Association between e-health literacy and perceived importance of future pandemic preparedness in sub-saharan Africa.

Association between e-health literacy and perceived importance of future pandemic preparedness in sub-saharan Africa.

Publication date: Dec 28, 2024

Emerging and re-emerging infectious diseases continue to pose a severe threat to public health in Sub-Saharan Africa (SSA) and globally. Community-related interventions, such as community e-Health literacy, can contribute to the preparedness to respond effectively to emerging and re-emerging infectious diseases. This study investigated the relationship between e-Health literacy and SSA countries’ perceptions of the importance of readiness for potential pandemics. This cross-sectional study was conducted in sub-Saharan African countries (Nigeria, Rwanda, Burundi, and South Africa) among adults aged 18 years and above between July 2020 and August 2021, respondents were recruited through a non-probability sampling technique. Participants were asked to self-report the perceived importance of 13 items on future pandemic preparedness scored on a 5 Likert-point scale. The four key dimensions of pandemic preparedness were online medical consultation, online courses, messaging for healthcare, and shopping. E-Health literacy was the key exposure. The questionnaire was adapted from a previously validated e-Health literacy scale. Data was collected through a self-administered questionnaire online. Data analysis was done using Stata and descriptive statistics including frequency, proportions, means, and standard deviation were used to summarize variables. Inferential statistics including chi-square and logistic regressions were used to test the significance of association between e-health literacy and pandemic preparedness setting the level of significance at 5%. A total of 1295 people participated in this study. Roughly half of all participants, 685 (52. 90%), were aged between 18 and 29 and 685 (52. 90%) were females. The standardised average (SE) e-Health literacy score was 29. 55 (0. 19). Shopping was perceived as the most important dimension of pandemic preparedness across participating countries (mean (SE) of 3. 32 (0. 06) and above across all countries for online shopping), while online medical consultation was the least perceived as important (mean (SE) of 2. 88 (0. 08) or less in two countries for instant health advice from chatbot). In the fully adjusted model, e-Health literacy was associated with 8 out of 13 items of the perceived importance of the pandemic preparedness questionnaire. Those include online consultation with doctors (OR = 1. 11, 95% CI 1. 02-1. 21), telephone health advice (OR = 1. 07, 95%CI 1. 00-1. 15), medicine delivery (OR = 1. 04, 95% CI 1. 03-1. 06), getting medicine prescribed in a hospital visit/follow-up in a community pharmacy (OR = 1. 07, 95% CI 1. 05-1. 10), receiving health information via email (OR = 1. 08, 95% CI 1. 01-1. 17) and via social media (OR = 1. 08, 95% CI 1. 03-1. 14), online shopping (OR = 1. 07, 95% CI 1. 03-1. 11) and instant streaming courses (OR = 1. 09, 95% CI 1. 02-1. 16). The higher e-Health literacy scores were associated with a higher perception of most elements as important in future pandemic readiness. Strengthening e-Health literacy can be a key element of the preparation for pandemics in SSA countries.

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Concepts Keywords
Doctors Adolescent
Pandemic Adult
Rwanda Communicable diseases
Shopping Community interventions
COVID-19
Cross-Sectional Studies
Cross-sectional studies
Disease outbreak response
E-Health literacy
Female
Health Literacy
Humans
Infection prevention & control
Male
Middle Aged
Pandemic Preparedness
Pandemics
Pandemics preparedness
Sub-saharan Africa
Surveys and Questionnaires
Telemedicine
Telemedicine
Young Adult

Semantics

Type Source Name
disease MESH re-emerging infectious diseases
disease MESH Communicable diseases
disease MESH Infection
drug DRUGBANK Coenzyme M
disease MESH COVID 19
disease MESH Tuberculosis
pathway KEGG Tuberculosis
disease MESH Schistosomiasis
disease MESH Rift Valley Fever
disease MESH Lassa Fever
disease MESH Monkeypox
disease MESH zoonotic infections
disease IDO ribonucleic acid
disease IDO host
disease IDO country
drug DRUGBANK Water
drug DRUGBANK Nonoxynol-9
disease IDO quality
disease IDO process
pathway REACTOME Translation
disease MESH marital status
disease MESH unemployment
disease IDO facility
drug DRUGBANK Etoperidone
disease MESH malnutrition
disease IDO intervention
disease MESH emergency
disease MESH causality
disease IDO role
disease IDO history
disease MESH lifestyles
pathway REACTOME Reproduction

Original Article

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