Abstract
Introduction: Health literacy is defined as individual 's ability to access, process, and understand health information in order to make health decision. Improving health literacy based on locality is an important public health goal in many countries. There is currently too few research on health literacy were conducted in Malaysia. Thus, this study aims to determine the prevalence of adequate health literacy and factors associated among urban and rural adult 's populations in Malaysia.
Materials and Methods: This study used data from the NHMS 2015, a nationwide cross-sectional survey that implemented a two-stage stratified random sampling design. In total, 13017 Malaysian adults were studied. Complex sample logistic regression analyses were used to determine the associations of sociodemographic and some health conditions toward the health literacy stratified by study locality. Health literacy was analysed categorically using the Newest Vital Sign (NVS) questionnaire tool as indicator of adequate or inadequate. Result: The prevalence of adequate health literacy level among adults aged 18 years in urban [7.8% (95% CI: 6.6, 9.3)] was significantly higher than the rural [2.3% (95% CI: 1.7, 3.1)]. In urban areas, health literacy was significantly associated with ethnicity and level of education. By controlling all study factors, the adequate health literacy found significantly higher among Malay with adjusted odds ratio (AOR) [3.01 (95%CI: 1.08, 7.66)], Chinese [4.75 (95%CI: 1.89, 11.93)] and Indian [4.28 (95%CI: 1.58, 11.56)] compared to Other Bumis and those having tertiary education level [2.71 (95%CI: 1.42, 5.19)] compared to primary or no formal education level. While in rural areas, significant result was only found among those having secondary and tertiary education level with AOR=3.36 (95%CI: 1.18, 9.56)] and AOR=5.67 (95%CI: 1.9, 16.87)] respectively compared to primary or no formal education level. Conclusion: In conclusion, prevalence of adequate health literacy level stills low especially among rural adults. With the findings on these key contributing factors, the stakeholders can formulate and compile better strategies to overcome the urban-rural variation especially when implementing health literacy promotion intervention.Enter description here.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-117.pdf
- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-117,
title = {The urban-rural variations in the prevalence and factors associated to health literacy among Malaysia adults: findings from the National Health and Morbidity Survey (NHMS) 2015},
author = {Zamtira Seman and Masitah Ahmad and Ridwan Sanaudi and Nabilah Hanis Zainuddin and Norrafizah Jaafar and Nor Azizi Abu Bakar and Mohd Azahadi Omar},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-117.pdf
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/P-117_The-urban-rural-variations-in-the-prevalence-and-factors-a-503c51cf64abb41bebc14a583074fd92.pdf},
year = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: Health literacy is defined as individual 's ability to access, process, and understand health information in order to make health decision. Improving health literacy based on locality is an important public health goal in many countries. There is currently too few research on health literacy were conducted in Malaysia. Thus, this study aims to determine the prevalence of adequate health literacy and factors associated among urban and rural adult 's populations in Malaysia.
Materials and Methods: This study used data from the NHMS 2015, a nationwide cross-sectional survey that implemented a two-stage stratified random sampling design. In total, 13017 Malaysian adults were studied. Complex sample logistic regression analyses were used to determine the associations of sociodemographic and some health conditions toward the health literacy stratified by study locality. Health literacy was analysed categorically using the Newest Vital Sign (NVS) questionnaire tool as indicator of adequate or inadequate. Result: The prevalence of adequate health literacy level among adults aged 18 years in urban [7.8% (95% CI: 6.6, 9.3)] was significantly higher than the rural [2.3% (95% CI: 1.7, 3.1)]. In urban areas, health literacy was significantly associated with ethnicity and level of education. By controlling all study factors, the adequate health literacy found significantly higher among Malay with adjusted odds ratio (AOR) [3.01 (95%CI: 1.08, 7.66)], Chinese [4.75 (95%CI: 1.89, 11.93)] and Indian [4.28 (95%CI: 1.58, 11.56)] compared to Other Bumis and those having tertiary education level [2.71 (95%CI: 1.42, 5.19)] compared to primary or no formal education level. While in rural areas, significant result was only found among those having secondary and tertiary education level with AOR=3.36 (95%CI: 1.18, 9.56)] and AOR=5.67 (95%CI: 1.9, 16.87)] respectively compared to primary or no formal education level. Conclusion: In conclusion, prevalence of adequate health literacy level stills low especially among rural adults. With the findings on these key contributing factors, the stakeholders can formulate and compile better strategies to overcome the urban-rural variation especially when implementing health literacy promotion intervention.Enter description here.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: Sector for Biostatistics \& Data Repository, Office of NIH Manager, National Institutes of Health, Ministry of Health Malaysia, Selangor, Malaysia; Institute for Health Behavioural Research, National Institutes of Health, Ministry of Health Malaysia, Selangor, Malaysia},
keywords = {},
pubstate = {published},
tppubtype = {proceedings}
}