본문 바로가기
KERD
논문KCI 등재

고령자의 헬스리터러시 관련 요인: HLS-EU-Q16 측정도구 활용

Factors associated with health literacy among older adults: Results of the HLS-EU-Q16 measure

2

조회

0

다운로드

28

인용

0

참고문헌

키워드

초록

Objectives: This study was performed to identify and investigate the factors associated with the level of health literacy among older adults in Seoul, using the European Health Literacy Survey Q16(HLS-EU-Q16) measure. Methods: Data were drawn from a cross-sectional study conducted in Seoul of older residents, aged 60~79. A total of 302 elderly were recruited according to gender, age, and geography. Health literacy was assessed using the short version of the HLS-EU-Q16. The comprehensive health literacy measure consists of three domains: health care, diseases prevention, and health promotion. For explanatory variables, demographic(gender, age, marital status), socioeconomic(education level, subjective economic status, National Basic Livelihood Act recipients), and health-related factors (self-rated health, number of chronic diseases and, medical check-ups) were considered. Descriptive statistics and multivariate linear regression models were used to identify variables associated with health literacy. Results: The mean score of health literacy was 11.4±3.7. Multivariate regression analyses found significant associations between health literacy and education, subjective economic status(higher), number of chronic diseases(over 3), and medical check-up(additional). Associated factors differed by domain-specific health literacy. Conclusion: Health promotion programs for elderly should pay more attention to vulnerable groups in regarding health literacy. The results call for further studies with utilizing longitudinal design and diverse measures.

Abstract

Objectives: This study was performed to identify and investigate the factors associated with the level of health literacy among older adults in Seoul, using the European Health Literacy Survey Q16(HLS-EU-Q16) measure. Methods: Data were drawn from a cross-sectional study conducted in Seoul of older residents, aged 60~79. A total of 302 elderly were recruited according to gender, age, and geography. Health literacy was assessed using the short version of the HLS-EU-Q16. The comprehensive health literacy measure consists of three domains: health care, diseases prevention, and health promotion. For explanatory variables, demographic(gender, age, marital status), socioeconomic(education level, subjective economic status, National Basic Livelihood Act recipients), and health-related factors (self-rated health, number of chronic diseases and, medical check-ups) were considered. Descriptive statistics and multivariate linear regression models were used to identify variables associated with health literacy. Results: The mean score of health literacy was 11.4±3.7. Multivariate regression analyses found significant associations between health literacy and education, subjective economic status(higher), number of chronic diseases(over 3), and medical check-up(additional). Associated factors differed by domain-specific health literacy. Conclusion: Health promotion programs for elderly should pay more attention to vulnerable groups in regarding health literacy. The results call for further studies with utilizing longitudinal design and diverse measures.

참고문헌 (36)

  1. Berkman, N. D., "Low health literacy and health outcomes : An updated systematic review", Annals of Internal Medicine, 155(2), pp.97~107 (2011)[DOI]
  2. Bostock, B., "Association between low functional health literacy and mortality in older adults : Longitudinal cohort study", BMJ, 344(e1602), pp.1~10 (2012)[DOI]
  3. Cho, Y. I., "Effects of health literacy on health status and health service utilization amongst the elderly", Social Science and Medicine, 66(8), pp.1809~1816 (2008)[DOI]
  4. 천희란, "고령자의 건강정보이해능력(Health Literacy) 측정도구 타당화", 대한보건연구, 44(4), pp.99~109 (2018), 사단법인 대한보건협회[DOI]
  5. Cutilli, C. C., "Do your patients understand? Determining your patients' health literacy skills", Orthopedic Nursing, 24(5), pp.372~377 (2005)
  6. Federman, A. D., "Health literacy and cognitive performance in older adults", Journal of American Geriatrics Society, 57(8), pp.1475~1480 (2009)[DOI]
  7. 주현정, "성인의 구강건강문해력 및 관련 요인에 대한 연구: 1. 언어적 구강건강문해력", 대한구강보건학회지, 36(2), pp.97~105 (2012), 대한예방치과·구강보건학회[DOI]
  8. 정은영, "관상동맥질환자의 건강정보이해능력과 건강행위이행", 성인간호학회지, 27(3), pp.251~261 (2015), 한국성인간호학회[DOI]
  9. 강수진, "근거 중심의 헬스 리터러시 증진 방안: 학술지 연구 동향을 중심으로", 보건교육건강증진학회지, 32(4), pp.93~108 (2015), 한국보건교육건강증진학회[DOI]
  10. 강수진, "서울 지역 일부 중년 성인의 건강정보이해능력(health literacy) 실태와 관련 요인에 대한 연구", 보건교육건강증진학회지, 29(3), pp.75~89 (2012), 한국보건교육건강증진학회
  11. 김정은, "건강정보 이해능력 수준과 영향요인에 대한 고찰: 대학병원 외래 방문객을 대상으로", 임상간호연구, 17(1), pp.27~34 (2011), 병원간호사회
  12. 김진현, "건강정보이해능력과 건강관련변수들 간의 관계에 관한 메타분석 연구", 보건교육건강증진학회지, 35(1), pp.101~113 (2018), 한국보건교육건강증진학회[DOI]
  13. 김준호, "우리나라 국민의 건강정보이해력 수준과 사회경제적 특성 및 건강행태와의 관계", 보건행정학회지, 29(2), pp.146~159 (2019), 한국보건행정학회
  14. 김성은, "건강정보 이해능력(Health Literacy)에 대한 개념분석", 한국간호교육학회지, 19(4), pp.558~570 (2013), 한국간호교육학회[DOI]
  15. 김성수, "의료정보이해능력(Health Literacy):한국형 측정도구 개발을 위한 예비연구", 보건교육건강증진학회지, 22(4), pp.215~227 (2005), 한국보건교육건강증진학회
  16. 김성은, "일반 성인의 건강문해력의 하위 차원과 건강 관련 행위간의 관계", 보건사회연구, 39(1), pp.334~364 (2019), 한국보건사회연구원[DOI]
  17. Report on the 2017 Survey of Living Conditions and Welfare Needs of Older Koreans, "Korea Institute for Health and Social Affairs", Ministry of Health and Welfare, ~ (2017)
  18. 이주열, "건강정보 활용능력 활성화를 위한 선행 과제", 보건교육건강증진학회지, 36(2), pp.23~35 (2019), 한국보건교육건강증진학회[DOI]
  19. 이태화, "한국 노인의 건강 문해(Health Literacy)실태와 영향 요인 -인구사회학적 특성을 중심으로-", 한국노년학, 28(4), pp.847~863 (2008), 한국노년학회
  20. 이춘옥, "중국 연변지역 조선족 노인들의 의료정보 이해능력과 건강상태", Journal of Korean Academy of Nursing, 39(3), pp.386~392 (2009), 한국간호과학회
  21. Mancuso J. M., "Health literacy : a concept", dimensional analysis, 2008, pp.10(3), 248~255
  22. Manganello J. A., "Health literacy and adolescents : A framework and agenda for future research", Health Education Research, 23(5), pp.840~847 (2008)[DOI]
  23. Nutbeam, D., "Health promotion glossary", Health Promotion International, 13(4), pp.349~364 (1998)
  24. Nutbeam D., "The evolving concept of health literacy", Social Science Medicine, 67(12), pp.2071~2078 (2008)[DOI]
  25. Nutbeam, D., "Health literacy as a public goal : a challenge for contemporary health education and communication strategies into the 21st century", Health Promotion Internal, 15(3), pp.259~267 (2000)[DOI]
  26. 박지연, "농촌 지역 노인의 기능적 의료정보 이해능력 실태와 영향요인", 지역사회간호학회지, 22(1), pp.75~85 (2011), 한국지역사회간호학회
  27. Parker, R. M., "Health Literacy : A policy challenge for advancing high-quality health care", Health Affairs, 22(4), pp.147~153 (2003)[DOI]
  28. Pelikan, J. M., "Health literacy", pp.34~59 (2017), IOS Press
  29. Simonds, S. K., "Health education as social policy", Health Education Monograph, 2(1_suppl), pp.1~10 (1974)[DOI]
  30. 손연정, "지역사회 거주 일반 성인의 건강정보 활용능력 영향요인", Korean Journal of Health Promotion, 12(2), pp.100~108 (2012), 대한임상건강증진학회[DOI]
  31. Sørensen, K., "Health literacy in Europe : comparative results of the European health literacy survey(HLS-EU)", European Journal of Public Health, 25(6), pp.1053~1058 (2015)[DOI]
  32. Sørensen, K., "Health literacy and public health : A systematic review and integration of definitions and models", BMC Public Health, 12, pp.80~ (2012)[DOI]
  33. Speros, C., "Health literacy : Concept analysis", Journal of Advance Nuring, 50(6), pp.633~640 (2005)[DOI]
  34. Wolf, M. S., "Health literacy and functional health status among older adults", Archieves of Internal Medicine, 165(17), pp.1946~1952 (2005)[DOI]
  35. "2016", ~
  36. Zarcadoolas C., "Understanding health literacy : An expanded model", Health Promotion Internal, 20(2), pp.195~203 (2005)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (11건)