ArticleInternational journal of environmental research and public health2021
Health Literacy, Socio-Economic Determinants, and Healthy Behaviours: Results from a Large Representative Sample of Tuscany Region, Italy.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Low income and health literacy: a systematic scoping review.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Health literacy and tuberculosis control: systematic review and meta-analysis.Bulletin of the World Health Organization · 2024Pooled it
- Tailoring in eHealth lifestyle interventions targeting people with cardiometabolic conditions and lower socioeconomic position: A scoping review.PLOS digital health · 2026Article
- Article
- The Relationship between Health Literacy, Nutrition Literacy, and Food Literacy and Dietary Behaviors in Adults: A Systematic Review.Nutrition reviews · 2026Article
- The Relationship Between Health Literacy and Adherence to Physical Activity Guidelines in Adults: A Scoping Review.American journal of health promotion : AJHP · 2026Review
- Health literacy relates to self-regulation of eating behavior through physical activity and self-efficacy pathways.Scientific reports · 2025Article
- Implementation Barriers to Effective Nursing Interventions in Oncology Nursing Care in Saudi Arabia: A CMO Realist Evaluation.Healthcare (Basel, Switzerland) · 2025Article
- Investigating health literacy and its associations with fear of childbirth in pregnant women: a cross-sectional study.Scientific reports · 2025Article
- Determinants of health literacy among older adults in Saboba district in Ghana: a cross-sectional study.BMC public health · 2025Article
- Health literacy disparities in Thai university students: exploring differences between health science and non-health science disciplines.BMC public health · 2025Article
- Understanding health literacy and digital healthy diet literacy in rural women in Türkiye: a cross-sectional study on social media use and Mediterranean diet adherence.Frontiers in public health · 2025Article
- Health knowledge needs of administrative staff and related influencing factors: a cross-sectional data from Yuxi, China.Scientific reports · 2024Article
- Growth Stunting and Nutritional Deficiencies among Children and Adolescents with Celiac Disease in Kuwait: A Case-Control Study.Children (Basel, Switzerland) · 2024Article
- Trust levels toward health care and government: insights from TrustMe, an Italian cross-sectional study.Journal of preventive medicine and hygiene · 2024Article
- Anticipated Stigma and Social Barriers to Communication Between Transgender Women Newly Diagnosed with HIV and Health Care Providers: A Mediation Analysis.LGBT health · 2024Article
- Public health impacts of air pollution from the spatiotemporal heterogeneity perspective: 31 provinces and municipalities in China from 2013 to 2020.Frontiers in public health · 2024Article
- Knowledge, attitudes, and practices among the general community population toward heatstroke.Frontiers in public health · 2024Article
- Health literacy mediates the relationships of cognitive and physical functions with health-related quality of life in older adults.Frontiers in public health · 2024Article
- The validity and reliability of the Slovenian version of the health literacy questionnaire short-form (HLS-EU-Q16) among adults and older adults.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth Literacy (HL) is one of the main determinants of health and is crucial for the prevention of noncommunicable diseases, by influencing key health-related behaviours. The aim of the present study was to assess the role of HL and sociodemographic factors in predicting the adoption of two healthy behaviours-physical activity and fruits and vegetables consumption.
methodsThis study was conducted on the Tuscan population subsample of the Italian Behavioral Risk Factor Surveillance System in 2017-2018. HL was assessed using the Italian version of the six-item European Health Literacy Survey Questionnaire (HLS-EU-Q6).
resultsAbout 40% of the 7157 interviewees reported an inadequate or problematic HL level. Female sex, poor financial status, foreign nationality, and low education were associated with a problematic HL level, while an inadequate HL level was associated with being 50-69 years old, low education level, foreign nationality, poor financial status and unemployment or inactive status. Inadequate HL level was a strong predictor of both eating less than three portions of fruits/vegetables per day and not engaging in sufficient PA during leisure times.
conclusionsOur findings showed that an inadequate level of HL could negatively affect physical activity and diet, independently from the other sociodemographic conditions, confirming the role of HL as a relevant social determinant of health.
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