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Health Literacy, Misinformation, Self-Perceived Risk and Fear, and Preventive Measures Related to COVID-19 in Spanish University Students

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  • Pilar Bas-Sarmiento

    (Department of Nursing and Physiotherapy, University of Cadiz, University Institute of Research in Social Sustainable Development (INDESS), Institute of Research and Innovation in Biomedical Sciences of the Province of Cadiz, INiBICA, 11009 Cadiz, Spain)

  • María José Lamas-Toranzo

    (Andalusian Health System, 11207 Cadiz, Spain)

  • Martina Fernández-Gutiérrez

    (Department of Nursing and Physiotherapy, University of Cadiz, University Institute of Research in Social Sustainable Development (INDESS), Institute of Research and Innovation in Biomedical Sciences of the Province of Cadiz, INiBICA, 11009 Cadiz, Spain)

  • Miriam Poza-Méndez

    (Department of Nursing and Physiotherapy, University of Cadiz, University Institute of Research in Social Sustainable Development (INDESS), 11009 Cadiz, Spain)

Abstract

The “infodemic” is one of the main obstacles in the fight against the COVID-19 pandemic. In order to face it, health literacy (HL) is essential since it allows for knowledge about COVID-19 and the practice of preventive measures to be fostered. This is especially relevant in university students due to their idiosyncrasy. This study aims to evaluate the level of HL related to COVID-19 (HLC), risk perception, misinformation, and the attitudes and behaviors adopted to prevent the spread of coronavirus in Spanish university students. An online questionnaire was administered to 499 Spanish university students. The HLC index presented a mean of 33.89 out of 50; a total of 63.8% had an inadequate level of HLC. They practiced a mean of 7.54 out of 9 preventive behaviors, and the mean knowledge score was 10.40 out of 13. The HLC showed significantly different scores for the degree, the practice of preventive measures, and some sources of information. The level of HL correlates with the adoption of preventive measures. The higher the severity and perceived susceptibility, the more preventive measures are taken by the students. Therefore, there is a need to strengthen the HL skills of university students and address the dissemination of misinformation. Although caution should be taken when generalizing these results due to the limitations inherent within a cross-sectional study and the convenience sampling, our results can guide the establishment of health education strategies and policies for the management of the infodemic in pandemic situations, according to this target population.

Suggested Citation

  • Pilar Bas-Sarmiento & María José Lamas-Toranzo & Martina Fernández-Gutiérrez & Miriam Poza-Méndez, 2022. "Health Literacy, Misinformation, Self-Perceived Risk and Fear, and Preventive Measures Related to COVID-19 in Spanish University Students," IJERPH, MDPI, vol. 19(22), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15370-:d:979099
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    1. Ha T. T. Tran & Minh H. Nguyen & Thu T. M. Pham & Giang B. Kim & Hiep T. Nguyen & Ngoc-Minh Nguyen & Hoa T. B. Dam & Thai H. Duong & Yen H. Nguyen & Thao T. Do & Thao T. P. Nguyen & Thuy T. Le & Hien , 2022. "Predictors of eHealth Literacy and Its Associations with Preventive Behaviors, Fear of COVID-19, Anxiety, and Depression among Undergraduate Nursing Students: A Cross-Sectional Survey," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    2. Rafaela Rosário & Maria R. O. Martins & Cláudia Augusto & Maria José Silva & Silvana Martins & Ana Duarte & Inês Fronteira & Neida Ramos & Orkan Okan & Kevin Dadaczynski, 2020. "Associations between COVID-19-Related Digital Health Literacy and Online Information-Seeking Behavior among Portuguese University Students," IJERPH, MDPI, vol. 17(23), pages 1-11, December.
    3. Tetine Sentell & Sandra Vamos & Orkan Okan, 2020. "Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    4. Salman Bin Naeem & Maged N. Kamel Boulos, 2021. "COVID-19 Misinformation Online and Health Literacy: A Brief Overview," IJERPH, MDPI, vol. 18(15), pages 1-12, July.
    5. Maria Esther Irigoyen-Camacho & Maria Consuelo Velazquez-Alva & Marco Antonio Zepeda-Zepeda & Maria Fernanda Cabrer-Rosales & Irina Lazarevich & Antonio Castaño-Seiquer, 2020. "Effect of Income Level and Perception of Susceptibility and Severity of COVID-19 on Stay-at-Home Preventive Behavior in a Group of Older Adults in Mexico City," IJERPH, MDPI, vol. 17(20), pages 1-16, October.
    6. Orkan Okan & Torsten Michael Bollweg & Eva-Maria Berens & Klaus Hurrelmann & Ullrich Bauer & Doris Schaeffer, 2020. "Coronavirus-Related Health Literacy: A Cross-Sectional Study in Adults during the COVID-19 Infodemic in Germany," IJERPH, MDPI, vol. 17(15), pages 1-20, July.
    7. Bireswar Dutta & Mei-Hui Peng & Chien-Chih Chen & Shu-Lung Sun, 2022. "Role of Infodemics on Social Media in the Development of People’s Readiness to Follow COVID-19 Preventive Measures," IJERPH, MDPI, vol. 19(3), pages 1-22, January.
    8. Mariusz Duplaga, 2022. "The Roles of Health and e-Health Literacy, Conspiracy Beliefs and Political Sympathy in the Adherence to Preventive Measures Recommended during the Pandemic," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    9. Carsten K. Bak & Jeanne Ø. Krammer & Kevin Dadaczynski & Okan Orkan & Jesper von Seelen & Christina Prinds & Lene M. Søbjerg & Heidi Klakk, 2022. "Digital Health Literacy and Information-Seeking Behavior among University College Students during the COVID-19 Pandemic: A Cross-Sectional Study from Denmark," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    10. Mitja Vrdelja & Sanja Vrbovšek & Vito Klopčič & Kevin Dadaczynski & Orkan Okan, 2021. "Facing the Growing COVID-19 Infodemic: Digital Health Literacy and Information-Seeking Behaviour of University Students in Slovenia," IJERPH, MDPI, vol. 18(16), pages 1-16, August.
    11. Uday Patil & Uliana Kostareva & Molly Hadley & Jennifer A. Manganello & Orkan Okan & Kevin Dadaczynski & Philip M. Massey & Joy Agner & Tetine Sentell, 2021. "Health Literacy, Digital Health Literacy, and COVID-19 Pandemic Attitudes and Behaviors in U.S. College Students: Implications for Interventions," IJERPH, MDPI, vol. 18(6), pages 1-14, March.
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