000147189 001__ 147189
000147189 005__ 20250923084433.0
000147189 0247_ $$2doi$$a10.1186/s12889-024-20710-7
000147189 0248_ $$2sideral$$a140922
000147189 037__ $$aART-2024-140922
000147189 041__ $$aeng
000147189 100__ $$aMcCaskill, Angela
000147189 245__ $$aMeasuring general health literacy using the HLS19-Q12 in specialty consultations in Spain
000147189 260__ $$c2024
000147189 5060_ $$aAccess copy available to the general public$$fUnrestricted
000147189 5203_ $$aBackground
General health literacy (general HL) affects both individual and population health on numerous levels, with low general HL leading to increased morbidity, poor health service utilization, and increased healthcare spending. This study calculated health literacy scores of a population attending specialty consultations in the community of Aragon, Spain. It further produced a sociodemographic profile and examined the relationships between patients’ scores and sociodemographic variables.
Methods
A sample of 150 patients from specialty consultations completed the internationally- validated HLS19-Q12 to measure adult general HL. A 4-point-Likert scale gathered information regarding 12 items of health literacy. Final scores were divided into four categorical levels: excellent, sufficient, problematic, or inadequate. Independent sample t-test, one-way ANOVA, and a generalized linear model (GLM) analysis were performed to examine key relationships with respect to sociodemographic variables and health literacy scores.
Results
The survey was completed by 150 subjects aged 18 and over in specialty clinics in Aragon, Spain. 59% of respondents had inadequate or problematic general HL, while 41% had sufficient or excellent general HL. Income level had a significant effect on health literacy scores, F = 2.129, (p < 0.05), as did different work situations, F = 3.762, (p < 0.001). Patients who self-reported as having diabetes had a significantly higher health literacy score, t = 2.356 (p < 0.05) than those reporting other health conditions. According to GLM analysis, education, health status, income, and the number of appointments were the strongest predictors of the heath literacy score.
Conclusions
General HL in this patient population was limited, and lower than in some comparable studies. The sociodemographic profile constructed, and associations with health literacy established, provide policy makers, healthcare administrators, and clinicians with information to consider new policies, processes and strategies to improve general HL in this specific population.
000147189 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000147189 590__ $$a3.6$$b2024
000147189 592__ $$a1.359$$b2024
000147189 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b73 / 419 = 0.174$$c2024$$dQ1$$eT1
000147189 593__ $$aPublic Health, Environmental and Occupational Health$$c2024$$dQ1
000147189 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000147189 700__ $$0(orcid)0000-0002-3087-8899$$aGasch-Gallen, Angel$$uUniversidad de Zaragoza
000147189 700__ $$aMontero-Marco, Jesica
000147189 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000147189 773__ $$g24, 1 (2024), 10 pp.$$pBMC Public Health$$tBMC PUBLIC HEALTH$$x1471-2458
000147189 8564_ $$s1489353$$uhttps://zaguan.unizar.es/record/147189/files/texto_completo.pdf$$yVersión publicada
000147189 8564_ $$s2220162$$uhttps://zaguan.unizar.es/record/147189/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000147189 909CO $$ooai:zaguan.unizar.es:147189$$particulos$$pdriver
000147189 951__ $$a2025-09-22-14:44:42
000147189 980__ $$aARTICLE