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The relationship between health literacy and health outcomes among male young adults: exploring confounding effects using decomposition analysis

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  • René Rüegg

    (Bern University of Applied Sciences)

  • Thomas Abel

    (University of Bern)

Abstract

Objectives Previous studies indicate substantial correlations between low health literacy and poor health outcomes. However, empirical findings remain inconsistent and are theoretically challenging. In this study, we conceptually place health literacy within an established model of health inequality. Studying multiple pathways, we estimate the associations between health literacy and six health outcomes and decompose these associations with health literacy’s covariates. Methods Cross-sectional data from the Young Adult Survey Switzerland was used for the analyses (n = 5959, age = 18–25). Logistic regression and KHB decomposition analyses were applied to estimate health literacy’s coefficients and confounding percentages. Results Eleven covariates were associated with health literacy (p

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  • René Rüegg & Thomas Abel, 2019. "The relationship between health literacy and health outcomes among male young adults: exploring confounding effects using decomposition analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(4), pages 535-545, May.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:4:d:10.1007_s00038-019-01236-x
    DOI: 10.1007/s00038-019-01236-x
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    References listed on IDEAS

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    1. Oliver Razum & Heide Weishaar & Doris Schaeffer, 2016. "Health literacy: strengthening agency or changing structures?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(3), pages 277-278, April.
    2. Karen Hofmann & Dominik Schori & Thomas Abel, 2013. "Self-Reported Capabilities Among Young Male Adults in Switzerland: Translation and Psychometric Evaluation of a German, French and Italian Version of a Closed Survey Instrument," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 114(2), pages 723-738, November.
    3. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    4. Ulrich Kohler & Kristian Bernt Karlson & Anders Holm, 2011. "Comparing coefficients of nested nonlinear probability models," Stata Journal, StataCorp LP, vol. 11(3), pages 420-438, September.
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    Cited by:

    1. Julia Dratva, 2019. "Health literacy: Contradicting 50 years of research?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(5), pages 643-644, June.
    2. Leena Paakkari & Minna Torppa & Joanna Mazur & Zuzana Boberova & Gorden Sudeck & Michal Kalman & Olli Paakkari, 2020. "A Comparative Study on Adolescents’ Health Literacy in Europe: Findings from the HBSC Study," IJERPH, MDPI, vol. 17(10), pages 1-12, May.
    3. Ivana Skoumalova & Peter Kolarcik & Andrea Madarasova Geckova & Jaroslav Rosenberger & Maria Majernikova & Daniel Klein & Jitse P. van Dijk & Sijmen A. Reijneveld, 2019. "Is Health Literacy of Dialyzed Patients Related to Their Adherence to Dietary and Fluid Intake Recommendations?," IJERPH, MDPI, vol. 16(21), pages 1-10, November.
    4. Charlotte Demant Klinker & Anna Aaby & Lene Winther Ringgaard & Anneke Vang Hjort & Melanie Hawkins & Helle Terkildsen Maindal, 2020. "Health Literacy is Associated with Health Behaviors in Students from Vocational Education and Training Schools: A Danish Population-Based Survey," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
    5. Francesca Gallè & Patrizia Calella & Christian Napoli & Fabrizio Liguori & Eduardo Alfonso Parisi & Giovanni Battista Orsi & Giorgio Liguori & Giuliana Valerio, 2020. "Are Health Literacy and Lifestyle of Undergraduates Related to the Educational Field? An Italian Survey," IJERPH, MDPI, vol. 17(18), pages 1-9, September.
    6. Sandra Vamos & Orkan Okan & Tetine Sentell & Irving Rootman, 2020. "Making a Case for “Education for Health Literacy”: An International Perspective," IJERPH, MDPI, vol. 17(4), pages 1-18, February.
    7. Anne-Kathrin M. Loer & Olga M. Domanska & Christiane Stock & Susanne Jordan, 2020. "Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany," IJERPH, MDPI, vol. 17(22), pages 1-23, November.

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