Alfabetización en navegación en salud entre estudiantes desplazados de educación superior en Alentejo, Portugal

un estudio transversal

Autores/as

  • Jorge Miguel Instituto Politécnico de Beja, Beja, Portugal | Comprehensive Health Research Center, CHRC, Universidade de Évora, Évora, Portugal | Instituto de Investigação e Formação Avançada, Universidade de Évpra, Évora, Portugal https://orcid.org/0000-0001-9178-3773
  • Sara Dias Comprehensive Health Research Center, CHRC, Universidade de Évora, Évora, Portugal. |citechcare - Center for Innovative Care and Health Technology, Polytechnic of Leiria, Leiria, Portugal.| School of Health Sciences, Polytechnic of Leiria, Campus 2 - Morro do Lena, Alto do Vieiro, Leiria, Portugal https://orcid.org/0000-0001-6782-7481
  • Eunice Santos Comprehensive Health Research Center, CHRC, Universidade de Évora, Évora, Portugal | Instituto de Investigação e Formação Avançada, Universidade de Évpra, Évora, Portugal https://orcid.org/0000-0002-1943-9246
  • Sónia Dias NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA University Lisbon, Lisbon, Portugal https://orcid.org/0000-0001-5085-0685
  • Ana Rita Pedro NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA University Lisbon, Lisbon, Portugal https://orcid.org/0000-0002-9197-7129

DOI:

https://doi.org/10.48492/servir0211.38993

Palabras clave:

Literacia de Navegación en Salud, Literacia en Salud, Educación Superior, Estudiantes, Enfermería

Resumen

Introducción: La Alfabetización en Navegación en Salud (ANS) relacionada con la Alfabetización Sanitaria (AS), se refiere a la capacidad de acceder, comprender, evaluar y utilizar la información sanitaria para navegar eficazmente por los servicios y obtener la atención adecuada.

Objetivos: Analizar el nivel de ANS en estudiantes desplazados de educación superior en Alentejo, Portugal, y su relación con factores sociodemográficos y de salud.

Métodos: Estudio cuantitativo, observacional, transversal, descriptivo y analítico con una muestra de 1519 estudiantes desplazados. Se aplicó un cuestionario online, con la escala HLS19-NAV (Navigational Health Literacy from the European Health Literacy Population Survey 2019-2021), variables sociodemográficas y de salud. El análisis incluyó estadística descriptiva, pruebas t de Student, ANOVA y regresión lineal múltiple (p < 0,05). Estudio aprobado por el Comité de Ética de la Universidad de Évora, previo consentimiento informado.

Resultados: El índice promedio de ANS fue de 24,3 ± 30,0 en una escala de 0 a 100. Los niveles más bajos de ANS se observaron en estudiantes con enfermedades crónicas, y los más altos en estudiantes de carreras de salud, en su último año o com mayor percepción de disponibilidad económica (p < 0,001).

Conclusión: Los bajos niveles de ANS pueden dificultar el acceso y la utilización de los cuidados sanitarios y de enfermería, lo que requiere intervenciones específicas en este ámbito.

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Citas

Arriaga, M., Francisco, R., Nogueira, P., Oliveira, J., Silva, C., Câmara, G., Sørensen, K., Dietscher, C., & Costa, A. (2022). Health Literacy in Portugal: Results of the Health Literacy Population Survey Project 2019–2021. International Journal of Environmental Research and Public Health, 19(7), 4225. https://doi.org/10.3390/ijerph19074225

Bhusal, S., Paudel, R., Gaihre, M., Paudel, K., Adhikari, T. B., & Pradhan, P. M. S. (2021). Health literacy and associated factors among undergraduates: A university-based cross-sectional study in Nepal. PLOS Global Public Health, 1(11), e0000016. https://doi.org/10.1371/journal.pgph.0000016

Erikson, E. H. (1968). Identity: Youth and crisis. Norton.

Evans, A.-Y., Anthony, E., & Gabriel, G. (2019). Comprehensive Health Literacy Among Undergraduates: A Ghanaian University-Based Cross-Sectional Study. HLRP: Health Literacy Research and Practice, 3(4). https://doi.org/10.3928/24748307-20190903-01

Fundação José Neves. (sem data). Alentejo é a região de Portugal Continental com menos diplomados. https://www. joseneves.org/artigo/alentejo-e-a-regiao-de-portugal-continental-com-menos-diplomados

Griese, L., Berens, E.-M., Nowak, P., Pelikan, J. M., & Schaeffer, D. (2020). Challenges in Navigating the Health Care System: Development of an Instrument Measuring Navigation Health Literacy. International Journal of Environmental Research and Public Health, 17(16), 5731. https://doi.org/10.3390/ijerph17165731

Griese, L., Finbråten, H. S., Francisco, R., De Gani, S. M., Griebler, R., Guttersrud, Ø., Jaks, R., Le, C., Link, T., Silva Da Costa, A., Telo De Arriaga, M., Touzani, R., Vrdelja, M., Pelikan, J. M., & Schaeffer, D. (2022). HLS19-NAV—Validation of a New Instrument Measuring Navigational Health Literacy in Eight European Countries. International Journal of Environmental Research and Public Health, 19(21), 13863. https://doi.org/10.3390/ijerph192113863

Griese, L., Schaeffer, D., & Berens, E.-M. (2023). Navigational health literacy among people with chronic illness. Chronic Illness, 19(1), 172–183. https://doi.org/10.1177/17423953211073368

Kühn, L., Bachert, P., Hildebrand, C., Kunkel, J., Reitermayer, J., Wäsche, H., & Woll, A. (2022). Health Literacy Among University Students: A Systematic Review of Cross-Sectional Studies. Frontiers in Public Health, 9, 680999. https://doi.org/10.3389/fpubh.2021.680999

Meleis, A. I. (Ed.). (2010). Transitions theory: Middle-range and situation-specific theories in nursing research and practice. Springer.

Meleis, A. I. (2018). Theoretical nursing: Development and progress (Sixth edition). Wolters Kluwer.

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267. https://doi.org/10.1093/heapro/15.3.259

Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072–2078. https://doi.org/10.1016/j.socscimed.2008.09.050

Nutbeam, D., & Lloyd, J. E. (2021). Understanding and Responding to Health Literacy as a Social Determinant of Health. Annual Review of Public Health, 42(1), 159–173. https://doi.org/10.1146/annurev-publhealth-090419-102529

OECD (Ed.). (2022). Delivering Quality Services to All in Alentejo: Preparing Regions for Demographic Change. OECD Publishing. https://doi.org/10.1787/63ffb4d7-en12

Pedro, A., Rosário, R., Monteiro, I., Cerqueira, M., Roque, S., Assunção, V., Brandão, D., Escoval, A., & Ferreira, P. (2022). Health literacy in higher education students: Findings from a Portuguese study. European Journal of Public Health, 32(Supplement_3), ckac130.140. https://doi.org/10.1093/eurpub/ckac130.140

Rosário, J., Dias, S. S., Dias, S., & Pedro, A. R. (2024). Health literacy and its determinants among higher education students in the Alentejo region of southern Portugal—A cross-sectional survey. PLOS ONE, 19(9), e0309806. https://doi.org/10.1371/journal.pone.0309806

Rosário, J., Raposo, B., Santos, E., Dias, S., & Pedro, A. R. (2023). Effectiveness of health literacy interventions on the health outcomes of higher education students. European Journal of Public Health, 33(Supplement_2), ckad160.1012. https://doi.org/10.1093/eurpub/ckad160.1012

Rosário, J., Raposo, B., Santos, E., Dias, S., & Pedro, A. R. (2024). Efficacy of health literacy interventions aimed to improve health gains of higher education students—A systematic review. BMC Public Health, 24(1), 882. https://doi.org/10.1186/s12889-024-18358-4

Saboga-Nunes, L., Freitas, O. D. S., & Cunha, M. (2016). Renasceres®. Servir, 14-15 Páginas. https://doi.org/10.48492/ SERVIR0259.22406

Santos, E. M. C. P., Canhestro, A. M. G. D. S., Rosário, J. M. O. A., Fonseca, C. J. V., Pinho, L. M. G., & Arco, H. M. S. L. R. (2023). Efficacy of Health Promotion Interventions Aimed to Improve Health Gains in Middle-Aged Adults—A Systematic Review. Geriatrics, 8(3), 50. https://doi.org/10.3390/geriatrics8030050

Schaeffer, D., Griese, L., & Klinger, J. (2024). Navigationale Gesundheitskompetenz der Bevölkerung in Deutschland. Das Gesundheitswesen, 86(01), 59–66. https://doi.org/10.1055/a-2148-5221

Sørensen, K., Levin-Zamir, D., Duong, T. V., Okan, O., Brasil, V. V., & Nutbeam, D. (2021). Building health literacy system capacity: A framework for health literate systems. Health Promotion International, 36(Supplement_1), i13–i23. https://doi.org/10.1093/heapro/daab153

Sørensen, K., Van Den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., Brand, H., & (HLS-EU) Consortium Health Literacy Project European. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(1), 80. https://doi.org/10.1186/1471-2458-12-80

Vilelas, J. (2020). Investigação: O processo de construção do conhecimento (3a). Edições Sílabo, Lda.

World Health Organization. (2015). Health Literacy Toolkit—For Low- and Middle-Income Countries. https://iris.who.int/bitstream/handle/10665/205244/B5148.pdf?sequence=1

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Publicado

2025-02-03

Cómo citar

Miguel, J., Dias, S., Santos, E., Dias, S., & Pedro, A. R. (2025). Alfabetización en navegación en salud entre estudiantes desplazados de educación superior en Alentejo, Portugal: un estudio transversal . Servir, 2(11), e38993. https://doi.org/10.48492/servir0211.38993

Número

Vol. 2 Núm. 11 (2025): Serie 2, n.º 11

Sección

Artigos

Licencia

Derechos de autor 2025 Jorge Miguel, Sara Dias, Eunice Santos, Sónia Dias, Ana Rita Pedro

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