ArticleRisk management and healthcare policy2024
Public Health Literacy and Emergency Department Utilization in Saudi Arabia: A Cross-Sectional Study.
Article in Risk management and healthcare policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Associations Between Health Literacy and Diabetes Self-Care Management Among Adults with Type 2 Diabetes in Southern Riyadh: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Evaluation of Health Literacy Levels in Patients in the Emergency Department of a University Hospital: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Public knowledge of plantar fasciitis and its determinants in Saudi Arabia: A national cross-sectional study.Journal of family medicine and primary care · 2026Article
- Health literacy and its sociodemographic and health determinants.Revista da Escola de Enfermagem da U S P · 2026Article
- Knowledge of Health Services Access Among Hajj Pilgrims in Saudi Arabia During the 1445 H (2024 G) Season and Its Associated Demographic and Health-Related Factors.International journal of environmental research and public health · 2025Article
- Determinants of place of death among individuals with cardiovascular disease: A Saudi sub-national register study.PloS one · 2025Article
- A study on the effect of school and family environments and self-efficacy on health literacy of college students.Frontiers in public health · 2024Article
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14 authors.
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Abstract
Purpose: Health literacy (HL) is the degree in which individuals are able to access, comprehend, and use publicly available health resources and services. A previous study was done in the Kingdom of Saudi Arabia (KSA) assessing the prevalence of HL, the study shows that almost half of KSA residents had limited HL. Most studies that show the level of HL and its relationship to emergency department (ED) utilization were conducted outside KSA. This study aims to assess the association between HL and utilization of ED services and to estimate the prevalence, factors, and outcomes of low HL in KSA. Patients and methods: A cross-sectional study was conducted among 903 participants in KSA over a period of 2 months (April and May 2023) using an online survey. Participants were asked about sociodemographic characteristics (age, sex, nationality, marital status, education, work status, income), associated factors (chronic diseases, psychiatric disorders, Covid-19 infection, Covid-19 vaccination, ED visits), and Health Literacy (read, access, understand, evaluation, decision). A health literacy instrument for adults (HELIA), which consists of the previously mentioned five subscales, was used to estimate the level of HL and its association with the risk factors. Results: Almost 529 (58.58%) and 374 (41.42%) had limited HL and adequate HL, respectively. Participants with limited HL were mostly aged 35-45 years (61.7%), men (p < 0.05) (68.9%), divorced (65.9%), non-Saudi (69.6%), and had elementary level of education (66.7%). Participants with adequate HL had master's and PhD degree (48.1%), were healthcare students or graduates (62.8%, p < 0.05), had an income >30 thousand riyals (55.6%, p < 0.05), were previously infected with COVID-19 (43%), and did not visit ED in the preceding year (42.3%). Conclusion: A high prevalence of low HL among KSA residents was observed. There was no significant difference in ED utilization between participants who had adequate and limited HL.
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