Public Health最新文献

{"title":"Socio-spatial inequalities in presence of primary care physicians and patients' ability to register: A simulated-patient survey in the Paris Region","authors":"Raphaëlle Delpech ,&nbsp;Henri Panjo ,&nbsp;Jeanne Sassenou ,&nbsp;Eric Deflesselle ,&nbsp;Pascaline Mourey ,&nbsp;Colinne Patrice ,&nbsp;Lucie Legros ,&nbsp;Marie Alais ,&nbsp;Pierre-Louis Sokhn ,&nbsp;Marianne Grandin de l’Eprevier ,&nbsp;Laura Sorgiati ,&nbsp;Frédérique Noël ,&nbsp;Florence Ollivier ,&nbsp;Géraldine Bloy ,&nbsp;Laurent Rigal","doi":"10.1016/j.puhe.2024.09.018","DOIUrl":"10.1016/j.puhe.2024.09.018","url":null,"abstract":"<div><h3>Objectives</h3><div>We studied the socio-spatial inequalities of three types of general practitioner (GP) density in the Paris metropolitan area: the density of GPs present (that is, practising) in the census block and of those registering new patients for office visits and, separately, for house calls.</div></div><div><h3>Study design</h3><div>An exhaustive simulated patient survey enabled us to determine the number of GPs practising in the Paris metropolitan region accepting new patient registration for continuing care at their office and/or for house calls.</div></div><div><h3>Methods</h3><div>We measured at the level of a census block three types of GP densities: density of GPs present, density of GPs registering new patients at their office and density of GP registering new patients for house calls. We compared the association between the social deprivation level and each density measurement overall, then by stratifying for the population density of the census block.</div></div><div><h3>Results</h3><div>In 2017–2018, we contacted 8171 physicians (87.6 % of the GPs in the region). Although more than 55 % of Ile-de-France census blocks had (at least) one practising GP, fewer than 40 % had one willing to register a new patient for ongoing office care, and fewer than 20 % for home care. Regardless of the GP density considered, it decreased as the census block's deprivation index rose. However, these inequalities were more marked for registration than for presence and in the most densely populated blocks.</div></div><div><h3>Conclusions</h3><div>In conclusion, the indicators of GPs' mere presence appear to minimise the socio-spatial disparities associated with access to registration.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 160-166"},"PeriodicalIF":3.9,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142438417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of water and sanitation, PM pollution and climate change of COPD and LRIs under different sociodemographic transitions","authors":"Yiran Cui,&nbsp;Yan Yan","doi":"10.1016/j.puhe.2024.10.012","DOIUrl":"10.1016/j.puhe.2024.10.012","url":null,"abstract":"<div><h3>Objectives</h3><div>To estimate the burden of chronic obstructive pulmonary disease (COPD) and lower respiratory tract infections (LRIs) stratified by geographic location, and social-demographic status for 21 regions across the world from 1990 to 2019.</div></div><div><h3>Study design</h3><div>The analysis utilized data from the Global Burden of Disease (GBD) Study, focusing on mortality and disability-adjusted life years (DALYs) as measures of COPD and LRI burden. Trend analyses using the Joinpoint model were conducted across five socio-demographic index (SDI) quintiles.</div></div><div><h3>Methods</h3><div>We investigated the burden of COPD and LRIs employing restricted cubic splines to flexibly identify relationships between DALY rates and SDI. This method allowed for detailed examination of trends over time across different regions and socio-demographic contexts.</div></div><div><h3>Results</h3><div>From 1990 to 2019, the ASMR of COPD attributed to PM for global and five SDI quintiles decreased 61.80 %, 53.41 %, 63.04 %, 63.00 %, 40.98 %, 12.14 % respectively. In terms of PM Pollution, there was an inverted U-shaped association between the DALY and SDI for COPD, the DALY rate associated with LRIs due to PM pollution exhibited a progressive decline as SDI increased.</div></div><div><h3>Conclusion</h3><div>Even though the trend in mortality and DALY of COPD and LRIs decreased globally, the COPD and LRI burden attributed to PM pollution remains high, particularly in lower SDI quintiles.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 150-159"},"PeriodicalIF":3.9,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimated number and incidence of influenza-associated acute respiratory infection cases in winter 2021/22 in Wanzhou District, China","authors":"Mengmeng Jia ,&nbsp;Tingting Li ,&nbsp;Mingyue Jiang ,&nbsp;Peixi Dai ,&nbsp;Wenge Tang ,&nbsp;Yunshao Xu ,&nbsp;Qing Wang ,&nbsp;Qing Li ,&nbsp;Yuping Duan ,&nbsp;Yu Xiong ,&nbsp;Xuan Han ,&nbsp;Zhuorong Li ,&nbsp;Jie Qian ,&nbsp;Luzhao Feng ,&nbsp;Li Qi ,&nbsp;Weizhong Yang","doi":"10.1016/j.puhe.2024.09.012","DOIUrl":"10.1016/j.puhe.2024.09.012","url":null,"abstract":"<div><h3>Objectives</h3><div>Understanding the burden of influenza-associated acute respiratory infection (ARI) and severe ARI (SARI) is crucial for public health decision-making. A population-based study with multiple data sources was conducted to estimate the burden of influenza-associated ARI in Wanzhou District, Chongqing, southern China.</div></div><div><h3>Study design</h3><div>Population-based surveillance study.</div></div><div><h3>Methods</h3><div>Active surveillance of ARI was conducted in different levels of health facilities in the Wanzhou District between October 2021 and March 2022. Nasal or throat swabs were collected and tested for influenza viruses in hospital-based surveillance. A health utilisation survey was used to estimate health-seeking behaviour, and all electronic medical records were collected. An epidemiological model was used to estimate the disease burden.</div></div><div><h3>Results</h3><div>There were an estimated 52,960 influenza-associated ARI (95 % confidence interval [CI]: 39,213–84,891), including 2,529 SARI cases (95 % CI: 1,385–21,712) during winter 2021/22 in the Wanzhou District. The incidence rate for all influenza-associated ARI and SARI was 3,385/100,000 and 162/100,000, respectively. A higher incidence rate of influenza-associated ARI was observed among individuals aged &lt;50 years, while a higher influenza-associated SARI rate was observed in those aged ≥50 years.</div></div><div><h3>Conclusions</h3><div>Using an epidemiological model with data from multiple sources, this study documented a substantial burden of influenza-associated ARI in the Wanzhou District, highlighting the need for influenza vaccination and providing a possible foundation for public health decision-making.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 141-146"},"PeriodicalIF":3.9,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Landscapes, cultures and technologies of loneliness: A call for participatory research with young adults","authors":"Mare Knibbe,&nbsp;Youssef Azghari,&nbsp;Arjan van Beelen,&nbsp;Lotte van den Berg,&nbsp;Fouzya Besteman,&nbsp;Kitty Jurrius,&nbsp;Sander van Lanen,&nbsp;Klasien Horstman","doi":"10.1016/j.puhe.2024.09.027","DOIUrl":"10.1016/j.puhe.2024.09.027","url":null,"abstract":"<div><div>In this viewpoint, we propose directions for research about loneliness among young adults. We argue that loneliness should not be individualized as a problem of ‘lonely people’ and ‘at risk’ groups but rather approached as an environmental and collective problem. Based on scholarship about the challenges that young adults face nowadays we identify three central themes: landscapes, cultures and technologies of loneliness. These themes can best be researched with participatory approaches involving collaborations with young adults in different life world-settings.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 147-149"},"PeriodicalIF":3.9,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of health literacy education on health literacy in early adolescence: A randomized controlled trial","authors":"Büşra Nur Yüksek ,&nbsp;Sultan Ayaz-Alkaya","doi":"10.1016/j.puhe.2024.09.024","DOIUrl":"10.1016/j.puhe.2024.09.024","url":null,"abstract":"<div><h3>Objectives</h3><div>The present study was conducted to measure the effectiveness of health literacy education on the health literacy level of children in early adolescence.</div></div><div><h3>Study design</h3><div>A parallel group randomized controlled trial was conducted.</div></div><div><h3>Methods</h3><div>The study group consisted of sixth and seventh-grade students (aged 12–13 years) studying in a secondary school in Ankara. The study was completed by 80 students, 40 in the intervention group and 40 in the control group. The Health Literacy Education program, consisting of four sessions, was presented to the intervention group. The instruments were administered to both groups before the intervention (pre-test), one month (post-test), and three months after the intervention (follow-up test). The data was analyzed using the chi-square test, and the two-way mixed-design variance analysis with Bonferroni Multiple Comparison Test.</div></div><div><h3>Results</h3><div>Before the study, the adolescents in the intervention and control groups were similar regarding descriptive characteristics (p &gt; 0.05). There was no statistically significant difference between the pre-test health literacy mean scores of the intervention and control groups (p &gt; 0.05). After the health literacy education, health literacy post-test scores and follow-up test mean scores of the intervention group increased significantly compared to the control group (p &lt; 0.05). The intervention had a large effect size (F = 414.683; η2 = 0.91) at the 95 % confidence interval.</div></div><div><h3>Conclusions</h3><div>The study revealed that health literacy education was effective in increasing the level of health literacy in early adolescence. It is recommended that health literacy education be added to the school education curriculum of adolescents.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 135-140"},"PeriodicalIF":3.9,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Musculoskeletal disorders in emergency medical services personnel: a systematic review and meta-analysis","authors":"A. Tahernejad ,&nbsp;F. Makki ,&nbsp;E. Rezaei ,&nbsp;H. Marzban ,&nbsp;S. Tahernejad ,&nbsp;A. Sahebi","doi":"10.1016/j.puhe.2024.08.020","DOIUrl":"10.1016/j.puhe.2024.08.020","url":null,"abstract":"<div><h3>Objectives</h3><div>Emergency medical services personnel are frequently subjected to strenuous physical tasks, such as lifting and moving patients, as well as working in awkward postures. These activities can result in a variety of debilitating injuries, including musculoskeletal disorders (MSDs). As a result, this systematic review and meta-analysis study aimed to examine the frequency of MSDs among emergency medical services personnel.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>This systematic review and meta-analysis study was conducted based on the PRISMA guidelines. The protocol of this work is registered in PROSPERO with the code CRD42024506958. Searches were conducted without time limits in several databases including PubMed, Scopus, Web of Science, Science Direct, SID, ISC, and Google Scholar until February 12, 2024. The I² index was used to assess heterogeneity, and random effects model was used for meta-analysis. Data were analyzed using STATA version 14.</div></div><div><h3>Results</h3><div>A total of 709 articles were obtained by initial search in the mentioned databases. Following a thorough screening and quality assessment, 27 articles were chosen for meta-analysis. The findings revealed that the overall prevalence of MSDs among emergency medical services personnel is 56.52% (95% CI: 35–78.04, I² = 99.8%, <em>P</em> &lt; 0.001) and the prevalence in different areas of the body are as follows: the low back (47.38%), upper back (35.15%), neck (31.19%), shoulder (30%), knee (27.07%), hand (20.70%), hip/thigh (19.48%), feet (19.11%), and elbow (17.36%).</div></div><div><h3>Conclusion</h3><div>The prevalence of MSDs among emergency medical services personnel is very high. Considering the importance of the role of these employees and the specific risk factors of their jobs, it is recommended that periodic screening is prioritized. In addition, attention should be paid to the ergonomic evaluation of the work environment and the design of appropriate ergonomic interventions.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 107-115"},"PeriodicalIF":3.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and inequalities of obesity and associated complications in China: A multicentre nationwide survey","authors":"Peng Ting ,&nbsp;Tao Wang ,&nbsp;Min Fu ,&nbsp;Ren Lin ,&nbsp;Min Hong ,&nbsp;Zhian Zheng ,&nbsp;Jiangang Wang ,&nbsp;Yanhui Lin","doi":"10.1016/j.puhe.2024.09.021","DOIUrl":"10.1016/j.puhe.2024.09.021","url":null,"abstract":"<div><h3>Objectives</h3><div>Obesity is a risk factor for chronic diseases. The prevalence of obesity is rapidly increase and a significant social inequality exists. This study aimed to analyse obesity prevalence and complications in different regions and occupations in China.</div></div><div><h3>Study design</h3><div>Multicentre cross-sectional study.</div></div><div><h3>Methods</h3><div>Data from 62,893 adults in 10 Chinese provinces were collected in 2022. Measures included body mass index (BMI), metabolic status and complications. Analysis was stratified by gender, age, region and occupation, with results adjusted for age and gender.</div></div><div><h3>Results</h3><div>The average BMI was 23.81 ± 3.42 kg/m², with overweight and obesity prevalence at 34.29 % and 11.24 %, respectively. North China had the highest obesity rate (27.93 %), followed by West (26.64 %), South (25.37 %) and East China (20.06 %). Functionaries (e.g. as civil servants, corporate executives) had higher BMI than employees or intellectual professionals, while workers had higher BMI than farmers. Intellectual professionals had the lowest rates of metabolically healthy obesity (MHO) at 4.90 % and metabolically unhealthy obesity (MUO) at 3.47 %, followed by employees (MHO 6.63 %, MUO 4.45 %) and functionaries (MHO 6.74 %, MUO 4.94 %). Workers had the highest MHO prevalence rate at 8.51 %, while farmers had the highest MUO rate at 6.16 %. Obesity-associated complications were 1.5–3 times more common among obese individuals than those in the normal BMI category, with inequality observed across different occupational groups.</div></div><div><h3>Conclusions</h3><div>In China, a large number of adults with obesity have poor metabolic health, highlighting the importance of considering metabolic status when addressing obesity-related chronic diseases. Addressing the inequality in obesity rates can inform public health strategies to tackle the increasing problem of obesity and its associated complications in China.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 97-106"},"PeriodicalIF":3.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The burden of type 2 diabetes attributable to dietary risks in China: Insights from the global burden of disease study 2021","authors":"Feifei Zhong,&nbsp;Xiaochen Chen,&nbsp;Juan Li","doi":"10.1016/j.puhe.2024.09.026","DOIUrl":"10.1016/j.puhe.2024.09.026","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to comprehensively assess how dietary risk factors have influenced the prevalence of Type 2 Diabetes Mellitus (T2DM) in China from 1990 to 2021. The study seeks to provide robust data and scientific evidence essential for formulating effective preventive and control strategies to combat T2DM in China.</div></div><div><h3>Study design</h3><div>This cross-sectional study conducted secondary analyses using data from the Global Burden of Disease 2021 (GBD 2021) to assess the burden of T2DM in China attributable to dietary risks.</div></div><div><h3>Methods</h3><div>The study analyzed age-adjusted metrics related to T2DM, including death counts, Disability-Adjusted Life Years (DALYs), and Age-Standardized Rates (ASRs), using GBD 2021 data, stratified by age and sex. Additionally, Estimated Annual Percentage Changes (EAPCs) were employed to track trends over time.</div></div><div><h3>Results</h3><div>In 2021, the results show that 21.43 % of T2DM-related deaths and 23.51 % of DALYs were attributable to dietary risk factors, notably a diet low in whole grains and high in red and processed meats. Over the period from 1990 to 2021, there has been an increasing trend in the EAPCs of death rates and DALYs associated with dietary risks in China, suggesting a substantial impact of dietary factors on the burden of T2DM in the country.</div></div><div><h3>Conclusion</h3><div>This study highlights the urgent need for targeted public health interventions to promote dietary changes and reduce the burden of T2DM in China.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 122-129"},"PeriodicalIF":3.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age at menarche by birth cohort: A pooled analysis of half a million women in Asia","authors":"Sarah K. Abe ,&nbsp;Marisa Nishio ,&nbsp;Hsi-Lan Huang ,&nbsp;Chi Yan Leung ,&nbsp;Md Rashedul Islam ,&nbsp;Md Shafiur Rahman ,&nbsp;Eiko Saito ,&nbsp;Aesun Shin ,&nbsp;Melissa A. Merritt ,&nbsp;Ji-Yeob Choi ,&nbsp;Ryoko Katagiri ,&nbsp;Zahra Mohammadi ,&nbsp;Xiao-Ou Shu ,&nbsp;Kenji Wakai ,&nbsp;Norie Sawada ,&nbsp;Yuki Ideno ,&nbsp;Akiko Tamakoshi ,&nbsp;Wei Jie Seow ,&nbsp;Woon-Puay Koh ,&nbsp;Ritsu Sakata ,&nbsp;Manami Inoue","doi":"10.1016/j.puhe.2024.09.020","DOIUrl":"10.1016/j.puhe.2024.09.020","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate changes in the age at menarche in Asian populations.</div></div><div><h3>Study design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>We included 548,830 women from six countries in Asia. The data were sourced from 20 cohorts participating in the Asia Cohort Consortium (ACC) and two additional cohort studies: Japan Multi-institutional Collaborative Cohorts (J-MICC), and Japan Nurse Health Study (JNHS) with data on age at menarche. Joinpoint regression was used to evaluate changes in age at menarche by birth year and by country.</div></div><div><h3>Results</h3><div>The study includes data from cohorts in six Asian countries namely, China, Iran, Japan, Korea, Malaysia and Singapore. Birth cohorts ranged from 1873 to 1995. The mean age of menarche was 14.0 years with a standard deviation (SD) of 1.4 years, ranged from 12.6 to 15.5 years. Over 100 years age at menarche showed an overall decrease in all six countries. China showed a mixed pattern of decrease, increase, and subsequent decrease from 1926 to 1960. Iran and Malaysia experienced a sharp decline between about 1985 and 1990, with APC values of −4.48 and −1.24, respectively, while Japan, South Korea, and Singapore exhibited a nearly linear decline since the 1980s, notably with an APC of −3.41 in Singapore from 1993 to 1995.</div></div><div><h3>Conclusions</h3><div>Overall, we observed a declining age at menarche, while the pace of the change differed by country. Additional long-term observation is needed to examine the contributing factors of differences in trend across Asian countries. The study could serve as a tool to strengthen global health campaigns.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 130-134"},"PeriodicalIF":3.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Spanish version of the Health Literacy Survey (HLS19-Q12) in secondary care specialty consultations","authors":"A. McCaskill ,&nbsp;A. Gasch-Gallen ,&nbsp;J. Montero-Marco","doi":"10.1016/j.puhe.2024.09.022","DOIUrl":"10.1016/j.puhe.2024.09.022","url":null,"abstract":"<div><h3>Objectives</h3><div>This study sought to validate the HLS₁₉-Q12 in Spain and in the Spanish language, as well as describe the sociodemographic profile and the general health literacy of the study population.</div></div><div><h3>Study design</h3><div>Descriptive cross-sectional.</div></div><div><h3>Methods</h3><div>Factor analysis and Cronbach's alpha were used to validate the Spanish version of the HLS₁₉-Q12. Health literacy scores and associated categories were calculated using the scale factsheet, and the patient population sociodemographic profile was determined using frequency analysis.</div></div><div><h3>Results</h3><div>The HLS₁₉-Q12 used in Spain in the Spanish language was found to be both valid and reliable (Cronbach's alpha = 0.87). The sociodemographic profile was primarily male and aged, and the majority of patients were of Spanish origin and had diabetes. General patient health literacy was limited, with 60% of participants having general health literacy categorized as inadequate or problematic, and 40 % sufficient or excellent.</div></div><div><h3>Conclusions</h3><div>This study validated the HLS₁₉-Q12 in Spain, created a sociodemographic profile of the sample population, and calculated their health literacy scores. This contribution provides another valuable validated tool and associated data to the increasingly important field of health literacy.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 116-121"},"PeriodicalIF":3.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}