Marie Pauline, Romain-Scelle Nicolas, Potinet Veronique, Schott Anne Marie, Douplat Marion
Hospices Civils of Lyon, Hôpital Lyon Sud, Emergency department, Université Claude Bernard Lyon 1, 69495, Pierre-Bénite, France.
CNRS, Laboratoire de Biométrie et Biologie Évolutive UMR, 5558, Villeurbanne, France.
BMC Health Serv Res. 2024 Apr 22;24(1):493. doi: 10.1186/s12913-024-11003-1.
Health literacy (HL) has become a subject of major interest in public health worldwide. It is known to be linked to self-efficacy in care use and to global health status, and a non-negligible frequency of problematic or inadequate levels of HL in populations worldwide is reported. As this has yet to be evaluated in France, the present study aimed to evaluate the HL level of patients in a French emergency department (ED).
We conducted a descriptive, cross-sectional observational, single center study in the ED of the Lyon Sud hospital (Hospices civils de Lyon, Lyon, France). The primary endpoint was the HL level of the patients determined according to the score obtained using the 16-item European Health Literacy Survey Questionnaire. The secondary endpoint was the identification of sociodemographic factors associated with the HL level.
A total of 189 patients were included for analysis. 10% (95% CI [3%; 17%]) of the patients had an inadequate HL, 38% (95% CI [31%; 45%]) had a problematic HL, and 53% (95% CI [46%; 61%] had an adequate HL. In multivariate analysis, age and perceived health status were independent predictors of the HL level; OR =0.82 (95% CI [0.69; 0.97]; p=0.026) for a 10-year increase in age, and OR =1.84 (95% CI [1.22; 2.82]; p=0.004]).
The HL level of the patients in the ED studied herein was similar to that found in the population of France and other European countries and was influenced by age and perceived health status, which are both associated with care needs. It may be therefore interesting to explore in future studies how taking into consideration HL in the general population may lead to a better self-efficacy in care and optimize the use of the healthcare system.
健康素养（HL）已成为全球公共卫生领域的一个主要关注话题。已知其与医疗服务利用的自我效能以及整体健康状况相关，并且据报道全球人群中HL水平存在问题或不足的频率不可忽视。由于法国尚未对此进行评估，本研究旨在评估法国一家急诊科（ED）患者的HL水平。
我们在里昂南部医院（法国里昂公民医院）的急诊科进行了一项描述性、横断面观察性单中心研究。主要终点是根据使用16项欧洲健康素养调查问卷获得的分数确定的患者HL水平。次要终点是识别与HL水平相关的社会人口学因素。
共纳入189例患者进行分析。10%（95%可信区间[3%；17%]）的患者HL不足，38%（95%可信区间[31%；45%]）的患者HL存在问题，53%（95%可信区间[46%；61%]）的患者HL充足。在多变量分析中，年龄和自我感知的健康状况是HL水平的独立预测因素；年龄每增加10岁，比值比（OR）=0.82（95%可信区间[0.69；0.97]；p=0.026），OR =1.84（95%可信区间[1.22；2.82]；p=0.004）。
本文所研究的急诊科患者的HL水平与法国和其他欧洲国家人群的HL水平相似，并且受年龄和自我感知的健康状况影响，这两者均与医疗需求相关。因此，在未来研究中探索考虑普通人群的HL如何能提高医疗服务利用的自我效能并优化医疗系统的使用可能会很有意义。
