{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T17:14:46Z","timestamp":1785690886072,"version":"3.56.0"},"reference-count":71,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,3,2]],"date-time":"2024-03-02T00:00:00Z","timestamp":1709337600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Swedish Research Council","doi-asserted-by":"crossref","award":["2019-01095"],"award-info":[{"award-number":["2019-01095"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Research Council on Health, Working Life and Welfare, FORTE","award":["2020-00169"],"award-info":[{"award-number":["2020-00169"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Low health literacy (HL) has been linked to low self-rated health, reduced efficacy of behaviour change, and challenges in preventing, treating, or managing health conditions. People experiencing homelessness are at risk of poor HL; however, few studies have investigated HL in relation to mental and spiritual well-being among people experiencing homelessness in general, or women experiencing homelessness specifically. This cross-sectional study of 46 women experiencing homelessness in Stockholm, Sweden, recruited during the period October 2019\u2013December 2020, aimed to examine how HL was associated with mental and spiritual well-being among women experiencing homelessness. Participants answered questions about socio-demographic characteristics (age, length of homelessness, education) and digital technology (mobile phone\/the Internet) use, in addition to Swedish language versions of three questionnaires administered through structured, face-to-face interviews: the Communicative and Critical Health Literacy Scale, the General Health Questionnaire 12 and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being. Data were analysed using linear regression, which revealed statistically significant associations between HL and mental well-being (p\u2005=\u2005.009), and between HL and spiritual well-being (p\u2005=\u2005.022). However, neither socio-demographic characteristics nor digital technology use were significantly associated with HL. In conclusion, promoting HL may improve mental and spiritual well-being in this vulnerable population. An advisory board of women with lived experiences of homelessness (n\u2005=\u20055) supported the interpretation of the findings and emphasised the need to consider HL in relation to basic needs such as \u2018housing first\u2019. Moreover, health information and services should be accessible to people with different degrees of HL.<\/jats:p>","DOI":"10.1093\/heapro\/daae019","type":"journal-article","created":{"date-parts":[[2024,3,2]],"date-time":"2024-03-02T15:52:16Z","timestamp":1709394736000},"source":"Crossref","is-referenced-by-count":8,"title":["Health literacy and its association with mental and spiritual well-being among women experiencing homelessness"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3691-8326","authenticated-orcid":false,"given":"Andreas Karlsson","family":"Rosenblad","sequence":"first","affiliation":[{"name":"Department of Statistics, Uppsala University , Box 513, 751 20, Uppsala , Sweden"},{"name":"Department of Medical Sciences, Division of Clinical Diabetology and Metabolism, Uppsala University , Akademiska sjukhuset, 751 85, Uppsala , Sweden"},{"name":"Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet , 171 77, Stockholm , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7935-3260","authenticated-orcid":false,"given":"Anna","family":"Klarare","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, Healthcare Services and e-Health, Uppsala University , Akademiska sjukhuset, 751 85, Uppsala , Sweden"},{"name":"Department of Healthcare Sciences, Marie Cederschi\u00f6ld University , Box 11189, 100 61, Stockholm , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0479-6950","authenticated-orcid":false,"given":"Penny","family":"Rapaport","sequence":"additional","affiliation":[{"name":"Division of Psychiatry, Faculty of Brain Sciences, University College London , Maple House, W1T 7BN, London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5104-1281","authenticated-orcid":false,"given":"Elisabet","family":"Mattsson","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, Healthcare Services and e-Health, Uppsala University , Akademiska sjukhuset, 751 85, Uppsala , Sweden"},{"name":"Department of Healthcare Sciences, Marie Cederschi\u00f6ld University , Box 11189, 100 61, Stockholm , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5804-0433","authenticated-orcid":false,"given":"Sophie Nadia","family":"Gaber","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, Healthcare Services and e-Health, Uppsala University , Akademiska sjukhuset, 751 85, Uppsala , Sweden"},{"name":"Department of Healthcare Sciences, Marie Cederschi\u00f6ld University , Box 11189, 100 61, Stockholm , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"in collaboration with the Women\u2019s Advisory Board for Inclusion Health","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,3,2]]},"reference":[{"key":"2024030215514527200_CIT0001","doi-asserted-by":"crossref","first-page":"1880","DOI":"10.1177\/2047487317729538","article-title":"Health literacy is associated with health behaviour and self-reported health: a large population-based study in individuals with cardiovascular disease","volume":"24","author":"Aaby","year":"2017","journal-title":"European Journal of Preventive Cardiology"},{"key":"2024030215514527200_CIT0002","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1037\/ser0000120","article-title":"Exploring the potential of technology-based mental health services for homeless youth: a qualitative 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