농촌의학ㆍ지역보건 (Journal of agricultural medicine and community health)

한국농촌의학지역보건학회 (Korean Society for Rural Medicine and Community Health)
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지역사회 취약계층 노인의 건강정보 이용현황 및 건강정보 이해능력 관련요인

A Study on Related Factors Use of Health Information and Health Literacy Among the Vulnerable Elderly in Community

  • 이보영 (한림성심대학교 간호학과) ;
  • 정수미 (강원대학교 의학전문대학원 의료관리학교실)
  • Lee, Bo Young (Department of Nursing, Hallym Polytechnic University) ;
  • Jung, Su Mi (Department of Health Policy and Management, Kangwon National University College of Medicine)
  • 투고 : 2018.06.05
  • 심사 : 2018.09.07
  • 발행 : 2018.09.30
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초록

본 연구는 취약계층노인의 건강정보원 탐색현황파악하고, 인구사회학적 특성을 통제한 상태에서 건강정보원의 탐색정도가 건강정보 이해능력에 미치는 정도를 파악하고자 하였다. 연구수행을 위해 지역사회의 종합사회복지관에 방문하는 200명의 취약노인을 대상으로 설문조사를 실시하여 이루어졌다. 설문조사의 분석방법으로는 빈도분석, 교차분석 및 다중로지스틱회귀분석을 사용하였으며 IBM SPSS 24.0을 활용하여 분석하였다. 본 연구의 결과 취약노인계층의 건강정보원탐색 중 인터넷을 통한 탐색이 극히 적음을 확인했다. 그리고 월별수입(OR=2.201, p<.05)과 건강정보원 탐색정도(OR=2.989, p<.01)는 건강정보이해능력에 유의미한 영향을 미치는 것으로 나타났다. 이 결과는 노인들의 건강정보 이해능력의 향상을 위해 건강정보 탐색의 전략이 필요함을 시사하며, 향후 노인들의 건강정보 이해능력 향상 프로그램개발에 활용될 수 있을 것으로 사료된다.

Objectives: The aim of this study is to measure health literacy levels and to identify health literacy related factors in vulnerable elders. Methods: The research design for this study was a descriptive survey design using convenience samples. Data collection was done by interviewing questionnaire with 200 elders from welfare centers in the cities. Data were analyzed by using percentage, Chi-square and multiple logistic regression with the IBM SPSS Statistics Ver. 24.0. Results: The results of this study are as follows: Vulnerable elders' sources of health information levels were very low, especially internet. In multiple logistic regression analysis, monthly income, sources of health information were significant accounted for OR 2.201, p<.05, OR 2.989, p< .01 health literacy. Conclusion: These results suggest that interventions for improving health literacy are necessary to enhance elders' finding of health information. Also, these results could be used in developing health literacy programs by internet.

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참고문헌

  1. Statistics Korea. 2016 Population projections for Korea: 1960-2015. [cited 2018 January 26]. Available from:http://kosis.go.kr
  2. Park EA, Lee IS. Factors Affecting the Depression of the Elderly Women in Poverty. Korean J of RuralMed 2009;34(2):256-266 (Korean)
  3. Ministry for Health, Welfare and Family Affairs. National Survey on Korean Older Persons 2014, Ministry for Health, Welfare and Family Affairs, 2014
  4. Kim YS, Yoon HJ, Kwon JH, Moon HJ, Lee SK. Social Support and Life Satisfaction of Living Alone elderly in Rural Area. Korean J of RuralMed 2002;27(1):65-78 (Korean)
  5. Lee MS. Nutritional Risk, Perceived Health Status, and Depression of the Young-Old and the Old-Old in Low-Income Elderly Women. Korean J of RuralMed 2012;37(1):12-22 (Korean)
  6. Kim SH, Lee EJ. The influence of functional literacy on perceived health status in Korean older adults. J Korean Acad Nurs 2008;38(2):195-203 (Korean) https://doi.org/10.4040/jkan.2008.38.2.195
  7. Weiss BD, Hart G, McGee DL, D'Estelle S. Health status of illiterate adults: relation between literacy and health status among persons with low literacy skills. J Am Board Fam Pract 1992;5(3):257-264
  8. Jung TY, Jung KT, Kim YM. Information searching behavior for medical institutions of spine patients and searching outcomes. Health Policy and Management 2013;23(3):266-280 (Korean) https://doi.org/10.4332/KJHPA.2013.23.3.266
  9. Korea Internet and Security Agency. 2016 Survey on the Internet usage, Korea Internet and Security Agency, 2017.
  10. Aboumatar HJ, Carson KA, Beach MC, Roter DL, Cooper LA. The impact of health literacy on desire for participation in helathcare, medical visit communication, and patient reported outcomes among patient with hypertension. J Gen Intern Med 2013;28(11):1469-1476 https://doi.org/10.1007/s11606-013-2466-5
  11. Sorensen K, Van den Broucke S, PeliKan JM, Fullam J, Doyle G, Slonska Z, et al. Measuring health literacy in populations:illuminating the design and development process of the European Health Literacy Survey Questionaire(HLS-EU-Q). BMC Public Health 2013;13(1):948. https://doi.org/10.1186/1471-2458-13-948
  12. Jeong JH, Kim JS. Health literacy, health risk perception and health behavior of elders. J Korean Acad Community Health Nurs 2014;25(1):65-73 (Korean) https://doi.org/10.12799/jkachn.2014.25.1.65
  13. Macabasco-O'Conell A, DeWalt DA, Broucksou KA, Hawk V, Baker DW, Schillinger D, et al. Relationship between literacy, knowledge, self-care behaviors, and heart failure-related quality of life among patients with heart failure. J Gen Intern Med 2011;26(9):979-986 https://doi.org/10.1007/s11606-011-1668-y
  14. Friedman DB, Corwin SJ, Dominick GM, Rose ID. African american men's understanding and perceptions about prostate cancer:Why multiple dimensions of health literacy are important in cancer communication. J Community Health 2009;34(5):449-460 https://doi.org/10.1007/s10900-009-9167-3
  15. Koo S, Cho JH, Ahn EM, Cho SY, Park HY. Use of health information among older adults : trust and source of health information by gender and region. Health and Social Welfare Review 2016;36(2):454-479 (Korean) https://doi.org/10.15709/hswr.2016.36.2.454
  16. Balch DC, Tichenor JM. Telemedicine expanding the scope of health care information. J Am Med Inform Assoc 1997;4(1):1-5 https://doi.org/10.1136/jamia.1997.0040001
  17. Strode SW, Gustke S, Allen A. Technical and clinical progress in telemedicine. JAMA 1999;281(12):1066-1068 https://doi.org/10.1001/jama.281.12.1066
  18. Jung WS, Kang HG, Suk MH, Kim EH. The use of the internet health information for the elderly. J Korean Pubilc Health Nurs 2011;25(1):48-60 (Korean)
  19. Miller LM, Bell RA. Online health information seeking: The influence of age, information trustworthiness, and search challenge. J Aging Health 2012;24(3):525-541 https://doi.org/10.1177/0898264311428167
  20. Lee JY. (2012). A Study on the Use of Information and Social Computing Service by the Elderly. J the Korean Society for Information Management 2012;29(1):375-393 (Korean) https://doi.org/10.3743/KOSIM.2012.29.1.375
  21. Levy H, Janke AT, Langa KM. Health literacy and the digital divide among older americans. J Gen Intern Med 2015;30(3):284-289 https://doi.org/10.1007/s11606-014-3069-5
  22. Ministry for Health, Welfare and Family Affairs. Improving the accessibility of health information of the internet:empowering health management in later life, Ministry for Health, Welfare and Family Affairs, 2010
  23. Nutbeam D. The evolving concept of health literacy. Soc Sci Med 2008;67(12):2072-2078 https://doi.org/10.1016/j.socscimed.2008.09.050
  24. Morrell RW, Mayhorn CB, Bennett J. A survey of World Wide Web use in middle-aged and older adults. Hum Factors 2000;42(2):175-182 https://doi.org/10.1518/001872000779656444
  25. Chae YM, Lee SH. The effect of information searching behaviors and perceived risk on consumer satisfaction in medical service consumer. Health Policy and Management 2010;20(3):138-156 (Korean) https://doi.org/10.4332/KJHPA.2010.20.3.138
  26. Kwon MS, Noh GY, Jang JH. A study on relationships between health literacy, disease-related knowledge and compliance to medical recommendations in patients with hypertension. J Korean Pubilc Health Nurs 2013;27(1):190-202 (Korean) https://doi.org/10.5932/JKPHN.2013.27.1.190
  27. Kim SS, Kim SH, Lee SY. Health literacy: development of Korean health literacy assessment tool. Korean J Health Educ Promot 2005;22(4):215-227 (Korean)