Research Article
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Examine the Relationship between Health Literacy Level and Over-the-Counter (Otc) Product Consumption During the Period of the Global Pandemic Caused by Covid-19

Year 2025, Issue: 71, 21 - 37, 27.06.2025
https://doi.org/10.26650/JECS2024-1520365

Abstract

This study contributes to the literature by examining the relationship between individuals’ health literacy levels and their consumption of over-the-counter products. The sample of the study consisted of 416 individuals aged 18 years and over, who were reached through Google Forms and patients and their relatives who were hospitalized in the emergency and units of Prof. Dr. Süleyman Yalçın City Hospital in Istanbul. The data were analyzed using confirmatory factor analysis and structural equation models were used statistically.

The study revealed a positive correlation between health literacy and customer satisfaction. In addition, fear of COVID-19 was found to have a positive effect on customer satisfaction. Another factor found to have a positive effect on customer satisfaction was perceived economic value. Perceived economic risk was found to have a significant negative effect on perceived economic value. Fear of COVID-19 was found to have a positive effect on perceived risk. As a result, it was concluded that studies to increase the health literacy of individuals are necessary to increase customer satisfaction in the consumption of health products.

Ethical Statement

Ethical approval for the study was obtained from Istanbul University Social and Human Sciences Research Ethics Committee.

Supporting Institution

The author declare that this study has not received any financial support.

References

  • Agarwal, S., & Teas, R. K. (2001, 2001/10/01). Perceived Value: Mediating Role of Perceived Risk. Journal of Marketing Theory and Practice, 9(4), 1-14. https://doi.org/10.1080/10696679.2001.11501899 google scholar
  • Ahorsu, D. K., Lin, C.-Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The fear of the COVID-19 scale: development and initial validation. International journal of mental health and addiction, 1-9. google scholar
  • Bakioğlu, F., Korkmaz, O., & Ercan, H. (2021). Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. International journal of mental health and addiction, 19, 2369-2382. google scholar
  • Baracaldo-Santamaría, D., Trujillo-Moreno, M. J., Pérez-Acosta, A. M., Feliciano-Alfonso, J. E., Calderon-Ospina, C.-A., & Soler, F. (2022, 2022/01/01). Definition of self-medication: a scoping review. Therapeutic Advances in Drug Safety, 13, 20420986221127501. doi: 10.1177/20420986221127501 google scholar
  • Çetin, M. E. (2022). Bireylerin Sağlık Okuryazarlığı Düzeyinin COVID-19 Sürecinde Sağlık Ürünleri Tüketimine Etkisi. (Doktora Tezi). İstanbul Üniversitesi google scholar
  • Deriba, B. S., Geleta, T. A., Beyane, R. S., Mohammed, A., Tesema, M., & Jemal, K. (2020). Patient Satisfaction and Associated Factors During the COVID-19 Pandemic in North Shoa Health Care Facilities. Patient Prefer Adherence, 14, 1923-1934. https://doi.org/10. 2147/ppa. S276254 google scholar
  • Eskiler, E., & Altunışık, R. (2015). Algılanan değer ve müşteri memnuniyetinin satın alma eğilimleri üzerine etkisi. III. Rekreasyon Araştırmaları Kongresi, 483-493. google scholar Hayran, O., & Özer, O. (2018, Oct). Organizational health literacy as a determinant of patient satisfaction. Public Health, 163, 20-26. https://doi.org/10.1016/j.puhe.2018.06.011 google scholar
  • Karaman, M. (2023, June). Keşfedici Ve Doğrulayici Faktör Analizi: Kavramsal Bir Çalişma [Exploratory and confirmatory factor analysis: A conceptual study]. Uluslararası İktisadi ve İdari Bilimler Dergisi, 9(1), 47-63. https://doi.org/10.29131/uiibd.1279602 google scholar
  • Karasar, N. (2012). Bilimsel araştırma yöntemi [Scientific research method]. Ankara: Nobel Yayıncılık. google scholar
  • Köksal, Y. Ö. (2021). Sağlık Okuryazarlığı Düzeyinin COVID-19 Korkusu Üzerine Etkisi.(Doktora Tezi). Hitit Üniversitesi google scholar
  • Lee, C. K., Bendle, L. J., Yoon, Y. S. and Kim, M. J. (2012). Thanatourism or peace tourism: Perceived value at a North Korean resort from an indigenous perspective. International Journal of Tourism Research, 14(1), 71-90. doi:10.1002/jtr.836 google scholar
  • Nguyen, H. T., Do, B. N., Pham, K. M., Kim, G. B., Dam, H. T. B., Nguyen, T. T., Nguyen, T. T. P., Nguyen, Y. H., Sørensen, K., Pleasant, A. and Duong, T. V. (2020, Jun 11). Fear of the COVID-19 Scale-Associations of Its Scores with Health Literacy and Health-Related Behaviors among Medical Students. Int J Environ Res Public Health, 17(11). doi:10.3390/ijerph17114164 google scholar
  • Nisa, C. F., Bélanger, J. J., Faller, D. G., Buttrick, N. R., Mierau, J. O., Austin, M. M. K., Schumpe, B. M., Sasin, E. M., Agostini, M., Gützkow, B., Kreienkamp, J., Abakoumkin, G., Abdul Khaiyom, J. H., Ahmedi, V., Akkas, H.,… Zick, A., Zúñiga, C., & Leander, N. P. (2021). Lives versus google scholar
  • Livelihoods? Perceived economic risk has a stronger association with support for COVID-19 preventive measures than perceived health risk. Sci Rep, 11(1), 9669. doi:10.1038/s41598-021-88314-4 google scholar
  • Nutbeam, D. O. N. and Kickbusch, I. (1998). Health promotion glossary. Health Promotion International, 13(4), 349-364. http://www.jstor. org/stable/45152457 google scholar
  • Ogasawara, H., Japan, D. C. S., & Indonesia, M. (2000). WHO guidelines for the regulatory assessment of medicinal products for use in self-medication. WHO Drug Information, 14(1). google scholar
  • Okyay, P., & Abacıgil, F. (2016). Türkiye sağlik okuryazarliği ölçekleri güvenilirlik ve geçerlilik çalişmasi. Avrupa sağlik okuryazarliği ölçeği türkçe uyarlamasi (ASOYTR). MOH, Turkey. google scholar
  • Özbekler, T. M. (2019, December). Perakende Sektöründe Hizmet İnovasyonu: Algılanan Değer, Müşteri Memnuniyeti ve Davranışsal Niyet Açısından Bir Çalışma [Service Innovation in the Retail Sector: A Study on Perceived Value, Customer Satisfaction and Behavioral Intent]. Journal of Entrepreneurship and Innovation Management, 8(2), 97-125. https://dergipark.org.tr/en/pub/jeim/ issue/60020/867214 google scholar
  • Sánchez-Fernández, R., & Iniesta-Bonillo, M. Á. (2009, 2009/11/01/). Efficiency and quality as economic dimensions of perceived value: Conceptualization, measurement, and effect on satisfaction. Journal of Retailing and Consumer Services, 16(6), 425-433. https:// doi.org/https://doi.org/10.1016/j.jretconser.2009.06.003 google scholar
  • Shaukat, R., Asghar, A., & Naveed, M. A. (2021). Impact of health literacy on the fear of covid-19, protective behavior, and conspiracy beliefs: university students’ perspective. Library Philosophy and Practice, 4620, 1-14. google scholar
  • Sheth, J. (2020, 2020/09/01/). Impact of COVID-19 on consumer behavior: Will the old habits return or die? Journal of Business Research, 117, 280-283. https://doi.org/10.1016/j.jbusres.2020.05.059 google scholar
  • Song, S., Lee, S.-M., Jang, S., Lee, Y. J., Kim, N.-H., Sohn, H.-R., & Suh, D.-C. (2017, 2017/09/16). Mediation effects of medication information processing and adherence on association between health literacy and quality of life. BMC Health Services Research, 17(1), 661. https://doi.org/10.1186/s12913-017-2598-0 google scholar
  • Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., Brand, H., & Consortium Health Literacy Project, E. (2012, 2012/01/25). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(1), 80. https://doi.org/10.1186/1471-2458-12-80 google scholar
  • Thomas, M. S., & Feng, Y. (2021, 2021/12/01/). Consumer risk perception and trusted sources of food safety information during the COVID-19 pandemic. Food Control, 130, 108279. https://doi.org/10.1016/j.foodcont.2021.108279 google scholar
  • Tutar, H. and Erdem, A. T. (2020). Örnekleriyle bilimsel araştırma yöntemleri ve SPSS uygulamaları. Seçkin Yayıncılık, 1. google scholar
  • Wynia, M. K. and Osborn, C. Y. (2010). Health literacy and communication quality in healthcare organizations. J Health Commun, 15 Suppl 2(Suppl 2), 102-115. https://doi.org/10.1080/10810730.2010.499981 google scholar
  • Yaşlıoğlu, M. M. (2017, November). [Factor Analysis and Validity in Social Sciences: Application of Exploratory and Confirmatory Factor Analyses]. İstanbul Üniversitesi İşletme Fakültesi Dergisi, 46(0), 74-85. https://dergipark.org.tr/en/pub/iuisletme/issue/32177/ 357061 google scholar
  • Yeşilyurt, Ö. (2018). Sağlık işletmesinde algılanan hizmet kalitesi, algılanan risk ve algılanan değer boyutlarının hasta memnuniyeti ve davranışsal niyeti üzerine etkisinin yapısal eşitlik modeli ile değerlendirilmesi. google scholar
  • Zwanka, R. J., & Buff, C. (2021, 2021/01/01). COVID-19 Generation: A Conceptual Framework of the Consumer Behavioral Shifts to Be Caused by the COVID-19 Pandemic. Journal of International Consumer Marketing, 33(1), 58-67. doi:10.1080/08961530.2020.1771646 google scholar
Year 2025, Issue: 71, 21 - 37, 27.06.2025
https://doi.org/10.26650/JECS2024-1520365

Abstract

References

  • Agarwal, S., & Teas, R. K. (2001, 2001/10/01). Perceived Value: Mediating Role of Perceived Risk. Journal of Marketing Theory and Practice, 9(4), 1-14. https://doi.org/10.1080/10696679.2001.11501899 google scholar
  • Ahorsu, D. K., Lin, C.-Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The fear of the COVID-19 scale: development and initial validation. International journal of mental health and addiction, 1-9. google scholar
  • Bakioğlu, F., Korkmaz, O., & Ercan, H. (2021). Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. International journal of mental health and addiction, 19, 2369-2382. google scholar
  • Baracaldo-Santamaría, D., Trujillo-Moreno, M. J., Pérez-Acosta, A. M., Feliciano-Alfonso, J. E., Calderon-Ospina, C.-A., & Soler, F. (2022, 2022/01/01). Definition of self-medication: a scoping review. Therapeutic Advances in Drug Safety, 13, 20420986221127501. doi: 10.1177/20420986221127501 google scholar
  • Çetin, M. E. (2022). Bireylerin Sağlık Okuryazarlığı Düzeyinin COVID-19 Sürecinde Sağlık Ürünleri Tüketimine Etkisi. (Doktora Tezi). İstanbul Üniversitesi google scholar
  • Deriba, B. S., Geleta, T. A., Beyane, R. S., Mohammed, A., Tesema, M., & Jemal, K. (2020). Patient Satisfaction and Associated Factors During the COVID-19 Pandemic in North Shoa Health Care Facilities. Patient Prefer Adherence, 14, 1923-1934. https://doi.org/10. 2147/ppa. S276254 google scholar
  • Eskiler, E., & Altunışık, R. (2015). Algılanan değer ve müşteri memnuniyetinin satın alma eğilimleri üzerine etkisi. III. Rekreasyon Araştırmaları Kongresi, 483-493. google scholar Hayran, O., & Özer, O. (2018, Oct). Organizational health literacy as a determinant of patient satisfaction. Public Health, 163, 20-26. https://doi.org/10.1016/j.puhe.2018.06.011 google scholar
  • Karaman, M. (2023, June). Keşfedici Ve Doğrulayici Faktör Analizi: Kavramsal Bir Çalişma [Exploratory and confirmatory factor analysis: A conceptual study]. Uluslararası İktisadi ve İdari Bilimler Dergisi, 9(1), 47-63. https://doi.org/10.29131/uiibd.1279602 google scholar
  • Karasar, N. (2012). Bilimsel araştırma yöntemi [Scientific research method]. Ankara: Nobel Yayıncılık. google scholar
  • Köksal, Y. Ö. (2021). Sağlık Okuryazarlığı Düzeyinin COVID-19 Korkusu Üzerine Etkisi.(Doktora Tezi). Hitit Üniversitesi google scholar
  • Lee, C. K., Bendle, L. J., Yoon, Y. S. and Kim, M. J. (2012). Thanatourism or peace tourism: Perceived value at a North Korean resort from an indigenous perspective. International Journal of Tourism Research, 14(1), 71-90. doi:10.1002/jtr.836 google scholar
  • Nguyen, H. T., Do, B. N., Pham, K. M., Kim, G. B., Dam, H. T. B., Nguyen, T. T., Nguyen, T. T. P., Nguyen, Y. H., Sørensen, K., Pleasant, A. and Duong, T. V. (2020, Jun 11). Fear of the COVID-19 Scale-Associations of Its Scores with Health Literacy and Health-Related Behaviors among Medical Students. Int J Environ Res Public Health, 17(11). doi:10.3390/ijerph17114164 google scholar
  • Nisa, C. F., Bélanger, J. J., Faller, D. G., Buttrick, N. R., Mierau, J. O., Austin, M. M. K., Schumpe, B. M., Sasin, E. M., Agostini, M., Gützkow, B., Kreienkamp, J., Abakoumkin, G., Abdul Khaiyom, J. H., Ahmedi, V., Akkas, H.,… Zick, A., Zúñiga, C., & Leander, N. P. (2021). Lives versus google scholar
  • Livelihoods? Perceived economic risk has a stronger association with support for COVID-19 preventive measures than perceived health risk. Sci Rep, 11(1), 9669. doi:10.1038/s41598-021-88314-4 google scholar
  • Nutbeam, D. O. N. and Kickbusch, I. (1998). Health promotion glossary. Health Promotion International, 13(4), 349-364. http://www.jstor. org/stable/45152457 google scholar
  • Ogasawara, H., Japan, D. C. S., & Indonesia, M. (2000). WHO guidelines for the regulatory assessment of medicinal products for use in self-medication. WHO Drug Information, 14(1). google scholar
  • Okyay, P., & Abacıgil, F. (2016). Türkiye sağlik okuryazarliği ölçekleri güvenilirlik ve geçerlilik çalişmasi. Avrupa sağlik okuryazarliği ölçeği türkçe uyarlamasi (ASOYTR). MOH, Turkey. google scholar
  • Özbekler, T. M. (2019, December). Perakende Sektöründe Hizmet İnovasyonu: Algılanan Değer, Müşteri Memnuniyeti ve Davranışsal Niyet Açısından Bir Çalışma [Service Innovation in the Retail Sector: A Study on Perceived Value, Customer Satisfaction and Behavioral Intent]. Journal of Entrepreneurship and Innovation Management, 8(2), 97-125. https://dergipark.org.tr/en/pub/jeim/ issue/60020/867214 google scholar
  • Sánchez-Fernández, R., & Iniesta-Bonillo, M. Á. (2009, 2009/11/01/). Efficiency and quality as economic dimensions of perceived value: Conceptualization, measurement, and effect on satisfaction. Journal of Retailing and Consumer Services, 16(6), 425-433. https:// doi.org/https://doi.org/10.1016/j.jretconser.2009.06.003 google scholar
  • Shaukat, R., Asghar, A., & Naveed, M. A. (2021). Impact of health literacy on the fear of covid-19, protective behavior, and conspiracy beliefs: university students’ perspective. Library Philosophy and Practice, 4620, 1-14. google scholar
  • Sheth, J. (2020, 2020/09/01/). Impact of COVID-19 on consumer behavior: Will the old habits return or die? Journal of Business Research, 117, 280-283. https://doi.org/10.1016/j.jbusres.2020.05.059 google scholar
  • Song, S., Lee, S.-M., Jang, S., Lee, Y. J., Kim, N.-H., Sohn, H.-R., & Suh, D.-C. (2017, 2017/09/16). Mediation effects of medication information processing and adherence on association between health literacy and quality of life. BMC Health Services Research, 17(1), 661. https://doi.org/10.1186/s12913-017-2598-0 google scholar
  • Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., Brand, H., & Consortium Health Literacy Project, E. (2012, 2012/01/25). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(1), 80. https://doi.org/10.1186/1471-2458-12-80 google scholar
  • Thomas, M. S., & Feng, Y. (2021, 2021/12/01/). Consumer risk perception and trusted sources of food safety information during the COVID-19 pandemic. Food Control, 130, 108279. https://doi.org/10.1016/j.foodcont.2021.108279 google scholar
  • Tutar, H. and Erdem, A. T. (2020). Örnekleriyle bilimsel araştırma yöntemleri ve SPSS uygulamaları. Seçkin Yayıncılık, 1. google scholar
  • Wynia, M. K. and Osborn, C. Y. (2010). Health literacy and communication quality in healthcare organizations. J Health Commun, 15 Suppl 2(Suppl 2), 102-115. https://doi.org/10.1080/10810730.2010.499981 google scholar
  • Yaşlıoğlu, M. M. (2017, November). [Factor Analysis and Validity in Social Sciences: Application of Exploratory and Confirmatory Factor Analyses]. İstanbul Üniversitesi İşletme Fakültesi Dergisi, 46(0), 74-85. https://dergipark.org.tr/en/pub/iuisletme/issue/32177/ 357061 google scholar
  • Yeşilyurt, Ö. (2018). Sağlık işletmesinde algılanan hizmet kalitesi, algılanan risk ve algılanan değer boyutlarının hasta memnuniyeti ve davranışsal niyeti üzerine etkisinin yapısal eşitlik modeli ile değerlendirilmesi. google scholar
  • Zwanka, R. J., & Buff, C. (2021, 2021/01/01). COVID-19 Generation: A Conceptual Framework of the Consumer Behavioral Shifts to Be Caused by the COVID-19 Pandemic. Journal of International Consumer Marketing, 33(1), 58-67. doi:10.1080/08961530.2020.1771646 google scholar
There are 29 citations in total.

Details

Primary Language English
Subjects Sociology (Other)
Journal Section Research Articles
Authors

Muhammed Esat Çetin 0000-0002-7531-5950

Publication Date June 27, 2025
Submission Date July 22, 2024
Acceptance Date November 2, 2024
Published in Issue Year 2025 Issue: 71

Cite

APA Çetin, M. E. (2025). Examine the Relationship between Health Literacy Level and Over-the-Counter (Otc) Product Consumption During the Period of the Global Pandemic Caused by Covid-19. Journal of Economy Culture and Society(71), 21-37. https://doi.org/10.26650/JECS2024-1520365
AMA Çetin ME. Examine the Relationship between Health Literacy Level and Over-the-Counter (Otc) Product Consumption During the Period of the Global Pandemic Caused by Covid-19. Journal of Economy Culture and Society. June 2025;(71):21-37. doi:10.26650/JECS2024-1520365
Chicago Çetin, Muhammed Esat. “Examine the Relationship Between Health Literacy Level and Over-the-Counter (Otc) Product Consumption During the Period of the Global Pandemic Caused by Covid-19”. Journal of Economy Culture and Society, no. 71 (June 2025): 21-37. https://doi.org/10.26650/JECS2024-1520365.
EndNote Çetin ME (June 1, 2025) Examine the Relationship between Health Literacy Level and Over-the-Counter (Otc) Product Consumption During the Period of the Global Pandemic Caused by Covid-19. Journal of Economy Culture and Society 71 21–37.
IEEE M. E. Çetin, “Examine the Relationship between Health Literacy Level and Over-the-Counter (Otc) Product Consumption During the Period of the Global Pandemic Caused by Covid-19”, Journal of Economy Culture and Society, no. 71, pp. 21–37, June 2025, doi: 10.26650/JECS2024-1520365.
ISNAD Çetin, Muhammed Esat. “Examine the Relationship Between Health Literacy Level and Over-the-Counter (Otc) Product Consumption During the Period of the Global Pandemic Caused by Covid-19”. Journal of Economy Culture and Society 71 (June 2025), 21-37. https://doi.org/10.26650/JECS2024-1520365.
JAMA Çetin ME. Examine the Relationship between Health Literacy Level and Over-the-Counter (Otc) Product Consumption During the Period of the Global Pandemic Caused by Covid-19. Journal of Economy Culture and Society. 2025;:21–37.
MLA Çetin, Muhammed Esat. “Examine the Relationship Between Health Literacy Level and Over-the-Counter (Otc) Product Consumption During the Period of the Global Pandemic Caused by Covid-19”. Journal of Economy Culture and Society, no. 71, 2025, pp. 21-37, doi:10.26650/JECS2024-1520365.
Vancouver Çetin ME. Examine the Relationship between Health Literacy Level and Over-the-Counter (Otc) Product Consumption During the Period of the Global Pandemic Caused by Covid-19. Journal of Economy Culture and Society. 2025(71):21-37.