Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Association Between Health Literacy and Health Promoting Behavior (Eating Habits, Physical Activity, and Stress) of University Students

대학생의 건강정보이해능력과 건강증진행동(식습관, 신체활동과 스트레스)과의 관련성

  • Kim, Yoon-Sun (Home Economics Education, College of Education, Kangwon National University)
  • 김윤선 (강원대학교 사범대학 가정교육과)
  • Received : 2022.03.30
  • Accepted : 2022.04.28
  • Published : 2022.04.30
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Abstract

Objectives: This study attempted to examine the association between health literacy and health-promoting behavior, and identify the major variables that affect the health-promoting behavior of university students. Methods: This was a descriptive correlation study that identified the degree of health literacy and health-promoting behavior of 248 university students (119 male and 129 female) and examined the correlation between the two and factors influencing them. The questionnaire covering health literacy comprised 66 questions, and that for health-promoting behavior comprised 10 questions covering eating habits, 3 questions about physical activity, and 10 questions involving stress. Results: The score for health literacy was 41.56 ± 18.38 out of 66 points, and that for health-promoting behavior was 65.27 ± 11.21 points (27.61 ± 6.72 points for eating habits, 7.23 ± 2.56 points for physical activity, and 30.44 ± 5.61 points for stress). Health literacy and health-promoting behavior had a significant positive correlation (r = 0.175, P < 0.01). The perceived health status (β = 0.391, P < 0.001) was the most important variable in health-promoting behavior, followed by health literacy (β = 0.236, P < 0.001). Conclusions: It is necessary to develop a systematic educational strategy and implement educational programs to improve health literacy as well as encourage health-promoting behavior and thus increase the perceived health levels of university students.

Keywords

Acknowledgement

This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2019S1A5B5A07093360).

References

  1. Oh YM. Current status and further tasks of the health promotion policy: Focusing on the National Health Plan. Korean J Health Educ Promot 2017; 34(4): 11-25. https://doi.org/10.14367/kjhep.2017.34.4.11
  2. Kim SS, Lee HJ. Comparison of health promoting behavior and self-efficacy between new freshmen and university students before and after health education. J Digit Converg 2014; 12(5): 295-303. https://doi.org/10.14400/JDC.2014.12.5.295
  3. Mason JO, Mcginnis JM. Healthy People 2000: An overview of the national health promotion and disease prevention objectives. Public Health Rep 1990; 105(5): 441-446.
  4. Walker SN, Volkan K, Sechrist KR, Pender NJ. Health promoting lifestyles of older adults: Comparisons with young and middle-aged adults, correlates and patterns. Adv Nurs Sci 1988; 11(1): 76-90. https://doi.org/10.1097/00012272-198810000-00008
  5. Kim HK. Gender differences in health promoting behavior and related factors among university students using Pender's health promotion model. J Educ Res 2007; 21: 198-219.
  6. Kagee A, Dixon DN. Worldview and health promoting behavior: A causal model. J Behav Med 2000; 23(2): 163-179. https://doi.org/10.1023/A:1005465102002
  7. Kim SK, Cho MK. Association of lifetime sports, health promoting behavior, health control behavior, and quality of life in university students. J Health Promot 2009; 5: 1-24.
  8. Ju YJ, Oh SS, Park SI, Lee HJ, Yoo MG, Park EC. College alcohol study for alcohol-related behaviors and problems. Health Policy Manag 2019; 29(1): 58-67. https://doi.org/10.4332/KJHPA.2019.29.1.58
  9. Park EA, Choi SO, Hwang HM. Analysis of factors influencing the co-occurrence of drinking and smoking among college students. J Learn Cent Curric Instr 2021; 21(9): 85-101.
  10. Jang YK. A study on the smoking and drinking culture of college students. Health Welf 2015; 17: 69-88. https://doi.org/10.23948/kshw.2015.12.17.69
  11. Korea Disease Control & Prevention Agency. Korea Health Statistics 2019: Korea National Health and Nutrition Examination Survey (KNHANES VIII-1). Osong: Korea Disease Control and Prevention Agency; 2019.
  12. Son YJ, Song EK. Impact of health literacy on disease-related knowledge and adherence to self-care in patients with hypertension. J Korean Acad Fundam Nurs 2012; 19(1): 6-15. https://doi.org/10.7739/jkafn.2012.19.1.006
  13. Cutilli CC. Do your patients understand? Determining your patients' health literacy skills. Orthop Nurs 2005; 24(5): 372-377.
  14. Kim NH, Yang YL, Lee MH. Effects of health literacy and knowledge on diabetic self-care in the elderly with DM living alone. Korean Soc Nurs Sci 2016; 27(4): 370-379.
  15. Kim YS, Park BH, Lee HY. A study on predicting health literacy of Korean elderly using Andersen's health behavior model. J Welf Aged 2014; 65: 35-57.
  16. 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. https://doi.org/10.12799/jkachn.2014.25.1.65
  17. 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. https://doi.org/10.4040/jkan.2008.38.2.195
  18. Kim SS, Kim SH, Lee SY. Health literacy: Development of a Korean health literacy assessment tool. Korean J Health Educ Promot 2005; 22(4): 215-227.
  19. Lee SH, Choi EHR, Je MJ, Han HS, Park BK, Kim SS. Comparison of two versions of KHLAT for improvement strategies. Korean J Health Educ Promot 2011; 28(3): 57-65.
  20. Davis TC, Long SW, Jackson RH, Mayeaux EJ, George RB, Murphy PW et al. Rapid estimate of adult literacy in medicine: A shortened screening instrument. Fam Med 1993; 25(6): 391-395.
  21. Pender NJ, Walker SN, Sechrist KR, Stromborg MF. Predicting health promoting lifestyles in the workplace. Nurs Res 1990; 39(6): 326-332.
  22. Kim MS, Yun SY. Effects of eating habits and self-efficacy on nursing students' health promotion behaviors: In convergence era. J Converg Inf Technol 2017; 7(2): 111-117. https://doi.org/10.22156/CS4SMB.2017.7.2.111
  23. Park JS, Lee YJ, Park MK, Jeong YH. Effects of health behaviors, health self-efficacy and motivation on eating habit of nursing students. Korea Soc Wellness 2020; 15(4): 599-609. https://doi.org/10.21097/ksw.2020.11.15.4.599
  24. Koh KW, Kim HS, Lee MS, Kang MJ, Kim KY, Kim EJ et al. Physical activity promotion through active living environments. Korean J Health Educ Promot 2016; 33(4): 55-65. https://doi.org/10.14367/kjhep.2016.33.4.55
  25. World Health Organization. The world health report 2002: Reducing risks, promoting healthy life. Geneva: World Health Organization; 2002. p. 248.
  26. Kim JM, Koh KW, Kim YJ, Chin YH. Policy proposal for health-promoting physical activity in Korea. J Korean Med Assoc 2012; 55(7): 685-691. https://doi.org/10.5124/jkma.2012.55.7.685
  27. Shim HH, Kim MS, Jeong KS, Heo JE, Choi EJ. Factors influencing health promotion behaviors of college students. Korean J Health Educ Promot 2014; 31(3): 97-108.
  28. Kim HS, Oh EG, Hyong HK, Cho ES. A study on factors on influencing health promotion lifestyle in college students. J Korean Acad Community Health Nurs 2008; 19(3): 506-520.
  29. Kim WY, Cho MS, Lee HS. Development and validation of mini dietary assessment index for Koreans. Korean J Nutr 2003; 36(1): 83-92.
  30. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983; 24(4): 385-396. https://doi.org/10.2307/2136404
  31. Park JO, Seo YS. Validation of the perceived stress scale (PSS) on samples of Korean university students. Korean J Psychol Gen 2010; 29(3): 611-629.
  32. Kim NS, Lee KE. Factors affecting cancer preventive behavior in middle-aged people. J Korean Acad Fundam Nurs 2014; 21(1): 29-38. https://doi.org/10.7739/jkafn.2014.21.1.29
  33. Lee SY, Suh SR. Influence of health literacy and self-care agency on health promotion behavior in nursing students. J Health Inform Stat 2018; 43(2): 126-133. https://doi.org/10.21032/jhis.2018.43.2.126
  34. Turan N, Guven Ozdemir N, Culha Y, Ozdemir Aydin G, Kaya1 H, Asti T. The effect of undergraduate nursing students' e-Health literacy on healthy lifestyle behaviour. Glob Health Promot 2021; 28(3): 6-13.
  35. Kim YB. Association between self-rated health, health promotion behaviors, and mental health factors among university students: Focusing on the health survey results in a university. J Korean Soc Sch Community Health Educ 2022; 23(1): 1-16. https://doi.org/10.35133/kssche.20220228.01
  36. Park DJ, Kwon MS, Choi JH. The influence of health information orientation, attitude of internet health information, and e-health literacy on personal health behaviors. J Public Relat 2013; 17(3): 379-413. https://doi.org/10.15814/jpr.2013.17.3.379
  37. Ministry of Science and ICT. 2021 Survey on Internet Usage [internet]. National Information Society Agency; 2021 [cited 2022 Apr 14]. Available from: https://www.nia.or.kr/site/nia_kor/ex/bbs/View.do?cbIdx=99870&bcIdx=24378&parentSeq=24378.
  38. Kim YS, Kim BR. Study on BMI, dietary behavior, and nutrient intake status according to frequency of breakfast intake in female college students in Chuncheon area. J Korean Soc Food Sci Nutr 2017; 46(10): 1234-1242. https://doi.org/10.3746/JKFN.2017.46.10.1234
  39. Kim MH, Kim H, Lee WK. Kim SJ, Yeon JY. Food habits and dietary behavior related to using processed food among male college students residing in dormitory and self-boarding in Gangwon. Korean J Community Nutr 2013; 18(4): 372-385. https://doi.org/10.5720/kjcn.2013.18.4.372
  40. Ko HJ, Lee MG. The effects of flow on stress and well-being in Korean college students: The moderating effect of flow and the mediating effect of coping strategies. Korean J Stress Res 2013; 21(4): 283-291.
  41. Hong EY. The mediating effect of humor on the relationship between perceived stress and depression in college students. J Korean Acad Soc Nurs Educ 2014; 20(4): 558-568. https://doi.org/10.5977/JKASNE.2014.20.4.558
  42. Park JY, June KJ. Influencing factors on functional health literacy among the rural elderly. J Korean Acad Community Health Nurs 2011; 22(1): 75-85. https://doi.org/10.12799/jkachn.2011.22.1.75
  43. Ozturk FO, Ayaz-Alkaya S. Health literacy and health promotion behaviors of adolescents in Turkey. J Pediatr Nurs 2020; 54: e31-e35. https://doi.org/10.1016/j.pedn.2020.04.019
  44. Jang BS, Kim DH. Health literacy and health behavior in late school-age children. J Korean Acad Community Health Nurs 2015; 26(3): 199-208. https://doi.org/10.12799/jkachn.2015.26.3.199
  45. Gurkan KP, Ayar D. The impact of e-health literacy on health promotion behaviors of high school students. J Pediatr Res 2020; 7(4): 286-292. https://doi.org/10.4274/jpr.galenos.2019.81488
  46. Suka M, Odajima T, Okamoto M, Sumitani M, Igarashi A, Ishikawa H et al. Relationship between health literacy, health information access, health behavior, and health status in Japanese people. Patient Educ Couns 2015; 98(5): 660-668. https://doi.org/10.1016/j.pec.2015.02.013
  47. Ha JY, Kwon SJ, Kwak YH. Association between self-rated health and health behaviors among Korean older adults by gender: The 7th Korea National Health and Nutrition Examination Survey. Korea Soc Wellness 2021; 16(12): 246-252. https://doi.org/10.21097/ksw.2021.02.16.1.246
  48. Park SM, Ahn JO, Lee BK. Self-rated subjective health status is strongly associated with sociodemographic factors, lifestyle, nutrient intakes, and biochemical indices, but not smoking status: KNHANES 2007-2012. J Korean Med Sci 2015; 30(9): 1279-1287. https://doi.org/10.3346/jkms.2015.30.9.1279
  49. Paakkari L, Inchley J, Schulz A, Weber MW, Okan O. Addressing health literacy in schools in the WHO European Region. Public Health Panor 2019; 5(2-3): 123-129.
  50. Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health care use among Medicare enrollees in a managed care organization. Med Care 2002; 40(5): 395-404. https://doi.org/10.1097/00005650-200205000-00005