Evidence map›Paper›PMID 39014150›Full record

ArticleJournal of community health2024

Levels of Health Literacy and Associated Factors Among Adults in a Rural Municipality of Nepal: A Cross-sectional Study.

Sandhya Niroula, Gaurab Bhattarai, Sandesh Bhusal, Anjila Pandey, Sangam Shah, Subash Wagle, Prince Mandal, Dikshya Parajuli, Aarya Jha, Bikrant Dhakal and 3 more

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Article in Journal of community health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Sandhya NiroulaCentral Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Gaurab BhattaraiCentral Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Sandesh BhusalNepal Health Frontiers, Tokha-5, Kathmandu, Nepal.
Anjila PandeyManmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
Sangam ShahInstitute of Medicine, Tribhuvan University, Maharajgunj, 44600, Nepal.
Subash WagleCentral Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Prince MandalInstitute of Medicine, Tribhuvan University, Maharajgunj, 44600, Nepal.
Dikshya ParajuliCentral Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Aarya JhaCentral Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Bikrant DhakalCentral Jail Hospital, Kathmandu, Nepal.
Buna BhandariCentral Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Kiran PaudelNepal Health Frontiers, Tokha-5, Kathmandu, Nepal. kiranpaudel59@gmail.com.ORCID 0000-0002-5590-4133
Tara Ballav AdhikariNepal Health Frontiers, Tokha-5, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health literacy is crucial in maintaining good health and well-being, yet community-based studies on health literacy in Nepal are scarce. This study aimed to assess the level of health literacy and identify associated factors among adults in Rasuwa, Nepal. A community-based cross-sectional study was conducted among 253 adults aged above 18 years residing in Kalika Rural Municipality, Rasuwa. Data were collected through face-to-face interviews using the Psychometric Assessment of the European Health Literacy Survey Questionnaire (HLS-EU-Q16). Multivariable logistic regression was used to evaluate independent correlates of health literacy levels. The mean ± SD age of participants was 46.3 ± 16 years. Only about a quarter (23.3%) of participants had adequate health literacy. The participants aged ≤ 45 years (aOR:1.9,95% CI: 1.0-3.6), people who perceived their health status as satisfactory (aOR: 3.1,95% CI: 1.5-6.3), had satisfactory self-rated financial status (aOR: 2.9,95% CI: 1.5-5.5), had satisfactory level of self- related esteem (aOR = 2.7,95% CI: 1.2-6.2), had a stable income (aOR = 1.9, 95% CI:1.0-3.5) were more likely to demonstrate adequate health literacy level. Conversely, illiterate participants (aOR: 0.1, 95% CI: 0.04-0.4) and those engaged in agriculture (aOR: 0.49, 95% CI: 0.2-0.9) had lower odds of having adequate health literacy. This study highlights inadequate health literacy status among approximately three-quarters of the participants. Factors such as age, self-rated health status, financial stability, self-esteem, and income were associated with health literacy levels. These findings underscore the importance of addressing socio-economic and individual factors in promoting health literacy initiatives, particularly targeting vulnerable populations, to improve overall health outcomes and healthcare utilization.

Indexed as

Health LiteracyRural PopulationAdolescentAdultAgedCross-Sectional StudiesFemaleHealth StatusHumansMaleMiddle AgedNepalSocioeconomic FactorsYoung AdultAdultsHealth LiteracyNepal

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.