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Building a Health Literacy Indicator from Angola Demographic and Health Survey in 2015/2016

dc.contributor.authorRamos, Neida Neto Vicente
dc.contributor.authorFronteira, Inês
dc.contributor.authorMartins, Maria Rosário Oliveira
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.pblMolecular Diversity Preservation International (MDPI)
dc.date.accessioned2022-06-24T22:27:43Z
dc.date.available2022-06-24T22:27:43Z
dc.date.issued2022-03-01
dc.descriptionFunding Information: We selected information from 19,785 adults aged 15–49 years old who responded to the survey. Data were collected between October 2015 and March 2016. The survey was conducted in all Angola provinces in Portuguese [25]. The use and dissemination of the data was authorized by the Demographic and Health Surveys program [24]. DHS surveys in Angola are funded by the United States Agency for International Development (USAID) and administered by the National Institute of Statistics in Angola (INE) in collaboration with the Angolan Ministry of Health (MINSA). Funding Information: Sa?de Global e Medicina Tropical, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Portugal, reference: UID/04413/2020. Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
dc.description.abstractHealth literacy is a determinant factor for population health. It is important both for the prevention of health problems and the better management of those problems and unexpected situ-ations that happen. Low health literacy has been consistently associated with poor health outcomes. This study aimed to develop a health literacy indicator for Angola and to analyze pertinent demographic characteristics related to it. Data were obtained from the first Angola Demographic and Health Survey conducted in 2015/16; we included 10 questions related to the American National Academy of Medicine definition of health literacy. Using factor analysis, we extracted one i indicator corresponding to four dimensions of health literacy. The indicator was dichotomized, and we used Logistic Regression to estimate factors associated with health literacy level: we obtained data from 19,785 adolescents and adults, aged 15–49 years. The internal consistency of the i indicator was reliable (Cronbach’s α = 0.83). Adjusting for other variables, males with complete secondary education or above and living in urban areas were more likely to have a high level of health literacy. There were substantial differences between the 18 regions. This is the first study evaluating health literacy in Angola using the American National Academy of Medicine definition and a Demographic and Health survey. Our study shows unfavorable results for women, individuals living in rural areas and those less educated.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent2134964
dc.identifier.doi10.3390/ijerph19052882
dc.identifier.issn1661-7827
dc.identifier.otherPURE: 44515983
dc.identifier.otherPURE UUID: fd320452-111e-4654-adaa-099e3b28149e
dc.identifier.otherScopus: 85125417722
dc.identifier.otherPubMed: 35270574
dc.identifier.otherORCID: /0000-0002-7941-0285/work/114195388
dc.identifier.otherORCID: /0000-0003-1406-4585/work/114195410
dc.identifier.urihttp://hdl.handle.net/10362/140756
dc.identifier.urlhttps://www.scopus.com/pages/publications/85125417722
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAngola
dc.subjectAssessment tool
dc.subjectHealth literacy
dc.subjectInequalities
dc.subjectPollution
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectHealth, Toxicology and Mutagenesis
dc.subjectSDG 3 - Good Health and Well-being
dc.titleBuilding a Health Literacy Indicator from Angola Demographic and Health Survey in 2015/2016en
dc.typejournal article
degois.publication.issue5
degois.publication.titleInternational Journal of Environmental Research and Public Health
degois.publication.volume19
dspace.entity.typePublication
rcaap.rightsopenAccess

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