Zdravstvena pismenost u vezi s pandemijom: sistematski pregled literature o pandemijama COVID-19, SARS-a i MERS-a.
Singapore medical journal
Sažetak istraživanja
Uvod Zdravstvena pismenost igra ključnu ulogu u nečijoj sposobnosti stjecanja i razumijevanja kritičnih medicinskih informacija u infodemiji bolesti korona virusa 2019 (COVID-19) i drugim pandemijama.
Cilj nam je bio da sumiramo procjenu, nivoe i determinante zdravstvene pismenosti povezane s pandemijom i povezane kliničke ishode.
Metode Sistematski pregled je izvršen u Medline®, Embase®, PsycINFO®, CINAHL® i četiri glavna servera za preprint. Uključene su opservacijske i interventne studije koje su procjenjivale zdravstvenu pismenost u vezi s novim COVID-19, teškim akutnim respiratornim sindromom (SARS) i bliskoistočnim respiratornim sindromom (MERS). Stavke koje se koriste u instrumentima zdravstvene pismenosti grupisane su pod temama znanja, stavova i praksi. Odrednice zdravstvene pismenosti grupisane su u pet domena: sociodemografski, medicinski, psihološko/psihijatrijski, zdravstveni sistem i drugi.
Rezultati Od 2.065 pregledanih članaka, uključeno je 70 članaka. Od toga, 21, 17 i 32 studije procjenjivale su zdravstvenu pismenost u vezi sa COVID-19, SARS-om i MERS-om. Stope niske zdravstvene pismenosti u vezi sa pandemijom kretale su se u rasponu od 4,3% do 57,9% među populacijama koje se odnose na liječenje i od 4,0% do 82,5% među nemedicinskim populacijama. Najčešće se procjenjivalo znanje o simptomima i prijenosu infekcije, zabrinutost zbog infekcije i praksa vezana za korištenje maski i higijenu ruku. Najčešće su proučavane sociodemografske determinante zdravstvene pismenosti, među kojima su nivo visokog obrazovanja, starija životna dob i ženski spol povezani s boljom zdravstvenom pismenošću. Nijedna studija nije procijenila ishode povezane sa zdravstvenom pismenošću.
Zaključak Nivo zdravstvene pismenosti u vezi sa pandemijom je suboptimalan. Administratori zdravstvene zaštite moraju biti svjesni determinanti zdravstvene pismenosti kada formulišu politike u pandemijama.
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Pandemic-related health literacy: a systematic review of literature in COVID-19, SARS and MERS pandemics.
Introduction Health literacy plays an essential role in one's ability to acquire and understand critical medical information in the coronavirus disease 2019 (COVID-19) infodemic and in other pandemics. We aimed to summarise the assessment, levels and determinants of pandemic-related health literacy and its associated clinical outcomes.
Methods A systematic review was performed in Medline ® , Embase ® , PsycINFO ® , CINAHL ® and four major preprint servers. Observational and interventional studies that evaluated health literacy related to the novel COVID-19, severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) were included. Items used in health literacy instruments were grouped under the themes of knowledge, attitudes and practices. Determinants of health literacy were grouped into five domains: sociodemographic, medical, psychological/psychiatric, health systems-related and others.
Results Of the 2,065 articles screened, 70 articles were included. Of these, 21, 17 and 32 studies evaluated health literacy related to COVID-19, SARS and MERS, respectively. The rates of low pandemic health literacy ranged from 4.3% to 57.9% among medical-related populations and from 4.0% to 82.5% among nonmedical populations. Knowledge about the symptoms and transmission of infection, worry about infection, and practices related to mask usage and hand hygiene were most frequently evaluated. Sociodemographic determinants of health literacy were most frequently studied, among which higher education level, older age and female gender were found to be associated with better health literacy. No studies evaluated the outcomes associated with health literacy.
Conclusion The level of pandemic-related health literacy is suboptimal. Healthcare administrators need to be aware of health literacy determinants when formulating policies in pandemics.
Izvorni podaci
- DOI
- 10.4103/singaporemedj.smj-2021-026
- PMID
- 37459004
- PMCID
- PMC12161643
- Provjereno
- 2026-07-26
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