Differential associations of health literacy with Austrian adolescents’ tobacco and alcohol use

A multifaceted intervention to improve mental health literacy in employees of a multi-campus university: a cluster randomised trial

Journal of Public Mental Health ◽

10.1108/jpmh-03-2013-0010 ◽

2014 ◽

Vol 13 (1) ◽

pp. 25-39 ◽

Cited By ~ 6

Author(s):

Nicola J. Reavley ◽

Terence V. McCann ◽

Stefan Cvetkovski ◽

Anthony F. Jorm

Keyword(s):

Mental Health ◽

Health Literacy ◽

Alcohol Use ◽

Help Seeking ◽

Mental Health Literacy ◽

Randomised Trial ◽

Intervention Group ◽

Cluster Randomised Trial ◽

Depression And Anxiety ◽

Content Type

Purpose – The purpose of this study was to assess whether a multifaceted intervention could improve mental health literacy, facilitate help seeking and reduce psychological distress and alcohol misuse in staff of a multi-campus university in Australia. Design/methodology/approach – In this cluster randomised trial (ACTRN12610001027000), nine campuses were paired, with one of each pair randomly assigned to either intervention or control. Interventions (which were whole-of-campus) included e-mails, posters, campus events, factsheets/booklets and mental health first aid training courses. A monitoring sample of staff were recruited from each campus. Participants had a 20-minute computer-assisted telephone interview at baseline, and at the end of academic years 1 and 2. The interview assessed mental health literacy, help seeking for mental health problems, psychological distress and alcohol use. The primary outcomes were depression and anxiety levels and alcohol use and pertained to the individual level. Six campuses were randomised to intervention and three to control and all campuses were included in the analysis. Findings – There were no effects on depression and anxiety levels and alcohol use. Recall of intervention elements was greater in the intervention group at the end of the two-year assessment period. Staff in the intervention group showed better recognition of depression, greater knowledge of the National Health and Medical Research Council guidelines for safe levels of drinking and a greater intention to seek help for alcohol misuse from a general practitioner. Originality/value – Future interventions should involve more focused interventions that include consideration of working conditions and their influence on mental health, as well as addressing mental illness among employees, regardless of cause.

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Health Literacy and Alcohol Use Predict Optimal HIV-Related Clinical Outcomes Following a Skills- Based Adherence Intervention

PsycEXTRA Dataset ◽

10.1037/e521672015-013 ◽

2015 ◽

Author(s):

J.A. Pellowski ◽

S.C. Kalichman ◽

T. Grebler

Keyword(s):

Health Literacy ◽

Alcohol Use ◽

Clinical Outcomes ◽

Adherence Intervention

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Health literacy, alcohol expectancies, and alcohol use behaviors in teens

Patient Education and Counseling ◽

10.1016/j.pec.2014.07.019 ◽

2014 ◽

Vol 97 (2) ◽

pp. 291-296 ◽

Cited By ~ 26

Author(s):

Deena J. Chisolm ◽

Jennifer A. Manganello ◽

Kelly J. Kelleher ◽

Michael P. Marshal

Keyword(s):

Health Literacy ◽

Alcohol Use ◽

Alcohol Expectancies

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Understanding Educational and Psychosocial Factors Associated with Alcohol Use among Adolescents in Denmark; Implications for Health Literacy Interventions

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15081671 ◽

2018 ◽

Vol 15 (8) ◽

pp. 1671 ◽

Cited By ~ 3

Author(s):

Claudia König ◽

Mette V. Skriver ◽

Kim M. Iburg ◽

Gillian Rowlands

Keyword(s):

Health Literacy ◽

Alcohol Consumption ◽

Alcohol Use ◽

Social Factors ◽

Alcohol Intake ◽

Alcohol Misuse ◽

Educational Performance ◽

Higher Alcohol ◽

Factors Associated ◽

The Impact

Background. Alcohol misuse is a global public health priority, with a variation in prevalence and impact between countries. Alcohol misuse in adolescence is associated with adverse psychological, social and physical health. Adolescents in Denmark have higher alcohol consumption and problematic alcohol use than adolescents in other European countries. Associations between social determinants of health (SDH), psycho-social factors and alcohol consumption are complex and influenced by national context and cultures. This study explored these associations in Danish adolescents. Method. The European School Survey Project on Alcohol and Other Drugs (ESPAD) survey collects data on alcohol and substance use among 15–16-year-old European students. Data contributed by Danish students to the 2011 survey were analyzed. The outcomes of interest were alcohol consumption (any, intoxication and problematic). Health literacy was not directly measured, so self-described educational performance and knowledge about alcohol were used as proxies for health literacy. Exploratory factors thus included socio-demographic, health literacy-related (knowledge about alcohol, educational performance) and psycho-social factors, as well as expectancies of the effect of alcohol (both positive and negative) and self-reported health. Univariate and multivariate logistic regression analyses were undertaken. Results. Of the 2768 adolescents who participated in the survey, 2026 (80%) consumed alcohol during the last 30 days, 978 (38%) were intoxicated at least once during the last 30 days, and 1050 (41%) experienced at least one problem because of alcohol use during the last 12 months. Multivariable analysis showed that the factors associated with higher alcohol intake were gender, poor relationships with parents, expectancies of the impact of alcohol (both positive and negative), and the influence of peers and their alcohol use. Higher school performance was related to lower alcohol consumption. Low socio-demographic status was not associated with higher alcohol consumption. Conclusions. This study confirmed the high levels of alcohol intake, intoxication, and problem drinking amongst the Danish students in the survey and the complexity of the socio-demographic, psychosocial, health literacy-related, and environmental factors associated with alcohol behaviours. Approaches to addressing the issue of alcohol use in Danish adolescents will need to be multi-factorial, including supporting students to develop alcohol-related health literacy skills to enable them to make informed choices.

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ALCOHOL USE SCREENING AND INTEGRATED BEHAVIORAL HEALTH IN GERIATRIC PRIMARY CARE IN THE DEEP SOUTH

Innovation in Aging ◽

10.1093/geroni/igz038.3394 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S933-S933

Author(s):

Bailey Lanai ◽

Deanna Dragan ◽

Rebecca S Allen ◽

Anne Halli-Tierney ◽

Dana Carroll ◽

...

Keyword(s):

Primary Care ◽

Health Literacy ◽

Alcohol Use ◽

Behavioral Health ◽

Hazardous Alcohol Use ◽

Integrated Behavioral Health ◽

Medical Diagnoses ◽

Objective Health ◽

Hazardous Alcohol ◽

Clinically Significant

Abstract This longitudinal behavioral health surveillance and integrated care project aims to assess physical and mental health and substance use in a geriatric primary care setting. Approximately 230 patients (mean age = 76; 74% female; 16% African American) attending an interdisciplinary geriatrics clinic in Alabama have taken part in baseline behavioral health screenings since 2014. Behavioral health measures include cognitive status, self-reported mood, subjective and objective health literacy, and alcohol use. All measures are administered by clinical psychology graduate students. Patients had an average of 5.83 medical diagnoses. Only 26.2% of patients had scores indicating cognitive functioning within normal limits; 32.6% had scores indicative of mild neurocognitive disorder, and 41.2% had scores indicative of dementia. Over 80% of patients had adequate self-reported health literacy; however, measurements of objective health literacy indicated a significant number of individuals have difficulty following medical directions independently. Over 30% of patients reported clinically significant levels of depression or anxiety, and 16.5% of patients reported at least one indicator of hazardous alcohol use. Specifically, 50.7% of patients consume alcohol on at least a yearly basis with 38.2% endorsing at least one problematic drinking behavior and 11.6% scoring in the clinically significant range for alcohol misuse. Moreover, 22.7% report use of opioid pain medication. The results of this study demonstrate that routine hazardous alcohol use screening as one component of integrated behavioral health care within geriatric primary care increases detection of hazardous alcohol use among older adults.

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