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Does health literacy mediate sociodemographic and economic inequalities in fruit and vegetable intake? : an analysis of Slovenian national HLS19 survey data
Andrej Kirbiš, Stefani Branilović, Maruša Lubej, 2025, izvirni znanstveni članek

Opis: Health literacy plays an important role in promoting healthier behaviors. However, less is known about its impact on dietary habits, such as fruit and vegetable (FV) intake. This study examines the mediating role of health literacy in the relationship between FV intake and demographic and socioeconomic factors among Slovenian adults. We used Slovenian national data from the 19-country Health Literacy Survey 2019–2021 (HLS19) (n = 3360). Results indicate that health literacy plays a complex role in mediating the relationship between demographic and socioeconomic factors and FV intake. Women and financially stable individuals have higher levels of health literacy, which positively predicts higher FV intake. While older individuals demonstrated greater FV intake, they reported lower health literacy, suggesting other mechanisms may drive their dietary behavior. Additionally, while higher education was associated with improved health literacy, its direct relationship with FV intake was negative, though health literacy partially mitigated this effect. These results underscore the importance of health literacy as a mediating factor in improving dietary behaviors and highlight the need for targeted interventions and policies to enhance nutritional education, particularly for marginalized groups.
Ključne besede: health literacy, fruit and vegetable intake, mediation analyses, health, demographic inequalities, socioeconomic inequalities
Objavljeno v DKUM: 18.03.2025; Ogledov: 0; Prenosov: 2
.pdf Celotno besedilo (510,36 KB)
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3.
The validity and reliability of the Slovenian version of the health literacy questionnaire short-form (HLS-EU-Q16) among adults and older adults
Monika Lamot, Andrej Kirbiš, 2024, izvirni znanstveni članek

Opis: Introduction: Health literacy is an important predictor of health behavior and self-rated health, playing a crucial role in shaping public health outcomes. Valid and reliable health literacy assessments are essential for effectively tailoring health interventions, particularly in different cultural contexts. Several questionnaires have been developed to measure health literacy, including the widely used 47-item Health Literacy Questionnaire and its shorter versions. However, the validity of these shorter and more time efficient HLS-EU versions, such as the 16-item HLS-EU-Q16, has been less extensively researched in different age subgroups. Given Slovenia’s aging population and the differences in health literacy between adults and older adults, it is important to assess whether the HLS-EU-Q16 performs reliably across these groups. Therefore, the present study aimed to examine the validity and reliability of the 16-item health literacy questionnaire (HLS-EU-Q16) in Slovenia across two age groups: adults and older adults. Methods: We analyzed representative Slovenian sample data from the Health Literacy of Adults study. The sample included 2,327 adults aged 23–64 years (53.7% women) and 876 older adults aged 65–99 years (55.7% women). Results: Construct validity revealed a modified three-factor structure of the HLS-EU-Q16 among adults, reflecting a broader conceptualization of health literacy that encompasses overlapping domains of health promotion, disease prevention, and health care. In contrast, a two-factor structure emerged among older adults, indicating a more consolidated approach where these domains are perceived as part of an integrated health management strategy. This suggests that adults may conceptualize health literacy across multiple, yet interconnected dimensions, while older adults approach it more holistically. Convergent validity, reliability, concurrent-predictive, concurrent, and discriminant validity results were satisfactory for both age groups. Predictive validity, however, provided somewhat inadequate results, as the tool poorly predicted certain health behaviors, such as smoking, alcohol consumption, and physical activity, in both age groups. Conclusion: Overall, the HLS-EU-Q16 demonstrated adequate validity and reliability among both adults and older adults, indicating that it is an appropriate instrument for assessing health literacy in Slovenia.
Ključne besede: HLS-EU-Q16, Slovenia, health literacy, adults, validity
Objavljeno v DKUM: 14.03.2025; Ogledov: 0; Prenosov: 5
.pdf Celotno besedilo (646,69 KB)
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4.
Are health literacy and physical literacy independent concepts? A gender-stratified analysis in medical school students from Croatia
Marijana Geets Kesic, Mia Perić, Barbara Gilić, Marko Manojlovic, Patrik Drid, Toni Modric, Željka Znidaric, Nataša Zenić, Aleksander Pajtler, 2022, izvirni znanstveni članek

Opis: Health literacy (HL) and physical literacy (PL) are concepts responsible for achieving and maintaining positive health behaviors. This study aimed to investigate gender-specific associations: (i) between PL and HL; and (ii) among HL, PL, and body composition. We observed 253 students attending health-area high schools from southern Croatia (181 girls; 16.9 ± 1.4 years). HL was assessed by the European Health Literacy Survey Questionnaire, PL by the PLAYself questionnaire, and body composition by bioimpedance analysis. The t-test was used to assess the differences between genders, and Pearson’s correlation coefficients were calculated to establish the associations between variables. The results showed a similar level of HL (t-test = 0.2; p = 0.83) and PL (t-test = 0.01; p = 0.99) in boys and girls. Significant but small correlations were identified between HL and PL only in the girls (<10% of common variance). The body composition indices were significantly correlated with PL only in the boys (15–20% of common variance). Our research highlights the necessity of the independent evaluation of HL and PL in adolescence. Further studies evaluating other indices of health status in relation to PL and HL are warranted.
Ključne besede: health behavior, knowledge translation, public health, community-engaged research, youth, body build
Objavljeno v DKUM: 12.03.2025; Ogledov: 0; Prenosov: 2
.pdf Celotno besedilo (793,77 KB)
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5.
Sweet, fat and salty: snacks in vending machines in health and social care institutions in Slovenia
Urška Rozman, Igor Pravst, Urška Pivk Kupirovič, Urška Blaznik, Primož Kocbek, Sonja Šostar-Turk, 2020, izvirni znanstveni članek

Opis: Vending machines in health and social care facilities are often the only possible choice for a quick snack for workers and visitors, in many cases providing unhealthy dietary choices. Our study aimed to analyse the variety and nutritional quality of foods available in vending machines placed in social and health care institution in Slovenia. The available snacks were quantitatively assessed, using traffic light profiling. The model used for nutrient profiling was that of the Food Standards Australia New Zealand (FSANZ). Vending machines in 188 institutions were surveyed, resulting in 5625 food-items consisting of 267 unique product labels. Sweet products dominate in vending machines offers (about 70%), while nuts and seeds (8.4%), yoghurts (2.1%), fruits (1.4%) and milk (0.3%) are present in a very small proportion or are not available at all. According to FSANZ, 88.5% of all displayed food items in vending machines can be considered as lower nutritional quality or less healthy products. The authors’ future activities will be focused on ensuring wider availability of healthy dietary choices and on including official guidelines in tender conditions for vending machines in health and social care institutions in Slovenia.
Ključne besede: snacks, vending machines, social care institutions, health care institutions, Slovenia
Objavljeno v DKUM: 10.03.2025; Ogledov: 0; Prenosov: 3
.pdf Celotno besedilo (802,53 KB)
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Exploring the feasibility of generative AI in persona research : a omparative analysis of large language model-generated and human-crafted personas in obesity research
Urška Smrke, Ana Rehberger, Nejc Plohl, Izidor Mlakar, 2025, izvirni znanstveni članek

Opis: This study investigates the perceptions of Persona descriptions generated using three different large language models (LLMs) and qualitatively developed Personas by an expert panel involved in obesity research. Six different Personas were defined, three from the clinical domain and three from the educational domain. The descriptions of Personas were generated using qualitative methods and the LLMs (i.e., Bard, Llama, and ChatGPT). The perception of the developed Personas was evaluated by experts in the respective fields. The results show that, in general, the perception of Personas did not significantly differ between those generated using LLMs and those qualitatively developed by human experts. This indicates that LLMs have the potential to generate a consistent and valid representation of human stakeholders. The LLM-generated Personas were perceived as believable, relatable, and informative. However, post-hoc comparisons revealed some differences, with descriptions generated using the Bard model being in several Persona descriptions that were evaluated most favorably in terms of empathy, likability, and clarity. This study contributes to the understanding of the potential and challenges of LLM-generated Personas. Although the study focuses on obesity research, it highlights the importance of considering the specific context and the potential issues that researchers should be aware of when using generative AI for generating Personas.
Ključne besede: user personas, obesity, large language models, value sensitive design, digital health interventions
Objavljeno v DKUM: 14.02.2025; Ogledov: 0; Prenosov: 4
.pdf Celotno besedilo (812,18 KB)

7.
Well-being and satisfaction of nurses in Slovenian hospitals : a cross-sectional study
Mateja Lorber, Sonja Treven, Damijan Mumel, 2020, izvirni znanstveni članek

Opis: Introduction: Well-being is one of the most important factors in whether nurses decide to remain in the nursing profession. This study aims to examine well-being and satisfaction among nurses working in Slovenian hospitals and to identify the related demographic factors. Methods: This descriptive cross-sectional study uses standardised instruments. The sample included 640 nurses working in Slovenian hospitals. The difference between individual variables were analysed using the Mann-Whitney and Kruskal-Wallis tests. Results: Nurses self-assessed their satisfaction and well-being as moderate. Forty-seven per cent of nurses were satisfied with their job, 49% assessed their psychological well-being as good, 52% were often exposed to stress at the workplace and 30% were always exposed to stress at the workplace. Levels of job satisfaction (p=0.031), psychological well-being (p=0.029) and subjective well-being (p=0.014) were found to differ significantly according to level of education, while levels of job satisfaction (p=0.005), life satisfaction (p<0.001), psychological well-being (p<0.001) and subjective well-being (p<0.001) were also found to differ according to years of nursing service and from hospital to hospital (p<0.001). Conclusions: The key finding of the study is that nurses are moderately satisfied with their work and life and that they display moderate levels of psychological and subjective well-being. Hospitals can be successful and achieve the goals of the organisation if their employees are satisfied with work and enjoy good levels of well-being. Hospital management have to recognise the importance of ensuring that nurses and other employees are satisfied and healthy.
Ključne besede: hospitals, nurses, satisfaction, health
Objavljeno v DKUM: 28.01.2025; Ogledov: 0; Prenosov: 329
.pdf Celotno besedilo (480,56 KB)
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8.
Academic general practice/family medicine in times of COVID-19 - Perspective of WONCA Europe
Adam Windak, Thomas Frese, Eva Hummers-Pradier, Zalika Klemenc-Ketiš, Sonia Tsukagoshi, Josep Vilaseca, Shlomo Vinker, Mehmet Ungan, 2020, izvirni znanstveni članek

Opis: COVID-19 outbreak has significantly changed all aspects of general practice in Europe. This art-icle focuses on the academic challenges for the discipline, mainly in the field of education,research, and quality assurance. The efforts of the European Region of the World Organisationof National Colleges, Academies, and Academic Associations of General Practitioners/FamilyPhysicians (WONCA Europe) to support academic sustainability of the discipline in the time ofpandemic are presented. Medical education was affected by the pandemic, threatening both itsproductivity and quality. Emerging new educational methods might be promising, but theresults of their rapid implementation remain uncertain. A relatively small number of publicationsrelated to COVID-19 and general practice is available in the medical literature. There is a short-age of original data from general practice settings. This contrasts with the crucial role of GPs infighting a pandemic. COVID-19 outbreak has opened widely new research areas, which shouldbe explored by GPs. Maintaining the quality of care and safety of all patients during the COVID-19 pandemic is the utmost priority. Many of them suffer from poor access or inadequate man-agement of their problems. Rapid implementation of telemedicine brought both threats andopportunities. The COVID-19 pandemic also challenged doctors' safety and well-being. Theseaspects will require discussion and remedy to prevent deterioration of the quality of primarycare. WONCA Europe is making a multi-faceted effort to support GPs in difficult times of thepandemic. It is ready to support future efforts to uphold the integrity of family medicine as anacademic discipline.
Ključne besede: infectious diseases, quality of care, public health, community medicine, health care organisation, management, medical education
Objavljeno v DKUM: 07.01.2025; Ogledov: 0; Prenosov: 3
.pdf Celotno besedilo (1,35 MB)
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9.
Health related QoL in celiac disease patients in Slovenia
Eva Turk, Dušanka Mičetić-Turk, Maja Šikić Pogačar, Alojz Tapajner, Veljko Vlaisavljević, Valentina Prevolnik Rupel, 2020, izvirni znanstveni članek

Opis: Background: Measurements of health-related quality of life (HRQoL) among celiac disease patients using a validated questionnaire have been lacking in Slovenia. This study aims to measure HRQoL in celiac disease (CD) patients using EQ-5D internationally validated questionnaire and comparing it to the HRQoL of the general population. Methods: In this cross sectional analysis all of the approximately 2000 members of the Slovenian Celiac Society were invited to take part. We used a 3 step approach for recruitment and data collection. HRQoL was evaluated through the EuroQoL EQ-5D-5L instrument (Slovenian version) and analysed using the ordinal logistic regression. Results: Out of 321 patients who gave their consent, 247 celiac patients were included in the study (77%). 68% of the participants were female and 53% of them lived in an urban setting. Most patients originated from North-East Slovenia, whereas approximately 30% of patients came from other Slovenian regions. The EQ-5D respondents’ self-reported health status at the time of the study show that most patients have slight or no problems when living with CD. The duration of the gluten-free diet, academic education and rare (< 1 × year) doctor visits affect EQ-5D in a positive way. On the other hand, higher age and chronic rheumatic disease were negatively associated with EQ-5D also when compared to the general population. Conclusion: This is the first Slovenian study to measure the HRQoL of Slovenian CD patients, using an internationally validated questionnaire. The results of our study show that HRQoL is slightly impaired among Slovenian patients with CD. Clinical characteristics are better determinants of their HRQoL than socio-demographic factors. Greater awareness of the impact of CD on patients’ HRQoL would improve the holistic management of CD patients.
Ključne besede: health, quality of life, HRQoL, celiac disease, EQ‑5D, valuation, measurement, Slovenia
Objavljeno v DKUM: 06.01.2025; Ogledov: 0; Prenosov: 7
.pdf Celotno besedilo (676,53 KB)
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10.
Quality of life and health status in middle-aged presumed healthy Slovenian family practice attendees
Matic Tement, Polona Selič-Zupančič, 2021, izvirni znanstveni članek

Opis: Background: There is a gap in our knowledge of health-related quality of life (HRQoL) in a population presumed healthy, so this study aimed to assess the associations between HRQoL, demographics and clinical variables. Methods: The participants were attendees, presumed healthy, at 40 pre-selected model family medicine practices (MFMPs), aged between 30 and 65 years and recruited during a preventive check-up in 2019. Each MFMP pragmatically invited 30 attendees to voluntarily participate. The EQ-5D questionnaire was administered as a measure of HRQoL; the independent variables were demographic characteristics, smoking, alcohol consumption, stress perception, physical activity, signs of depression, cardiovascular risk, body mass index, blood pressure values, and blood sugar and lipidogram laboratory test values. Ordinal logistic regression was used to calculate associations between self-assessed quality of life, demographics, and clinical variables, with P<0.05 set as statistically significant. Results: Of 986 participants, 640 (64.9%) were women and 346 (35.1%) men, aged 42.7+-8.6 years. The average values for the EQ-5D-3L were 0.9+1-0.15. In the multivariate model, a positive association between adequate physical activity (p=0.003), and a negative association between higher age (p<0.001), female gender (p=0.009), signs of depression (p<0.001), stress (p=0.013), and EQ-5D score were identified. Conclusion: Given that physical activity was shown to be positively associated with HRQoL, it is of the utmost importance for family physicians to motivate their middle-aged patients, especially women and those with signs of depression and excessive stress, to adopt a more rigorously physically active lifestyle.
Ključne besede: health related quality of life, health status, family practice, middle-age, physical activity, depression, stress, coping
Objavljeno v DKUM: 11.12.2024; Ogledov: 0; Prenosov: 8
.pdf Celotno besedilo (488,49 KB)
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