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

Autor: Peter Wushou Chang, Thao T.P. Nguyen, Tien V. Tran, Tuyen Van Duong, Thinh V. Do, Hai X. Pham, Trang T. Duong, Tung H. Ha, Binh N. Do, Hoang C. Nguyen, Khanh V. Tran, Huu C. Nguyen, Hung K. Dao, Kien T. Nguyen, Lam V Nguyen, Dung T. Phan, Tam T. Vo, Cuong Q. Tran, Hung Q. Nguyen, Nhan P.T. Nguyen, Manh V. Trinh
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
020205 medical informatics
Psychometrics
02 engineering and technology
handwashing
Logistic regression
0302 clinical medicine
disposing
Surveys and Questionnaires
Epidemiology
0202 electrical engineering
electronic engineering
information engineering
030212 general & internal medicine
adherence
eHealth literacy
lcsh:Public aspects of medicine
Middle Aged
Telemedicine
Convergent validity
Vietnam
personal protective equipment
lcsh:R858-859.7
Female
Adult
medicine.medical_specialty
lifestyle
masks
Health Personnel
Health Informatics
Health literacy
lcsh:Computer applications to medicine. Medical informatics
health care workers
03 medical and health sciences
Young Adult
Internal medicine
medicine
Humans
Life Style
Original Paper
business.industry
SARS-CoV-2
Public health
Construct validity
COVID-19
infection prevention
Reproducibility of Results
lcsh:RA1-1270
Odds ratio
Health Literacy
eHealth
business
control
Zdroj: Journal of Medical Internet Research
Journal of Medical Internet Research, Vol 22, Iss 11, p e22894 (2020)
ISSN: 1438-8871
1439-4456
Popis: 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 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.
Databáze: OpenAIRE
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