University of Ibadan
Department of Community Medicine
Afolabi, Aanuoluwapo Adeyimika is a young Public health expert with experience in local and global public health events. Aanuoluwapo's research interest is focused on public health, global health, epidemiology, infectious diseases, environmental health, reproductive health, and family health. Aanuoluwapo is a member of the Epidemiological Society of Nigeria, Society for Adolescent and Young people's health in Nigeria, and the American Society of Microbiology. She has co-authored more than thirty publications on the prevention and control of communicable and non-communicable diseases which have been published in national and international journals. She has presented in many scientific conferences including the First African and Second Nigerian Coference of the Society for Adolescent and Young People's Health in Nigeria, Nigeran Conference of Applied Epidemiology, and the Epidemiological Society of Nigeria Conference 2021. Aanuoluwapo has excellent data analysis skills and exhibits team spirit in all her engagements.

Presenter of 1 Presentation

IMPROVING HEALTHY CITIES IN URBAN AND RURAL ENVIRONMENTS IN NIGERIA: THE COVID-19 HEALTH LITERACY CONCEPT

Session Type
Pecha Kuchas
Date
02/24/2022
Session Time
02:00 PM - 03:10 PM
Room

Hall C

Lecture Time
02:35 PM - 02:40 PM

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.

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