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Zhang X, Zhang X, Zhang S, Ge L, Xu Y, Yao D, Hu X, Huang Z, Zhu T, Wang Z, Chen C. The association between health literacy and e-cigarette use: evidence from Zhejiang, China. Front Public Health 2024; 11:1321457. [PMID: 38239787 PMCID: PMC10794489 DOI: 10.3389/fpubh.2023.1321457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2023] [Accepted: 12/12/2023] [Indexed: 01/22/2024] Open
Abstract
Objectives The worldwide popularity of electronic cigarettes (ECIG) is becoming a public health concern. Compared to conventional cigarettes (CIG), the harm caused by ECIG is more insidious. Studies have shown that lower health literacy (HL) is associated with CIG use; however, the relationship between HL and ECIG use remains controversial. Because ECIG emerged more recently than CIG, there are fewer relevant studies, and the sample populations and evaluation methods of HL in existing studies differ. This study conducted a large-sample survey to examine the relationship between HL and ECIG use. Methods As part of the 2022 China Health Literacy Survey, a total of 60,998 valid questionnaires were collected from September to November in 2022 using a stratified multistage probability proportional to the population size sampling frame. Chi-square tests and multinomial logistic regression was used to analyze the relationship between HL and ECIG use. Some demographic variables were included as covariates in the analysis. Results The study showed that the average HL score and the HL level of Zhejiang residents in 2022 were 42.8 and 30.8%, respectively. The prevalence of CIG and ECIG was 19.7 and 1.0%, respectively; 19% of participants exclusively used CIG, while only 0.3% of participants used ECIG exclusively; dual users accounted for 0.6%. After adjusting for covariates, adequate HL was associated with lower odds of ECIG-exclusive use (odds ratio [OR] = 0.452, p < 0.001), CIG-exclusive use (OR = 0.833, p < 0.001), and dual use (OR = 0.632, p < 0.001). Young age, male sex, unmarried status, high-income status, and absence of chronic disease were also associated with ECIG use. Conclusion HL was a protective factor against both patterns of ECIG use, especially ECIG-exclusive use. Health policymakers and public health practitioners should consider HL as a potential measure for ECIG control.
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Affiliation(s)
- Xuehai Zhang
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Xinxin Zhang
- School of Public Health and Management, Wenzhou Medical University, Wenzhou, China
| | - Songjia Zhang
- School of Public Health and Management, Wenzhou Medical University, Wenzhou, China
| | - Lizheng Ge
- School of Public Health and Management, Wenzhou Medical University, Wenzhou, China
| | - Yue Xu
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Dingning Yao
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Xiujing Hu
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Zishuo Huang
- School of Innovation and Entrepreneurship, Wenzhou Medical University, Wenzhou, China
| | - Tingting Zhu
- Sir Run Run Shaw Hospital, Affiliated with the Zhejiang University School of Medicine, Hangzhou, China
| | - Zixia Wang
- School of Business, Macau University of Science and Technology, Macau, China
| | - Chun Chen
- School of Public Health and Management, Wenzhou Medical University, Wenzhou, China
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Ramón-Arbués E, Granada-López JM, Antón-Solanas I, Cobos-Rincón A, Rodríguez-Calvo A, Gea-Caballero V, Tejada-Garrido CI, Juárez-Vela R, Echániz-Serrano E. Factors related with nursing students' health literacy: a cross sectional study. Front Public Health 2023; 11:1053016. [PMID: 37275493 PMCID: PMC10234423 DOI: 10.3389/fpubh.2023.1053016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Accepted: 04/07/2023] [Indexed: 06/07/2023] Open
Abstract
Background Nursing professionals have a crucial role in promoting health literacy in health services, so it is necessary to ensure health literacy skills in future health professionals. Objective The objective of the study was to examine the health literacy of nursing students and its associated factors. Methods A cross-sectional descriptive study was carried out on 460 nursing students. For data collection, a semi-structured questionnaire was obtained on sociodemographic characteristics, perception and health care, use of the health system and lifestyles. In addition, health literacy was assessed using the European Health Literacy Questionnaire. Results 6.1% of the participants had an inadequate level of health literacy and 36.5% problematic. The probability of having sufficient health literacy is directly associated with age; and inversely with smoking, prolonged screen time and living alone (p < 0.05). Conclusion A large percentage of nursing students need to improve their health literacy skills. It is necessary to integrate a greater number of contents in health literacy in the curriculum of nursing students.
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Affiliation(s)
- Enrique Ramón-Arbués
- Faculty of Health Sciences, San Jorge University, Villanueva de Gállego, Spain
- SAPIENF Investigation Group, Zaragoza, Spain
| | - José Manuel Granada-López
- Department of Nursing and Physiatry, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- GIISA021 Seguridad y Cuidados Investigation Group, Zaragoza, Spain
| | - Isabel Antón-Solanas
- SAPIENF Investigation Group, Zaragoza, Spain
- Department of Nursing and Physiatry, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - Ana Cobos-Rincón
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Antonio Rodríguez-Calvo
- Department of Anesthesia, Complex University of Salamanca, Salamanca, Spain
- Faculty of Medicine, University of Salamanca, Salamanca, Spain
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, Valencian International University, Valencia, Spain
- Community Health and Care Research Group, SALCOM, Valencia, Spain
| | - Clara Isabel Tejada-Garrido
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Raúl Juárez-Vela
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Emmanuel Echániz-Serrano
- SAPIENF Investigation Group, Zaragoza, Spain
- Department of Nursing and Physiatry, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
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Health Literacy and Smoking Habits Among a Sample of Jordanian University Students. J Community Health 2023; 48:30-37. [PMID: 36107378 DOI: 10.1007/s10900-022-01139-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/02/2022] [Indexed: 10/14/2022]
Abstract
Limited health literacy is a significant predictor of engaging in unhealthy behaviors. However, the literature regarding the association between health literacy and smoking in university students is very limited. Thus, this study was conducted to examine the association between university students' health literacy and smoking habits. A cross-sectional design was used. A sample of university students (N = 327) was recruited to conduct this study. Data collection was performed using a demographics questionnaire and the health literacy questionnaire. AMOS was used to conduct data analysis using structural equation modeling analysis with maximum likelihood estimation. Different versions of the structural model were compared and evaluated based on specific fit indices criteria. The results showed that 30% of the participants were current smokers. Smoking cigarettes was the most common type of smoking in this study, and 23.1% of the participants were current users of two or more types of smoking (e.g., cigarettes and hookah). The structural model with three latent variables (health literacy, smoking status and type, and smoking frequency and duration) was the one that best fit the data; the model fit indices were X2 = 305.84, df = 102, p < .001; RMSEA = .068; CFI = .95; CMIN/df = 2.51; TLI = .929; and AIC = 355.75. A single standard deviation increase of health literacy causes .38 decrease in smoking status and type and .13 decrease of smoking frequency and duration. The results showed that health literacy is negatively associated with smoking in a sample of Jordanian university students.
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AMJADIAN MOHIADIN, ANBARI MOHAMAD, AMINI ROOHOLA, KHALILIPOUR DARESTANI MANIA, DEHGHANKAR LEILA, PANAHI RAHMAN. Studying the factors associated with Premenstrual syndrome prevention among pre-university students in Tehran. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2022; 63:E6-E11. [PMID: 35647366 PMCID: PMC9121678 DOI: 10.15167/2421-4248/jpmh2022.63.1.2027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Accepted: 02/15/2022] [Indexed: 11/05/2022]
Abstract
Introduction Premenstrual syndrome is one of the common menstrual disorders in adolescents. Considering the destructive effects of this syndrome on adolescents' activity and performance and the importance of epidemiological studies in designing preventive interventions. Aim This study aimed to determine some of the factors associated with the prevention of premenstrual syndrome among adolescents. Settings and Design In a cross-sectional study, 255 female high school students in Tehran were selected using multistage random sampling method. Methods and Material The data were collected using a demographic and background questionnaire and a valid and reliable questionnaire to assess preventive behaviors of premenstrual syndrome. Statistical analysis used The collected data were analyzed using SPSS software version 16 and descriptive statistics and logistic regression. Results The mean (SD) score of adoption of preventive behaviors of premenstrual syndrome was 19.25 (0.63) out of 50, and it was low. Also, weekly physical activity, mother education level, and family income were the factors affecting the adoption of preventive behaviors of premenstrual syndrome (P < 0.05). Conclusion Due to the low adoption of preventive behaviors among students with lower income families, students with less physical activity and students with mothers with lower levels of education, it is suggested that more attention be paid to the above students in designing educational programs to promote the prevention of premenstrual syndrome.
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Affiliation(s)
- MOHIADIN AMJADIAN
- Departments of Clinical Psychology and English language, School of Medicine, Medical Sciences University of Kurdistan, Sanandaj, Iran
| | - MOHAMAD ANBARI
- School of Public Health and Institute of Public Health Research, Tehran University of Medical Science, Tehran, Iran
| | - ROOHOLA AMINI
- School of Medical Sciences, Isfahan University of Medical Science, Isfahan, Iran
| | - MANIA KHALILIPOUR DARESTANI
- Department of Health Education and Promotion, Science and Resarch Branch, Islamic Azad Univercity, Tehran, Iran
| | - LEILA DEHGHANKAR
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
| | - RAHMAN PANAHI
- School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
- Correspondence: Rahman Panahi, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran –
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PANAHI RAHMAN, HOSSEINI NOOSHIN, RAMEZANKHANI ALI, ANBARI MOHAMAD, AMJADIAN MOHIADIN, DEHGHANKAR LEILA, NIKNAMI SHAMSADDIN. Measuring the Structures of the Health Belief Model Integrated with Health Literacy in Predicting University Students' Adoption of Smoking Preventive Behaviors. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2022; 63:E51-E58. [PMID: 35647364 PMCID: PMC9121676 DOI: 10.15167/2421-4248/jpmh2022.63.1.2236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Accepted: 01/03/2022] [Indexed: 11/04/2022]
Abstract
Objectives One of the priorities of public health in reducing smoking is to prevent young people from becoming smokers. Health literacy (HL), smoking, and preventive behaviors are related. Moreover, HL has a potential impact on strengthening the Health Belief Model (HBM). Considering the high prevalence of smoking among university students, the current study was conducted to measure the structures of the HBM integrated with HL in predicting university students' adoption of smoking preventive behaviors. Methods This was a cross-sectional descriptive study. Three hundred and forty dormitory students of Shahid Beheshti University of Medical Sciences (Teheran, Iran) in 2016, were selected through single-stage cluster sampling for the study. The data gathering tool was a researcher-made questionnaire based on the HBM and the HL inventory for adults (HELIA). The data were analyzed using the SPSS software version.16. Results The multiple regression analysis showed that the application of health information from five dimensions of HL, perceived susceptibility, self-efficacy, and decision-making dimensions were the predictors of smoking prevention. Also, the structures of this integrated model were able to anticipate 36.5% of the behavioral changes. Conclusion The HBM integrated with HL can be used as an appropriate framework for designing educational programs to encourage university students to adopt smoking preventive behaviors.
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Affiliation(s)
- RAHMAN PANAHI
- Department of Health Education and Health Promotion, School of Medical Sciences, Tarbiat Modares University,Tehran, Iran
| | - NOOSHIN HOSSEINI
- School of Medical Sciences, Ahvaz University of Medical Sciences, Ahvaz, Iran
| | - ALI RAMEZANKHANI
- Department of Health Services, Shahid Beheshti University of Medical SciencesTehran, Iran
| | - MOHAMAD ANBARI
- Occupational Health Department, School of Public Health and Institute of Public Health Research, Tehran University of Medical Science, Tehran, Iran
| | - MOHIADIN AMJADIAN
- Departments of Clinical Psychology and English language, School of Medicine, Medical Sciences University of Kurdistan, Sanandaj, Iran
| | - LEILA DEHGHANKAR
- Department of Nursing, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Nursing & Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
| | - SHAMSADDIN NIKNAMI
- School of health Sciences, Health Educalth Department, Tarbiat modares University, Tehran, Iran
- Correspondence: Shamsaddin Niknami, School of health Sciences, Health Education Department, Tarbiat modares University, Tehran, Iran - E-mail:
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