A national survey of ambient air pollution health literacy among adult residents of Taiwan

BMC Public Health

Lilis Sulistyorini¹  Ming-Yeng Lin²  Pei-Chen Lee³  Yu-Chen Wang⁴  Chien-Yeh Lu⁵  Yi-Chin Huang⁵  Chung-Yi Li⁶  I-Chen Chen⁷  Wen-Hsuan Hou⁸ 

[1] Department of Environmental Health, Faculty of Public Health, University of Airlangga, Surabaya, Indonesia;Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan;Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan;Department of Law, College of Social Science, National Cheng Kung University, Tainan, Taiwan;Department of Public Health, College of Medicine, National Cheng Kung University, #1, University Rd, 701, Tainan, Taiwan;Department of Public Health, College of Medicine, National Cheng Kung University, #1, University Rd, 701, Tainan, Taiwan;Department of Environmental Health, Faculty of Public Health, University of Airlangga, Surabaya, Indonesia;Department of Public Health, College of Public Health, China Medical University, Taichung, Taiwan;Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan;Department of Public Health, College of Medicine, National Cheng Kung University, #1, University Rd, 701, Tainan, Taiwan;Health Promotion Administration, Ministry of Health and Welfare, Taipei, Taiwan;School of Gerontology Health Management & Master Program in Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan;Department of Physical Medicine and Rehabilitation, Department of Geriatric Medicine, & Department of Education, Taipei Medical University Hospital, Taipei, Taiwan;Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;

关键词: Ambient air pollution, environmental health literacy;    Cross-sectional studies;    Community health;    Linear regression model;   

DOI  :  10.1186/s12889-021-11658-z

来源: Springer

【 摘 要 】

ObjectiveTo investigate the level of and covariates associated with ambient air pollution health literacy (AAPHL) among adult residents of Taiwan.MethodsWith a cross-sectional study design, we conducted telephone interviews using a Chinese version AAPHL scale, which consisted of 24 items assessing 12 subdomains of AAPHL formed by 4 information processing competence matrices (i.e., access, understand, appraise, and apply) and 3 health contexts (i.e., healthcare, disease prevention, and health promotion). The AAPHL was with the lowest and highest score at 1 to 4, respectively. Between September and November 2020, a sample of 1017 and 280 adults was successfully interviewed via home phones and mobile phones, respectively. We employed multiple linear regression models to identify covariates significantly associated with overall and 4 matric-specific AAPHL scores.ResultsThe mean and standard deviation (±SD) of overall AAPHL score was considered as moderate at 2.90 (±0.56), with the highest and lowest metric-specific score for “apply” (3.07 ± 0.59) and “appraise” (2.75 ± 0.66). Lower education was significantly associated with a lower overall score; and living with children < 12 years and single were both significantly associated with higher overall scores. We also noted a significant geographic variation in overall score in which people living in the east/remote islands had highest scores.ConclusionsPeople in Taiwan had only moderate level of AAPHL; and covariates including education, living arrangement, marital status, and area of living were significantly associated with AAPHL. These covariates should be considered in future educational interventions aiming to improve the AAPHL in the community.

【 授权许可】

CC BY