Health literacy of community leaders in the prevention and control of COVID-19: A cross-sectional study 10.55131/jphd/2024/220301
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Abstract
Community leaders in Thailand play an important role in preventing and controlling infectious diseases, especially during the COVID-19 pandemic. Hence, risk perception and adequate health literacy among these leaders influence the population. This cross-sectional study aimed to investigate the relationships among health literacy, risk perception factors, and the implementation of COVID-19 prevention and control. A self-administered structured questionnaire was administered to 1,338 community leaders in northeast Thailand to assess the level of implementation of COVID-19 prevention and control measures. Multiple logistic regression was performed to identify the influence of risk perceptions and health literacy on the prevention and control of COVID-19. Approximately 64% of the sample was male, and the participants had an average age of 50.51 ± 8.47 years. The factors associated with moderate and high levels of COVID-19 prevention and control among community leaders were moderate and high levels of perceived susceptibility (adjusted odds ratio [ORadj] = 3.01; 95% CI: 2.13–4.25; p-value < 0.001) and perceived severity (ORadj = 1.73; 95% CI: 1.22–2.45; p-value = 0.023) as well as adequate access (ORadj = 1.56; 95% CI: 1.08–2.25; p-value < 0.001) and adequate understanding (ORadj = 2.29; 95% CI: 1.34–3.93; p-value < 0.001), with a level of statistical significance of 0.05. The incorporation of health literacy and risk perception, especially in dimensions such as access, understanding, perceived susceptibility, and perceived severity, is essential for leaders to possess strong skills in community health development, particularly during crises such as the COVID-19 pandemic.
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References
Tantrakarnapa K, Bhopdhornangkul B, Nakhaapakorn K. Influencing factors of COVID-19 spreading: a case study of Thailand. Journal of Public Health. 2020 Jan 1:1-7. https://doi.org/10.1007/s10389-020-01329-5
Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. The lancet. 2020 Feb 15;395(10223):470-3.
World Health Organization. WHO Thailand Weekly Situation Update No. 266: situation report, [Internet]. [Cited 2023 Jul 4]. Available from: https://www.who.int/thailand/emergencies/novel-coronavirus-2019.
Anderson RM, Heesterbeek H, Klinkenberg D, Hollingsworth TD. How will country-based mitigation measures influence the course of the COVID-19 epidemic?. The lancet. 2020 Mar 21;395(10228):931-4. https://doi.org/10.1016/S0140-6736(20)30567-5
Ministry of Interior. Implementation of Preventive Measures Against COVID-19 Spread -Order Letter No. MT 0211.3/W. 1733. 2020 [Internet]. [Cited 2020 March 25]. Available from: https://www.cdd.go.th/content/downloads
Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, Brand H, (HLS-EU) Consortium Health Literacy Project European. Health literacy and public health: a systematic review and integration of definitions and models. BMC public health. 2012 Dec;12:1-3.
Okan O, Bollweg TM, Berens EM, Hurrelmann K, Bauer U, Schaeffer D. Coronavirus-related health literacy: A cross-sectional study in adults during the COVID-19 infodemic in Germany. International journal of environmental research and public health. 2020 Aug;17(15):5503. https://doi.org/10.3390/ijerph17155503
Im R. Social learning theory and the Health Belief Model. Health Educ Q. 1988;15:175-83. https://doi.org/10.1177/109019818801500203
Song I, Lee SH. COVID-19 vaccine refusal associated with health literacy: findings from a population-based survey in Korea. BMC Public Health. 2023 Feb 6;23(1):255.
Kim KA, Hyun MS, De Gagne JC, Ahn JA. A cross‐sectional study of nursing students' eHealth literacy and COVID‐19 preventive behaviours. Nursing open. 2023 Feb;10(2):544-51.
Ling J, Jiang H, Wang X, Rao H. Health literacy affected the residents’ knowledge, attitude, practice for prevention and control of COVID-19 in Shanxi Province, China. Scientific Reports. 2023 Mar 2;13(1):3567.
Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021 Apr 1;42(1):159-73.
Coughlin SS, Vernon M, Hatzigeorgiou C, George V. Health literacy, social determinants of health, and disease prevention and control. Journal of environment and health sciences. 2020;6(1).
Brega AG, Hamer MK, Albright K, Brach C, Saliba D, Abbey D, Gritz RM. Organizational health literacy: quality improvement measures with expert consensus. HLRP: Health Literacy Research and Practice. 2019 Jun 1;3(2):e127-46.
Spring H. Health literacy and COVID‐19. Health Information & Libraries Journal. 2020 Sep;37(3):171-2.
Duong TV, Wong TC, Chen HH, Chen TW, Chen TH, Hsu YH, Peng SJ, Kuo KL, Liu HC, Lin ET, Wang CS. Inadequate dietary energy intake associates with higher prevalence of metabolic syndrome in different groups of hemodialysis patients: a clinical observational study in multiple dialysis centers. BMC nephrology. 2018 Dec;19:1-4.
Pechrapa K, Yodmai K, Kittipichai W, Charupoonpol P, Suksatan W. Health literacy among older adults during COVID-19 pandemic: a cross-sectional study in an urban community in Thailand. Annals of geriatric medicine and research. 2021 Dec;25(4):309.
Okan O, Messer M, Levin-Zamir D, Paakkari L, Sørensen K. Health literacy as a social vaccine in the COVID-19 pandemic. Health Promotion International. 2023 Aug 1;38(4):daab197.
Sihota S, Lennard L. health literacy. Being able to make the most of health. London: National Consumer Council. 2004 Jun.
Slovic P, Fischhoff B, Lichtenstein S. Why study risk perception?. Risk analysis. 1982 Jun;2(2):83-93.
De Bruin WB, Bennett D. Relationships between initial COVID-19 risk perceptions and protective health behaviors: a national survey. American Journal of Preventive Medicine. 2020 Aug 1;59(2):157-67. . https://doi.org/10.1016/j.amepre.2020.05.001
Tadese M, Haile AB, Moltot T, Silesh M. Perceived risk of COVID-19 and related factors among university students in Ethiopia during school reopening. Infection and Drug Resistance. 2021 Mar 11:953-61.
Xie K, Liang B, Dulebenets MA, Mei Y. The impact of risk perception on social distancing during the COVID-19 pandemic in China. International journal of environmental research and public health. 2020 Sep;17(17):6256.
Dionne G, Desjardins D, Lebeau M, Messier S, Dascal A. Health care workers’ risk perceptions and willingness to report for work during an influenza pandemic. Risks. 2018 Feb 8;6(1):8.
Weinstein ND. Perceived probability, perceived severity, and health-protective behavior. Health psychology. 2000 Jan;19(1):65.
KWOK, Kin On, et al. Herd immunity–estimating the level required to halt the COVID-19 epidemics in affected countries. Journal of Infection, 2020, 80.6: e32-e33.
Lim VW, Lim RL, Tan YR, Soh AS, Tan MX, Othman NB, Dickens SB, Thein TL, Lwin MO, Ong RT, Leo YS. Government trust, perceptions of COVID-19 and behaviour change: cohort surveys, Singapore. Bulletin of the World Health Organization. 2021 Feb 2;99(2):92.