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Assessing health literacy and digital health literacy

Evidence from Brazil’s Distrito Federal

Datos Bibliográficos

ID22945802
AutoresBenjamin Miranda Tabak (0000-0002-7935-3188, Escola de Políticas Públicas, Governo e Empresas, Fundação Getulio Vargas (FGV/EPPGE) , Sector of Large North Areas - SGAN Block 602 - Modules A, B and C North Wing, DF/Brasilia.CEP: 70830-020), Katarinne Lima Moraes (0000-0001-6169-0461, University of Brasília (UnB) , Faculdade de Ciências e Tecnologia em Saúde, Enfermagem, Ceilândia, CEP:72220-275), Bernardo Oliveira Buta (0000-0002-8936-3697, Escola de Políticas Públicas, Governo e Empresas, Fundação Getulio Vargas (FGV/EPPGE) , Sector of Large North Areas - SGAN Block 602 - Modules A, B and C North Wing, DF/Brasilia.CEP: 70830-020), Matheus Britto Froner (0000-0002-0673-4617, Escola de Políticas Públicas, Governo e Empresas, Fundação Getulio Vargas (FGV/EPPGE) , Sector of Large North Areas - SGAN Block 602 - Modules A, B and C North Wing, DF/Brasilia.CEP: 70830-020), Luzia Claudia Dias Couto (Ministry of Health (MS) , Esplanada dos Ministérios, Bloco "G", CEP: 70058-900, Brasília)
Año2025
Volumen40
Número6
Fecha de publicación2025-10-30
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Promotion International (JOURNAL)
Identificadores de la revistaISSN: 0957-4824 • E-ISSN: 1460-2245
EditorialOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daaf226
PMID41429914
OpenAlexW7117104934
IdiomaEN
Referencias citadas51

Health literacy (HL) is essential for the population to be able to find, understand, and effectively use health information and services, which has an impact on adherence to treatments and preventive care. This study aims to analyze the association between sociodemographic factors and the dimensions of the HL Questionnaire (HLQ), including digital HL. We surveyed 828 adults employing the HLQ and the eHL Scale (eHEALS). Using regression models, we evaluate the association of demographic variables and digital HL scores on each HLQ dimension. Our findings show significant associations between higher eHEALS scores, higher education levels, and better HL across most dimensions. Low income was associated with lower scores on several HLQ scales, particularly in dimensions related to understanding healthcare providers and navigating health systems. Older participants showed greater literacy in communication with providers and navigating healthcare, while younger respondents exhibited higher digital HL. Ethnic disparities were noted, especially among Black and Brown populations, who reported lower social support for health. The dimensions with lower scores were “Feeling understood and supported by healthcare providers” and “Navigating the healthcare system,” showing low interactive HL levels.

Digital health · Digital Literacy · Ethnic group · Health care · Health equity · Health literacy · Literacy · Population · Scale (ratio) · Health Education and Validation · Health Literacy and Information Accessibility · Health, Nursing, Elderly Care

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