Health Literacy, eHealth Literacy, Adherence to Infection Prevention and Control Procedures, Lifestyle Changes, and Suspected COVID-19 Symptoms Among Health Care Workers During Lockdown: Online Survey.
Binh N. Do,Tien V. Tran,Dung T. Phan,Hoang C. Nguyen,Thao T.P. Nguyen,Huu C. Nguyen,Tung H. Ha,Hung K. Dao,Manh V. Trinh,Thinh V. Do,Hung Q. Nguyen,Tam T. Vo,Nhan P.T. Nguyen,Cuong Q. Tran,Khanh V. Tran,Trang T. Duong,Hai X. Pham,Lam V Nguyen,Kien T. Nguyen,Peter Wushou Chang,Peter Wushou Chang,Tuyen Van Duong +21 more
TLDR
The psychometric properties of the eHEALS are evaluated and associations of HL and e HEALS scores with adherence to infection prevention and control procedures, lifestyle changes, and suspected COVID-19 symptoms among HCWs during lockdown are examined.Abstract:
Background: The COVID-19 pandemic has imposed a heavy burden on health care systems and governments. Health literacy (HL) and eHealth literacy (as measured by the eHealth Literacy Scale [eHEALS]) are recognized as strategic public health elements but they have been underestimated during the pandemic. HL, eHEALS score, practices, lifestyles, and the health status of health care workers (HCWs) play crucial roles in containing the COVID-19 pandemic.
Objective: The aim of this study is to evaluate the psychometric properties of the eHEALS and examine associations of HL and eHEALS scores with adherence to infection prevention and control (IPC) procedures, lifestyle changes, and suspected COVID-19 symptoms among HCWs during lockdown.
Methods: We conducted an online survey of 5209 HCWs from 15 hospitals and health centers across Vietnam from April 6 to April 19, 2020. Participants answered questions related to sociodemographics, HL, eHEALS, adherence to IPC procedures, behavior changes in eating, smoking, drinking, and physical activity, and suspected COVID-19 symptoms. Principal component analysis, correlation analysis, and bivariate and multivariate linear and logistic regression models were used to validate the eHEALS and examine associations.
Results: The eHEALS had a satisfactory construct validity with 8 items highly loaded on one component, with factor loadings ranked from 0.78 to 0.92 explaining 76.34% of variance; satisfactory criterion validity as correlated with HL (ρ=0.42); satisfactory convergent validity with high item-scale correlations (ρ=0.80-0.84); and high internal consistency (Cronbach α=.95). HL and eHEALS scores were significantly higher in men (unstandardized coefficient [B]=1.01, 95% CI 0.57-1.45, P<.001; B=0.72, 95% CI 0.43-1.00, P<.001), those with a better ability to pay for medication (B=1.65, 95% CI 1.25-2.05, P<.001; B=0.60, 95% CI 0.34-0.86, P<.001), doctors (B=1.29, 95% CI 0.73-1.84, P<.001; B 0.56, 95% CI 0.20-0.93, P=.003), and those with epidemic containment experience (B=1.96, 95% CI 1.56-2.37, P<.001; B=0.64, 95% CI 0.38-0.91, P<.001), as compared to their counterparts, respectively. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures (B=0.13, 95% CI 0.10-0.15, P<.001; B=0.22, 95% CI 0.19-0.26, P<.001), had a higher likelihood of healthy eating (odds ratio [OR] 1.04, 95% CI 1.01-1.06, P=.001; OR 1.04, 95% CI 1.02-1.07, P=.002), were more physically active (OR 1.03, 95% CI 1.02-1.03, P<.001; OR 1.04, 95% CI 1.03-1.05, P<.001), and had a lower likelihood of suspected COVID-19 symptoms (OR 0.97, 95% CI 0.96-0.98, P<.001; OR 0.96, 95% CI 0.95-0.98, P<.001), respectively.
Conclusions: The eHEALS is a valid and reliable survey tool. Gender, ability to pay for medication, profession, and epidemic containment experience were independent predictors of HL and eHEALS scores. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures, healthier lifestyles, and a lower likelihood of suspected COVID-19 symptoms. Efforts to improve HCWs’ HL and eHEALS scores can help to contain the COVID-19 pandemic and minimize its consequences.read more
Citations
More filters
Journal ArticleDOI
Relationship Between Coronavirus-Related eHealth Literacy and COVID-19 Knowledge, Attitudes, and Practices among US Adults: Web-Based Survey Study.
Lawrence C. An,Elizabeth Bacon,Sarah T. Hawley,Penny Yang,Daniel M. Russell,Scott B. Huffman,Ken Resnicow +6 more
TL;DR: Cronbach et al. as discussed by the authors found that a substantial proportion of US adults have low coronavirus-related eHealth literacy and are thus at a greater risk of lower and less-protective COVID-19-related knowledge, attitudes, and practices (KAPs).
Journal ArticleDOI
Associations Between Health Literacy, eHealth Literacy, and COVID-19-Related Health Behaviors Among Chinese College Students: Cross-sectional Online Study.
TL;DR: In this paper, the authors developed and verified a COVID-19-related health behavior questionnaire, explore its status and structure, and examine the associations between these behaviors and participants' health literacy and eHealth literacy.
Journal ArticleDOI
OUP accepted manuscript
TL;DR: A literature search of PubMed and EMBASE was performed from 1 January 2020 to 31 December 2020 to identify relevant studies pertaining to the first year of the COVID-19 pandemic (PROSPERO; CRD42020219433) as discussed by the authors .
Journal ArticleDOI
Psychological Impacts of COVID-19 During the First Nationwide Lockdown in Vietnam: Web-Based, Cross-Sectional Survey Study.
Khanh Ngoc Cong Duong,Tien Nguyen Le Bao,Phuong Thi Lan Nguyen,Thanh Vo Van,Toi Phung Lam,Anh Pham Gia,Luerat Anuratpanich,Bay Vo Van +7 more
TL;DR: The findings highlight the impacts on mental health of COVID-19 during the nationwide lockdown among the general population in Vietnam and provide useful evidence for policy decision-makers to develop and implement interventions to mitigate these impacts.
Journal ArticleDOI
Fear, anxiety and depression among pregnant women during COVID-19 pandemic: impacts of healthy eating behaviour and health literacy.
Thuc C. Luong,Thu T. M. Pham,Thu T. M. Pham,Minh H. Nguyen,Anh Q Do,Anh Q Do,Linh V. Pham,Hoang C. Nguyen,Huu C. Nguyen,Tung H. Ha,Hung K. Dao,Manh V. Trinh,Thinh V. Do,Hung Q. Nguyen,Thao T.P. Nguyen,Cuong Q. Tran,Khanh V. Tran,Trang T. Duong,Hai X. Pham,Thao T. Do,Phuoc B. Nguyen,Anh L. Tra,Dung T. Phan,Binh N. Do,Tuyen Van Duong +24 more
TL;DR: In this paper, the authors examined associated factors of fear of COVID-19, anxiety and depression among pregnant women during the pandemic where the impacts of healthy eating behaviour (HES) and health literacy (HL) were emphasized.
References
More filters
Journal ArticleDOI
A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation☆
TL;DR: The method of classifying comorbidity provides a simple, readily applicable and valid method of estimating risk of death fromComorbid disease for use in longitudinal studies and further work in larger populations is still required to refine the approach.
Journal ArticleDOI
The psychological impact of quarantine and how to reduce it: rapid review of the evidence.
Samantha K Brooks,Rebecca K. Webster,Louise E. Smith,Lisa Woodland,Simon Wessely,Neil Greenberg,Gideon James Rubin +6 more
TL;DR: A review of the psychological impact of quarantine using three electronic databases is presented in this article, where the authors report negative psychological effects including post-traumatic stress symptoms, confusion, and anger.
Book
Discovering Statistics Using Ibm Spss Statistics
TL;DR: The Fourth Edition of Andy Field's Discovering Statistics Using SPSS 4th Edition focuses on providing essential content updates, better accessibility to key features, more instructor resources, and more content specific to select disciplines.
Journal ArticleDOI
Quality criteria were proposed for measurement properties of health status questionnaires
Caroline B. Terwee,Sandra D.M. Bot,Michael R. de Boer,Daniëlle A W M van der Windt,Dirk L. Knol,Joost Dekker,Lex M. Bouter,Henrica C.W. de Vet +7 more
TL;DR: The criteria can be used in systematic reviews of health status questionnaires, to detect shortcomings and gaps in knowledge of measurement properties, and to design validation studies.
Journal ArticleDOI
The socio-economic implications of the coronavirus pandemic (COVID-19): A review.
Maria Nicola,Zaid Alsafi,Catrin Sohrabi,Ahmed Kerwan,Ahmed Al-Jabir,Christos Iosifidis,Maliha Agha,Riaz Agha +7 more
TL;DR: The socio-economic effects of COVID-19 on individual aspects of the world economy are summarised to show the need for medical supplies has significantly increased and the food sector has seen a great demand due to panic-buying and stockpiling of food products.
Related Papers (5)
People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy.
Hoang C. Nguyen,Minh H. Nguyen,Binh N. Do,Cuong Q. Tran,Thao T.P. Nguyen,Khue M. Pham,Linh V. Pham,Khanh V. Tran,Trang T. Duong,Tien V. Tran,Thai H. Duong,Tham T. Nguyen,Quyen Nguyen,Thanh M. Hoang,Kien T. Nguyen,Thu T. M. Pham,Shwu-Huey Yang,Shwu-Huey Yang,Jane C.J. Chao,Jane C.J. Chao,Tuyen Van Duong +20 more