Impact of long COVID-19 on posttraumatic stress disorder as modified by health literacy: an observational study in Vietnam.

Autor:	Vo HT; International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.; Department of Psychiatry, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam., Dao TD; Institute of Oncology and Nuclear Medicine, Military Hospital, Ho Chi Minh, Vietnam., Duong TV; International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.; School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan., Nguyen TT; Department of Orthopedics, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.; Director Office, Can Tho University of Medicine and Pharmacy Hospital, Can Tho, Vietnam., Do BN; Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.; Department of Military Science, Vietnam Military Medical University, Hanoi, Vietnam., Do TX; Department of Psychiatry, Military Hospital 103, Hanoi, Vietnam., Pham KM; Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam., Vu VH; Infectious and Tropical Diseases Department, Viet Tiep Hospital, Hai Phong, Vietnam., Pham LV; Department of Pulmonary and Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam., Nguyen LTH; Department of Pulmonary and Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong, Vietnam., Le LTH; Director Office, Thai Nguyen National Hospital, Thai Nguyen, Vietnam.; Training and Direction of Healthcare Activity Center, Thai Nguyen National Hospital, Thai Nguyen, Vietnam.; Biochemistry Department, Thai Nguyen National Hospital, Thai Nguyen, Vietnam., Nguyen HC; Director Office, Thai Nguyen National Hospital, Thai Nguyen, Vietnam.; President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam., Dang NH; Training and Direction of Healthcare Activity Center, Thai Nguyen National Hospital, Thai Nguyen, Vietnam.; Department of Quality Control, Thai Nguyen National Hospital, Thai Nguyen, Vietnam., Nguyen TH; Director Office, Gang Thep Hospital, Thai Nguyen, Vietnam., Nguyen AT; Director Office, Hospital for Tropical Diseases, Hai Duong, Vietnam., Nguyen HV; Infectious and Tropical Diseases Department, Viet Tiep Hospital, Hai Phong, Vietnam.; Department of Infectious Diseases, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam., Nguyen PB; Director Office, Kien An Hospital, Hai Phong, Vietnam., Nguyen HTT; Training and Direction of Healthcare Activity Center, Kien An Hospital, Hai Phong, Vietnam., Pham TTM; Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam.; School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan., Le TT; President Office, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam.; Faculty of Medical Laboratory Science, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam., Nguyen TTP; Institute for Community Health Research, University of Medicine and Pharmacy, Hue University, Hue, Vietnam., Tran CQ; Faculty of Public Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh, Vietnam., Nguyen KT; Department of Health Promotion, Faculty of Social and Behavioral Sciences, Hanoi University of Public Health, Hanoi, Vietnam.
Jazyk:	angličtina
Zdroj:	Osong public health and research perspectives [Osong Public Health Res Perspect] 2024 Feb; Vol. 15 (1), pp. 33-44. Date of Electronic Publication: 2024 Feb 19.
DOI:	10.24171/j.phrp.2023.0261
Abstrakt:	Background: The prevalence of posttraumatic stress disorder (PTSD) has increased, particularly among individuals who have recovered from coronavirus disease 2019 (COVID-19) infection. Health literacy is considered a "social vaccine" that helps people respond effectively to the pandemic. We aimed to investigate the association between long COVID-19 and PTSD, and to examine the modifying role of health literacy in this association. Methods: A cross-sectional study was conducted at 18 hospitals and health centers in Vietnam from December 2021 to October 2022. We recruited 4,463 individuals who had recovered from COVID-19 infection for at least 4 weeks. Participants provided information about their sociodemographics, clinical parameters, health-related behaviors, health literacy (using the 12-item short-form health literacy scale), long COVID-19 symptoms and PTSD (Impact Event Scale-Revised score of 33 or higher). Logistic regression models were used to examine associations and interactions. Results: Out of the study sample, 55.9% had long COVID-19 symptoms, and 49.6% had PTSD. Individuals with long COVID-19 symptoms had a higher likelihood of PTSD (odds ratio [OR], 1.86; 95% confidence interval [CI], 1.63-2.12; p<0.001). Higher health literacy was associated with a lower likelihood of PTSD (OR, 0.98; 95% CI, 0.97-0.99; p=0.001). Compared to those without long COVID-19 symptoms and the lowest health literacy score, those with long COVID-19 symptoms and a 1-point health literacy increment had a 3% lower likelihood of PTSD (OR, 0.97; 95% CI, 0.96-0.99; p=0.001). Conclusion: Health literacy was found to be a protective factor against PTSD and modified the negative impact of long COVID-19 symptoms on PTSD.
Databáze:	MEDLINE
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