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The Proceeding of the 9th AHLA International Health Literacy Conference: Health Literacy and Social Resilience

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亞洲健康識能學會,正常發行

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Background: Coronavirus Disease 2019 (COVID-19) is a respiratory tract infection caused by Severe Acute Respiratory Syndrome Coronavirus 2, which began to spread in China, then spread through the whole globe in 2020. Thailand has been more than 24,299,923 patients and more than 827730 deaths internationally. Objectives: Study the relationship between health literacy and COVID-19 antigen self -test behavior of participants of metropolitan health and wellness institution. Method: The study population was participants from October 2021 to September 2022. The population of 230 patients is studied by a systematic sampling method. Data were collected by questionnaires and analyzed by descriptive and chi-square. Results: The result revealed that most participants had health literacy performance as the following. 79.1% of participants had the ability to seek information and medical services. 83.5% had strong comprehension skills. 79.6% had good conversational skills. 81% had good decision-making skills. 81.3% had strong self-management skills. Last, 87.4% had the ability to share and inform health-related information with others. Moreover, about half of the participants (50.9%) had a moderate ability to perform COVID-19 antigen self -test. The correlation analysis showed a statistically significant relationship between health services, decision-making skills, self-management skills, and communication skills, with a significance level of 0.05 (p-value=0.028, 0.030, 0.001, and 0.001, respectively). Conclusion: The hospital should be have a policy to encourage patients for COVID-19 antigen self -test (ATK). The policy has enhance our patient to increase health literacy skill for protect themselves from COVID-19 and not spread it from themselves to their families, community, and society.

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Background: Health literacy is becoming increasingly recognized as a crucial factor in achieving high-quality overall health outcomes. Oral health literacy, in particular, plays a critical role in promoting proper oral health and improving quality of life. Objective: This study aimed to examine the level of oral health literacy among elderly patients in the Geriatric Dental Clinic and to determine the association between oral health literacy and oral health status. Methodology: A cross-sectional study was conducted on 155 older adults aged up to 60 years. Data were analyzed using descriptive statistics. Fisher's exact test and Spearman's correlation were used to determine the relationship between oral health literacy and related factors and oral health status. All analyses were conducted at 95% confidence interval, with statistical significance set at a p-value less than 0.05. Results: The study found that the mean oral health literacy score was 15.60±0.14, with 86.5% of participants having a high level, 11.6% having a low level, and 1.9% having a very low level of oral health literacy. The study also found a significant association between oral health literacy and demographic data, including education levels, income, and occupation, with pvalues of 0.000, 0.0013, and 0.002, respectively. Furthermore, oral health status, as measured by plaque index, periodontal screening status, and missing teeth, was significantly associated with oral health literacy at p-values of 0.001, 0.020, and 0.000, respectively. Conclusion: The study concluded that patients with lower oral health literacy were more likely to report poor oral hygiene than those with higher oral health literacy. This highlights the need for interventions that can improve oral health literacy among elderly patients in the Geriatric Dental Clinic to promote better oral health outcomes.

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Background: Eating enough high-quality nutrition food will help school-age children grow properly, but obesity is on the rise. In 2017-2022, the overweight school age increased from 11.1% to 13.7%, and stunting increased from 5.1% to 10.7%. In 2022, the regional health center 7 Khon Kaen discovered that 10.1% of school-age children were overweight and 8.2% were stunted. Students' growing nutrition and sufficiency behaviors will be endangered by health literacy factors. Health literacy factors will compromise the nutritional status and appropriate nutritional behaviors of students. Objectives: The study aimed to investigate the level of nutrition literacy among high school students in Kalasin Province, Thailand. Methods: Data collected in June 2022 using the questionnaire, which was approved by three experts (IOC scores), revealed that the consistency index of all questions had obtained values between 0.67 and 1.0, and the reliability was 0.80. Results: Students' health literacy was at the moderate level with an average score of 20.72 (SD= 3.49). The understanding of nutrition was at a moderate level, with an average score of 7.6 (SD = 1.63). The access to nutritional information was low, with an average score of 2.1 (SD = 0.80), and the most accessible sources of information were parents, websites, and YouTube (32.5%, 28.5%, and 22.4%), respectively. The following advice came from parents: 71.9%, teachers: 11.5%, and friends: 5.8%. Searches for healthy food consumption or other healthy food information were sometimes 59.7% and frequently 14.9%. The right decision-making skill in consumption choice was at a moderate level, with an average score of 11.1 (SD = 2.57).

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Background: Hypertension is an important public health problem and a chronic condition that cannot be cured. and complications that cause various organs to cause disease meditation therapy program It consists of arm swing and SKT 2 Meditation Therapy as exercises. To reduce blood pressure levels for hypertension patients in the community. Objectives: Comparison of blood pressure levels before and after receiving the program of the experimental group. Method: Meditation therapy program It consisted of 10 minutes of arm swing and 15-20 minutes of SKT 2 meditation therapy for 4 weeks, 5 days each, for 30 minutes each. Blood pressure was measured before and after the program. conducting content analysis to analyze data. Results: The hypertension patients in the community after receiving the meditation therapy program had significantly lower systolic and diastolic levels than before exercise. (p-value<0.05) Conclusion: Meditation therapy program both exercise and SKT 2 meditation were able to lower both blood pressure levels. If hypertension patients perform activities consistently according to the program It will promote the patient's blood pressure level to decrease and have better physical health.

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Background: Currently, there are many communication channels, and some people need clarification about deciding which health information to follow. Creating a health literacy organization is a vital structure that will systematically develop the potential of people and organizations until becoming a health-literate society. Objectives: 1. To upgrade the public health service units in the 4th Health Region to become health literacy organizations. 2. To study the model of motivation and participation in elevating the public health service unit in the 4th health region to become a health literate organization. Methods: This research used Action-Mixed method research by applying the concepts and theories of motivation and participation. The study is divided into three phases: Phase 1 is preparation and creates motivation, and Phase 2 creates participation. Phase 3 takes lessons from the operation, incentive, and participation model to become a health literacy organization. Results: Five hundred and fifty-two public health service units in the 4th health region applied to be health literate organizations by registering through the Sasukoonchai website, representing 63.08 percent of all the service units. One hundred and twenty-seven units are to become health literacy organizations, representing 23.00 percent. A result of lessons learned is that a clear policy is vital and a success factor. Leadership is essential in driving a health-literate organization; continuous supervision and mentoring exist. Conclusion: Public health service units should be developed into health-literate organizations. To be a friendly and conducive source for people receiving better health services.

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Background: Curdlan is an exopolysaccharide that comprises of repeating glucose units joined together by β-1,3 bonds. It is found as a colourless, odourless, and tasteless powder after processing. It can form two types of gels namely, thermo-reversible and thermo-irreversible gel. It is non-toxic and biodegradable. Since it can mimic the mouth feel of fatty food products, it can be used in fat-replacement. Some studies have shown curdlan does not have a caloric value. Therefore, its use in food helps diabetics. However, curdlan is not very well known and hence, awareness on its applications is very limited. Objectives: To determine best carbon and nitrogen source for the isolated curdlan-producing organism and to characterize curdlan produced. Method: The original carbon source 'Sucrose' in the fermentation media was replaced by others such as glucose, fructose, maltose, lactose. Similarly, optimization of nitrogen source was done by replacing (NH_4)_2HPO_4 with urea, peptone, ammonium nitrate and ammonium sulfate. Physical parameters were kept constant along with other media constituents. pH was maintained at 7.0, temperature at 30°C and agitation speed 180rpm. Fourier-transform infrared spectroscopy (FTIR) analysis was done to investigate the presence of functional groups in curdlan which would also help in confirming its identity. Results: Curdlan yield (g/L) was checked when various carbon and nitrogen sources were utilized. Curdlan production was maximum (0.45g/L) when sucrose was used as the carbon source and urea was used as the nitrogen source. The FTIR spectra showed characteristic peaks for biopolymer curdlan such as at ~890 cm^(-1) and others. Conclusion: The effect of carbon and nitrogen sources on the yield of curdlan was evaluated. Sucrose was the best carbon source and Urea was the best nitrogen source for curdlan yield from this isolated organism. The FTIR spectra confirmed that the obtained biopolymer was indeed curdlan.

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Background: Health information, employing proper language, format, and form of dissemination, helps patients and their families to improve their health condition. Objectives: To answer health questions for the underserved population, with low health literacy, and with restricted access to the health system. Members in this project are mainly undergraduate students from the Ribeirao Preto Medical School of the University of São Paulo, with a faculty member supervision. Method: The project adopts the following methodological route: 1) Undergraduate students perform active search for health questions asked by the population on social networks, especially in patients and family discussion groups on health conditions; 2) They consult the best existing scientific evidence to answer these questions; 3) They create answers in a simple language understandable by the lay Portuguese speaking population; 4) The project coordinator reviews the answers before dissemination on social networks; 5) All team analyzes the feedback given by the population about the answers; 6) Students receive continuous training to answer the population questions; 7) Students receive a monthly $100 grant. Results: It is observed that many questions presented by the population are repeated. Therefore, 766 answers assisted about 660,000 people from Brazil and other countries. In addition to helping the population, students who participate in the project have a more effective knowledge about the informational needs of the population, a fact that can decrease preconceived ideas about underserved populations; they learn which are the best sources of scientific evidence and the Brazilian Health System limitations; and they assimilate how to communicate in simple language as well as the difficulties in translating scientific knowledge into society. Conclusion: Involving undergraduate students from the health field to answer population questions builds a virtuous circle where everyone involved strengthens their health literacy.

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Background: The media has portrayed health as a major concern for people of all ages, particularly young people. "Fitspiration" (also known as "fitspo") aims to motivate people to exercise and live a healthy lifestyle. There is very little existing literature on how people's lifestyles and physical health are influenced by engaging with this type of content. Initial research has focused on potential negative effects on psychological well-being, such as body image, self-esteem, and eating disorders. Objectives: The goal of this study was to gain knowledge and understanding of fitspiration and its impact on dietary habits and weight control behavior in a sample of nursing students at Mindanao State University - Iligan Institute of Technology (MSU-IIT) who exercise and follow fitspiration. Method: This study utilized a descriptive correlational study. Purposive sampling was used to select 101 respondents to complete an online survey with closed-ended multiple-choice questions. Result: According to the findings, most participants watch and follow fitspiration content on social media, which increases their physical activity and adherence to a diet plan. When compared to fitness influencers, some report body consciousness and are dissatisfied with their failure to achieve their goals. There is a significant relationship between fitspiration culture and eating habits and between fitspiration culture and weight control behaviors. Conclusion: The fitspiration community on social media can be useful and persuasive for young people, but it appears to have both positive and negative effects. The result of this study can also help in health literacy, especially for the young to make informed decisions as they use fitspiration content. Moreover, future research should seek to determine the magnitude of positive and negative effects, as well as investigate methods of achieving desirable outcomes while minimizing undesirable outcomes.

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Background: The development of health literate organization is a model to drive health services to promote health literacy. Objective: The objectives of this action research were 1) to explain the development of a health literate organization in lifestyle modification clinic 2) to study the changes from the development. Method: The study was conducted between October 2019 - September 30, 2021. The sample consisted of a research team, research participants were professional nurses in lifestyle modification clinic, pharmacists, diabetic and hypertension patients. used in research, including a record of care results Group Discussion Guidelines Quantitative data analysis Frequency, and percentage statistics were used, while qualitative data were used for content analysis. Results: The research results were as follows: 1. The development of a health literate organization of lifestyle modification clinic consisted of 5 steps: 1.1 Policy formulation and Health literacy standards 1.2 Environmental management conducive to becoming a health literate organization 1.3 Development of curriculum and training of health personnel 1.4 Creating health literacy friendly media 1.5 Assessment of development outcomes 2. Results Changes from the development are as follows: 2.1 Health outcomes of diabetic patients and hypertension patients. The accumulation of glucose in control (HbA1C less than or equal to 7 mg%) increased from 42% to 84% and blood pressure in patients with good control blood pressure (< 140 and < 90 mmHg) increased from 49.20% to 52.38% 2.2 Model of activities to promote health literacy consisted of 1) motivation interviewing and assess the stage of change 2) enhance learning skills 4) enhance questioning skills 5) enhance decision-making skills 6) enhance self-reminder and self-management skills. Conclusion: Research recommendations health service establishments with similar contexts can apply the research results to develop a health literate organization to provide public health literacy services for non-communicable diseases.

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Background: Health District 3 has a population of working age 2 in 3 of the total population. Data from the Health Data Center for 2017-2021 found that the working age population Abdominal obesity tends to increase by 32.5, 32.8, 32.9, 33.6 and 34.2 percent, which is a risk factor for coronary heart disease. Objectives: study the level of health literacy and factors influencing health literacy of people of working age with obesity, Health Region 3 Method: A cross-sectional survey study of Thai population aged 15 years and over, BMI>23kg/M2 living in the sample household. In health zone 3 for at least 6 months, 1,693 people were selected by stratified random sampling between December 2021 and September 2022. Data were collected by interview with Cronbach's alpha 0.9411 reliability. Data were analyzed by statistical analysis. depict Multiple regression analysis statistics set the level of statistical significance at 95%CI and p<0.05. Results: It was found that (1) most obese people had sufficient level of health literacy. to a very good level, 42.5%, with the ability to change behavior by oneself, 49.8% (2) sources of health knowledge from individuals, community volunteers, sources of health knowledge from LINE/Facebook/Internet (r=9.06), using smart smartphone (r=6.02), having chronic disease (NCD) (r= -3.42) was a factor influencing health literacy of people in Health Region 3 with statistical significance at 0.05 level. Conclusion: access to knowledge According to individual media and local media Perception of treatment rights affects health literacy among 15-year-olds with obesity. Qualitative and quantitative studies should be added, focusing on public health perspectives. to design stimulation access service for good health results and project evaluation for the integration of resources, budgets and aiming for local context problems.