Health Literacy, eHealth Literacy, Adherence to Infection Prevention and Control Procedures, Lifestyle Changes, and Suspected COVID-19 Symptoms Among Health Care Workers During Lockdown: Online Survey.
Identifieur interne : 001B80 ( Main/Exploration ); précédent : 001B79; suivant : 001B81Health Literacy, eHealth Literacy, Adherence to Infection Prevention and Control Procedures, Lifestyle Changes, and Suspected COVID-19 Symptoms Among Health Care Workers During Lockdown: Online Survey.
Auteurs : Binh N. Do [Viêt Nam] ; Tien V. Tran [Viêt Nam] ; Dung T. Phan [Viêt Nam] ; Hoang C. Nguyen [Viêt Nam] ; Thao T P. Nguyen [Viêt Nam, Hongrie] ; Huu C. Nguyen [Viêt Nam] ; Tung H. Ha [Viêt Nam] ; Hung K. Dao [Viêt Nam] ; Manh V. Trinh [Viêt Nam] ; Thinh V. Do [Viêt Nam] ; Hung Q. Nguyen [Viêt Nam] ; Tam T. Vo [Viêt Nam] ; Nhan P T. Nguyen [Viêt Nam] ; Cuong Q. Tran [Viêt Nam] ; Khanh V. Tran [Viêt Nam] ; Trang T. Duong [Viêt Nam] ; Hai X. Pham [Viêt Nam] ; Lam V. Nguyen [Viêt Nam] ; Kien T. Nguyen [Viêt Nam] ; Peter W S. Chang [Taïwan, États-Unis] ; Tuyen Van Duong [Taïwan]Source :
- Journal of medical Internet research [ 1438-8871 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Compétence informationnelle en santé (méthodes), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mode de vie (MeSH), Mâle (MeSH), Personnel de santé (normes), Psychométrie (méthodes), Reproductibilité des résultats (MeSH), Télémédecine (méthodes).
- MESH :
English descriptors
- KwdEn :
- Adult (MeSH), COVID-19 (epidemiology), COVID-19 (prevention & control), Female (MeSH), Health Literacy (methods), Health Personnel (standards), Humans (MeSH), Life Style (MeSH), Male (MeSH), Middle Aged (MeSH), Psychometrics (methods), Reproducibility of Results (MeSH), SARS-CoV-2 (pathogenicity), Surveys and Questionnaires (MeSH), Telemedicine (methods), Young Adult (MeSH).
- MESH :
- epidemiology : COVID-19.
- methods : Health Literacy, Psychometrics, Telemedicine.
- pathogenicity : SARS-CoV-2.
- prevention & control : COVID-19.
- standards : Health Personnel.
- Adult, Female, Humans, Life Style, Male, Middle Aged, Reproducibility of Results, Surveys and Questionnaires, Young Adult.
Abstract
BACKGROUND
The COVID-19 pandemic has imposed a heavy burden on health care systems and governments. Health literacy (HL) and eHealth literacy (as measured by the eHealth Literacy Scale [eHEALS]) are recognized as strategic public health elements but they have been underestimated during the pandemic. HL, eHEALS score, practices, lifestyles, and the health status of health care workers (HCWs) play crucial roles in containing the COVID-19 pandemic.
OBJECTIVE
The aim of this study is to evaluate the psychometric properties of the eHEALS and examine associations of HL and eHEALS scores with adherence to infection prevention and control (IPC) procedures, lifestyle changes, and suspected COVID-19 symptoms among HCWs during lockdown.
METHODS
We conducted an online survey of 5209 HCWs from 15 hospitals and health centers across Vietnam from April 6 to April 19, 2020. Participants answered questions related to sociodemographics, HL, eHEALS, adherence to IPC procedures, behavior changes in eating, smoking, drinking, and physical activity, and suspected COVID-19 symptoms. Principal component analysis, correlation analysis, and bivariate and multivariate linear and logistic regression models were used to validate the eHEALS and examine associations.
RESULTS
The eHEALS had a satisfactory construct validity with 8 items highly loaded on one component, with factor loadings ranked from 0.78 to 0.92 explaining 76.34% of variance; satisfactory criterion validity as correlated with HL (ρ=0.42); satisfactory convergent validity with high item-scale correlations (ρ=0.80-0.84); and high internal consistency (Cronbach α=.95). HL and eHEALS scores were significantly higher in men (unstandardized coefficient [B]=1.01, 95% CI 0.57-1.45, P<.001; B=0.72, 95% CI 0.43-1.00, P<.001), those with a better ability to pay for medication (B=1.65, 95% CI 1.25-2.05, P<.001; B=0.60, 95% CI 0.34-0.86, P<.001), doctors (B=1.29, 95% CI 0.73-1.84, P<.001; B 0.56, 95% CI 0.20-0.93, P=.003), and those with epidemic containment experience (B=1.96, 95% CI 1.56-2.37, P<.001; B=0.64, 95% CI 0.38-0.91, P<.001), as compared to their counterparts, respectively. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures (B=0.13, 95% CI 0.10-0.15, P<.001; B=0.22, 95% CI 0.19-0.26, P<.001), had a higher likelihood of healthy eating (odds ratio [OR] 1.04, 95% CI 1.01-1.06, P=.001; OR 1.04, 95% CI 1.02-1.07, P=.002), were more physically active (OR 1.03, 95% CI 1.02-1.03, P<.001; OR 1.04, 95% CI 1.03-1.05, P<.001), and had a lower likelihood of suspected COVID-19 symptoms (OR 0.97, 95% CI 0.96-0.98, P<.001; OR 0.96, 95% CI 0.95-0.98, P<.001), respectively.
CONCLUSIONS
The eHEALS is a valid and reliable survey tool. Gender, ability to pay for medication, profession, and epidemic containment experience were independent predictors of HL and eHEALS scores. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures, healthier lifestyles, and a lower likelihood of suspected COVID-19 symptoms. Efforts to improve HCWs' HL and eHEALS scores can help to contain the COVID-19 pandemic and minimize its consequences.
DOI: 10.2196/22894
PubMed: 33122164
PubMed Central: PMC7674138
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Tran</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, Hospital District 2, Ho Chi Minh, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, Hospital District 2, Ho Chi Minh</wicri:regionArea><wicri:noRegion>Ho Chi Minh</wicri:noRegion></affiliation></author><author><name sortKey="Duong, Trang T" sort="Duong, Trang T" uniqKey="Duong T" first="Trang T" last="Duong">Trang T. Duong</name><affiliation wicri:level="1"><nlm:affiliation>Nursing Office, Tan Phu District Hospital, Ho Chi Minh, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Nursing Office, Tan Phu District Hospital, Ho Chi Minh</wicri:regionArea><wicri:noRegion>Ho Chi Minh</wicri:noRegion></affiliation></author><author><name sortKey="Pham, Hai X" sort="Pham, Hai X" uniqKey="Pham H" first="Hai X" last="Pham">Hai X. Pham</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, District 9 Health Center, Ho Chi Minh, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, District 9 Health Center, Ho Chi Minh</wicri:regionArea><wicri:noRegion>Ho Chi Minh</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Lam V" sort="Nguyen, Lam V" uniqKey="Nguyen L" first="Lam V" last="Nguyen">Lam V. Nguyen</name><affiliation wicri:level="1"><nlm:affiliation>President Office, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>President Office, Can Tho University of Medicine and Pharmacy, Can Tho</wicri:regionArea><wicri:noRegion>Can Tho</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Aesthetic Plastic Surgery & Skin Care Center, Can Tho University of Medicine and Pharmacy Hospital, Can Tho, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Aesthetic Plastic Surgery & Skin Care Center, Can Tho University of Medicine and Pharmacy Hospital, Can Tho</wicri:regionArea><wicri:noRegion>Can Tho</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Kien T" sort="Nguyen, Kien T" uniqKey="Nguyen K" first="Kien T" last="Nguyen">Kien T. Nguyen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Health Education, Faculty of Social Sciences, Behavior and Health Education, Hanoi University of Public Health, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Health Education, Faculty of Social Sciences, Behavior and Health Education, Hanoi University of Public Health, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Chang, Peter W S" sort="Chang, Peter W S" uniqKey="Chang P" first="Peter W S" last="Chang">Peter W S. Chang</name><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Chung Shan Medical University, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>School of Medicine, Chung Shan Medical University, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Public Health and Community Medicine, Tufts University School Of Medicine, Boston, MA, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Public Health and Community Medicine, Tufts University School Of Medicine, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Duong, Tuyen Van" sort="Duong, Tuyen Van" uniqKey="Duong T" first="Tuyen Van" last="Duong">Tuyen Van Duong</name><affiliation wicri:level="1"><nlm:affiliation>School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>School of Nutrition and Health Sciences, Taipei Medical University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33122164</idno><idno type="pmid">33122164</idno><idno type="doi">10.2196/22894</idno><idno type="pmc">PMC7674138</idno><idno type="wicri:Area/Main/Corpus">000F83</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000F83</idno><idno type="wicri:Area/Main/Curation">000F83</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000F83</idno><idno type="wicri:Area/Main/Exploration">000F83</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Health Literacy, eHealth Literacy, Adherence to Infection Prevention and Control Procedures, Lifestyle Changes, and Suspected COVID-19 Symptoms Among Health Care Workers During Lockdown: Online Survey.</title><author><name sortKey="Do, Binh N" sort="Do, Binh N" uniqKey="Do B" first="Binh N" last="Do">Binh N. Do</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Infectious Diseases, Vietnam Military Medical University, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Division of Military Science, Military Hospital 103, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Division of Military Science, Military Hospital 103, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Director Office, Military Hospital 103, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, Military Hospital 103, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Tran, Tien V" sort="Tran, Tien V" uniqKey="Tran T" first="Tien V" last="Tran">Tien V. Tran</name><affiliation wicri:level="1"><nlm:affiliation>Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Infectious Diseases, Vietnam Military Medical University, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Division of Military Science, Military Hospital 103, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Division of Military Science, Military Hospital 103, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Director Office, Military Hospital 103, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, Military Hospital 103, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Phan, Dung T" sort="Phan, Dung T" uniqKey="Phan D" first="Dung T" last="Phan">Dung T. Phan</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Nursing, Hanoi University of Business and Technology, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Faculty of Nursing, Hanoi University of Business and Technology, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Nursing Office, Viet Duc University Hospital, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Nursing Office, Viet Duc University Hospital, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Hoang C" sort="Nguyen, Hoang C" uniqKey="Nguyen H" first="Hoang C" last="Nguyen">Hoang C. Nguyen</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, Thai Nguyen National Hospital, Thai Nguyen, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, Thai Nguyen National Hospital, Thai Nguyen</wicri:regionArea><wicri:noRegion>Thai Nguyen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen</wicri:regionArea><wicri:noRegion>Thai Nguyen</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Thao T P" sort="Nguyen, Thao T P" uniqKey="Nguyen T" first="Thao T P" last="Nguyen">Thao T P. Nguyen</name><affiliation wicri:level="1"><nlm:affiliation>Health Management Training Institute, Hue University of Medicine and Pharmacy, Thua Thien Hue, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Health Management Training Institute, Hue University of Medicine and Pharmacy, Thua Thien Hue</wicri:regionArea><wicri:noRegion>Thua Thien Hue</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary.</nlm:affiliation><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Health Economics, Corvinus University of Budapest, Budapest</wicri:regionArea><placeName><settlement type="city">Budapest</settlement><region nuts="2">Hongrie centrale</region></placeName></affiliation></author><author><name sortKey="Nguyen, Huu C" sort="Nguyen, Huu C" uniqKey="Nguyen H" first="Huu C" last="Nguyen">Huu C. Nguyen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Director Office, E Hospital, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, E Hospital, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Ha, Tung H" sort="Ha, Tung H" uniqKey="Ha T" first="Tung H" last="Ha">Tung H. Ha</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, General Hospital of Agricultural, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, General Hospital of Agricultural, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Dao, Hung K" sort="Dao, Hung K" uniqKey="Dao H" first="Hung K" last="Dao">Hung K. Dao</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh</wicri:regionArea><wicri:noRegion>Bac Ninh</wicri:noRegion></affiliation></author><author><name sortKey="Trinh, Manh V" sort="Trinh, Manh V" uniqKey="Trinh M" first="Manh V" last="Trinh">Manh V. Trinh</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, Quang Ninh General Hospital, Quang Ninh, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, Quang Ninh General Hospital, Quang Ninh</wicri:regionArea><wicri:noRegion>Quang Ninh</wicri:noRegion></affiliation></author><author><name sortKey="Do, Thinh V" sort="Do, Thinh V" uniqKey="Do T" first="Thinh V" last="Do">Thinh V. Do</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, Bai Chay Hospital, Quang Ninh, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, Bai Chay Hospital, Quang Ninh</wicri:regionArea><wicri:noRegion>Quang Ninh</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Hung Q" sort="Nguyen, Hung Q" uniqKey="Nguyen H" first="Hung Q" last="Nguyen">Hung Q. Nguyen</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh</wicri:regionArea><wicri:noRegion>Quang Ninh</wicri:noRegion></affiliation></author><author><name sortKey="Vo, Tam T" sort="Vo, Tam T" uniqKey="Vo T" first="Tam T" last="Vo">Tam T. Vo</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, Trieu Phong District Health Center, Quang Tri, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, Trieu Phong District Health Center, Quang Tri</wicri:regionArea><wicri:noRegion>Quang Tri</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Nhan P T" sort="Nguyen, Nhan P T" uniqKey="Nguyen N" first="Nhan P T" last="Nguyen">Nhan P T. Nguyen</name><affiliation wicri:level="1"><nlm:affiliation>General Planning Department, Da Nang Oncology Hospital, Da Nang, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>General Planning Department, Da Nang Oncology Hospital, Da Nang</wicri:regionArea><wicri:noRegion>Da Nang</wicri:noRegion></affiliation></author><author><name sortKey="Tran, Cuong Q" sort="Tran, Cuong Q" uniqKey="Tran C" first="Cuong Q" last="Tran">Cuong Q. Tran</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, Thu Duc District Health Center, Ho Chi Minh, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, Thu Duc District Health Center, Ho Chi Minh</wicri:regionArea><wicri:noRegion>Ho Chi Minh</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Faculty of Health, Mekong University, Vinh Long, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Faculty of Health, Mekong University, Vinh Long</wicri:regionArea><wicri:noRegion>Vinh Long</wicri:noRegion></affiliation></author><author><name sortKey="Tran, Khanh V" sort="Tran, Khanh V" uniqKey="Tran K" first="Khanh V" last="Tran">Khanh V. Tran</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, Hospital District 2, Ho Chi Minh, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, Hospital District 2, Ho Chi Minh</wicri:regionArea><wicri:noRegion>Ho Chi Minh</wicri:noRegion></affiliation></author><author><name sortKey="Duong, Trang T" sort="Duong, Trang T" uniqKey="Duong T" first="Trang T" last="Duong">Trang T. Duong</name><affiliation wicri:level="1"><nlm:affiliation>Nursing Office, Tan Phu District Hospital, Ho Chi Minh, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Nursing Office, Tan Phu District Hospital, Ho Chi Minh</wicri:regionArea><wicri:noRegion>Ho Chi Minh</wicri:noRegion></affiliation></author><author><name sortKey="Pham, Hai X" sort="Pham, Hai X" uniqKey="Pham H" first="Hai X" last="Pham">Hai X. Pham</name><affiliation wicri:level="1"><nlm:affiliation>Director Office, District 9 Health Center, Ho Chi Minh, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Director Office, District 9 Health Center, Ho Chi Minh</wicri:regionArea><wicri:noRegion>Ho Chi Minh</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Lam V" sort="Nguyen, Lam V" uniqKey="Nguyen L" first="Lam V" last="Nguyen">Lam V. Nguyen</name><affiliation wicri:level="1"><nlm:affiliation>President Office, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>President Office, Can Tho University of Medicine and Pharmacy, Can Tho</wicri:regionArea><wicri:noRegion>Can Tho</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Aesthetic Plastic Surgery & Skin Care Center, Can Tho University of Medicine and Pharmacy Hospital, Can Tho, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Aesthetic Plastic Surgery & Skin Care Center, Can Tho University of Medicine and Pharmacy Hospital, Can Tho</wicri:regionArea><wicri:noRegion>Can Tho</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Kien T" sort="Nguyen, Kien T" uniqKey="Nguyen K" first="Kien T" last="Nguyen">Kien T. Nguyen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Health Education, Faculty of Social Sciences, Behavior and Health Education, Hanoi University of Public Health, Hanoi, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Health Education, Faculty of Social Sciences, Behavior and Health Education, Hanoi University of Public Health, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Chang, Peter W S" sort="Chang, Peter W S" uniqKey="Chang P" first="Peter W S" last="Chang">Peter W S. Chang</name><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Chung Shan Medical University, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>School of Medicine, Chung Shan Medical University, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Public Health and Community Medicine, Tufts University School Of Medicine, Boston, MA, United States.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Public Health and Community Medicine, Tufts University School Of Medicine, Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Duong, Tuyen Van" sort="Duong, Tuyen Van" uniqKey="Duong T" first="Tuyen Van" last="Duong">Tuyen Van Duong</name><affiliation wicri:level="1"><nlm:affiliation>School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>School of Nutrition and Health Sciences, Taipei Medical University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of medical Internet research</title><idno type="eISSN">1438-8871</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>COVID-19 (epidemiology)</term><term>COVID-19 (prevention & control)</term><term>Female (MeSH)</term><term>Health Literacy (methods)</term><term>Health Personnel (standards)</term><term>Humans (MeSH)</term><term>Life Style (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Psychometrics (methods)</term><term>Reproducibility of Results (MeSH)</term><term>SARS-CoV-2 (pathogenicity)</term><term>Surveys and Questionnaires (MeSH)</term><term>Telemedicine (methods)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Compétence informationnelle en santé (méthodes)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mode de vie (MeSH)</term><term>Mâle (MeSH)</term><term>Personnel de santé (normes)</term><term>Psychométrie (méthodes)</term><term>Reproductibilité des résultats (MeSH)</term><term>Télémédecine (méthodes)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>COVID-19</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Health Literacy</term><term>Psychometrics</term><term>Telemedicine</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Compétence informationnelle en santé</term><term>Psychométrie</term><term>Télémédecine</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Personnel de santé</term></keywords><keywords scheme="MESH" qualifier="pathogenicity" xml:lang="en"><term>SARS-CoV-2</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>COVID-19</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Health Personnel</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Life Style</term><term>Male</term><term>Middle Aged</term><term>Reproducibility of Results</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mode de vie</term><term>Mâle</term><term>Reproductibilité des résultats</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The COVID-19 pandemic has imposed a heavy burden on health care systems and governments. Health literacy (HL) and eHealth literacy (as measured by the eHealth Literacy Scale [eHEALS]) are recognized as strategic public health elements but they have been underestimated during the pandemic. HL, eHEALS score, practices, lifestyles, and the health status of health care workers (HCWs) play crucial roles in containing the COVID-19 pandemic.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The aim of this study is to evaluate the psychometric properties of the eHEALS and examine associations of HL and eHEALS scores with adherence to infection prevention and control (IPC) procedures, lifestyle changes, and suspected COVID-19 symptoms among HCWs during lockdown.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We conducted an online survey of 5209 HCWs from 15 hospitals and health centers across Vietnam from April 6 to April 19, 2020. Participants answered questions related to sociodemographics, HL, eHEALS, adherence to IPC procedures, behavior changes in eating, smoking, drinking, and physical activity, and suspected COVID-19 symptoms. Principal component analysis, correlation analysis, and bivariate and multivariate linear and logistic regression models were used to validate the eHEALS and examine associations.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The eHEALS had a satisfactory construct validity with 8 items highly loaded on one component, with factor loadings ranked from 0.78 to 0.92 explaining 76.34% of variance; satisfactory criterion validity as correlated with HL (ρ=0.42); satisfactory convergent validity with high item-scale correlations (ρ=0.80-0.84); and high internal consistency (Cronbach α=.95). HL and eHEALS scores were significantly higher in men (unstandardized coefficient [B]=1.01, 95% CI 0.57-1.45, P<.001; B=0.72, 95% CI 0.43-1.00, P<.001), those with a better ability to pay for medication (B=1.65, 95% CI 1.25-2.05, P<.001; B=0.60, 95% CI 0.34-0.86, P<.001), doctors (B=1.29, 95% CI 0.73-1.84, P<.001; B 0.56, 95% CI 0.20-0.93, P=.003), and those with epidemic containment experience (B=1.96, 95% CI 1.56-2.37, P<.001; B=0.64, 95% CI 0.38-0.91, P<.001), as compared to their counterparts, respectively. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures (B=0.13, 95% CI 0.10-0.15, P<.001; B=0.22, 95% CI 0.19-0.26, P<.001), had a higher likelihood of healthy eating (odds ratio [OR] 1.04, 95% CI 1.01-1.06, P=.001; OR 1.04, 95% CI 1.02-1.07, P=.002), were more physically active (OR 1.03, 95% CI 1.02-1.03, P<.001; OR 1.04, 95% CI 1.03-1.05, P<.001), and had a lower likelihood of suspected COVID-19 symptoms (OR 0.97, 95% CI 0.96-0.98, P<.001; OR 0.96, 95% CI 0.95-0.98, P<.001), respectively.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The eHEALS is a valid and reliable survey tool. Gender, ability to pay for medication, profession, and epidemic containment experience were independent predictors of HL and eHEALS scores. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures, healthier lifestyles, and a lower likelihood of suspected COVID-19 symptoms. Efforts to improve HCWs' HL and eHEALS scores can help to contain the COVID-19 pandemic and minimize its consequences.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">33122164</PMID><DateCompleted><Year>2020</Year><Month>12</Month><Day>07</Day></DateCompleted><DateRevised><Year>2020</Year><Month>12</Month><Day>14</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1438-8871</ISSN><JournalIssue CitedMedium="Internet"><Volume>22</Volume><Issue>11</Issue><PubDate><Year>2020</Year><Month>11</Month><Day>12</Day></PubDate></JournalIssue><Title>Journal of medical Internet research</Title><ISOAbbreviation>J Med Internet Res</ISOAbbreviation></Journal><ArticleTitle>Health Literacy, eHealth Literacy, Adherence to Infection Prevention and Control Procedures, Lifestyle Changes, and Suspected COVID-19 Symptoms Among Health Care Workers During Lockdown: Online Survey.</ArticleTitle><Pagination><MedlinePgn>e22894</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2196/22894</ELocationID><Abstract><AbstractText Label="BACKGROUND">The COVID-19 pandemic has imposed a heavy burden on health care systems and governments. Health literacy (HL) and eHealth literacy (as measured by the eHealth Literacy Scale [eHEALS]) are recognized as strategic public health elements but they have been underestimated during the pandemic. HL, eHEALS score, practices, lifestyles, and the health status of health care workers (HCWs) play crucial roles in containing the COVID-19 pandemic.</AbstractText><AbstractText Label="OBJECTIVE">The aim of this study is to evaluate the psychometric properties of the eHEALS and examine associations of HL and eHEALS scores with adherence to infection prevention and control (IPC) procedures, lifestyle changes, and suspected COVID-19 symptoms among HCWs during lockdown.</AbstractText><AbstractText Label="METHODS">We conducted an online survey of 5209 HCWs from 15 hospitals and health centers across Vietnam from April 6 to April 19, 2020. Participants answered questions related to sociodemographics, HL, eHEALS, adherence to IPC procedures, behavior changes in eating, smoking, drinking, and physical activity, and suspected COVID-19 symptoms. Principal component analysis, correlation analysis, and bivariate and multivariate linear and logistic regression models were used to validate the eHEALS and examine associations.</AbstractText><AbstractText Label="RESULTS">The eHEALS had a satisfactory construct validity with 8 items highly loaded on one component, with factor loadings ranked from 0.78 to 0.92 explaining 76.34% of variance; satisfactory criterion validity as correlated with HL (ρ=0.42); satisfactory convergent validity with high item-scale correlations (ρ=0.80-0.84); and high internal consistency (Cronbach α=.95). HL and eHEALS scores were significantly higher in men (unstandardized coefficient [B]=1.01, 95% CI 0.57-1.45, P<.001; B=0.72, 95% CI 0.43-1.00, P<.001), those with a better ability to pay for medication (B=1.65, 95% CI 1.25-2.05, P<.001; B=0.60, 95% CI 0.34-0.86, P<.001), doctors (B=1.29, 95% CI 0.73-1.84, P<.001; B 0.56, 95% CI 0.20-0.93, P=.003), and those with epidemic containment experience (B=1.96, 95% CI 1.56-2.37, P<.001; B=0.64, 95% CI 0.38-0.91, P<.001), as compared to their counterparts, respectively. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures (B=0.13, 95% CI 0.10-0.15, P<.001; B=0.22, 95% CI 0.19-0.26, P<.001), had a higher likelihood of healthy eating (odds ratio [OR] 1.04, 95% CI 1.01-1.06, P=.001; OR 1.04, 95% CI 1.02-1.07, P=.002), were more physically active (OR 1.03, 95% CI 1.02-1.03, P<.001; OR 1.04, 95% CI 1.03-1.05, P<.001), and had a lower likelihood of suspected COVID-19 symptoms (OR 0.97, 95% CI 0.96-0.98, P<.001; OR 0.96, 95% CI 0.95-0.98, P<.001), respectively.</AbstractText><AbstractText Label="CONCLUSIONS">The eHEALS is a valid and reliable survey tool. Gender, ability to pay for medication, profession, and epidemic containment experience were independent predictors of HL and eHEALS scores. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures, healthier lifestyles, and a lower likelihood of suspected COVID-19 symptoms. Efforts to improve HCWs' HL and eHEALS scores can help to contain the COVID-19 pandemic and minimize its consequences.</AbstractText><CopyrightInformation>©Binh N Do, Tien V Tran, Dung T Phan, Hoang C Nguyen, Thao T P Nguyen, Huu C Nguyen, Tung H Ha, Hung K Dao, Manh V Trinh, Thinh V Do, Hung Q Nguyen, Tam T Vo, Nhan P T Nguyen, Cuong Q Tran, Khanh V Tran, Trang T Duong, Hai X Pham, Lam V Nguyen, Kien T Nguyen, Peter W S Chang, Tuyen Van Duong. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 12.11.2020.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y" EqualContrib="Y"><LastName>Do</LastName><ForeName>Binh N</ForeName><Initials>BN</Initials><Identifier Source="ORCID">0000-0002-1377-3921</Identifier><AffiliationInfo><Affiliation>Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Military Science, Military Hospital 103, Hanoi, Vietnam.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Director Office, Military Hospital 103, Hanoi, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="Y"><LastName>Tran</LastName><ForeName>Tien V</ForeName><Initials>TV</Initials><Identifier Source="ORCID">0000-0002-3348-2566</Identifier><AffiliationInfo><Affiliation>Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Military Science, Military Hospital 103, Hanoi, Vietnam.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Director Office, Military Hospital 103, Hanoi, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Phan</LastName><ForeName>Dung T</ForeName><Initials>DT</Initials><Identifier Source="ORCID">0000-0002-9034-5752</Identifier><AffiliationInfo><Affiliation>Faculty of Nursing, Hanoi University of Business and Technology, Hanoi, Vietnam.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Nursing Office, Viet Duc University Hospital, Hanoi, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nguyen</LastName><ForeName>Hoang C</ForeName><Initials>HC</Initials><Identifier Source="ORCID">0000-0003-0826-1785</Identifier><AffiliationInfo><Affiliation>Director Office, Thai Nguyen National Hospital, Thai Nguyen, Vietnam.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nguyen</LastName><ForeName>Thao T P</ForeName><Initials>TTP</Initials><Identifier Source="ORCID">0000-0003-1320-964X</Identifier><AffiliationInfo><Affiliation>Health Management Training Institute, Hue University of Medicine and Pharmacy, Thua Thien Hue, Vietnam.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nguyen</LastName><ForeName>Huu C</ForeName><Initials>HC</Initials><Identifier Source="ORCID">0000-0002-6076-2491</Identifier><AffiliationInfo><Affiliation>Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi, Vietnam.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Director Office, E Hospital, Hanoi, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ha</LastName><ForeName>Tung H</ForeName><Initials>TH</Initials><Identifier Source="ORCID">0000-0003-1856-5803</Identifier><AffiliationInfo><Affiliation>Director Office, General Hospital of Agricultural, Hanoi, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dao</LastName><ForeName>Hung K</ForeName><Initials>HK</Initials><Identifier Source="ORCID">0000-0002-1979-0925</Identifier><AffiliationInfo><Affiliation>Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Trinh</LastName><ForeName>Manh V</ForeName><Initials>MV</Initials><Identifier Source="ORCID">0000-0002-8823-4498</Identifier><AffiliationInfo><Affiliation>Director Office, Quang Ninh General Hospital, Quang Ninh, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Do</LastName><ForeName>Thinh V</ForeName><Initials>TV</Initials><Identifier Source="ORCID">0000-0003-0370-8330</Identifier><AffiliationInfo><Affiliation>Director Office, Bai Chay Hospital, Quang Ninh, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nguyen</LastName><ForeName>Hung Q</ForeName><Initials>HQ</Initials><Identifier Source="ORCID">0000-0001-6034-1657</Identifier><AffiliationInfo><Affiliation>Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vo</LastName><ForeName>Tam T</ForeName><Initials>TT</Initials><Identifier Source="ORCID">0000-0001-6683-2158</Identifier><AffiliationInfo><Affiliation>Director Office, Trieu Phong District Health Center, Quang Tri, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nguyen</LastName><ForeName>Nhan P T</ForeName><Initials>NPT</Initials><Identifier Source="ORCID">0000-0003-1428-836X</Identifier><AffiliationInfo><Affiliation>General Planning Department, Da Nang Oncology Hospital, Da Nang, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tran</LastName><ForeName>Cuong Q</ForeName><Initials>CQ</Initials><Identifier Source="ORCID">0000-0001-5447-404X</Identifier><AffiliationInfo><Affiliation>Director Office, Thu Duc District Health Center, Ho Chi Minh, Vietnam.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Health, Mekong University, Vinh Long, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tran</LastName><ForeName>Khanh V</ForeName><Initials>KV</Initials><Identifier Source="ORCID">0000-0002-0121-6212</Identifier><AffiliationInfo><Affiliation>Director Office, Hospital District 2, Ho Chi Minh, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Duong</LastName><ForeName>Trang 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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:33122164" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a LockdownV1
| This area was generated with Dilib version V0.6.38. |  |