Jia-Ling Wu1, Yu-Han Huang1, Yi-Chin Huang1, Chien-Cheng Jung2, Pei-Chen Lee1, Ming-Yeng Lin3, Wen-Hsuan Hou1,5,6,7†, Chung-Yi Li  This email address is being protected from spambots. You need JavaScript enabled to view it.1,2,4†

1 Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan
2 Department of Public Health, College of Public Health, China Medical University, Taichung, Taiwan
3 Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan
4 Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan
5 Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
6 Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan
7 Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan

These authors contributed equally to this work


Received: October 28, 2023
Revised: March 11, 2024
Accepted: March 13, 2024

 Copyright The Author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are cited.


Download Citation: ||https://doi.org/10.4209/aaqr.230225  

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Cite this article:

Wu, J.L., Huang, Y.H., Huang, Y.C., Jung, C.C., Lee, P.C., Lin, M.Y., Hou, W.H., Li, C.Y. (2024). Survey of Indoor Air Pollution Health Literacy among Community-dwelling Adults in Taiwan. Aerosol Air Qual. Res. https://doi.org/10.4209/aaqr.230225


HIGHLIGHTS

  • Adults in Taiwan had moderate level of indoor air pollution health literacy (IAPHL).
  • The IAPHL instrument has four information competencies across three health domains.
  • The easiest self-reported IAPHL competency is information understanding.
  • The most difficult IAPHL ability is information appraising.
  • Besides personal factors, socioenvironmental determinants were associated with IAPHL.
 

ABSTRACT


This study aimed to investigate the level of indoor air pollution health literacy (IAPHL) among adult residents of Taiwan and the associated covariates. A cross-sectional web-based online survey of 647 adults in Taiwan was conducted from May to October 2021 using a reliable and valid IAPHL instrument. We used weighted multiple linear regression models to identify covariates significantly associated with overall and four matric-specific IAPHL scores. The weighted sample size was 616 subjects aged between 20 and 88 years old (mean: 45.8 years, standard deviation: 18.1). Generally, adult residents of Taiwan showed only a moderate level of overall IAPHL, with the highest and lowest matric-specific score for “understanding” and “appraising,” respectively. The key factors associated with adults’ IAPHL included sex, age, work related to indoor air pollution, smoking status, exposure to second-hand smoke, budget for improving indoor air quality, and number of beneficial goods used. The community-dwelling adults in Taiwan had only moderate levels of IAPHL. Adults with certain characteristics associated with low IAPHL should be the objects of further educational interventions or public health policy-making aiming to improve IAPHL. To improve the IAPHL level of adults, we might need to focus on characteristics such as indoor air pollution information provision and health risk perceptions.


Keywords: Indoor air pollution, Environmental health literacy, Health competency, Cross-sectional study, Community health




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