THE EFFECT OF HEALTH LITERACY ON HEALTHY LIFESTYLE AND RATIONAL DRUG USE BEHAVIORS

Abstract

The main purpose of this study is to evaluate the health literacy, healthy lifestyle and rational drug use
behaviors of the society and to determine the structural relationships between health literacy, healthy
lifestyle and rational drug use. A descriptive research design was used in the study. The population of
the study consisted of patients and their relatives who received health services from two family health
centers operating in the city center of Düzce. The data were collected by face-to-face questionnaire
technique. Convenience sampling method was preferred. The total number of questionnaires evaluated
and used in data analysis is 384. The findings obtained with explanatory and confirmatory factor
techniques show that the validity of the model is ensured. The construct validity revealed by the
explanatory factor analysis was also confirmed by the confirmatory factor analysis. Because the alpha
(α) coefficient is equal to 0.945 where 0.80 ≤ α < 1.00, the scale is considered highly reliable. The
ensured validity and reliability shows the existence of a structural relationship between health literacy,
healthy life style and rational drug use. 

Keywords

• Health Literacy
• Healthy Life Style
• Rational Drug Use
• Structural Equation Modeling.

SAĞLIK OKURYAZARLIĞININ SAĞLIKLI YAŞAM BİÇİMİ VE RASYONEL İLAÇ KULLANIMI DAVRANIŞLARINA ETKİSİ

Abstract

Bu araştırmanın temel amacı, sağlık okuryazarlığının sağlıklı yaşam biçimi ve rasyonel ilaç kullanımı davranışlarına etkisini belirlemektir. Araştırmanın evrenini, Bolu il merkezinde faaliyet gösteren eczanelerden sağlık hizmeti alan hasta ve hasta yakınları oluşturmaktadır. Nicel araştırma deseninin kullanıldığı araştırmada, veriler yüz yüze anket tekniği ile toplanmıştır. Kolayda örnekleme yöntemi tercih edilmiştir. Değerlendirmeye alınan ve verilerin analizinde kullanılan toplam anket sayısı 400 dür. Verilerin analizinde SPSS 26 ve AMOS 24 paket programları kullanılmıştır. Sağlık okuryazarlığının akılcı ilaç kullanımı (β=1.055; p<0,05) ve sağlıklı yaşam biçimi (β=0.496; p<0,05) davranışları üzerinde pozitif etkisinin olduğu belirlenmiştir. Yani, bireylerin sağlık okuryazarlık düzeyleri arttığında, daha fazla akılcı ilaç kullanımı ve sağlıklı yaşam biçimi davranışlarında bulundukları görülmüştür. Model için ayrıca sağlık okuryazarlığının sağlıklı yaşam biçimi davranışı üzerinden akılcı ilaç kullanımı davranışına dolaylı etkisinin olup olmadığı incelenmiş olup, etkinin olmadığı tespit edilmiştir.

Keywords

• Sağlık Okuryazarlığı
• Sağlıklı Yaşambiçimi
• Rasyonel İlaç Kullanımı
• Yapısal Eşitlik Modellemesi

References

1. Abacıgil, F., Turan, S.G., Adana, F., Okyay, P., Demirci, B. (2009). Rational Use of Drugs Among Inpatients and Its Association with Health Literacy. Meandros Med Dent J, 20: 64-73. doi:10.4274/meandros.galenos.2018.35119
2. Berkman, N.D., Sheridan, S.L., Donahue, K.E., Halpern, D.J., Crotty, K. (2011). Low health literacy and health outcomes: an updated systematic review. Ann Intern Med, 155(2), 97-107. doi: 10.7326/0003-4819-155-2-201107190-00005
3. Brown, T.A. (2006). Confirmatory factor analysis for applied research. (Second Edition). New York: Guilford Press.
4. Byrne, B.M. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. (Second Edition). Mahwah, NJ: Lawrence Erlbaum Associates.
5. Desalegn, A.A. (2013). Assessment of drug use pattern using WHO prescribing indicators at Hawassa University teaching and referral hospital, south Ethiopia: a cross-sectional study. BMC Health Serv Res, 13: 170. http://www.biomedcentral.com/1472-6963/13/170
6. DeWalt, D.A., Berkman, N.D., Sheridan, S., Lohr, K.N., Pignone, M.P. (2004). Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med, 19(12), 1228-1239. doi: 10.1111/j.1525-1497.2004.40153.x.
7. Easton, P., Entwistle, V.A., Williams, B. (2013). How the stigma of low literacy can impair patient-professional spoken interactions and affect health: Insights from a qualitative investigation. BMC Health Serv Res, 13(1), 319. doıi: 10.1186/1472-6963-13-319
8. Geboers, B., Brainard, J.S., Loke, Y.K., Jansen, C.J., Salter, C., Reijneveld, S.A. et al. (2015). The association of health literacy with adherence in older adults, and its role in interventions: a systematic meta-review. BMC Public Health, 15: 1091. doi:10.1186/s12889-015-2251-y

9. Hersh, L., Salzman, B., Snyderman, D. (2015). Health literacy in primary care practice. Am Fam Physician, 92(2), 118–124.
10. HLS-EU Consortium (2012). Comparative Report on Health Literacy in Eight EU Member States. The European Health Literacy Project 2009–2012. Vienna: Ludwig Boltzmann Institute for Health Promotion Research.
11. Kickbusch, I.P.J., Apfel, F., Agis, T. (2013). Health Literacy: The Solid Facts. (First Edition). World Health Organisation Regional Office for Europe, Copenhagen.
12. Munro, B.H. (2005). Statistical Methods For Health Care Research. (Fifth Edition). Philadelphia: Lippincott Williams & Wilkins.
13. Nutbeam D. (2008). The evolving concept of health literacy. Soc Sci Med, 67(12), 2072–2078. doi: 10.1016/j.socscimed.2008.09.050
14. Ratzan, S.C., Parker, R.M. (2000). Introduction. In: Selden, C. R., Zorn, M., Ratzan, S. C., Parker, R. M., editors. National library of medicine current bibliagraphies in Medcine: Health literacy. Volume NLB pub. No. CBM 2000-1, edn. Bethesda: National Institute of Health, U.S. Department of Heath and Human Services.
15. Song, L., Mishel, M., Bensen, J.T., Chen, R.C., Knafl, G.J., Blackard, B. et al. (2012). How does health literacy affect quality of life among men with newly diagnosed clinically localized prostate cancer?: Findings from the North CarolinaLouisiana Prostate Cancer Project (PCaP). Cancer, 118(15), 3842–3851. doi: 10.1002/cncr.26713
16. Wang, C., Li, H., Li, L., Xu, D., Kane, R.L., Meng, Q. (2013). Health literacy and ethnic disparities in health-related quality of life among rural women: Results from a Chinese poor minority area. Health Qual Life Outcomes, 11, 153. doi: 10.1186/1477-7525-11-153
17. Wang, H.M., Beyer, M., Gensichen, J., Gerlach, F.M. (2008). Health-related quality of life among general practice patients with differing chronic diseases in Germany: cross sectional survey. BMC Public Health, 8, 246. doi: 10.1186/1471-2458-8-246.
18. World Health Organization (1985). The rational use of drugs: Report of the Conference of Experts Nairobi, 25-29 November.