Impact de la littératie en santé et des représentations de l'obésité dans le recours à la consultation pour obésité dans les quartiers Nord de l'agglomération de Marseille

Abstract : The global obesity epidemic affects around 600 million adults and especially the disadvantaged populations in Western countries. This first pilot study aims at describing the role played by the Health Literacy and by the representations of obesity, in the use of medical consultation of obese patients in precarious situations, residing in the northern districts of the Marseille. 87 individual surveys were conducted in the North Hospital, the Health Space of the APHM, in social centers and homeless emergency shelters. Both studied populations were defined though their use of medical consultation for obesity. The HLQ (Health Literacy Questionnaire) permitted to assess the health knowledges and abilities of the participants. Their own body representation, obesity representation, their weight and their comorbidities were also analysed, as well as their socio-demographic profile and their level of precariousness. The study shows significant results for each HLQ score, except one. The Health Literacy is higher for the participant who ever consult a physician for weight problems (p=0.000). They also show a more severe obesity (p<0.001), perceive their obesity later (p=0.013), are more unsatisfied of their body (p=0.001) and live their obesity as more disturbing (p=0.002) than the people who did not consult a physician for health problem. The impact of the precariousness is major (p=0.002). The Health Literacy study is an efficient lever to bring people back to health care or to make them aware of the danger of the pathological situation and is crucial in the precarious territories.
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https://dumas.ccsd.cnrs.fr/dumas-01960014
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Submitted on : Wednesday, December 19, 2018 - 10:19:54 AM
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Clémentine Kerdat. Impact de la littératie en santé et des représentations de l'obésité dans le recours à la consultation pour obésité dans les quartiers Nord de l'agglomération de Marseille. Sciences du Vivant [q-bio]. 2018. ⟨dumas-01960014⟩

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