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The Impact of Health Literacy on Knowledge and Attitudes towards Preventive Strategies against COVID-19: A Cross-Sectional Study

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  • Maria João Silva

    (Department of Medicine of Community, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal)

  • Paulo Santos

    (Department of Medicine of Community, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal
    Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal)

Abstract

The coronavirus disease 2019 (COVID-19) pandemic introduced a set of mitigation measures based on personal behavior and attitudes. In the absence of vaccination or specific treatment, it became essential to comply with these measures to reduce infection transmission. Health literacy is the basis for changing behaviors. AIM: To characterize the impact of literacy on knowledge and attitudes towards preventive strategies against COVID-19. METHODS: This cross-sectional study involved an online questionnaire applied to students of the University of Porto, Portugal, containing questions about knowledge and attitudes towards COVID-19 based on European guidelines. Health literacy was assessed through the Newest Vital Sign questionnaire. Logistic regression estimated the relationship between health literacy and both knowledge and attitudes. RESULTS: We included 871 participants (76.3% female), with a median age of 22 years old. We found adequate literacy in 92% of our sample, irrespective of gender and age. In the global analysis, 78.6% of the participants had adequate knowledge, and 90.4% had adequate attitudes. We found that better literacy was significantly associated with attitudes towards COVID-19, but not with better knowledge. In a model adjusted for gender, age, and previous education in the health field, female gender and previous education in the health field were associated with better knowledge and attitudes. CONCLUSION: Better health literacy is associated with better attitudes towards preventive strategies against COVID-19. We should invest in ways to improve health literacy, so we can improve people’s attitudes and consequently reduce coronavirus’ transmission.

Suggested Citation

  • Maria João Silva & Paulo Santos, 2021. "The Impact of Health Literacy on Knowledge and Attitudes towards Preventive Strategies against COVID-19: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5421-:d:557574
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    References listed on IDEAS

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    5. Juvalta, Sibylle & Speranza, Camilla & Robin, Dominik & El Maohub, Yassmeen & Krasselt, Julia & Dreesen, Philipp & Dratva, Julia & Suggs, L. Suzanne, 2023. "Young people's media use and adherence to preventive measures in the “infodemic”: Is it masked by political ideology?," Social Science & Medicine, Elsevier, vol. 317(C).
    6. 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.
    7. María F. Rivadeneira & María J. Miranda-Velasco & Hiram V. Arroyo & José D. Caicedo-Gallardo & Carmen Salvador-Pinos, 2022. "Digital Health Literacy Related to COVID-19: Validation and Implementation of a Questionnaire in Hispanic University Students," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    8. Wanvisa Saisanan Na Ayudhaya & Chamnong Thanapop & Paleeratana Wongrith & Sriprapa Loonlawong & Pussadee Laor & Rohmatul Fajriyah, 2023. "Health Literacy and Preventive Behaviors towards COVID-19 among Village Health Volunteers and Residents in Urban and Rural Areas of Upper Southern Thailand," Social Sciences, MDPI, vol. 12(7), pages 1-17, June.

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