CIMT - Centre for Innovative Medical Technology, Odense University Hospital, Odense, Denmark.
Unit for Health Promotion Research, Department of Public Health, University of Southern Denmark, Esbjerg, Denmark.
Int J Public Health. 2021 Mar 9;66:598083. doi: 10.3389/ijph.2021.598083. eCollection 2021.
Examining whether specific population groups who are not working and those who have an employment have the same health literacy level. Data were retrieved from a nationally representative cross-sectional study of the Danish population conducted with the health literacy questionnaire (HLS-EU-Q16) in 2016 and 2017. Socio-demographic characteristics were drawn from national registers. Odds ratio for the association between employment status and health literacy was estimated from logistic regression models, adjusted for socio-demographic characteristics. Probability weights were used to adjust for differences in responses. Logistic regression analyses showed that receiving unemployment benefits, social assistance, employment and support allowance, retirement pension and sickness benefit were significantly associated with having inadequate health literacy compared to being employed in any industry. The highest odds ratio for inadequate health literacy was present for receiving unemployment benefit OR = 1.78 (95% CI: 1.23-2.56). Population groups not working and receiving economic public support have higher odds of inadequate health literacy competencies compared to those active in the labor force, considering age and socioeconomic factors. The result contributes to understanding health disparities in connection to occupational situation.
调查非就业人群和就业人群的健康素养水平是否相同。数据来自于 2016 年至 2017 年期间丹麦全国代表性横断面研究，使用健康素养问卷（HLS-EU-Q16）进行调查。社会人口统计学特征来自国家登记册。采用逻辑回归模型，根据社会人口统计学特征调整就业状况与健康素养之间的关联的优势比。使用概率权重来调整应答率的差异。逻辑回归分析表明，与从事任何行业的人相比，领取失业救济金、社会援助金、就业和支持津贴、退休金和病假津贴与健康素养不足显著相关。领取失业救济金的人健康素养不足的优势比最高，OR=1.78（95%CI：1.23-2.56）。考虑到年龄和社会经济因素，与劳动力市场活跃的人群相比，不工作且领取经济公共支持的人群的健康素养不足的可能性更高。该结果有助于了解与职业状况相关的健康差距。
