Background: To date, there has been a dearth of research on health literacy in the Eastern Mediterranean Region and in particular Lebanon.Objectives: This cross-sectional study assessed the levels and correlates of health literacy in Lebanese adults.Methods: A total of 587 participants (54.5% women) were recruited from the outpatient clinics of five health facilities in Beirut. The questionnaire consisted of the Arabic version of the Functional Health literacy Scale, the Arabic short version of the European Health Literacy Survey, and questions on sociodemographic and health-related factors. Descriptive and inferential statistics were performed to assess the association of these factors with functional health literacy (FHL) and comprehensive health literacy (CHL) levels.Key Results: About 65.8% had inadequate or problematic FHL and 43.8% had inadequate or problematic CHL. Although FHL was negatively correlated with long-term illness, it was positively correlated with ability to pay and health status. CHL was positively correlated with education, income, ability to pay for treatment, health status, and FHL level, whereas it was negatively correlated with long-term illness. Binary logistic regression showed that low education, low socioeconomic status, and being a widow were predictive of inadequate FHL. Moreover, having inadequate FHL and low income increased the likelihood of having inadequate CHL.Conclusion: This study has identified those with risk factors for inadequate health literacy and unfavorable health outcomes. A national action plan can guide the promotion of health literacy and its embeddedness in society to instill competencies and the environment that would eliminate health inequities and sustain health in Lebanon.[HLRP: Health Literacy Research and Practice. 2021;5(4):e295–e309.]Plain Language Summary: This study examined health literacy levels and correlates in 587 Lebanese adults using two recognized screening tools. The first tool measured functional health literacy (FHL), which represents the ability of a person to acquire information on health through reading or writing. The second tool assessed comprehensive health literacy (CHL), which encompasses the ability of a person to use their social skills to acquire health information from different media and make appropriate health decisions based on this information. Close to two-thirds of the participants had inadequate or problematic FHL. More specifically, low education, low socioeconomic status, and widowhood were predictive of inadequate FHL. Nearly one-half of the participants had inadequate or problematic CHL with an increased likelihood of inadequate levels in people with low FHL and low income.

This study assessed the association between sources of sexuality education, sexual beliefs and behaviour among Lebanese youth. 451 unmarried students at a private university, mean age 20.25 (±1.41) years, participated in the study. Main sources of information were teachers, mothers, internet and friends. Respondents wished for increased involvement of fathers and doctors in their sexuality education. There was a positive association between receipt of school classes on reproductive health and adoption of protective behaviour at first sexual experience (OR = 4.09, p < 0.05). A Sexual Belief Index (SBI) was calculated as a mean score on 18 items related to sexual permissiveness (Cronbach’s alpha = 0.83). Sex and classes on reproductive health predicted a rise in SBI. The timing of classes, namely earlier introduction, and communication with family and religious figures predicted a decrease in SBI. The SBI was positively associated with sexual activity (OR = 3.68, p = 4.399e-07), first sex at <17 years (OR = 5.262, p = 0.0099) and engagement in one-night stands (OR = 4.195, p = 0.0001). Students who engaged in same-sex sexual experiences had higher odds of contracting STIs (OR = 12.7, p = 0.0001). Findings reveal the need to include sexual health in school curricula; train parents, physicians and teachers as information providers and moderators of SBI; and improve access to youth-friendly services.

This study aims to assess the physical health of individuals belonging to the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community, considering health system challenges like access to care and patient experiences and community-specific attributes like health literacy and self-acceptance. This cross-sectional study was conducted in January-June 2022 using non-probabilistic sampling. The survey collected sociodemographic characteristics, information on access to care and patient experiences, prevalence of chronic conditions, sexually transmitted infections (STIs), and health literacy levels. The inclusion criteria required participants to be of Lebanese nationality, at least 18 years old, and to identify as part of the LGBTQ community. Descriptive statistics summarized the data. Two sample t-tests and chi-square tests were used to examine associations between variables. A total of 496 participants took the survey, with a majority identifying as bisexual (38.5%) or gay (35.1%). Around 41.1% reported at least one chronic condition. Difficulty accessing healthcare was experienced by 37.7%, with 11.1% reporting a negative patient experience. Participants who reported experiencing discrimination were significantly more likely to delay seeking health services (p < 0.001), with transgender-identifying participants experiencing significantly more discrimination that non-transgender-identifying participants. Regarding sexual health, 15.7%, of those who tested, reported at least one STI. Their preferred testing sites were Non-Governmental Organizations (59.3%). Adequate health literacy level was significantly associated with STI testing (t = 3.34, p < 0.01) and chronic disease (t = 3.76, p < 0.01). Our findings underscore the importance of inclusive healthcare policies that address discriminatory experiences in healthcare settings and the need for targeted evidence-based interventions to improve health outcomes among LGBTQ individuals.