Influencing Factors on Functional Health Literacy among the Rural Elderly

Abstract

Purpose:The purpose of this study was to describe the status of the functional health literacy of the elderly living in a rural community and to identify the influencing factors on the functional health literacy. Methods: Subjects (n=238) aged over 60 years were selected for data collection. Functional health literacy was measured by Korean Health Literacy, which consisted of 15 items including eight numeracy and seven comprehension items. Descriptive statistics, t test, ANOVA with Scheffe test, and stepwise multiple regression were used to analyze -the data. Results: The mean score of total functional health literacy was 6.66±3.31, numeracy was 3.52±1.76, and comprehension was 3.41±2.10. Of the subjects, 39.1% showed a low score below the median split. In the results of stepwise multiple regression, the factors affecting functional health literacy were basic literacy, age, number of chronic diseases, self reported health status, and gender. These factors accounted for 33.0% of -functional health literacy. Conclusion: These results suggest that interventions for improving functional health literacy are necessary to enhance elders' ability of self care management. In addition, it is needed to take into -account the individual characteristics of the subjects depending on their gender, age, and health status.

Gender Differences in Health Literacy Among Korean Adults

“…Based on their bivariate analysis, both Lee and Kang (2008) and Park and June (2011) reported that married people tend to have higher health literacy. The inconsistency between these findings and the current study may partly be attributed to the difference in study populations, as both Lee and Kang (2008) and Park and June (2011) included only Korean older adults. All enabling factors (level of education, income, and having a consistent place to receive care) were associated with women's health literacy, whereas monthly income was the only enabling factor significantly associated with men's health literacy.…”

Evidence-based health literacy improvements: trends on health literacy studies in Korea

“…To compare KHLAT(2) to KHLAT(4) for evaluation of validity of instrument Met 건강정보 이해능력 C(metropolis) 2673/C Elementary, Middle, High school students (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) KHLAT(2), KHLAT(4) (Kim et al, 2005) 33. Park & June (2011) To examine influencing factors on hl Health status Cor 의료정보 이해능력 C(rural) 238/C Rural older adults, 60yr≤ KHLS (Kim & Lee, 2008) 34. Kim et al (2010) To assess the relationship between hl and V Heath status Cor 의료정보 이해능력 C(metropolis, urban) 103/C Older adults, 60yr≤ Chew's questionnaires (Chew et al, 2004) 35.…”

“…Kim & Yu (2010) To examine the mediating effect of self-efficacy on the relationship between hl and health status Self-efficacy Health status Cor C(metropolis) 103/C Older adults KFHLT (Kim & Lee, 2008) 36. Lee & Park (2010) (Kim & Jeong, 2012;Kim et al, 2013), 연령이 높고 (Kim & Jeong, 2012;Lee & Kang, 2008;Hong & Eun, 2012;Park & June, 2011;Park & Hwang, 2014), 교육 수준이 낮으 며 (Kim & Jeong, 2012;Hong & Eun, 2012;Lee & Kang, 2008;Park & Hwang, 2014;Son et al, 2014), 수입이 낮고 Lee & Kang, 2008) (Kwon et al, 2013;Lee & Park, 2010;Son & Song, 2012;)과 건강 상태가 6편 (Kim & Lee, 2008;Kim, 2009;Kim & Yu, 2010;Kim et al, 2010;Park & June, 2011;Won et al, 2014)으로 가장 많았고, 위험 지각이 3편 (Bang & Jun, 2012;Jung & Kim, 2014;, 자가 관리 Son & Song, 2012 또한 헬스 리터러시는 건강 상태에도 유의한 영향을 미치 는 변수로 일관성 있게 조사되었다 (Kim & Lee, 2008;Kim, 2009;Kim & Yu, 2010;Kim et al, 2010;Park & June, 2011;Won et al, 2014). …”

Health Literacy of Inpatients at General Hospital

“…거주하는 만 60세 이상 노인 (Han, 2010;Kim & Lee, 2008;Lee, 2009;Lee & Kang, 2008;Moon, 2008;Park, 2009 , 건강정 보문해력에 연령이 항상 가장 유의한 영향요인은 아니었다 (Cutilli, 2005). 우리나라의 연구들에서도 연령이 낮을수록 건강정보문해력이 높다는 연구 (Lee & Kang, 2008;Moon, 2008;Park, 2009)와, 연령이 높을수록 건강정보문해력이 높 다고 보고한 연구 (Kim et al, 2005), 연령에 따른 차이가 없 는 연구 (Kim & Lee, 2008;Lee, 2009)도 있어, 건강정보문해 력과 연령과의 관계가 일관되지는 않았다.…”

“…우리나라의 연구들에서도 연령이 낮을수록 건강정보문해력이 높다는 연구 (Lee & Kang, 2008;Moon, 2008;Park, 2009)와, 연령이 높을수록 건강정보문해력이 높 다고 보고한 연구 (Kim et al, 2005), 연령에 따른 차이가 없 는 연구 (Kim & Lee, 2008;Lee, 2009)도 있어, 건강정보문해 력과 연령과의 관계가 일관되지는 않았다. 또한, 대부분의 연 구에서 교육수준은 건강정보문해력의 관련 요인으로 나타났 으며, 낮은 교육수준은 낮은 건강정보문해력을 보이지만 Kim et al, 2005;Kim & Lee, 2008;Kong & Choi, 2007;Lee, 2009;Lee & Kang, 2008;Moon, 2008;Park, 2009;Sudore et al, 2006), 높은 교육수준이 높 은 건강정보문해력과 항상 정적인 관계를 보이지는 않았으며 (Baker, Gazmararian, Sudano, & Patterson, 2000) %), 5회 이상 12명(7.6%)으로 나타났다 (Table 1). (Table 1), 연령, 교육수준, 배우자 유무, 한 달 용돈, 직업의 유무, 주 일반적 특성에 따른 기능적 건강정보문해력을 보면 (Table 1) Over 9 61~66 Over 3 year on middle school 4 (2.5) …”