Association between occupational situation and health literacy: A Danish population-based survey

Ida Wagner Svendsen, Maria Busk Damgaard, Carsten Kronborg Bak, Majbritt Tang Svendsen, Gabriele Berg-Beckhoff*

*Corresponding author for this work

Research output: Contribution to journalConference abstract in journalResearchpeer-review

Abstract

Background It is well known, that health literacy is associated with health, and that occupation and health is associated as well. But current knowledge on the relationship between occupation and health literacy is scarce. The aim of this study was to examine the association of occupation with health literacy. Methods Between 2016 and 2017 a random sample of the Danish population participated in a cross-sectional national representative survey using the short version of the European Health Literacy Survey Questionnaire. 15,682 adults aged 25 years or older was invited, and 8,997 residents participated. Data on occupational situation were obtained from nationwide administrative registries, which contains information on employment and public benefits. Logistic regression was conducted for the binary outcome of health literacy and the exposure variable of occupational situation. Model was adjusted for sex, age, immigration, education, cohabitation and income. Subsequently, a mediation analysis was conducted to analyze if health literacy was a causal pathway in the association between occupational situation and health. Results Respondents receiving unemployment benefits had a significantly higher risk of inadequate health literacy [OR = 1.66 (p < 0.001)] compared to respondents who were employed. The associations were also significant for social assistance [OR = 1.63 (p < 0.001)], employment and support allowance [OR = 1.59 (p < 0.001)], and sickness benefit [OR = 1.55 (p < 0.001)]. Mediation analysis showed, that the association between employment status and health were partly mediated by health literacy. Conclusions Results are important to understand the health disparities in connection to occupational situation, health literacy, and health. As a mean for health promotion, interventions to improve health literacy should be planned for groups receiving public benefits and when health information is delivered for these groups the level of health literacy should be considered.
Original languageEnglish
Article numberckz185.068
JournalEuropean Journal of Public Health
Volume29
Issue numberSuppl. 4
Pages (from-to)32
Number of pages1
ISSN1101-1262
DOIs
Publication statusPublished - Oct 2019
EventEuropean Conference of Public Health - Marseille, Marseille, France
Duration: 20. Nov 201923. Nov 2019

Conference

ConferenceEuropean Conference of Public Health
LocationMarseille
CountryFrance
CityMarseille
Period20/11/201923/11/2019

Cite this

Wagner Svendsen, Ida ; Busk Damgaard, Maria ; Kronborg Bak, Carsten ; Tang Svendsen, Majbritt ; Berg-Beckhoff, Gabriele. / Association between occupational situation and health literacy : A Danish population-based survey. In: European Journal of Public Health. 2019 ; Vol. 29 , No. Suppl. 4. pp. 32.
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title = "Association between occupational situation and health literacy: A Danish population-based survey",
abstract = "Background It is well known, that health literacy is associated with health, and that occupation and health is associated as well. But current knowledge on the relationship between occupation and health literacy is scarce. The aim of this study was to examine the association of occupation with health literacy. Methods Between 2016 and 2017 a random sample of the Danish population participated in a cross-sectional national representative survey using the short version of the European Health Literacy Survey Questionnaire. 15,682 adults aged 25 years or older was invited, and 8,997 residents participated. Data on occupational situation were obtained from nationwide administrative registries, which contains information on employment and public benefits. Logistic regression was conducted for the binary outcome of health literacy and the exposure variable of occupational situation. Model was adjusted for sex, age, immigration, education, cohabitation and income. Subsequently, a mediation analysis was conducted to analyze if health literacy was a causal pathway in the association between occupational situation and health. Results Respondents receiving unemployment benefits had a significantly higher risk of inadequate health literacy [OR = 1.66 (p < 0.001)] compared to respondents who were employed. The associations were also significant for social assistance [OR = 1.63 (p < 0.001)], employment and support allowance [OR = 1.59 (p < 0.001)], and sickness benefit [OR = 1.55 (p < 0.001)]. Mediation analysis showed, that the association between employment status and health were partly mediated by health literacy. Conclusions Results are important to understand the health disparities in connection to occupational situation, health literacy, and health. As a mean for health promotion, interventions to improve health literacy should be planned for groups receiving public benefits and when health information is delivered for these groups the level of health literacy should be considered.",
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pages = "32",
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Association between occupational situation and health literacy : A Danish population-based survey. / Wagner Svendsen, Ida; Busk Damgaard, Maria; Kronborg Bak, Carsten ; Tang Svendsen, Majbritt; Berg-Beckhoff, Gabriele.

In: European Journal of Public Health, Vol. 29 , No. Suppl. 4, ckz185.068, 10.2019, p. 32.

Research output: Contribution to journalConference abstract in journalResearchpeer-review

TY - ABST

T1 - Association between occupational situation and health literacy

T2 - A Danish population-based survey

AU - Wagner Svendsen, Ida

AU - Busk Damgaard, Maria

AU - Kronborg Bak, Carsten

AU - Tang Svendsen, Majbritt

AU - Berg-Beckhoff, Gabriele

PY - 2019/10

Y1 - 2019/10

N2 - Background It is well known, that health literacy is associated with health, and that occupation and health is associated as well. But current knowledge on the relationship between occupation and health literacy is scarce. The aim of this study was to examine the association of occupation with health literacy. Methods Between 2016 and 2017 a random sample of the Danish population participated in a cross-sectional national representative survey using the short version of the European Health Literacy Survey Questionnaire. 15,682 adults aged 25 years or older was invited, and 8,997 residents participated. Data on occupational situation were obtained from nationwide administrative registries, which contains information on employment and public benefits. Logistic regression was conducted for the binary outcome of health literacy and the exposure variable of occupational situation. Model was adjusted for sex, age, immigration, education, cohabitation and income. Subsequently, a mediation analysis was conducted to analyze if health literacy was a causal pathway in the association between occupational situation and health. Results Respondents receiving unemployment benefits had a significantly higher risk of inadequate health literacy [OR = 1.66 (p < 0.001)] compared to respondents who were employed. The associations were also significant for social assistance [OR = 1.63 (p < 0.001)], employment and support allowance [OR = 1.59 (p < 0.001)], and sickness benefit [OR = 1.55 (p < 0.001)]. Mediation analysis showed, that the association between employment status and health were partly mediated by health literacy. Conclusions Results are important to understand the health disparities in connection to occupational situation, health literacy, and health. As a mean for health promotion, interventions to improve health literacy should be planned for groups receiving public benefits and when health information is delivered for these groups the level of health literacy should be considered.

AB - Background It is well known, that health literacy is associated with health, and that occupation and health is associated as well. But current knowledge on the relationship between occupation and health literacy is scarce. The aim of this study was to examine the association of occupation with health literacy. Methods Between 2016 and 2017 a random sample of the Danish population participated in a cross-sectional national representative survey using the short version of the European Health Literacy Survey Questionnaire. 15,682 adults aged 25 years or older was invited, and 8,997 residents participated. Data on occupational situation were obtained from nationwide administrative registries, which contains information on employment and public benefits. Logistic regression was conducted for the binary outcome of health literacy and the exposure variable of occupational situation. Model was adjusted for sex, age, immigration, education, cohabitation and income. Subsequently, a mediation analysis was conducted to analyze if health literacy was a causal pathway in the association between occupational situation and health. Results Respondents receiving unemployment benefits had a significantly higher risk of inadequate health literacy [OR = 1.66 (p < 0.001)] compared to respondents who were employed. The associations were also significant for social assistance [OR = 1.63 (p < 0.001)], employment and support allowance [OR = 1.59 (p < 0.001)], and sickness benefit [OR = 1.55 (p < 0.001)]. Mediation analysis showed, that the association between employment status and health were partly mediated by health literacy. Conclusions Results are important to understand the health disparities in connection to occupational situation, health literacy, and health. As a mean for health promotion, interventions to improve health literacy should be planned for groups receiving public benefits and when health information is delivered for these groups the level of health literacy should be considered.

U2 - 10.1093/eurpub/ckz185.068

DO - 10.1093/eurpub/ckz185.068

M3 - Conference abstract in journal

VL - 29

SP - 32

JO - European Journal of Public Health

JF - European Journal of Public Health

SN - 1101-1262

IS - Suppl. 4

M1 - ckz185.068

ER -