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IMPROVING HEALTHY CITIES IN URBAN AND RURAL ENVIRONMENTS IN NIGERIA: THE COVID-19 HEALTH LITERACY CONCEPT
Hall C
Abstract
Abstract Body
Background
Despite the benefits of health literacy in promoting health-seeking behavior, much knowledge is yet to be unraveled about health literacy in urban and rural environments amid the COVID-19 pandemic in Nigeria. This study, therefore, aimed to describe COVID-19 health literacy in urban and rural environments in Nigeria.
Methods
A descriptive cross-sectional design was used to enroll 691 respondents from households in rural and urban environments in South-west Nigeria using a multi-stage sampling technique. Data were collected using an interviewer-administered questionnaire between 1st and 9th October 2020. Nine questions were asked on respondents’ health literacy, each arranged on a scale of “1” implying “very difficult” to “7” implying “very easy’. Using Bloom’s cut-off set at 80%, we defined good health literacy as cumulative scores greater than or equal to 50 points, and poor health literacy as scores below 50 points. Bivariate chi-square tests were conducted on respondents’ COVID-19 health literacy. Multivariate logistic analysis was performed on significant variables. Statistical significance levels were set at p<0.05.
Results
The respondents’ mean age was 29.93±10.66 years, and 352 (50.9%) were males. Overall, 229 (45.8%) individuals had good COVID-19 health literacy. Among them, 143 (62.4%) individuals living in the urban environments had good COVID-19 health literacy compared to 86 (37.6%) living in the rural environments (ᵡ2= 4.062, p=0.044). Also, 31 (33.3%) in the first wealth quintile had good COVID-19 health literacy (ᵡ2=10.459, p=0.033). Respondents below 20 years had two times odds of good COVID-19 health literacy (OR= 2.304, 95% CI=1.316-4.034, p=0.004). Also, respondents aged 21-29 years had three times odds of good COVID-19 health literacy (OR=2.587, 95% CI=1.559-4.293, p=<0.001).
Conclusion
Residents of rural environments in Nigeria are at a disadvantage for poor COVID-19 health literacy. In a bid to ensure a healthy city, strategies to ensure equity in the dissemination of health-related information across urban and rural environments in Nigeria need to be implemented. COVID-19 information package should be clearly presented. Improved political commitment is required to ensure the healthy state of urban and rural environments residents in Nigeria.