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        A New Comprehensive Short-form Health Literacy Survey Tool for Patients in General

        Tuyen Van Duong,Peter WuShou Chang,Shih-Hsien Yang,Ming-Chu Chen,Wei-Ting Chao,Tara Chen,Priscilla Chiao,Hsiao-Ling Huang 한국간호과학회 2017 Asian Nursing Research Vol.11 No.1

        Purpose: To validate a conceptual short-form health literacy 12 items questionnaire (HL-SF12) in patient populations. Methods: A cross-sectional study was conducted via a convenient sample of 403 patients from three departments of a community general hospital in the northern Taiwan. Patients’ health literacy was assessed with a validated HL-SF12, derived from the full scale, the European Health Literacy Survey Questionnaire (HLS-EU-Q), as well as a single-item from Chew’s Set of Brief Health Literacy Question. A reference population in Northern Taiwan (n = 928) via the HLS-EU-Q in 2013e2014 was used as a reference to compare the health literacy between that of the general public and the patients. Data was analyzed by confirmatory factor analysis (CFA), internal consistency analysis, correlation analysis, and linear regression models. Results: Patients’ health literacy assessed with the HL-SF12 was shown with high internal consistency (Cronbach a = .87), and moderately correlated with the single-item from Chew's Set of Brief Health Literacy Question, with satisfactory item-scale convergent validity (item-scale correlation> .40), without floor/ceiling effect, and with satisfactory goodness of fit indices of the three-factor construct model for most of the patients. Their health literacy was significantly positively associated with female gender, higher income, and more often watching health-related TV programs. On the other hands, patients were reported with significantly higher healthcare health literacy than the general public, but not in general health literacy, disease prevention health literacy, or health promotion health literacy. Conclusion: The comprehensive HL-SF12 was a valid and easy to use tool for assessing patients’ health literacy in the hospitals to facilitate healthcare providers in enhancing patients’ health literacy and healthcare qualities.

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        An online Indigenous Knowledge Database on Climate Change Adaptation of Farmers in the Vietnam Mekong Delta

        Van Hoa Nguyen,Thi Mai Phung Bui,Thanh Phong Le,Hoang Tung Nguyen,Minh Tuyen Truong,Minh Nhut Do,Van Nha Duong 인간식물환경학회 2022 인간식물환경학회지 Vol.25 No.6

        Background and objective: For countries vulnerable to climate change as Vietnam, indigenous knowledge (IK) might assist in revealing the values of local people's adaptations to environmental stresses and potentially support decision-making. Despite IK can provide the adaptive capacity of local people's activities within environmental contexts, but it is rapidly vanishing. This study aimed to describe the documentation of IK associated with climate change adaptation of farmers in the Vietnam Mekong Delta (VMD). Methods: We focused on collecting and establishing online access to IK documents through collaboration between IK holders, public sector, collecting institutions, and researchers in the five agro-ecological zones of the VMD. An online IK database for storing IK documents has been designed and implemented based on the web application schema. Results: Through interviews, we gathered IK from farming practices that are well-adapted to climate risks such as floods, droughts, and saltwater intrusions as well as traditional knowledge being used to forecast weather, flood, and saltwater intrusion. The database for storing IK documents has been successfully deployed using free and open-source software. The database currently contains more than 260 IK documents, with their location on agro-ecological zones displayed on a web-based map. Conclusion: We have captured and provided an online access to IK on climate change adaptation of the farmers in the VMD. This research is expected as an initial strategy for long-term sustainable development of the agriculture system in this region.

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        Impact of long COVID-19 on posttraumatic stress disorder as modified by health literacy: an observational study in Vietnam

        Han Thi Vo,Tien Duc Dao,Tuyen Van Duong,Tan Thanh Nguyen,Binh Nhu Do,Tinh Xuan Do,Khue Minh Pham,Vinh Hai Vu,Linh Van Pham,Lien Thi Hong Nguyen,Lan Thi Huong Le,Hoang Cong Nguyen,Nga Hoang Dang,Trung 질병관리청 2024 Osong Public Health and Research Persptectives Vol.15 No.1

        Objectives: The incidence of posttraumatic stress disorder (PTSD) has increased, particularly among individuals who have recovered from coronavirus disease 2019 (COVID-19) infection. Health literacy is considered a “social vaccine” that helps people respond effectively to the pandemic. We aimed to investigate the association between long COVID-19 and PTSD, and to examine the modifying role of health literacy in this association.Methods: A cross-sectional study was conducted at 18 hospitals and health centers in Vietnam from December 2021 to October 2022. We recruited 4,463 individuals who had recovered from COVID-19 infection for at least 4 weeks. Participants provided information about their sociodemographics, clinical parameters, health-related behaviors, health literacy (using the 12-item short-form health literacy scale), long COVID-19 symptoms and PTSD (Impact Event Scale-Revised score of 33 or higher). Logistic regression models were used to examine associations and interactions.Results: Out of the study sample, 55.9% had long COVID-19 symptoms, and 49.6% had PTSD. Individuals with long COVID-19 symptoms had a higher likelihood of PTSD (odds ratio [OR], 1.68; 95% confidence interval [CI], 1.63–2.12; p<0.001). Higher health literacy was associated with a lower likelihood of PTSD (OR, 0.98; 95% CI, 0.97–0.99; p=0.001). Compared to those with long COVID-19 symptoms and the lowest health literacy score, those with long COVID-19 symptoms and a 1-point health literacy increment had a 3% lower likelihood of PTSD (OR, 0.97; 95% CI, 0.96–0.99; p=0.001).Conclusion: Health literacy was found to be a protective factor against PTSD and modified the negative impact of long COVID-19 symptoms on PTSD.

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