ArticleBMJ open2019
Functional health literacy in a population-based sample in Florence: a cross-sectional study using the Newest Vital Sign.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- What is the Prevalence of Low Health Literacy in European Union Member States? A Systematic Review and Meta-analysis.Journal of general internal medicine · 2021Pooled it
- Randomized controlled trial on the efficacy of audio-visual health educational materials on CPAP adherence: the AHEAD trial.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Trial
- Comprehension of an artificial intelligence-generated discharge letter versus a traditional discharge letter: two controlled quasi-experimental parallel-group studies.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Examining the Factor Structure of Objective Health Literacy and Numeracy Scales: Large-Scale Cross-Sectional Study.JMIR public health and surveillance · 2026Article
- Comparing socio-economic inequalities in self-reported and undiagnosed hypertension among adults 45 years and over in India: what explains these inequalities?International journal for equity in health · 2023Article
- Health literacy of informal caregivers of older adults with dementia: results from a cross-sectional study conducted in Florence (Italy).Aging clinical and experimental research · 2023Article
- Health literacy in Mediterranean general population.Journal of preventive medicine and hygiene · 2022Observational
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- Predictors of Influenza Vaccination Uptake and the Role of Health Literacy among Health and Social Care Volunteers in the Province of Prato (Italy).International journal of environmental research and public health · 2022Article
- Health Literacy and Personality Traits in Two Types of Family Structure-A Cross-Sectional Study in China.Frontiers in psychology · 2022Article
- The Role of Health Literacy in COVID-19 Preventive Behaviors and Infection Risk Perception: Evidence from a Population-Based Sample of Essential Frontline Workers during the Lockdown in the Province of Prato (Tuscany, Italy).International journal of environmental research and public health · 2021Article
- Health Literacy, Socio-Economic Determinants, and Healthy Behaviours: Results from a Large Representative Sample of Tuscany Region, Italy.International journal of environmental research and public health · 2021Article
- Insights into the Predictors of Attitude toward Entomophagy: The Potential Role of Health Literacy: A Cross-Sectional Study Conducted in a Sample of Students of the University of Florence.International journal of environmental research and public health · 2021Article
- The Nutrition Literacy Assessment Instrument for Italian Subjects, NLit-IT: Exploring Validity and Reliability.International journal of environmental research and public health · 2021Article
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- Health Literacy among Non-Familial Caregivers of Older Adults: A Study Conducted in Tuscany (Italy).International journal of environmental research and public health · 2019Article
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Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the level of functional health literacy (HL) and its antecedents and consequences in an adult population-based sample, using the Italian version of Newest Vital Sign (NVS-IT).
designCross-sectional study.
settingGeneral population.
participants984 people were randomly selected from the resident registers of 11 general practitioners; a total of 452 (46.2%) of the selected people completed the study. Inclusion criteria were the following: 18-69 years of age and Italian speaking. Exclusion criteria included cognitive impairment, severe psychiatric diseases and end-stage diseases. OUTCOME MEASURES: HL levels as assessed by the NVS-IT and the following potential HL predictors and consequences were assessed using logistic regression models: sociodemographic characteristics, body mass index, presence of long-term illnesses, self-reported health status, health services use in the last 12 months.
resultsHigh likelihood of limited HL, possibility of limited HL and adequate HL were found in 11.5%, 24.6% and 63.9% of the sample, respectively. The results of the multivariate logistic model for the antecedents showed that the risk of having high likelihood or possibility of limited HL levels increases with age (OR 1.07, 95% CI 1.05 to 1.09), lower educational level (OR 4.03; 95% CI 3.41 to 7.49) and with worse financial situation (OR 1.64; 95% CI 1.17 to 2.63). As far as health outcomes are concerned, HL resulted to be positively associated with self-reported health status (OR 2.25, 95% CI 1.75 to 2.75).
conclusionsFindings show a good level of functional HL in the population. However, older, less educated and poorer population groups showed to have a higher likelihood of suffering from limited or inadequate HL. Efforts should be made to design and implement public health policies and interventions tailored to different HL levels. TRIAL REGISTRATION NUMBER: CEAVC:10113.
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