TY - JOUR
T1 - Impacts of digital healthy diet literacy and healthy eating behavior on fear of COVID-19, changes in mental health, and health-related quality of life among front-line health care workers
AU - Vu, Dinh N.
AU - Phan, Dung T.
AU - Nguyen, Hoang C.
AU - Le, Lan T.H.
AU - Nguyen, Huu C.
AU - Ha, Tung H.
AU - Dao, Hung K.
AU - Trinh, Manh V.
AU - Do, Thinh V.
AU - Nguyen, Hung Q.
AU - Nguyen, Thao T.P.
AU - Le, Thuy T.
AU - Tran, Cuong Q.
AU - Tran, Khanh V.
AU - Duong, Trang T.
AU - Pham, Hai X.
AU - Le, Vinh Tuyen T.
AU - Duong, Tuyen Van
N1 - Funding Information:
This research was supported by Taipei Medical University (108-6202-008-112).
Publisher Copyright:
© 2021 by the authors. Li-censee MDPI, Basel, Switzerland.
PY - 2021/8
Y1 - 2021/8
N2 - Background: We aimed to examine the impacts of digital healthy diet literacy (DDL) and healthy eating behaviors (HES) on fear of COVID-19, changes in mental health, and health-related quality of life (HRQoL) among front-line healthcare workers (HCWs). Methods: An online survey was conducted at 15 hospitals and health centers from 6–19 April 2020. Data of 2299 front-line HCWs were analyzed—including socio-demographics, symptoms like COVID-19, health literacy, eHealth literacy, DDL, HES, fear of COVID-19, changes in mental health, and HRQoL. Regression models were used to examine the associations. Results: HCWs with higher scores of DDL and HES had lower scores of FCoV-19S (regression coefficient, B, −0.04; 95% confidence interval, 95%CI, −0.07, −0.02; p = 0.001; and B, −0.10; 95%CI, −0.15, −0.06; p < 0.001); had a higher likelihood of stable or better mental health status (odds ratio, OR, 1.02; 95%CI, 1.00, 1.05; p = 0.029; and OR, 1.04; 95%CI, 1.00, 1.07; p = 0.043); and HRQoL (OR, 1.02; 95%CI, 1.01, 1.03; p = 0.006; and OR, 1.04; 95%CI, 1.02, 1.06; p = 0.001), respectively. Conclusions: DDL and HES were found as independent predictors of fear of COVID−19, changes in mental health status, and HRQoL in front-line HCWs. Improving DDL and HES should be considered as a strategic approach for hospitals and healthcare systems.
AB - Background: We aimed to examine the impacts of digital healthy diet literacy (DDL) and healthy eating behaviors (HES) on fear of COVID-19, changes in mental health, and health-related quality of life (HRQoL) among front-line healthcare workers (HCWs). Methods: An online survey was conducted at 15 hospitals and health centers from 6–19 April 2020. Data of 2299 front-line HCWs were analyzed—including socio-demographics, symptoms like COVID-19, health literacy, eHealth literacy, DDL, HES, fear of COVID-19, changes in mental health, and HRQoL. Regression models were used to examine the associations. Results: HCWs with higher scores of DDL and HES had lower scores of FCoV-19S (regression coefficient, B, −0.04; 95% confidence interval, 95%CI, −0.07, −0.02; p = 0.001; and B, −0.10; 95%CI, −0.15, −0.06; p < 0.001); had a higher likelihood of stable or better mental health status (odds ratio, OR, 1.02; 95%CI, 1.00, 1.05; p = 0.029; and OR, 1.04; 95%CI, 1.00, 1.07; p = 0.043); and HRQoL (OR, 1.02; 95%CI, 1.01, 1.03; p = 0.006; and OR, 1.04; 95%CI, 1.02, 1.06; p = 0.001), respectively. Conclusions: DDL and HES were found as independent predictors of fear of COVID−19, changes in mental health status, and HRQoL in front-line HCWs. Improving DDL and HES should be considered as a strategic approach for hospitals and healthcare systems.
KW - Digital healthy diet literacy
KW - Epidemic containment experience
KW - Fear of COVID-19
KW - Front-line health care workers
KW - Health literacy
KW - Health-related quality of life
KW - Healthy eating behavior
KW - Mental health
KW - Symptoms like COVID-19
KW - Vietnam
UR - http://www.scopus.com/inward/record.url?scp=85111395660&partnerID=8YFLogxK
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U2 - 10.3390/nu13082656
DO - 10.3390/nu13082656
M3 - Article
AN - SCOPUS:85111395660
SN - 2072-6643
VL - 13
JO - Nutrients
JF - Nutrients
IS - 8
M1 - 2656
ER -
