DOI QR코드

DOI QR Code

Relationship between Health Literacy and Health status among Community-dwelling Elderly

지역사회 거주 노인의 건강문해력과 건강상태 간의 관계

  • Received : 2020.11.30
  • Accepted : 2021.01.20
  • Published : 2021.01.28

Abstract

The purpose of this study was to identify health literacy among elderly and to investigate the relationships between healthy literacy and health status. A cross-sectional study was conducted with a sample of 158 participants between July and December 2019. The linguistic and functional health literacy (using the KHLAT and NVS) and self-rated physical and mental health were assessed. Above third of elderly have difficulties reading and understanding linguistic and functional health literacy. There were significant differences in health literacy according to residence, spouse, living together, educational level, occupation, monthly income, and number of diagnosed disease. Linguistic and functional health literacy and self-rated physical and mental health are closely related. Sociodemographic and disease related factors such as residence, educational level, monthly income, and multi-morbidity need to be considered when developing educational programs to improve health literacy. It could be possible to promote health status by improving the health literacy through individualized convergent educational program.

본 연구의 목적은 노인의 건강문해력 정도를 파악하고 건강문해력과 건강상태 간의 관계를 규명하기 위함이다. 본 연구는 횡단적 서술적 조사 연구방법으로, 2019년 7월부터 12월까지 158명의 참여자를 대상으로 수행되었다. 언어적 건강문해력과 기능적 건강문해력은 각각 한국형 의료정보이해능력측정도구와 Newest Vital Sign을 이용하였고, 주관적 신체적, 정신적 건강상태의 자료를 수집하였다. 노인 대상자의 1/3 이상이 언어적, 기능적 건강문해력이 낮은 것으로 나타났고, 거주지, 배우자 유무, 동거가족 유무, 교육수준, 직업 유무, 월평균 가족 소득수준, 보유질환 개수에 따라 건강문해력에 차이를 보였다. 언어적, 기능적 건강문해력 수준에 따라 주관적 신체적, 정신적 건강상태에 차이가 있는 것으로 나타났다. 건강문해력을 향상시키기 위한 교육 프로그램 개발 시 거주지, 교육수준, 월평균 가족소득, 보유질환 개수와 같은 사회인구학적 요인과 질병관련 요인을 고려할 필요가 있으며, 맞춤형 융합적 교육 프로그램으로 건강문해력 수준을 향상시킴으로써 건강상태 증진을 도모할 수 있겠다.

Keywords

Acknowledgement

This article was supported by the research year funds from Kyungil University in 2019

References

  1. National Statistical Office. (2019). Population indicators and composition in 2019. Statistics Korea(Online). http://kostat.go.kr/portal/korea/index.action
  2. Ministry of Health and Welfare. (2017). A factual survey for the elderly in 2017. Ministry of Health and Welfare(Online). http://www.mohw.go.kr/react/index.jsp
  3. H. Bae, N. S. Hong & E. K. Shin. (2019). Impact of health literacy on hypertension control of elderly women patients receiving home visiting health care services. Journal of Health Informatics and Statistics, 44(3), 237-244. DOI : 10.21032/jhis.2019.44.3.237
  4. J. H. Jeong & J. S. Kim. (2014). Health literacy, health risk perception and health behavior of elders. Journal of Korean Academy of Community Health Nursing, 25(1), 65-73. DOI : 10.12799/jkachn.2014.25.1.65
  5. S. C. Ratzan & R. M. Parker. (2000). Introduction. In: C. R. Selden, M. Zorn, S. C. Ratzan, R. M., Parker editors. Current Bibliographies in Medicine: Health Literacy. Bethesda, Maryland: National Library of Medicine.
  6. K. Sorensen et al. (2012). Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health, 12(1), 80. DOI : 10.1186/1471-2458-12-80
  7. C. C. Cutilli & I. M. Bennett. (2009). Understanding the health literacy of America: results of the national assessment of adult literacy. Orthopaedic Nursing, 28(1), 27-32. DOI : 10.1097/01.NOR.0000345852.22122.d6
  8. S. H. Javadzade, G. Sharifirad, F. Radjati, F. Mostafavi, M. Reisi, & A. Hasanzade. (2012). Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. Journal of Education and Health Promotion, 1, 1-7. https://doi.org/10.4103/2277-9531.94408
  9. S. S. Kim, S. H. Kim & S. Y. Lee. (2005). Health literacy: development of Korean health literacy assessment tool. Journal of Korean Society for Health Education and Promotion, 22(4), 215-227.
  10. S. Y. Lee, T. I. Tsai, Y. W. Tsai & K. N. Kuo. (2010). Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC Public Health, 10, 614. DOI: 10.1186/1471-2458-10-614
  11. N. D. Berkman, S. L. Sheridan, K. E. Donahue, D. J. Halpern & K. Crotty. (2011). Low health literacy and health outcomes: an updated systematic review. Annals of Internal Medicine, 155(2), 97-107. DOI : 10.7326/0003-4819-155-2-201107190-00005
  12. E. Park & Y. Jung. (2020). The association of medical service and medication use information literacy with multi-morbidity. Health and Social Welfare Review, 40(20), 222-243.
  13. T. C. Davis et al. (1993). Rapid estimate of adult literacy in medicine: a shortened screening instrument. Journal of Family Medicine, 25(6), 391-395.
  14. B. D. Weiss et al. (2005). Quick assessment of literacy in primary care: the newest vital sign. Annals of Family Medicine, 3(6), 514-522. https://doi.org/10.1370/afm.405
  15. J. Y. Park & K. J. June. (2011). Influencing factors on functional health literacy among the rural elderly. Journal of Korean Academy of Community Health Nursing, 22(1), 75-85. https://doi.org/10.12799/jkachn.2011.22.1.75
  16. S. H. Jeong & H. K. Kim. (2016). Health literacy and barriers to health information seeking: a nationwide survey in South Korea. Patient Education and Counseling, 99(11), 1880-1887. DOI : 10.1016/j.pec.2016.06.015
  17. H. Park & S. K. Hwang. (2014). Linguistic and functional health literacy among community-dwelling old adults. Global Health and Nursing, 4(2), 49-58.
  18. OECD iLibrary. (2020). Health status, OECD iLibrary. https://www.oecd-ilibrary.org
  19. Y. Choi. (2016). Is subjective health reliable as a proxy variable for true health? a comparison of self-rated health and self-assessed change in health among middle-aged and older South Koreans. Health and Social Welfare Review, 36(4), 431-459. https://doi.org/10.15709/hswr.2016.36.4.431
  20. E. Jung & S. Hwang. (2015). Health literacy and health behavior compliance in patients with coronary artery disease. Korean Journal of Adult Nursing, 27(3), 251-261. DOI: 10.7475/kjan.2015.27.3.251
  21. C. Collin, D. T. Wade, S. Davies & V. Horne. (1988). The barthel ADL index : reliability study. International Disability studies, 10, 61-63. https://doi.org/10.3109/09638288809164103
  22. S. Y. Kim, S. W. Won & Y. G. Rho. (2004). The validity and reliability of Korean version of bathel ADL index. Korean Journal of Family Medicine, 25, 534-541.
  23. J. Cohen. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, New Jersey: Lawrence Erlbaum.
  24. J. E. Kim. (2011). Measuring the level of health literacy and influence factors: targeting the visitors of a university hospital's outpatient clinic. Journal of Korean Clinical Nursing Research, 17(1), 27-34.
  25. L. Nafradi, K. Nakamoto, M. Csabai, O. Papp-Zipernovszky & P. J. Schulz. (2018). An empirical test of the health empowerment model: does patient empowerment moderate the effect of health literacy on health status? Patient Education and Counseling, 101(3), 511-517. DOI : 10.1016/j.pec.2017.09.004
  26. Y. D. Yoon, S. J. Baek & H. J. Jeong. (2011). A Inducement Plan to Rational Medical Use among Health Insurance Subscribers. Seoul: National Health Insurance Service, Health Insurance Policy Institute.