Oriol Garcia-Codina|Dolors Juvinyà?Canal|Paloma Amil-Bujan|Carmen Bertran-Noguer|María Asunción González-Mestre|Eulàlia Masachs-Fatjó|Sebastià Santaeugènia|Pilar Magrinyà-Rull|Esteve Saltó-Cerezuela
Determinants of health literacy in the general population: results of the Catalan health survey
Ministry of Health|Government of Catalonia|University of Girona|Government of Catalonia|Ministry of Health|University of Girona|Government of Catalonia|Ministry of Health|Ministry of Health|Government of Catalonia|Universitat de Vic - Universitat Central de Catalunya|Ministry of Health|Government of Catalonia|Government of Catalonia
health literacy hl knowledge competence access understand appraise apply health information health judgment analyze first time hl level catalonias population objective assess hl population area identify social determinants hl order improve strategies healthcare plan aimed establishing personcentered system reducing social inequalities healththis crosssectional study based health survey catalonia esca enquesta de salut de catalunya included 16 items european health literacy survey questionnaire hlseuq16 statements questionnaire cover three different health literacy domains health care disease prevention health promotion hl categorized three levels sufficient problematic inadequate chisquare tests performed compare percentages subjects adequate inadequate hl across sociodemographic healthrelated variables variables showing significant differences included stepwise logistic regression predict inadequate hl levelthe questionnaire administered 2433 subjects aged 15 98 years old mean 459 years sd 180 overall 2059 subjects 846 showed sufficient hl 250 103 inadequate hl 124 51 problematic hl significant differences men women p 0070 logistic regression analysis showed low health literacy associated lower level education 208 ci 95 132328 p 0002 low socioeconomic status 211 ci 95 142315 p 0001 physical limitation perform everyday activities 250 ci 95 134466 p 0004 also found modest association low physical activity selfperceived chronic disorder performing preventive activitiescatalonia high percentage subjects sufficient hl education level socioeconomic status physical limitations factors strongest contribution inadequate problematic health literacy although results likely countryspecific factors identified allow policymakers areas similar socioeconomic profiles identify groups high risk problematic inadequate hl essential successful patientcentered model care