scholarly journals ‘Distributed health literacy’: longitudinal qualitative analysis of the roles of health literacy mediators and social networks of people living with a long-term health condition

2013 ◽  
Vol 18 (5) ◽  
pp. 1180-1193 ◽  
Author(s):  
Michelle Edwards ◽  
Fiona Wood ◽  
Myfanwy Davies ◽  
Adrian Edwards
2020 ◽  
Author(s):  
Meng Ji

BACKGROUND Health literacy is a key issue in sustainable healthcare support to reduce health inequality and disparity. In multicultural societies with large and changing migration populations, there is a pressing need to understand the disparity of health literacy among diverse, complex population segments. This study offers much-needed insights into the correlation and interaction among various underlying dimensions of health literacy among diverse populations in Australia. This is based on the 2018 Health Literacy Survey (HLS) conducted by the Australian Bureau of Statistics (ABS) with 5,790 fully responding Australian adults aged above 15. OBJECTIVE Using machine learning to identify major contributing factors (especially, specific value ranges of key health literacy domains) to health literacy disparities in Australia. METHODS Statistical machine learning models (XGBoost Tree) were used to identify and measure the disparity of health literacy between Australian populations characterised by demographic, educational and socio-economic attributes: age, sex, country of birth, main language spoken at home, labour force status, equivalised income of household (EIH), family composition of household, level of highest educational attainment, disability status, Australian states and territories, remoteness and index of relative socio-economic disadvantage (SED). RESULTS Our analysis found that among the nine domains of the 2018 Australian HLS, there were distinct patterns of disparities in health literacy among Australians. Populations which reported higher scores of self-health management ability (SHMA) (Domain 3: 3.08-3.22) were Australians aged under 35 or above 55, having Year 12 or above educational attainment, English-speaking, married with/without children, female, in the top two EIH quintiles, in the lowest two SED quintiles, having no disability or restrictive long-term health condition, and living in the states of Queensland, Victoria, Western Australia, South Australia, Northern Territory. Populations which reported lower scores of SHMA (Domain 3: 2.99-3.08) were Australians aged between 35 and 55; having Year 11 or below education; speaking languages other than English at home; living alone or single parents with dependent children, male, in the bottom three EIH quintiles, in the highest three SED quintiles; having profound or severe core activity limitation, or other disability or restrictive long-term health condition, and living in the Australian states of New South Wales, Tasmania, and the Australian Capital Territory. CONCLUSIONS Our study identified major contributing factors (especially, specific value ranges of key health literacy domains) to health literacy disparities in Australia. These include education (Year 10/11 or below), disability (profound/severe disability), household income (lowest quintiles), the relative SED index (highest quintiles), gender (male Australians), age (aged 35-55 years), main home language (other than English), geographical location (major cities, inner, outer regional, remote Australia). Higher value ranges of these variables are strongly associated with higher scores of key health literacy domains such as access to healthcare support (Domain 1), access to sufficient health information (Domain 2), ability to appraise health information (Domain 5), ability to find good health information (Domain 8) and ability to understand health information well to know how to apply the health information (Domain 9). Higher scores on these domains in turn can have real impact on the overall self-health management ability (Domain 3). CLINICALTRIAL n/a


2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Michelle Edwards ◽  
Fiona Wood ◽  
Myfanwy Davies ◽  
Adrian Edwards

2020 ◽  
Vol 103 (12) ◽  
pp. 1315-1324

Background: Factors related to long-term care needs have been studied widely, but there is limited research about the influence of health literacy on long-term care needs among the elderly in rural communities where the social context and care environment are uniquely different. Objective: To examine factors influencing long-term care needs among Thai elderly in rural communities. Materials and Methods: The present study used the cross-sectional design. The study sample included 477 elderly persons, who were members of the communities in Nakhon Ratchasima Province. Multi-stage random sampling was used to select participants. They were interviewed using the demographic and health information questionnaire, the Thai Geriatric Depression Scale (TGDS), the health literacy scale of Thai adults and long-term care needs questionnaire. The selected factors examined as independent variables included some demographic factors, depressive symptom, and health literacy. Results: The present study results revealed significant positive relationships existing between long-term care needs with age and depressive symptom, while negative relationships between income and health literacy were reported. A hierarchical multiple regression analysis indicated that four of nine determinants of long-term care needs: age, depressive symptom, health knowledge and understanding, and ability managing their health condition significantly predicted long-term care needs at a level of 18% (R² adjusted=0.18, p<0.001). Conclusion: The present study results showed associations between personal and health literacy factors with long-term care needs. These findings prove that it is vitally important for healthcare professionals to consider the rural elderly’s mental health status and health literacy when providing care and planning treatment. Keywords: Health literacy, Long-term care needs, Rural community


2021 ◽  
pp. 002076402110175
Author(s):  
Roberto Rusca ◽  
Ike-Foster Onwuchekwa ◽  
Catherine Kinane ◽  
Douglas MacInnes

Background: Relationships are vital to recovery however, there is uncertainty whether users have different types of social networks in different mental health settings and how these networks may impact on users’ wellbeing. Aims: To compare the social networks of people with long-term mental illness in the community with those of people in a general adult in-patient unit. Method: A sample of general adult in-patients with enduring mental health problems, aged between 18 and 65, was compared with a similar sample attending a general adult psychiatric clinic. A cross-sectional survey collected demographic data and information about participants’ social networks. Participants also completed the Short Warwick Edinburgh Mental Well-Being Scale to examine well-being and the Significant Others Scale to explore their social network support. Results: The study recruited 53 participants (25 living in the community and 28 current in-patients) with 339 named as important members of their social networks. Both groups recorded low numbers in their social networks though the community sample had a significantly greater number of social contacts (7.4 vs. 5.4), more monthly contacts with members of their network and significantly higher levels of social media use. The in-patient group reported greater levels of emotional and practical support from their network. Conclusions: People with serious and enduring mental health problems living in the community had a significantly greater number of people in their social network than those who were in-patients while the in-patient group reported greater levels of emotional and practical support from their network. Recommendations for future work have been made.


2020 ◽  
pp. 101269022097920
Author(s):  
Gareth Wiltshire ◽  
Nicola J Clarke ◽  
Cassandra Phoenix ◽  
Carl Bescoby

In the context of an increasing clinical need to better support self-managemt for people living with long-term health conditions an interest in the role of social networks has emerged. Given that sport participation often provides opportunities for social engagement, a space to explore Self-managemt at the intersection of medical sociology and the sociology of sport has opened up. This article presents findings from an exploratory qualitative study with organ transplant recipients who have participated in Transplant Games events – national and international multi-sport competitions for organ transplant recipients. Our findings illustrate how sport-based Social networks serve as resources for health-related knowledge, provide participants with additional affective support and help shape health expectations for the future. Although sport-based Social networks were seen as an overwhelmingly positive resource for our participants, it is plausible that harmful unintended consequences could arise for patients with existing Self-managemt issues. As such, it is recommended that people seeking to use sport as a tool to enhance illness Self-managemt should consider the various and powerful ways that Social networks can be impactful and anticipate the potential consequences accordingly.


2020 ◽  
Vol 10 (6) ◽  
pp. 71-79
Author(s):  
RAISA BARASH ◽  

Analyzing the spread of information technologies on social consolidation the author pays special attention to the study of the Russian situation when the wide spreading of the new media does not result into intensive political consolidation. The author notes that Internet and social networks have an undeniable potential for social influence because of intensive social interaction of numerous stakeholders. At the same time, the nominal potential of social networks as a mechanism of political communication and consolidation is low today. Wide online access does not lead to an increase of the interest to politics or social activity, awareness or subjectivity. The themes of Internet communication is extremely diverse and, most importantly, is rarely focused on a practical result or a long-term plan of socio-political reform of public policy.


Author(s):  
Ana Catarina Viana Valle ◽  
Aloísio Cunha de Carvalho

Hepatocellular carcinoma (HCC) is the most common liver neoplasm in dogs and can be treated by the Viscum album therapy in a curative or palliative way. The objective is to report a hepatocellular carcinoma case in a dog treated by homeopathic therapy, extending to Palliative Care, with a 24-month survival. A 12-year-old Schnauzer male with a history of a liver nodule was treated by intravenous and subcutaneous applications of V. album in different dynamization and combinations, chromotherapy, and oral homeopathic medicines. The tumor growth was controlled, and the health condition of the patient was stable while the medication was given as prescribed. However, as application frequency was reduced, tumor growth increased, and health deterioration was verified. Nevertheless and contrary to expectations, the patient had a 24-month survival. Therefore, these findings point to the potential of V. album on enhancing the quality of life, controlling tumor growth, and prolonging survival on patients with HCC. Patients under continuous treatment would benefit better of these properties.


2021 ◽  
Vol 5 (2) ◽  
pp. 183-194
Author(s):  
Aida Lasmi ◽  
Nuri Aslami

Today's Indonesian people have a high desire to protect themselves with iberinsurance and even invest while being insured. Insurance has slowly become a necessity for the community as a form of protection and investment in the medium and long term. For investment insurers, a person does not need to manage the purchased policy, it is enough to pay the initial investment premium and then everything is managed by the police issuer, so that it is convenient for the public to use it according to their needs and provisions. The purpose of this research is to find out the implementation of the marketing strategy for investment insurance products at PT AXAi Mandiri Financiali Services (Axa Mandiri) in attracting customers through analyzing the strengths, weaknesses, opportunities and threats faced and simulating premiums on investment insurance products, explaining the qualitative analysis used by the company in depth analysis. The results obtained are that the company iAxa Mandirii increases customer trust by sharpening aspects of its marketing strategy, which begins with identifying the aspects that underlie the preparation of insurance which focuses on investment, determining the brand to be more recognizable by the wider community, a strong personal team, good service, the right choice of products and quality, the right premium, Attractive product packagingii and continuous promotion are the overall strengths applied by Axa Mandiri.  Keywords: strategy, marketing, insurance, investment


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