Assignment: Studying A Study & Testing
Books Required Nursing Research: Studying A Study & Testing A Test, 6 th Edition, Reading Evidence – Based Health Research. Author: Richard K. Riegelman, MD, MPH, PhD; Michael L. Rinke, MD, PhD. ISBN: 978-0-7817-7426-0 Publisher: Wolters Kluwer / Lippincott Williams & Wilkins, (2013)
1. Discussion Question: Explain and discuss sampling
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Although the World Health Organisation has asserted the importance of being able to make sense of and act on information on the social determinants of health as a key aspect of health literacy [55], it is still unclear how such competencies might contribute to individual or community health outcomes. We included a question relating directly to the understanding of social determinants of health in the AAHLS and found widespread support for an understanding of health as influenced most by wider social and economic factors, though this understanding did not predict individual health ratings. The factor analysis further suggests that such an understanding may be associated with a lower level of self-rated individual autonomy with regards to health.
We recognise that this study does have a number of limitations. The unique social and cultural nature of our study site is likely to affect the generalisability of our findings, not only the prevalence of social deprivation within Tower Hamlets, but also the numerical dominance of one BME group, namely Bangladeshis of Sylheti origin. A number of these are first generation immigrants into the UK from a country with a very different healthcare system perhaps requiring different health literacy skills to those needed in inner city London. Tower Hamlets also has a history of community-level social action regarding public health and grass-roots special interest organising [56] which might contribute to understandings of the social determinants of health.
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