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  1. Article ; Online: Public knowledge, attitudes and practices towards COVID-19

    Arina Anis Azlan / Mohammad Rezal Hamzah / Tham Jen Sern / Suffian Hadi Ayub / Emma Mohamad

    PLoS ONE, Vol 15, Iss 5, p e

    A cross-sectional study in Malaysia.

    2020  Volume 0233668

    Abstract: In an effort to mitigate the outbreak of COVID-19, many countries have imposed drastic lockdown, movement control or shelter in place orders on their residents. The effectiveness of these mitigation measures is highly dependent on cooperation and ... ...

    Abstract In an effort to mitigate the outbreak of COVID-19, many countries have imposed drastic lockdown, movement control or shelter in place orders on their residents. The effectiveness of these mitigation measures is highly dependent on cooperation and compliance of all members of society. The knowledge, attitudes and practices people hold toward the disease play an integral role in determining a society's readiness to accept behavioural change measures from health authorities. The aim of this study was to determine the knowledge levels, attitudes and practices toward COVID-19 among the Malaysian public. A cross-sectional online survey of 4,850 Malaysian residents was conducted between 27th March and 3rd April 2020. The survey instrument consisted of demographic characteristics, 13 items on knowledge, 3 items on attitudes and 3 items on practices, modified from a previously published questionnaire on COVID-19. Descriptive statistics, chi-square tests, t-tests and one-way analysis of variance (ANOVA) were conducted. The overall correct rate of the knowledge questionnaire was 80.5%. Most participants held positive attitudes toward the successful control of COVID-19 (83.1%), the ability of Malaysia to conquer the disease (95.9%) and the way the Malaysian government was handling the crisis (89.9%). Most participants were also taking precautions such as avoiding crowds (83.4%) and practising proper hand hygiene (87.8%) in the week before the movement control order started. However, the wearing of face masks was less common (51.2%). This survey is among the first to assess knowledge, attitudes and practice in response to the COVID-19 pandemic in Malaysia. The results highlight the importance of consistent messaging from health authorities and the government as well as the need for tailored health education programs to improve levels of knowledge, attitudes and practices.
    Keywords Medicine ; R ; Science ; Q ; covid19
    Subject code 690
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Associations between Health Literacy and Sociodemographic Factors

    Arina Anis Azlan / Mohammad Rezal Hamzah / Jen Sern Tham / Suffian Hadi Ayub / Abdul Latiff Ahmad / Emma Mohamad

    International Journal of Environmental Research and Public Health, Vol 18, Iss 4860, p

    A Cross-Sectional Study in Malaysia Utilising the HLS-M-Q18

    2021  Volume 4860

    Abstract: Health literacy is progressively seen as an indicator to describe a nation’s health status. To improve health literacy, countries need to address health inequalities by examining different social demographic factors across the population. This assessment ...

    Abstract Health literacy is progressively seen as an indicator to describe a nation’s health status. To improve health literacy, countries need to address health inequalities by examining different social demographic factors across the population. This assessment is crucial to identify and evaluate the strengths and limitations of a country in addressing health issues. By addressing these health inequalities, a country would be better informed to take necessary steps to improve the nation’s health literacy. This study examines health literacy levels in Malaysia and analyses socio-demographic factors that are associated with health literacy. A cross-sectional survey was carried out using the HLS-M-Q18 instrument, which was validated for the Malaysian population. Multi-stage random sampling strategy was used in this study, utilising several sampling techniques including quota sampling, cluster sampling, and simple random sampling to allow random data collection. A total of 855 respondents were sampled. Our results showed that there were significant associations between health literacy and age, health status, and health problems. Our findings also suggest that lower health literacy levels were associated with the younger generation. This study’s findings have provided baseline data on Malaysians’ health literacy and provide evidence showing potential areas of intervention.
    Keywords health literacy ; HLS-M-Q18 ; sociodemographic associations ; health communication ; Medicine ; R
    Subject code 360 ; 302
    Language English
    Publishing date 2021-05-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Establishing the HLS-M-Q18 short version of the European health literacy survey questionnaire for the Malaysian context

    Emma Mirza Wati Mohamad / Manimaran Krishnan Kaundan / Mohammad Rezal Hamzah / Arina Anis Azlan / Suffian Hadi Ayub / Jen Sern Tham / Abdul Latiff Ahmad

    BMC Public Health, Vol 20, Iss 1, Pp 1-

    2020  Volume 7

    Abstract: Abstract Background The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is becoming a widely used tool to measure health literacy (HL), including in Malaysia. There are efforts to reduce the 47-item scale to parsimonious short item scales that ...

    Abstract Abstract Background The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is becoming a widely used tool to measure health literacy (HL), including in Malaysia. There are efforts to reduce the 47-item scale to parsimonious short item scales that still reflect the assumptions and requirements of the conceptual model. This study used confirmatory factor analysis to reduce the 47-item scale to a short scale that can offer a feasible HL screening tool with sufficient psychometric properties. Methods A cross-sectional survey was conducted on the Malaysian population based on ethnic distribution to ensure that the short version instrument reflects the country’s varied ethnicities. The survey was administered by well-trained interviewers working for the Ministry of Health Malaysia. A total of 866 responses were obtained. Data was analysed using multi-factorial confirmatory factor analysis (CFA) with categorical variables. Results The analysis resulted in a satisfactory 18-item model. There were high correlations among the 18 items. The internal consistency reliability was robust, with no floor/ceiling effects. These results represented equivalence and consistency among the responses to items, suggesting that these items were homogenous in measuring Malaysian health literacy. The strong convergent and discriminant validity of the model makes the proposed 18 items a suitable short version of the health literacy instrument for Malaysia. Conclusions The researchers propose the 18-item instrument to be named HLS-M-Q18. This short version instrument may be used in measuring health literacy in Malaysia as it achieved robust reliability, structural validity and construct validity that fulfilled goodness-of-fit criteria.
    Keywords Health literacy ; HLS-M-Q18 ; Short version instrument ; HLS-EU-Q47 ; Instrument item reduction ; Public aspects of medicine ; RA1-1270
    Subject code 310
    Language English
    Publishing date 2020-04-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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