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. 2019 Jun 19;9(6):e026356.
doi: 10.1136/bmjopen-2018-026356.

Functional health literacy in a population-based sample in Florence: a cross-sectional study using the Newest Vital Sign

Guglielmo Bonaccorsi  1 , Vieri Lastrucci  1 , Virginia Vettori  1 , Chiara Lorini  1 ; Florence Health Literacy Research Group
Collaborators, Affiliations

Functional health literacy in a population-based sample in Florence: a cross-sectional study using the Newest Vital Sign

Guglielmo Bonaccorsi et al. BMJ Open. .

Abstract

Objectives: To assess the level of functional health literacy (HL) and its antecedents and consequences in an adult population-based sample, using the Italian version of Newest Vital Sign (NVS-IT).

Design: Cross-sectional study.

Setting: General population.

Participants: 984 people were randomly selected from the resident registers of 11 general practitioners; a total of 452 (46.2%) of the selected people completed the study. Inclusion criteria were the following: 18-69 years of age and Italian speaking. Exclusion criteria included cognitive impairment, severe psychiatric diseases and end-stage diseases.

Outcome measures: HL levels as assessed by the NVS-IT and the following potential HL predictors and consequences were assessed using logistic regression models: sociodemographic characteristics, body mass index, presence of long-term illnesses, self-reported health status, health services use in the last 12 months.

Results: High likelihood of limited HL, possibility of limited HL and adequate HL were found in 11.5%, 24.6% and 63.9% of the sample, respectively. The results of the multivariate logistic model for the antecedents showed that the risk of having high likelihood or possibility of limited HL levels increases with age (OR 1.07, 95% CI 1.05 to 1.09), lower educational level (OR 4.03; 95% CI 3.41 to 7.49) and with worse financial situation (OR 1.64; 95% CI 1.17 to 2.63). As far as health outcomes are concerned, HL resulted to be positively associated with self-reported health status (OR 2.25, 95% CI 1.75 to 2.75).

Conclusions: Findings show a good level of functional HL in the population. However, older, less educated and poorer population groups showed to have a higher likelihood of suffering from limited or inadequate HL. Efforts should be made to design and implement public health policies and interventions tailored to different HL levels.

Trial registration number: CEAVC:10113.

Keywords: antecedents and consequences; functional health literacy; newest vital sign; population-based sample; public health; telephone interview.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Scatter plots of the Italian version of Newest Vital Sign (NVS-IT) scores at T0 and T1 of the pretesting phase.
Figure 2
Figure 2
Distribution of Italian version of Newest Vital Sign (NVS-IT) score.
See this image and copyright information in PMC

References

    1. Kickbush I, Maag D. Health Literacy : Heggenhougen K, Quah S, International encyclopedia of public health volume 3. San Diego, CA: Academic Press, 2008:204–11.
    1. World Health Organisation Regional Office for Europe. Health 2020. A european policy framework supporting action across government and society for health and well-being. Copenhagen: World Health Organisation Regional Office for Europe, 2012.
    1. European Commission. Together for health. A Strategic approach for the EU 2008–2013. COM(2007) 630 final. Brussels: European Commision, 2007.
    1. Berkman ND, Sheridan SL, Donahue KE, et al. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med 2011;155:97–107. 10.7326/0003-4819-155-2-201107190-00005 - DOI - PubMed
    1. HLS-EU Consortium. Comparative report on health literacy in eight EU member states. The European health literacy survey HLS-EU. 2012. http://ec.europa.eu/chafea/documents/news/Comparative_report_on_health_l...

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