Research Article
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Investigation of health literacy and some related factors of 4th grade students in a university

Year 2019, Volume: 12 Issue: 1, 48 - 59, 28.04.2019
https://doi.org/10.26559/mersinsbd.412666

Abstract

Aim: The
aim of the study was to examine the health literacy level and some related
factors of the 4th grade students of a university. Methods: The universe of this cross-sectional type was consisted of
353 students who were educated in the departments of a university during spring
semester of 2014-2015 academic years. 283 students were reached in the survey
(80.1%). The data collection tool includes several socio-demographic
characteristics of the participants, “Test of Functional Health Literacy in
Adults” and some variables that were thought to be related to the health
literacy. Data was evaluated using SPSS 23.0 statistical software. Descriptive
statistics was used in the summary of the data, Chi-square and Mann Whitney-U
tests were used in the intergroup comparisons and logistic regression model was
used in the analyzes. Results: The
ages of the participants ranged from 21 to 32 years with an average age of
23.1± 1.6 years and 61.0% were females. It has been identified as the average
score of “Test of Functional Health Literacy in Adults” of the participants’
were 74.4±14.4 and 60.4% of them had sufficient health literacy level. There
was no difference in health literacy scores based on the socio-demographic
characteristics of the participants. According to the logistic regression
model, the health literacy scores of health services users’ in the last six
months were 1.7 times higher than those who did not use (95% CI=1.1-2.9). Conclusion: Health literacy levels of
two out of every five participants were insufficient. This result was noteworthy
when it’s thought that the working group was composed of university students.
It is of great importance for providing educational programs to raise health
awareness, health responsibilities and awareness in order to acquire, interpret
and understand basic health information and services in the context of
increasing the level of health literacy, especially focusing on youth, in the
context of assessing health literacy levels.

References

  • 1. Bilir N. Erbaydar Paksoy N. Bulaşıcı Olmayan Hastalıklar ve Kontrolü. In: Güler Ç, Akın L,editors.Halk Sağlığı Temel Bilgiler 3. Ankara: Hacettepe Üniversitesi Yayınları;2015.p.15422. Bas Bueno-de-Mesquita HB. Noncommunicable Diseases of Major Public Health Interest and Prevention. Asia Pac J Public Health 2015; 27(8S):110S-111S. 3. Riley L, Guthold R, Cowan M, Savin S, Bhatti L, Armstrong T, et al. The World Health Organization STEPwise Approach to Noncommunicable Disease Risk-Factor Surveillance: Methods, Challenges, and Opportunities. Am J Public Health 2016;106(1):74-78. 4. Bilir N. Sağlık okur-yazarlığı/Health Literacy. Turk J Public Health 2014;12(1):61-68. 5. WHO. Track 2: Health Literacy and Health Behaviour. 7th Global Conference on Health Promotion: track themes. Health Promotion (serial online) 2016 Apr-May (cited:2016 Nisan 12):(24 screens).Available from:URL: http://www.who.int/healthpromotion/conferences/7gchp/track2/en/6. Carbone ET, Gibbs HD. Measuring Nutrition Literacy: Problems and Potential Solutions. J Nutr Disorders Ther 2013;3(1): 1000e105. 7. Fransen MP, Leenaars KE, Rowlands G, Weiss BD, Maat HP, Essink-Bot ML. International Application of Health Literacy Measures: Adaptation and Validation of the Newest Vital Sign in The Netherlands. Patient Educ Couns. 2014; 97(3):403-409.8. Eyüboğlu E, Schulz PJ. Validation of Turkish Health Literacy Measures. Health Promot Int. 2015;31(2):1-2. 9. Dodson S, Good S, Osborne RH. Optimizing health literacy: improving health and reducing health inequities: a selection of information sheets from the health literacy toolkit for lowand middle-income countries. New Delhi: World Health Organization, Regional Office for South-East Asia: 2015.ISBN: 978-92 9022-474-7.Available from:15 Nisan 2015.URL: http://apps.searo.who.int/PDS_DOCS/B5147.pdf.10. Couture ÉM, Chouinard M-C, Fortin M, Hudon C. The relationship between health literacy and quality of life among frequent users of health care services: a cross-sectional study. Health Qual Life Outcomes 2017 Jul. doi:10.1186/s12955-017-0716-7.11. Cajita MI, Cajita TR, Han H-R. Health Literacy and Heart Failure: A Systematic Review. J Cardiovasc Nurs. 2016;31(2):121-130. 12. De Castro SH, Brito GNO, Gomes MB. Health literacy skills in type 2 diabetes mellitus outpatients from an university-affiliated hospital in Rio de Janeiro, Brazil. Diabetol Metab Syndr 2014 Nov 22. doi:10.1186/1758-5996-6-126.13. Souza JG, Apolinario D, Magaldi RM, Busse AL, Campora F, Jacob-Filho W. Functional health literacy and glycaemic control in older adults with type 2 diabetes: a cross-sectional study. BMJ Open 2014 Jan 21. doi: 10.1136/bmjopen-2013-00418014. Liechty JM, Saltzman JA, Musaad SM, STRONG Kids Team. Health literacy and parent attitudes about weight control for children. Appetite 2015; 91:200–8. 15. Sansom-Daly UM, Lin M, Robertson EG, Wakefield CE, McGill BC, Girgis A, et al. Health Literacy in Adolescents and Young Adults: An Updated Review. J Adolesc Young Adult Oncol. 2016;5(2):106-118. 16. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-1058. 17. Durusu-Tanrıöver M. Yıldırım HH. Demiray-Ready FN. Çakır B. Akalın HE. Türkiye Sağlık Okuryazarlığı Araştırması. Bilimsel Rapor. Sağlık-Sen Yayınları – 25. 1. Baskı: 2014 Aralık.18. Üçpunar E. Yetişkinlerde İşlevsel Sağlık Okuryazarlığı Testinin Uyarlama Çalışması (tez). Ankara:Ankara Üniversitesi.2014 19. Parker RM, Baker DW, Williams MV, Nurss JR. The test of functional health literacy in adults: a new instrument for measuring patients' literacy skills. J Gen Intern Med. 1995;10(10):537-41.20. Ozdemir H, Alper Z, Uncu Y, Bilgel N. Health literacy among adults: a study from Turkey. Health Educ Res. 2010;25(3):464-77. 21. Poorman E, Gazmararian J, Elon L, Parker R. Is health literacy related to health behaviors and cell phone usage patterns among the text4baby target population? Arch Public Health 2014;72(1):13. 22. Kutner M. Greenberg E. Jin Y. Paulsen C. The Health Literacy of America’s Adults: Results From the 2003 National Assessment of Adult Literacy (NCES 2006–483). U.S. Department of Education. Washington, DC: National Center for Education Statistics: 2006 Sept. Report No: NCES 2006–483.23. Eichler K, Wieser S, Brügger U. The costs of limited health literacy: a systematic review. Int J Public Health 2009;54(5):313-324. 24. Lee SYD, Tsai, TI, Tsai, YW, Kuo KN. Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC Public Health 2010 Oct 16. doi:10.1186/1471-2458-10-61425. Zhang Y, Zhang F, Hu P, Huang W, Lu L, Bai R, et al. Exploring Health Literacy in Medical University Students of Chongqing, China: A Cross-Sectional Study. PLoS One 2016 Apr 6. doi:10.1371/journal.pone.0152547.26. Rocha PC, Rocha DC, Lemos SMA. Functional health literacy and quality of life of high-school adolescents in state schools in Belo Horizonte. Codas 2017 Aug 10. doi: 10.1590/2317 1782/2017201620827. Vozikis A, Drivas K, Milioris K. Health literacy among university students in Greece: determinants and association with self-perceived health, health behaviours and health risks. Arch Public Health 2014 May 23. doi:10.1186/2049-3258-72-15.28. Barber ML, Staples M, Osborne RH, Clerehan R, Elder C, Buchbinder R. Up to a quarter of the Australian population may have suboptimal health literacy depending upon the measurement tool: results from a population-based survey. Health Promot Int. 2009; 24(3):252-61. 29. Berkman ND. Sheridan SL. Donahue KE. Halpern DJ. Viera A. Crotty K. Holland A. Brasure M. Lohr KN. Harden E. Tant E. Wallace I. Viswanathan M. Health Literacy. Interventions and Outcomes: An Updated Systematic Review. Evidence Report/Technology Assesment No. 199. RTI International–University of North Carolina Evidencebased Practice Center. Agency for Healthcare Research and Quality 2011 March. Report No: 290-2007-10056-I

Bir üniversitenin 4. sınıf öğrencilerinin sağlık okuryazarlığı ve ilişkili bazı faktörlerin incelenmesi

Year 2019, Volume: 12 Issue: 1, 48 - 59, 28.04.2019
https://doi.org/10.26559/mersinsbd.412666

Abstract

Amaç: Çalışmada bir üniversitenin 4. sınıf öğrencilerinin sağlık
okuryazarlığı düzeyi ve ilişkili bazı faktörlerin incelenmesi amaçlanmıştır. Yöntem: Kesitsel tipte olan bu
epidemiyolojik araştırmanın evrenini bir üniversitenin bazı bölümlerinde
2014-2015 bahar döneminde eğitim gören 353 öğrenci oluşturmaktadır. Araştırmada
283 öğrenciye ulaşılmıştır (%80.1). Veri toplama aracı, katılımcıların çeşitli
sosyo-demografik özelliklerini, “Yetişkinlerde İşlevsel Sağlık Okuryazarlığı
Testi” ve sağlık okuryazarlığıyla ilişkili olduğu düşünülen bazı değişkenleri
içermektedir. Verilerin değerlendirilmesi SPSS 23.0 programı kullanılarak
yapılmış, verilerin özetlenmesinde tanımlayıcı istatistikler, gruplar arası
karşılaştırmalarda Ki-kare testi ile Mann Whitney-U testi ve analizlerde
lojistik regresyon modellemesi kullanılmıştır. Bulgular: Katılımcıların yaşları 21 ile 32 arasında değişmekte olup
yaş ortalamaları 23.1±1.6 yıldır ve %61.0’ı kadındır. Katılımcıların “Yetişkinlerde
İşlevsel Sağlık Okuryazarlığı Testi” puan ortalaması 74.4±14.4’dür ve %60.4’ünün
sağlık okuryazarlığı düzeyi yeterli olarak belirlenmiştir. Katılımcıların
sosyo-demografik özelliklerine göre sağlık okuryazarlığı puanları arasında
farklılık saptanmamıştır. Lojistik regresyon modeline göre son altı ayda sağlık
hizmeti kullananların sağlık okuryazarlığı puanları, kullanmayanlara göre 1.7
kat daha yüksektir (%95 GA=1.1-2.9). Sonuç:
Her beş katılımcıdan ikisinin sağlık okuryazarlığı düzeyi yetersizdir ve
çalışma grubunun üniversite öğrencileri olduğu düşünüldüğünde bu sonuç dikkat
çekicidir. Sağlık okuryazarlığı düzeyinin yükseltilmesinde özellikle gençlere
odaklanarak, sağlık okuryazarlığı düzeylerini değerlendirme kapsamında temel
sağlık bilgilerini ve hizmetlerini edinebilme, yorumlayabilme ve
anlayabilmeleri açısından sağlıklı yaşam biçimi kazandırmaya, sağlık
sorumluluklarını ve bilinçlerini artırmaya yönelik eğitici programlar sunulması
büyük önem taşımaktadır. 

References

  • 1. Bilir N. Erbaydar Paksoy N. Bulaşıcı Olmayan Hastalıklar ve Kontrolü. In: Güler Ç, Akın L,editors.Halk Sağlığı Temel Bilgiler 3. Ankara: Hacettepe Üniversitesi Yayınları;2015.p.15422. Bas Bueno-de-Mesquita HB. Noncommunicable Diseases of Major Public Health Interest and Prevention. Asia Pac J Public Health 2015; 27(8S):110S-111S. 3. Riley L, Guthold R, Cowan M, Savin S, Bhatti L, Armstrong T, et al. The World Health Organization STEPwise Approach to Noncommunicable Disease Risk-Factor Surveillance: Methods, Challenges, and Opportunities. Am J Public Health 2016;106(1):74-78. 4. Bilir N. Sağlık okur-yazarlığı/Health Literacy. Turk J Public Health 2014;12(1):61-68. 5. WHO. Track 2: Health Literacy and Health Behaviour. 7th Global Conference on Health Promotion: track themes. Health Promotion (serial online) 2016 Apr-May (cited:2016 Nisan 12):(24 screens).Available from:URL: http://www.who.int/healthpromotion/conferences/7gchp/track2/en/6. Carbone ET, Gibbs HD. Measuring Nutrition Literacy: Problems and Potential Solutions. J Nutr Disorders Ther 2013;3(1): 1000e105. 7. Fransen MP, Leenaars KE, Rowlands G, Weiss BD, Maat HP, Essink-Bot ML. International Application of Health Literacy Measures: Adaptation and Validation of the Newest Vital Sign in The Netherlands. Patient Educ Couns. 2014; 97(3):403-409.8. Eyüboğlu E, Schulz PJ. Validation of Turkish Health Literacy Measures. Health Promot Int. 2015;31(2):1-2. 9. Dodson S, Good S, Osborne RH. Optimizing health literacy: improving health and reducing health inequities: a selection of information sheets from the health literacy toolkit for lowand middle-income countries. New Delhi: World Health Organization, Regional Office for South-East Asia: 2015.ISBN: 978-92 9022-474-7.Available from:15 Nisan 2015.URL: http://apps.searo.who.int/PDS_DOCS/B5147.pdf.10. Couture ÉM, Chouinard M-C, Fortin M, Hudon C. The relationship between health literacy and quality of life among frequent users of health care services: a cross-sectional study. Health Qual Life Outcomes 2017 Jul. doi:10.1186/s12955-017-0716-7.11. Cajita MI, Cajita TR, Han H-R. Health Literacy and Heart Failure: A Systematic Review. J Cardiovasc Nurs. 2016;31(2):121-130. 12. De Castro SH, Brito GNO, Gomes MB. Health literacy skills in type 2 diabetes mellitus outpatients from an university-affiliated hospital in Rio de Janeiro, Brazil. Diabetol Metab Syndr 2014 Nov 22. doi:10.1186/1758-5996-6-126.13. Souza JG, Apolinario D, Magaldi RM, Busse AL, Campora F, Jacob-Filho W. Functional health literacy and glycaemic control in older adults with type 2 diabetes: a cross-sectional study. BMJ Open 2014 Jan 21. doi: 10.1136/bmjopen-2013-00418014. Liechty JM, Saltzman JA, Musaad SM, STRONG Kids Team. Health literacy and parent attitudes about weight control for children. Appetite 2015; 91:200–8. 15. Sansom-Daly UM, Lin M, Robertson EG, Wakefield CE, McGill BC, Girgis A, et al. Health Literacy in Adolescents and Young Adults: An Updated Review. J Adolesc Young Adult Oncol. 2016;5(2):106-118. 16. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-1058. 17. Durusu-Tanrıöver M. Yıldırım HH. Demiray-Ready FN. Çakır B. Akalın HE. Türkiye Sağlık Okuryazarlığı Araştırması. Bilimsel Rapor. Sağlık-Sen Yayınları – 25. 1. Baskı: 2014 Aralık.18. Üçpunar E. Yetişkinlerde İşlevsel Sağlık Okuryazarlığı Testinin Uyarlama Çalışması (tez). Ankara:Ankara Üniversitesi.2014 19. Parker RM, Baker DW, Williams MV, Nurss JR. The test of functional health literacy in adults: a new instrument for measuring patients' literacy skills. J Gen Intern Med. 1995;10(10):537-41.20. Ozdemir H, Alper Z, Uncu Y, Bilgel N. Health literacy among adults: a study from Turkey. Health Educ Res. 2010;25(3):464-77. 21. Poorman E, Gazmararian J, Elon L, Parker R. Is health literacy related to health behaviors and cell phone usage patterns among the text4baby target population? Arch Public Health 2014;72(1):13. 22. Kutner M. Greenberg E. Jin Y. Paulsen C. The Health Literacy of America’s Adults: Results From the 2003 National Assessment of Adult Literacy (NCES 2006–483). U.S. Department of Education. Washington, DC: National Center for Education Statistics: 2006 Sept. Report No: NCES 2006–483.23. Eichler K, Wieser S, Brügger U. The costs of limited health literacy: a systematic review. Int J Public Health 2009;54(5):313-324. 24. Lee SYD, Tsai, TI, Tsai, YW, Kuo KN. Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC Public Health 2010 Oct 16. doi:10.1186/1471-2458-10-61425. Zhang Y, Zhang F, Hu P, Huang W, Lu L, Bai R, et al. Exploring Health Literacy in Medical University Students of Chongqing, China: A Cross-Sectional Study. PLoS One 2016 Apr 6. doi:10.1371/journal.pone.0152547.26. Rocha PC, Rocha DC, Lemos SMA. Functional health literacy and quality of life of high-school adolescents in state schools in Belo Horizonte. Codas 2017 Aug 10. doi: 10.1590/2317 1782/2017201620827. Vozikis A, Drivas K, Milioris K. Health literacy among university students in Greece: determinants and association with self-perceived health, health behaviours and health risks. Arch Public Health 2014 May 23. doi:10.1186/2049-3258-72-15.28. Barber ML, Staples M, Osborne RH, Clerehan R, Elder C, Buchbinder R. Up to a quarter of the Australian population may have suboptimal health literacy depending upon the measurement tool: results from a population-based survey. Health Promot Int. 2009; 24(3):252-61. 29. Berkman ND. Sheridan SL. Donahue KE. Halpern DJ. Viera A. Crotty K. Holland A. Brasure M. Lohr KN. Harden E. Tant E. Wallace I. Viswanathan M. Health Literacy. Interventions and Outcomes: An Updated Systematic Review. Evidence Report/Technology Assesment No. 199. RTI International–University of North Carolina Evidencebased Practice Center. Agency for Healthcare Research and Quality 2011 March. Report No: 290-2007-10056-I
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Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Serhat Özdenk This is me 0000-0002-4376-7434

Gülcan Demir 0000-0003-4639-399X

Lütfiye Hilal Özcebe 0000-0002-0918-8519

Sarp Üner 0000-0002-9880-8811

Publication Date April 28, 2019
Submission Date April 4, 2018
Acceptance Date December 15, 2018
Published in Issue Year 2019 Volume: 12 Issue: 1

Cite

APA Özdenk, S., Demir, G., Özcebe, L. H., Üner, S. (2019). Bir üniversitenin 4. sınıf öğrencilerinin sağlık okuryazarlığı ve ilişkili bazı faktörlerin incelenmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 12(1), 48-59. https://doi.org/10.26559/mersinsbd.412666
AMA Özdenk S, Demir G, Özcebe LH, Üner S. Bir üniversitenin 4. sınıf öğrencilerinin sağlık okuryazarlığı ve ilişkili bazı faktörlerin incelenmesi. Mersin Univ Saglık Bilim derg. April 2019;12(1):48-59. doi:10.26559/mersinsbd.412666
Chicago Özdenk, Serhat, Gülcan Demir, Lütfiye Hilal Özcebe, and Sarp Üner. “Bir üniversitenin 4. Sınıf öğrencilerinin sağlık okuryazarlığı Ve ilişkili Bazı faktörlerin Incelenmesi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 12, no. 1 (April 2019): 48-59. https://doi.org/10.26559/mersinsbd.412666.
EndNote Özdenk S, Demir G, Özcebe LH, Üner S (April 1, 2019) Bir üniversitenin 4. sınıf öğrencilerinin sağlık okuryazarlığı ve ilişkili bazı faktörlerin incelenmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi 12 1 48–59.
IEEE S. Özdenk, G. Demir, L. H. Özcebe, and S. Üner, “Bir üniversitenin 4. sınıf öğrencilerinin sağlık okuryazarlığı ve ilişkili bazı faktörlerin incelenmesi”, Mersin Univ Saglık Bilim derg, vol. 12, no. 1, pp. 48–59, 2019, doi: 10.26559/mersinsbd.412666.
ISNAD Özdenk, Serhat et al. “Bir üniversitenin 4. Sınıf öğrencilerinin sağlık okuryazarlığı Ve ilişkili Bazı faktörlerin Incelenmesi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 12/1 (April 2019), 48-59. https://doi.org/10.26559/mersinsbd.412666.
JAMA Özdenk S, Demir G, Özcebe LH, Üner S. Bir üniversitenin 4. sınıf öğrencilerinin sağlık okuryazarlığı ve ilişkili bazı faktörlerin incelenmesi. Mersin Univ Saglık Bilim derg. 2019;12:48–59.
MLA Özdenk, Serhat et al. “Bir üniversitenin 4. Sınıf öğrencilerinin sağlık okuryazarlığı Ve ilişkili Bazı faktörlerin Incelenmesi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi, vol. 12, no. 1, 2019, pp. 48-59, doi:10.26559/mersinsbd.412666.
Vancouver Özdenk S, Demir G, Özcebe LH, Üner S. Bir üniversitenin 4. sınıf öğrencilerinin sağlık okuryazarlığı ve ilişkili bazı faktörlerin incelenmesi. Mersin Univ Saglık Bilim derg. 2019;12(1):48-59.

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