Research Article
BibTex RIS Cite

The Relationship between University Students' Awareness of Health Tourism and Health Literacy

Year 2025, Volume: 27 Issue: 1, 407 - 415, 03.03.2025
https://doi.org/10.32709/akusosbil.1288675

Abstract

This study was conducted to examine the relationship between university students' awareness of health tourism and health literacy. A total of 906 university students who were foreign nationals and Turkish citizens participated in this descriptive study. Personal Information Form, Health Literacy Scale (HLS-14), Health Tourism Awareness Scale (HTAS) were applied face to face to the participants. In the study, HLS total score was 54,05±10,52 and the HTAS total score was 62,04±13,67. A significant difference was found between the total score and sub-dimensions of the health literacy scale and the variable of gender and nationality (p<0,05). There was no significant difference between the total score of the health tourism awareness scale and variables such as age, gender, school, nationality, having a chronic disease in the family, living with an individual over the age of 65 (p>0,05). In the study, it was found that there was a weak positive relationship between the health tourism awareness scale and the health literacy scale. It was determined that the students had a moderate level of awareness of health literacy and health tourism. It was determined that there was a weak relationship between students' health literacy level and health tourism awareness levels and subscales. It may be recommended to conduct trainings or open elective courses to increase the knowledge level of students on these issues.

References

  • Aslan, R. Ilıman, E. and Arslan, A. (2019). Determination of health literacy and rational drug use levels of vocational school of health services students. International Social Mentality and Researcher Thinkers Journal. 5(21), 1117-1134. doi:http://dx.doi.org/10.31576/smryj.323.
  • Aydın, O. (2012). An alternative tourism in Turkey; health tourism, Karamanoğlu Mehmet Bey University Journal of Social and Economic Research. 14(23), 91-96.
  • Azlan, A.A, Hamzah, M.R, Tham, J.S, Ayub, S.H, Ahmad, A.L. and Mohamad, E. (2021). Associations between health literacy and sociodemographic factors: a cross-sectional study in malaysia utilising the HLS-M-Q18. International Journal of Environmental Research and Public Health. 2;18(9), 4860. doi:10.3390/ijerph18094860.
  • Baker, D.W, Parker, R.M, Williams, M.V. and Clark, W.S. (1998). Health literacy and the risk of hospital admission. Journal of General Internal Medicine. 13(12), 791-798. doi:10.1046/j.1525-1497.1998.00242.x.
  • Çelik, S. İstek, Z. Kızkın, A. Yigit, M.C. and Kaçan, H. (2021). Examining the health literacy levels of university students: The case of Bartın University. İstanbul Gelişim University Journal of Health Sciences, 15, 593-605. doi: 10.38079/igusabder.976692.
  • Dağlı, M. (2021). Awareness levels of medical faculty and tourism faculty students about health tourism. (Master Thesis). Alanya Alaaddin Keykubat University Graduate Education Institute, Alanya.
  • Demir, Ö. and Sezgin, E.E. (2020). Evaluation of Elazığ province in terms of health tourism with swot analysis. Fırat University Harput Research Journal, 7(14), 111-129.
  • Doğan, B.B. and Aslan, A. (2019). Current status of health tourism in turkey and ıts contributions to the national economy. Dicle University Journal of Faculty of Economics and Administrative Sciences, 9(18), 390-418.
  • Ertaş, E. and Göde, A. (2021). Investigation of relationship between health literacy with anti-vaccine: A study on college students. Journal of Academic Value Studies, 7(1), 1-14. doi: http://dx.doi.org/10.29228/javs.49907.
  • Evans, A.Y. Anthony, E. and Gabriel, G. (2019). Comprehensive health literacy among undergraduates: a Ghanaian university-based cross-sectional study. Health Literacy Research Practice. 103(4), e227-e237. doi:10.3928/24748307-20190903-01.
  • Heijmans, M. Waverijn, G, Rademakers, J, Van Der Vaart, R. and Rijken, M. (2015). Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Education and Counseling, 98(1), 41.
  • Hersh, L, Salzman, B. and Snyderman, D. (2015). Health literacy in primary care practice. American Family Physician. 15; 92(2), 118-24.
  • Kickbusch, I, Pelikan, J.M, Apfel F. and Tsouros, A. (2015). Health literacy solid evidence. Turkish Healthy Cities Association.
  • Liu, C. Wang, D. Liu, C. Jiang, J. Wang, X. Chen, H. Ju, X. and Zhang, X. (2020). What is the meaning of health literacy? A systematic review and qualitative synthesis. Family Medicine and Community Health. May;8,(2):e000351. doi:10.1136/fmch-2020-000351.
  • Munangatire, T, Tomas, N. and Mareka V. (2022). Nursing students' understanding of health literacy and health practices: A cross-sectional study at a University in Namibia. BMC Nursing. 21(1), 1-8. doi:10.1186/s12912-021-00776-z.
  • Naveed, M.A. and Shaukat, R. (2021). Health literacy predicts COVID-19 awareness and protective behaviours of university students. Health Information and Libraries Journal, 39(1), 46-58. doi:10.1111/hir.12404.
  • Nielsen, B.L, Panzer, A.M. and Kindig D.A. (2004). “What ıs health literacy?” Nielsen BL, Panzer AM, Kindig DA. (Ed.). Health Literacy: A Prescription to End Confusion. (31-58). The National Academies Press, Washington, D.C.
  • Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–67. doi: 10.1093/heapro/15.3.259.
  • Özdenk, S. Özdenk, G.D. Özcebe, L.H. and Üner, S. (2019). Investigation of health literacy and some related factors of 4th grade students in a university. Mersin University Journal of Health Sciences, 12(1), 48-59.
  • Özen, N. Bal, Ozkaptan, B, Coskun, S. and Terzioglu, F. (2019). Health literacy of nursing students and its effective factors. Nursing Forum. 54(3), 396-402. doi:10.1111/nuf.12346.
  • Öztürk, F.Ö. and Tezel, A. (2022). Health literacy and COVID-19 awareness among preservice primary school teachers and ınfluencing factors in turkey. Journal of School Health. 24: 10.1111/josh.13231.
  • Sarhan, M.B.A, Fujii, Y, Kiriya, J, Fujiya, R, Giacaman, R, Kitamura, A. and Jimba, M. (2021). Exploring health literacy and its associated factors among palestinian university students: a cross-sectional study. Health Promotion International. 24;36(3), 854-865. doi: 10.1093/heapro/daaa089.
  • Suka, M, Odajima, T, Kasai, M, Igarashi, A, Ishikawa, H, Kusama, M, Nakayama, T, Sumitani, M. and Sugimori, H. (2013). The 14-item health literacy scale for japanese adults (hls-14). Environmental Health and Preventive Medicine 18(5), 407-415.
  • Tekin, P.Ş. (2019). Health literacy and healthy living behaviors in medical secretaries: An evaluation on the students secretaries. Hacettepe Journal of Health Administration. 22(3), 577-598.
  • Tuğut, N, Yılmaz, A. and Çelik, B.Y. (2021). The relationship between health literacy levels and healthy lifestyle behaviors of nursing students. Journal of Cumhuriyet University Health Sciences Institute, (6)2, 103-111.
  • Türkoğlu, N. and Kılıç D. (2021). Adaptation of the health literacy scale to turkish: a validity and reliability study. Anatolian Journal of Nursing and Health Sciences, 24(1), 25-33. doi: 10.17049/ataunihem.662054.
  • Yang, Q, Yu, S, Wang, C, Gu, G, Yang, Z, Liu, H, Lin, L, Qiao, Y, Yu, L, Feng, Q. and Niu, G. (2021). Health literacy and its socio-demographic risk factors in Hebei. Medicine. 100:21 (e25975).
  • Yılmaz, S. and Günal, A.M. (2020). The health literacy level of a foundation university faculty of health sciences students. Hacettepe Journal of Health Administration, 23(4), 547-560.
  • World Health Organization. (2013). Health Literacy. https://www.euro.who.int/__data/assets/pdf_file/0008/190655/e96854.pdf. (Date of Access: 22. 07. 2022).
  • World Health Organization (WHO). https://www.who.int/teams/health-promotion/enhanced-wellbeing/seventh-global conference/health-literacy. (Date of Access: 22.07.2022).

Üniversite Öğrencilerinin Sağlık Turizmi Farkındalığı ile Sağlık Okuryazarlığı İlişkisi

Year 2025, Volume: 27 Issue: 1, 407 - 415, 03.03.2025
https://doi.org/10.32709/akusosbil.1288675

Abstract

Bu araştırma üniversite öğrencilerinin sağlık turizmi konusundaki farkındalıkları ile sağlık okuryazarlığı arasındaki ilişkiyi incelemek için yapılmıştır. Tanımlayıcı tipte tasarlanan araştırmaya yabancı uyruklu ve Türk vatandaşı olan toplam, 906 üniversite öğrencisi katılmıştır. Katılımcılara Kişisel Bilgi Formu, Sağlık Okuryazarlığı Ölçeği (SOY), Sağlık Turizmi Farkındalık Ölçeği (STF) yüz yüze olarak uygulanmıştır. Araştırmada SOY ölçeği toplam puanı 54,05±10,52 ve STF ölçeği toplam puanı 62,04±13,67 bulunmuştur. Sağlık okuryazarlığı ölçeğinin toplam puanı ve alt boyutları ile cinsiyet ve uyruğu değişkeni arasında anlamlı bir fark bulunmuştur (p<0,05). Sağlık turizmi farkındalığı ölçeği toplam puanı ile yaş, cinsiyet, okul, uyruk, ailesinde kronik bir hastalığa sahip olma, 65 yaş üstü bireyle yaşama gibi değişkenler arasında anlamlı bir fark bulunmamıştır (p>0,05). Araştırmada sağlık turizmi farkındalığı ölçeği ile sağlık okuryazarlığı ölçeği arasında pozitif yönde zayıf bir ilişki olduğu bulunmuştur. Öğrencilerin sağlık okuryazarlığı ve sağlık turizmi farkındalıklarının orta seviyede olduğu saptanmıştır. Öğrencilerin sağlık okuryazarlığı düzeyi ile sağlık turizmi farkındalığı düzeyleri ve alt boyutları arasında zayıf bir ilişki oluğu tespit edilmiştir. Bu konularda öğrencilerin bilgi düzeylerini artırmak için eğitimler yapılması ya da seçmeli dersler açılması önerilebilir.

References

  • Aslan, R. Ilıman, E. and Arslan, A. (2019). Determination of health literacy and rational drug use levels of vocational school of health services students. International Social Mentality and Researcher Thinkers Journal. 5(21), 1117-1134. doi:http://dx.doi.org/10.31576/smryj.323.
  • Aydın, O. (2012). An alternative tourism in Turkey; health tourism, Karamanoğlu Mehmet Bey University Journal of Social and Economic Research. 14(23), 91-96.
  • Azlan, A.A, Hamzah, M.R, Tham, J.S, Ayub, S.H, Ahmad, A.L. and Mohamad, E. (2021). Associations between health literacy and sociodemographic factors: a cross-sectional study in malaysia utilising the HLS-M-Q18. International Journal of Environmental Research and Public Health. 2;18(9), 4860. doi:10.3390/ijerph18094860.
  • Baker, D.W, Parker, R.M, Williams, M.V. and Clark, W.S. (1998). Health literacy and the risk of hospital admission. Journal of General Internal Medicine. 13(12), 791-798. doi:10.1046/j.1525-1497.1998.00242.x.
  • Çelik, S. İstek, Z. Kızkın, A. Yigit, M.C. and Kaçan, H. (2021). Examining the health literacy levels of university students: The case of Bartın University. İstanbul Gelişim University Journal of Health Sciences, 15, 593-605. doi: 10.38079/igusabder.976692.
  • Dağlı, M. (2021). Awareness levels of medical faculty and tourism faculty students about health tourism. (Master Thesis). Alanya Alaaddin Keykubat University Graduate Education Institute, Alanya.
  • Demir, Ö. and Sezgin, E.E. (2020). Evaluation of Elazığ province in terms of health tourism with swot analysis. Fırat University Harput Research Journal, 7(14), 111-129.
  • Doğan, B.B. and Aslan, A. (2019). Current status of health tourism in turkey and ıts contributions to the national economy. Dicle University Journal of Faculty of Economics and Administrative Sciences, 9(18), 390-418.
  • Ertaş, E. and Göde, A. (2021). Investigation of relationship between health literacy with anti-vaccine: A study on college students. Journal of Academic Value Studies, 7(1), 1-14. doi: http://dx.doi.org/10.29228/javs.49907.
  • Evans, A.Y. Anthony, E. and Gabriel, G. (2019). Comprehensive health literacy among undergraduates: a Ghanaian university-based cross-sectional study. Health Literacy Research Practice. 103(4), e227-e237. doi:10.3928/24748307-20190903-01.
  • Heijmans, M. Waverijn, G, Rademakers, J, Van Der Vaart, R. and Rijken, M. (2015). Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Education and Counseling, 98(1), 41.
  • Hersh, L, Salzman, B. and Snyderman, D. (2015). Health literacy in primary care practice. American Family Physician. 15; 92(2), 118-24.
  • Kickbusch, I, Pelikan, J.M, Apfel F. and Tsouros, A. (2015). Health literacy solid evidence. Turkish Healthy Cities Association.
  • Liu, C. Wang, D. Liu, C. Jiang, J. Wang, X. Chen, H. Ju, X. and Zhang, X. (2020). What is the meaning of health literacy? A systematic review and qualitative synthesis. Family Medicine and Community Health. May;8,(2):e000351. doi:10.1136/fmch-2020-000351.
  • Munangatire, T, Tomas, N. and Mareka V. (2022). Nursing students' understanding of health literacy and health practices: A cross-sectional study at a University in Namibia. BMC Nursing. 21(1), 1-8. doi:10.1186/s12912-021-00776-z.
  • Naveed, M.A. and Shaukat, R. (2021). Health literacy predicts COVID-19 awareness and protective behaviours of university students. Health Information and Libraries Journal, 39(1), 46-58. doi:10.1111/hir.12404.
  • Nielsen, B.L, Panzer, A.M. and Kindig D.A. (2004). “What ıs health literacy?” Nielsen BL, Panzer AM, Kindig DA. (Ed.). Health Literacy: A Prescription to End Confusion. (31-58). The National Academies Press, Washington, D.C.
  • Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–67. doi: 10.1093/heapro/15.3.259.
  • Özdenk, S. Özdenk, G.D. Özcebe, L.H. and Üner, S. (2019). Investigation of health literacy and some related factors of 4th grade students in a university. Mersin University Journal of Health Sciences, 12(1), 48-59.
  • Özen, N. Bal, Ozkaptan, B, Coskun, S. and Terzioglu, F. (2019). Health literacy of nursing students and its effective factors. Nursing Forum. 54(3), 396-402. doi:10.1111/nuf.12346.
  • Öztürk, F.Ö. and Tezel, A. (2022). Health literacy and COVID-19 awareness among preservice primary school teachers and ınfluencing factors in turkey. Journal of School Health. 24: 10.1111/josh.13231.
  • Sarhan, M.B.A, Fujii, Y, Kiriya, J, Fujiya, R, Giacaman, R, Kitamura, A. and Jimba, M. (2021). Exploring health literacy and its associated factors among palestinian university students: a cross-sectional study. Health Promotion International. 24;36(3), 854-865. doi: 10.1093/heapro/daaa089.
  • Suka, M, Odajima, T, Kasai, M, Igarashi, A, Ishikawa, H, Kusama, M, Nakayama, T, Sumitani, M. and Sugimori, H. (2013). The 14-item health literacy scale for japanese adults (hls-14). Environmental Health and Preventive Medicine 18(5), 407-415.
  • Tekin, P.Ş. (2019). Health literacy and healthy living behaviors in medical secretaries: An evaluation on the students secretaries. Hacettepe Journal of Health Administration. 22(3), 577-598.
  • Tuğut, N, Yılmaz, A. and Çelik, B.Y. (2021). The relationship between health literacy levels and healthy lifestyle behaviors of nursing students. Journal of Cumhuriyet University Health Sciences Institute, (6)2, 103-111.
  • Türkoğlu, N. and Kılıç D. (2021). Adaptation of the health literacy scale to turkish: a validity and reliability study. Anatolian Journal of Nursing and Health Sciences, 24(1), 25-33. doi: 10.17049/ataunihem.662054.
  • Yang, Q, Yu, S, Wang, C, Gu, G, Yang, Z, Liu, H, Lin, L, Qiao, Y, Yu, L, Feng, Q. and Niu, G. (2021). Health literacy and its socio-demographic risk factors in Hebei. Medicine. 100:21 (e25975).
  • Yılmaz, S. and Günal, A.M. (2020). The health literacy level of a foundation university faculty of health sciences students. Hacettepe Journal of Health Administration, 23(4), 547-560.
  • World Health Organization. (2013). Health Literacy. https://www.euro.who.int/__data/assets/pdf_file/0008/190655/e96854.pdf. (Date of Access: 22. 07. 2022).
  • World Health Organization (WHO). https://www.who.int/teams/health-promotion/enhanced-wellbeing/seventh-global conference/health-literacy. (Date of Access: 22.07.2022).
There are 30 citations in total.

Details

Primary Language English
Journal Section Tourism
Authors

Rukiye Çakmak 0000-0003-0088-710X

Dilek Yıldırım Gürkan 0000-0001-8967-7939

Publication Date March 3, 2025
Submission Date April 27, 2023
Published in Issue Year 2025 Volume: 27 Issue: 1

Cite

APA Çakmak, R., & Yıldırım Gürkan, D. (2025). The Relationship between University Students’ Awareness of Health Tourism and Health Literacy. Afyon Kocatepe Üniversitesi Sosyal Bilimler Dergisi, 27(1), 407-415. https://doi.org/10.32709/akusosbil.1288675

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.


Please Click for all Issues of the Journal.