Association Between Health Literacy and Work Ability in Employees With Health-Related Risk Factors: A Structural Model

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Abstract

Introduction

In workplace health promotion (WHP), health literacy and work ability are considered as outcomes of high interest. Therefore, the question arises as to what extent individual health literacy skills have an impact on work ability alongside sociodemographic influences.

Objectives

This study aimed to examine the associations between a structural model of health literacy as well as sociodemographic context factors and the work ability among employees with health-related risk factors.

Materials and Methods

The study was based on baseline data of a workplace-related intervention (158 employees with health-related risk factors, 53.8% women, 48 ± 10 years). Health literacy skills were assessed with Lenartz's Questionnaire (measuring “self-perception”, “proactive approach to health”, “dealing with health information”, “self-control”, “self-regulation”, and “communication and cooperation”). Work ability was measured by the German Short Form of the Work Ability Index (WAI). As sociodemographic context factors, sex, age, and educational level were assessed. The associations were examined using structural equation modeling with partial least squares (SmartPLS 2.0.M3). Common quality criteria were applied and significance level was set at α = 5%.

Results

Model's reliability, validity, and structure could be validated. Regarding the impact on work ability, “self-regulation” showed a statistically significant direct effect (ß = 0.32, t _(∞) = 4.00, p < 0.01, f ² = 0.09) and “self-perception” had a significant indirect effect (ß = 0.13, t _(∞) = 2.53, p < 0.05). The only additional association with work ability was found for age (ß = −0.25, t _(∞) = 3.82, p < 0.01, f ² = 0.04). The WAI score variance was explained to 17.5% by the health literacy skills and to 27.5% considering the additional sociodemographic context factors.

Conclusion

According to the structural model of health literacy, in employees with health-related risk factors, a target group-specific WHP approach could be the encouragement of self-regulation and self-perception. However, additional resources and conditions influencing work ability should be considered.

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Most cited references 75

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Evaluating Structural Equation Models with Unobservable Variables and Measurement Error

Claes Fornell, David Larcker (1981)

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Health literacy and public health: A systematic review and integration of definitions and models

Karen Kristine Sørensen, Stephan Van den Broucke, James Fullam … (2012)

Background Health literacy concerns the knowledge and competences of persons to meet the complex demands of health in modern society. Although its importance is increasingly recognised, there is no consensus about the definition of health literacy or about its conceptual dimensions, which limits the possibilities for measurement and comparison. The aim of the study is to review definitions and models on health literacy to develop an integrated definition and conceptual model capturing the most comprehensive evidence-based dimensions of health literacy. Methods A systematic literature review was performed to identify definitions and conceptual frameworks of health literacy. A content analysis of the definitions and conceptual frameworks was carried out to identify the central dimensions of health literacy and develop an integrated model. Results The review resulted in 17 definitions of health literacy and 12 conceptual models. Based on the content analysis, an integrative conceptual model was developed containing 12 dimensions referring to the knowledge, motivation and competencies of accessing, understanding, appraising and applying health-related information within the healthcare, disease prevention and health promotion setting, respectively. Conclusions Based upon this review, a model is proposed integrating medical and public health views of health literacy. The model can serve as a basis for developing health literacy enhancing interventions and provide a conceptual basis for the development and validation of measurement tools, capturing the different dimensions of health literacy within the healthcare, disease prevention and health promotion settings.

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A Test of Missing Completely at Random for Multivariate Data with Missing Values

Roderick J A Little (1988)

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Author and article information

Contributors

Madeleine Gernert: URI : http://loop.frontiersin.org/people/1533726/overview

Gerrit Stassen: URI : http://loop.frontiersin.org/people/1592825/overview

Andrea Schaller: URI : http://loop.frontiersin.org/people/1636956/overview

Journal

Journal ID (nlm-ta): Front Public Health

Journal ID (iso-abbrev): Front Public Health

Journal ID (publisher-id): Front. Public Health

Title: Frontiers in Public Health

Publisher: Frontiers Media S.A.

ISSN (Electronic): 2296-2565

Publication date (Electronic): 18 February 2022

Publication date Collection: 2022

Volume: 10

Electronic Location Identifier: 804390

Affiliations

Working Group Physical Activity-Related Prevention Research, Institute of Movement Therapy and Movement-Oriented Prevention and Rehabilitation, German Sport University Cologne , Cologne, Germany

Author notes

Edited by: Francesco Chirico, Catholic University of the Sacred Heart, Italy

Reviewed by: Kavita Batra, University of Nevada, United States; Alfons Hollederer, University of Kassel, Germany

*Correspondence: Madeleine Gernert m.gernert@ 123456dshs-koeln.de

This article was submitted to Occupational Health and Safety, a section of the journal Frontiers in Public Health

Article

DOI: 10.3389/fpubh.2022.804390

PMC ID: 8894655

PubMed ID: 35252089

SO-VID: f637b611-c347-422c-80d1-e991bef620f5

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

History

Date received : 29 October 2021

Date accepted : 24 January 2022

Page count

Figures: 3, Tables: 3, Equations: 0, References: 81, Pages: 10, Words: 6770

Funding

Funded by: Bundesministerium für Bildung und Forschung, doi 10.13039/501100002347;

Association Between Health Literacy and Work Ability in Employees With Health-Related Risk Factors: A Structural Model

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Abstract

Introduction

Objectives

Materials and Methods

Results

Conclusion

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Sushruta Journal of Health Policy & Opinion

Most cited references 75

Evaluating Structural Equation Models with Unobservable Variables and Measurement Error

Health literacy and public health: A systematic review and integration of definitions and models

A Test of Missing Completely at Random for Multivariate Data with Missing Values

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