Kiang Wu Nursing College of Macau, Macau, Macao, China.
Asia Pac J Public Health. 2021 Jul;33(5):523-529. doi: 10.1177/10105395211013923. Epub 2021 May 3.
Health literacy has been identified as one vital determinant of public health and healthy behaviors, but very few studies regarding infectious disease prevention have been found. This descriptive cross-sectional study aimed to validate the pathway of infectious disease-specific health literacy (IDSHL), COVID-19 (coronavirus disease 2019) preventive behaviors, and their determinants. A sample of 1459 casino workers in Macao was eligible for analysis. The concept model was verified with a comparative fit index of 0.937 and goodness-of-fit index of 0.971. Government responses was a significant determinant of situational factors (helpfulness of health information, resource accessibility, and organizational training adequacy), while situational factors showed a direct effect on COVID-19 preventive behaviors. Education and organization training adequacy was the strongest influencing factor of IDSHL, which should be a key target of intervention programs for COVID-19.
健康素养已被确定为公共卫生和健康行为的一个重要决定因素，但关于传染病预防的研究却很少。本描述性横断面研究旨在验证传染病特定健康素养（IDSHL）、COVID-19（2019 年冠状病毒病）预防行为及其决定因素的途径。澳门的 1459 名赌场工作人员符合分析条件。概念模型的验证比较拟合指数为 0.937，拟合优度指数为 0.971。政府的反应是情境因素（健康信息的有用性、资源可及性和组织培训的充分性）的重要决定因素，而情境因素对 COVID-19 的预防行为有直接影响。教育和组织培训的充分性是 IDSHL 的最强影响因素，应该是 COVID-19 干预计划的重点目标。
