Negative Impact of Fear of COVID-19 on Health-Related Quality of Life Was Modified by Health Literacy, eHealth Literacy, and Digital Healthy Diet Literacy: A Multi-Hospital Survey

International Journal of Environmental Research and Public Health

KienT. Nguyen¹  TienV. Tran²  BinhN. Do²  YenH. Nguyen³  AnhL. Tra⁴  LinhV. Pham⁵  HungK. Dao⁶  ThinhV. Do⁷  HuuC. Nguyen⁸  TungH. Ha⁹  PhuocB. Nguyen^1,10  ManhV. Trinh^1,11  HungQ. Nguyen^1,12  DungT. Phan^1,13  ThuT. M. Pham^1,14  KhueM. Pham^1,14  NhanP. T. Nguyen^1,15  ThaoT. P. Nguyen^1,16  Chyi-Huey Bai^1,17  MinhH. Nguyen^1,17  DungT. Ha^1,18  NgocT. Do^1,19  ThuyT. T. Mai^2,20  HuongT. M. Ngo^2,21  TuyenVan Duong^2,23  HoaiT. T. Nguyen^2,24 

[1] Department of Health Education, Faculty of Social Sciences, Behavior and Health Education, Hanoi University of Public Health, Hanoi 119-10, Vietnam;Department of Infectious Diseases, Vietnam Military Medical University, Hanoi 121-08, Vietnam;Department of Pharmacology and Clinical Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho 941-17, Vietnam;Department of Physiotherapy and Rehabilitation, Da Nang University of Medical Technology and Pharmacy, Da Nang 502-06, Vietnam;Department of Pulmonary & Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong 042-12, Vietnam;Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh 161-23, Vietnam;Director Office, Bai Chay Hospital, Quang Ninh 011-21, Vietnam;Director Office, E Hospital, Hanoi 113-08, Vietnam;Director Office, General Hospital of Agricultural, Hanoi 125-16, Vietnam;Director Office, Kien An Hospital, Hai Phong 046-09, Vietnam;Director Office, Quang Ninh General Hospital, Quang Ninh 011-08, Vietnam;Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh 011-24, Vietnam;Faculty of Nursing, Hanoi University of Business and Technology, Hanoi 116-22, Vietnam;Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong 042-12, Vietnam;General Planning Department, Da Nang Oncology Hospital, Da Nang 506-06, Vietnam;Health Management Training Institute, University of Medicine and Pharmacy, Hue University, Thua Thien Hue 491-20, Vietnam;International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei 110-31, Taiwan;Nursing Office, Bai Chay Hospital, Quang Ninh 011-21, Vietnam;Nursing Office, E Hospital, Hanoi 113-08, Vietnam;Nursing Office, Quang Ninh General Hospital, Quang Ninh 011-08, Vietnam;Nursing Office, Quang Ninh Obstetric and Pediatric Hospital, Quang Ninh 011-24, Vietnam;President Office, Can Tho University of Medicine and Pharmacy, Can Tho 941-17, Vietnam;School of Nutrition and Health Sciences, Taipei Medical University, Taipei 110-31, Taiwan;Training and Direction of Healthcare Activity Center, Kien An Hospital, Hai Phong 046-09, Vietnam;

关键词: fear of COVID-19;    health-related quality of life;    health literacy;    eHealth literacy;    digital healthy diet literacy;   

DOI  :  10.3390/ijerph18094929

来源: DOAJ

【 摘 要 】

Background: The COVID-19 pandemic has been disseminating fear in the community, which has affected people’s quality of life, especially those with health problems. Health literacy (HL), eHealth literacy (eHEAL), and digital healthy diet literacy (DDL) may have potential impacts on containing the pandemic and its consequences. This study aimed to examine the association between the fear of COVID-19 scale (FCoV-19S) and the health-related quality of life (HRQoL), and to examine the effect modification by HL, eHEAL, and DDL on this association. Methods: A cross-sectional study was conducted in 11 hospitals across Vietnam from 7 April to 31 May 2020. Data were collected on 4348 outpatients, including demographic characteristics, HL, eHEAL, DDL, FCoV-19S, and HRQoL. Multiple linear regression and interaction models were used to explore associations. Results: Patients with higher FCoV-19S scores had lower HRQoL scores (unstandardized coefficient, B = −0.78, p < 0.001). HL (B = 0.20, p < 0.001), eHEAL (B = 0.24, p < 0.001), and DDL (B = 0.20, p < 0.001) were positively associated with higher HRQoL scores. The negative impact of FCoV-19S on HRQoL was significantly attenuated by higher eHEAL score groups (from one standard deviation (SD) below the mean, B = −0.93, p < 0.001; to the mean, B = −0.85, p < 0.001; and one SD above the mean, B = −0.77, p < 0.001); and by higher DDL score groups (from one SD below the mean, B = −0.92, p < 0.001; to the mean, B = −0.82, p < 0.001; and one SD above the mean, B = −0.72, p < 0.001). Conclusions: eHealth literacy and digital healthy diet literacy could help to protect patients’ health-related quality of life from the negative impact of the fear of COVID-19 during the pandemic.

【 授权许可】

Unknown