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Health literacy and its association with mental and spiritual well-being among women experiencing homelessness
Department of Statistics, Uppsala University; Department of Statistics, Uppsala University, Akademiska sjukhuset; Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet.ORCID iD: 0000-0003-3691-8326
Marie Cederschiöld University, Department of Health Care Sciences, Palliative Research Centre, PRC. Department of Women’s and Children’s Health, Healthcare Services and e-Health, Uppsala University, Akademiska sjukhuset.ORCID iD: 0000-0001-7935-3260
Division of Psychiatry, Faculty of Brain Sciences, University College London, UK.ORCID iD: 0000-0003-0479-6950
Marie Cederschiöld University, Department of Health Care Sciences. Department of Women’s and Children’s Health, Healthcare Services and e-Health, Uppsala University, Akademiska sjukhuset.ORCID iD: 0000-0001-5104-1281
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2024 (English)In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 39, no 2Article in journal (Refereed) Published
Abstract [en]

Low health literacy (HL) has been linked to low self-rated health, reduced efficacy of behaviour change, and challenges in preventing, treating, or managing health conditions. People experiencing homelessness are at risk of poor HL; however, few studies have investigated HL in relation to mental and spiritual well-being among people experiencing homelessness in general, or women experiencing homelessness specifically. This cross-sectional study of 46 women experiencing homelessness in Stockholm, Sweden, recruited during the period October 2019–December 2020, aimed to examine how HL was associated with mental and spiritual well-being among women experiencing homelessness. Participants answered questions about socio-demographic characteristics (age, length of homelessness, education) and digital technology (mobile phone/the Internet) use, in addition to Swedish language versions of three questionnaires administered through structured, face-to-face interviews: the Communicative and Critical Health Literacy Scale, the General Health Questionnaire 12 and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being. Data were analysed using linear regression, which revealed statistically significant associations between HL and mental well-being (p = .009), and between HL and spiritual well-being (p = .022). However, neither socio-demographic characteristics nor digital technology use were significantly associated with HL. In conclusion, promoting HL may improve mental and spiritual well-being in this vulnerable population. An advisory board of women with lived experiences of homelessness (n = 5) supported the interpretation of the findings and emphasised the need to consider HL in relation to basic needs such as ‘housing first’. Moreover, health information and services should be accessible to people with different degrees of HL.

Place, publisher, year, edition, pages
Oxford University Press, 2024. Vol. 39, no 2
Keywords [en]
Health literacy, Homelessness, Psychological distress, Spirituality, Psychological well-being, Women’s health
National Category
Nursing Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:esh:diva-10734DOI: 10.1093/heapro/daae019OAI: oai:DiVA.org:esh-10734DiVA, id: diva2:1842496
Part of project
Inclusion health for women in homelessness - development, feasibility and implementation of interventions, Forte, Swedish Research Council for Health, Working Life and Welfare, Swedish Research Council
Funder
Swedish Research Council, 2019-01095Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-00169
Note

In collaboration with: Women Advisory Board for Inclusion Health.

Available from: 2024-03-05 Created: 2024-03-05 Last updated: 2025-02-20Bibliographically approved

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Klarare, AnnaMattsson, ElisabetGaber, Sophie Nadia

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Karlsson Rosenblad, AndreasKlarare, AnnaRapaport, PennyMattsson, ElisabetGaber, Sophie Nadia
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