Correlation Between Health and EHealth Literacy and a Healthy Lifestyle: A Cross-Sectional Study of Spanish Primary Healthcare Patients

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2023 Nov 24

PMID 37998472

Authors

David Garcia-Garcia

Maria Julia Ajejas Bazan

Francisco Javier Perez-Rivas

Affiliations

Soon will be listed here.

Abstract

Background: Health literacy and eHealth literacy play a crucial role in improving a community's ability to take care of themselves, ultimately leading to a reduction in disparities in health. Embracing a healthy way of living is vital in lessening the impact of illnesses and extending one's lifespan. This research delves into the link between the health and eHealth literacy levels of individuals accessing primary healthcare services and investigates how this relates to adopting a health-conscious lifestyle.

Methods: The approach involves a cross-sectional examination carried out at a healthcare facility in the Madrid region of Spain, focusing on adult patients who are in need of primary care nursing services. Health and eHealth literacy and a healthy lifestyle were measured using the Health Literacy Questionnaire (HLQ), the eHealth Literacy Questionnaire (eHLQ), and the "PA100" questionnaire, respectively.

Results: Only some of the dimensions of the HLQ and eHLQ were significantly related to a healthy lifestyle, predominantly with a very low or low relationship. Dimension three of the HLQ and dimension five of the eHLQ acquired more importance and were positioned as positive predictors of a healthy lifestyle.

Conclusions: This study helps comprehend the relationship between health and eHealth literacy and a healthy lifestyle, which provides information that contributes to understanding the factors that might have a higher impact on lifestyles.

Citing Articles

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References

Saleem A, Steadman K, Osborne R, La Caze A . Translating and validating the Health Literacy Questionnaire into Urdu: a robust nine-dimension confirmatory factor model. Health Promot Int. 2020; 36(5):1219-1230. DOI: 10.1093/heapro/daaa149. View

Liu Y, Meng H, Tu N, Liu D . The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China. Front Public Health. 2020; 8:280. PMC: 7344226. DOI: 10.3389/fpubh.2020.00280. View

Perera S, Aslam A, Stehli J, Kaye D, Layland J, Nicholls S . Gender Differences in Healthy Lifestyle Adherence Following Percutaneous Coronary Intervention for Coronary Artery Disease. Heart Lung Circ. 2020; 30(1):e37-e40. DOI: 10.1016/j.hlc.2020.06.024. View

Elsworth G, Beauchamp A, Osborne R . Measuring health literacy in community agencies: a Bayesian study of the factor structure and measurement invariance of the health literacy questionnaire (HLQ). BMC Health Serv Res. 2016; 16(1):508. PMC: 5034518. DOI: 10.1186/s12913-016-1754-2. View

Sotos-Prieto M, Santos-Beneit G, Bodega P, Pocock S, Mattei J, Penalvo J . VALIDATION OF A QUESTIONNAIRE TO MEASURE OVERALL MEDITERRANEAN LIFESTYLE HABITS FOR RESEARCH APPLICATION: THE MEDITERRANEAN LIFESTYLE INDEX (MEDLIFE). Nutr Hosp. 2015; 32(3):1153-63. PMC: 8996298. DOI: 10.3305/nh.2015.32.3.9387. View

Ayaz-Alkaya S, Terzi H, Isik B, Sonmez E . A healthy lifestyle education programme for health literacy and health-promoting behaviours: A pre-implementation and post-implementation study. Int J Nurs Pract. 2019; 26(2):e12793. DOI: 10.1111/ijn.12793. View

Tsukahara S, Yamaguchi S, Igarashi F, Uruma R, Ikuina N, Iwakura K . Association of eHealth Literacy With Lifestyle Behaviors in University Students: Questionnaire-Based Cross-Sectional Study. J Med Internet Res. 2020; 22(6):e18155. PMC: 7381004. DOI: 10.2196/18155. View

Boateng M, Agyei-Baffour P, Angel S, Enemark U . Translation, cultural adaptation and psychometric properties of the Ghanaian language (Akan; Asante Twi) version of the Health Literacy Questionnaire. BMC Health Serv Res. 2020; 20(1):1064. PMC: 7684925. DOI: 10.1186/s12913-020-05932-w. View

Maindal H, Kayser L, Norgaard O, Bo A, Elsworth G, Osborne R . Cultural adaptation and validation of the Health Literacy Questionnaire (HLQ): robust nine-dimension Danish language confirmatory factor model. Springerplus. 2016; 5(1):1232. PMC: 4971008. DOI: 10.1186/s40064-016-2887-9. View

10.

Perez-Rivas F, Jimenez-Gonzalez J, Bayon Cabeza M, Belmonte Cortes S, de Diego Diaz-Plaza M, Dominguez-Bidagor J . Design and Content Validation using Expert Opinions of an Instrument Assessing the Lifestyle of Adults: The 'PONTE A 100' Questionnaire. Healthcare (Basel). 2023; 11(14). PMC: 10379326. DOI: 10.3390/healthcare11142038. View

11.

Nolte S, Osborne R, Dwinger S, Elsworth G, Conrad M, Rose M . German translation, cultural adaptation, and validation of the Health Literacy Questionnaire (HLQ). PLoS One. 2017; 12(2):e0172340. PMC: 5325258. DOI: 10.1371/journal.pone.0172340. View

12.

Chudasama Y, Khunti K, Gillies C, Dhalwani N, Davies M, Yates T . Healthy lifestyle and life expectancy in people with multimorbidity in the UK Biobank: A longitudinal cohort study. PLoS Med. 2020; 17(9):e1003332. PMC: 7508366. DOI: 10.1371/journal.pmed.1003332. View

13.

Sorensen K, Van den Broucke S, Pelikan J, Fullam J, Doyle G, Slonska Z . Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health. 2013; 13:948. PMC: 4016258. DOI: 10.1186/1471-2458-13-948. View

14.

Vandenbroucke J, von Elm E, Altman D, Gotzsche P, Mulrow C, Pocock S . [Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration]. Gac Sanit. 2009; 23(2):158. DOI: 10.1016/j.gaceta.2008.12.001. View

15.

Tossavainen T, Juhola M . Lossless compression of otoneurological eye movement signals. J Clin Monit Comput. 2003; 17(7-8):393-402. DOI: 10.1023/a:1026291218634. View

16.

Cheng C, Elsworth G, Osborne R . Validity Evidence of the eHealth Literacy Questionnaire (eHLQ) Part 2: Mixed Methods Approach to Evaluate Test Content, Response Process, and Internal Structure in the Australian Community Health Setting. J Med Internet Res. 2022; 24(3):e32777. PMC: 8941428. DOI: 10.2196/32777. View

17.

Rademakers J, Waverijn G, Rijken M, Osborne R, Heijmans M . Towards a comprehensive, person-centred assessment of health literacy: translation, cultural adaptation and psychometric test of the Dutch Health Literacy Questionnaire. BMC Public Health. 2020; 20(1):1850. PMC: 7709439. DOI: 10.1186/s12889-020-09963-0. View

18.

Baccolini V, Rosso A, Di Paolo C, Isonne C, Salerno C, Migliara G . What is the Prevalence of Low Health Literacy in European Union Member States? A Systematic Review and Meta-analysis. J Gen Intern Med. 2021; 36(3):753-761. PMC: 7947142. DOI: 10.1007/s11606-020-06407-8. View

19.

Monkman H, Kushniruk A, Barnett J, Borycki E, Greiner L, Sheets D . Are Health Literacy and eHealth Literacy the Same or Different?. Stud Health Technol Inform. 2018; 245:178-182. View

20.

Del Giudice P, Bravo G, Poletto M, De Odorico A, Conte A, Brunelli L . Correlation Between eHealth Literacy and Health Literacy Using the eHealth Literacy Scale and Real-Life Experiences in the Health Sector as a Proxy Measure of Functional Health Literacy: Cross-Sectional Web-Based Survey. J Med Internet Res. 2018; 20(10):e281. PMC: 6246968. DOI: 10.2196/jmir.9401. View