School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Northfields Ave, Wollongong, NSW, 2522, Australia.
Health Innovations Research Centre, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, Northfields Ave, NSW, 2522, Australia.
BMC Public Health. 2024 Jul 6;24(1):1804. doi: 10.1186/s12889-024-19223-0.
BACKGROUND: Males have a shorter life expectancy than females. Men are less likely to seek the advice of a health professional or utilise preventive health services and programs. This study seeks to explore health literacy and the characteristics affecting this among Australian men. METHODS: Four hundred and thirty-one adult males engaged with the New South Wales Rural Fire Service, completed an online cross-sectional survey, undertaken from September - November 2022. The survey tool captured demographic data, health status and lifestyle risk characteristics. Health literacy was measured using the 44-item Health Literacy Questionnaire (HLQ). Descriptive statistics, frequencies, percentages, means and standard deviations, were used to describe the sample. Interferential statistics, including the Mann-Whitney U Test and the Kruskal-Wallis Test, were used to explore differences between demographics and HLQ scales. RESULTS: For the first 5 scales (4-point Likert scale), the lowest score was seen for 'Appraisal of health information' (Mean 2.81; SD 0.52) and the highest score was seen for 'Feeling understood and supported by healthcare providers ' (Mean 3.08; SD 0.64). For the other 4 scales (5-point Likert scale), the lowest score was seen for 'Navigating the healthcare system' (Mean 3.74; SD 0.69). The highest score was seen for 'Understand health information well enough to know what to do' (Mean 4.10; SD 0.53). Age, income level and living in an urban/rural location were significantly related to health literacy scales. CONCLUSIONS: This study provides new insight into men's health literacy and the factors impacting it. This knowledge can inform future strategies to promote men's engagement with health services and preventive care.
背景:男性的预期寿命比女性短。男性不太可能寻求健康专业人员的建议或利用预防保健服务和计划。本研究旨在探讨澳大利亚男性的健康素养及其影响因素。
方法:2022 年 9 月至 11 月期间,431 名成年男性参与了新南威尔士州农村消防局的在线横断面调查。调查工具收集了人口统计学数据、健康状况和生活方式风险特征。健康素养使用 44 项健康素养问卷(HLQ)进行测量。使用描述性统计、频率、百分比、平均值和标准差来描述样本。使用干扰统计,包括曼-惠特尼 U 检验和克鲁斯卡尔-沃利斯检验,来探索人口统计学和 HLQ 量表之间的差异。
结果:在前 5 个量表(4 分李克特量表)中,“评估健康信息”的得分最低(均值 2.81;标准差 0.52),“感受到医疗保健提供者的理解和支持”的得分最高(均值 3.08;标准差 0.64)。在后 4 个量表(5 分李克特量表)中,“在医疗保健系统中导航”的得分最低(均值 3.74;标准差 0.69)。“足够理解健康信息以了解该做什么”的得分最高(均值 4.10;标准差 0.53)。年龄、收入水平和居住在城市/农村地区与健康素养量表显著相关。
结论:本研究提供了男性健康素养及其影响因素的新见解。这些知识可以为未来促进男性参与健康服务和预防保健的策略提供信息。
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