德干预措施的可行性、可接受性和初步疗效，以促进青少年良好的睡眠健康（SIESTA）。方法：共有171名来自苏格兰中学的学生（12-15岁，53%为女性）参与了这项研究。对征聘和留用、数据收集和设计程序进行了评估，以确定其可行性。通过焦点小组讨论收集关于可接受性的定性反馈。在基线和干预后完成评估失眠症状、睡眠卫生、抑郁、焦虑和压力的结果测量，以探索SIESTA的初步效果。结果：所有被接洽的学校都同意参加，大多数学生在这两个时间点都完成了评估（171），辍学率为5%。评估措施提供了足够的数据来比较基线和干预后的值。培训和交付手册确保了方案的成功交付。定性反馈表明SIESTA是可以接受的，学生们对内容、交付和技术评价良好。学生们报告说，SIESTA与年龄相适应，具有相关性，而且技术是有益的。失眠和压力有显著改善，但睡眠卫生、抑郁或焦虑没有改善。结论：研究结果表明，通过学校课程提供SIESTA是可行和可接受的。结果表明，需要进行对照试验，以进一步研究在教育背景下实施SIESTA的疗效。

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引用次数: 0

Health literacy among members of the Nepalese immigrant population in Canada 加拿大尼泊尔移民人口成员的卫生知识普及情况

IF 1.3 4区医学 Q3 EDUCATION & EDUCATIONAL RESEARCH

Health Education Journal

Pub Date : 2023-01-31 DOI: 10.1177/00178969231151631

Kalpana Thapa-Bajgain, B. Bajgain, R. Dahal, K. Adhikari, N. Chowdhury, Mohammad Z. I. Chowdhury, T. Turin

Background: Health literacy is an important public health concern and can be defined as ‘the degree or extent to which the individuals have the capacity to obtain, process and understand basic health information and services to make appropriate health decisions’. Research on health literacy among recent immigrants to Canada is not that extensive. Objective: The purpose of this paper was to describe health literacy status among Nepalese immigrants residing in Calgary, Alberta, Canada. Methods: In 2019, a cross-sectional study, using a self-administered questionnaire, was conducted among Nepalese immigrants in Calgary. The questionnaire comprised 38 questions including sociodemographic information, self-rated health status, having a chronic disease or not, health literacy, sources of health information and preference to gain health information. Results: We received 401 responses: 49.63% were from women, 51.37% were aged 36–55 years, 37.00% had graduate-level education, 44.96% had immigrated to Canada less than 5 years ago and 81.05% were employed full-time/part-time or self-employed. Findings revealed that 17.21% of survey participants had limited health literacy, followed by 40.15% who had marginal health literacy. The majority of the survey participants (71.82%) either always or often got health information from healthcare professionals, followed by online resources (56.61%). Conclusion: Noteworthy levels of limited health literacy and marginal health literacy were observed among the Nepalese immigrant population. Multidirectional, culturally tailored, community-led, collaborative initiatives are needed to improve health literacy among the immigrant population, to lessen health disparities and to promote better health outcomes.

背景:卫生素养是一个重要的公共卫生问题，可被定义为“个人获得、处理和理解基本卫生信息和服务以作出适当卫生决定的能力的程度或程度”。对加拿大新移民健康素养的研究并不广泛。目的:本文的目的是描述居住在加拿大阿尔伯塔省卡尔加里的尼泊尔移民的健康素养状况。方法:2019年，在卡尔加里的尼泊尔移民中进行了一项横断面研究，使用了一份自我管理的问卷。问卷包括38个问题，包括社会人口统计信息、自评健康状况、是否患有慢性疾病、健康素养、健康信息来源和获取健康信息的偏好。结果:我们收到401份回复:49.63%为女性，51.37%为年龄在36-55岁之间，37.00%为研究生学历，44.96%移民加拿大不到5年，81.05%为全职/兼职或自雇。调查结果显示，17.21%的调查参与者具有有限的健康素养，其次是40.15%的边缘性健康素养。大多数调查参与者(71.82%)总是或经常从医疗保健专业人员那里获得健康信息，其次是在线资源(56.61%)。结论:在尼泊尔移民人群中观察到值得注意的有限健康素养和边缘健康素养水平。需要采取多方位的、有文化针对性的、由社区主导的协作举措，以提高移民人口的卫生知识素养，减少健康差异，促进更好的健康成果。

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引用次数: 2