Research Article
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Evaluation of Parental Knowledge, Attitudes and Health Literacy in Common Pediatric Surgical Diseases

Year 2025, Volume: 7 Issue: 3, 401 - 412, 13.10.2025
https://doi.org/10.52827/hititmedj.1726298

Abstract

Objective: Pediatric surgical diseases are a significant public health issue due to their morbidity and burden on healthcare systems. This study aimed to assess parents’ knowledge, attitudes, and health literacy regarding common surgical diseases and to examine their relationship with sociodemographic factors, as well as to explore the potential impact of these factors on pediatric surgical processes.
Material and Method: In this cross-sectional descriptive study, 121 parents of children aged 0–18 years presenting to family health centers were included. Data were collected through a structured questionnaire including sociodemographics, a 10-item knowledge test, a 10-item attitude scale, and the Health Literacy Scale–Short Form (HLS-SF12). Statistical analyses involved t-tests, ANOVA, and correlation tests.
Results: Of the participants, 71.1% were female and 51.2% were aged 36–45. Knowledge levels were high for appendicitis and circumcision but low for hydrocele and undescended testis. Higher health literacy scores were significantly associated with female gender, higher education, urban residence, civil servant status, and higher income (p<0.05). Additionally, 55.4% of the participants stated that they looked for information online, but only 4.1% trusted social media. 57% directly consulted an expert, while 84.3% received a second expert opinion.
Conclusion: Parents' knowledge and health literacy are significantly affected by sociodemographic characteristics. Deficiencies in knowledge about common diseases that can lead to serious complications and timing of treatment can be overcome by strengthening the counseling role of family physicians and disseminating simple, reliable and comprehensible information resources for groups with low health literacy. Structured and systematic education programs, such as school-based initiatives and digital health platforms, could play a pivotal role in achieving these goals.

Ethical Statement

Approval was obtained from the Hitit University Research Ethics Committee on May 6, 2025, with decision number 2025-75.

Supporting Institution

None

Thanks

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References

  • Rentea RM, St Peter SD. Pediatric appendicitis. Surg Clin North Am 2017;97:93–112.
  • Nguyen V, Ngo L, Jaqua EE. Cryptorchidism (UndescendedTesticle). Am Fam Physician 2023;108(4):378-385.
  • Shabanzadeh DM, Clausen S, Maigaard K, Fode M. Complications of Male Circumcision - A Systematic Review, Meta-Analysis, and Meta-Regression. Urology 2021;152:25-34.
  • Sørensen K, Pelikan JM, Röthlin F, 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.
  • Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med 2011;155(2):97-107.
  • Abacigil Ergin F, Harlak H, Okyay P. Health literacy and related factors among university students. Asia Pac J Public Health 2019;31(3):259–267.
  • Pawellek M, Kopf FM, Egger N, Dresch C, Matterne U, Brandstetter S. Pathways linking parental health literacy with health behaviours directed at the child: a scoping review. Health Promot Int 2022;37(2):daab154.
  • Yılmaz SK, Eskici G. Validity and Reliability Study of the Turkish Form of the Health Literacy Scale Short Form and Digital Healthy Diet Literacy Scale. Izmir Katip Celebi Univ Fac Health Sci J 2021;6(3):19-25.
  • Patoulias I, Koutsogiannis E, Panopoulos I, Michou P, Feidantsis T, Patoulias D. Hydrocele in Pediatric Population. Acta Medica (Hradec Kralove) 2020;63(2):57-62.
  • Morrison AK, Myrvik MP, Brousseau DC, Hoffmann RG, Stanley RM. The relationship between parent health literacy and pediatric emergency department utilization: a systematic review. Acad Pediatr 2013;13(5):421-429.
  • Landier M, Villemagne T, Le Touze A, et al. The position of a written document in preoperative information for pediatric surgery: A randomized controlled trial on parental anxiety, knowledge, and satisfaction. J Pediatr Surg 2018;53(3):375-380.
  • Otal D, Wizowski L, Pemberton J, Nagel K, Fitzgerald P, Walton JM. Parent health literacy and satisfaction with plain language education materials in a pediatric surgery outpatient clinic: a pilot study. J Pediatr Surg 2012;47(5):964-969.
  • Yin SH, Dreyer BP, Vivar KL, MacFarland, Schaick L, Mendelsohn AL. Perceived Barriers to Care and Attitudes Towards Shared Decision-making Among Low Socioeconomic Status Parents: Role of Health Literacy. Acad Pediatr 2012;12(2):117–124.
  • Çoşkun N, Demir E. Analysis of YouTube Videos on Circumcision: Assessment of Reliability and Quality for Patients and Parents. Eur J Ther 2024;30(5):626–637.
  • Morrison AK, Glick A, Yin HS. Health Literacy: Implications for Child Health. Pediatr Rev 2019;40(6):263-277.
  • Kampouroglou G, Velonaki VS, Pavlopoulou ID, Fildissis G, Tsoumakas K. Parental health literacy in the pediatric surgical setting. Chirurgia (Bucur) 2019;114:326–330.
  • Olsbø S, Kiserud SG, Hermansen Å, Hamilton Larsen M, Bjørnland K. Health literacy in parents of children with Hirschsprung disease: a novel study. Pediatr Surg Int 2024;41(1):21.
  • Kampouroglou G, Velonaki VS, Pavlopoulou ID, et al. Health literacy of parents/caregivers of paediatric surgical patients: A study on 1000 individuals. Afr J Paediatr Surg 2021;18(2):85-89.
  • Jaensson M, Josefin W, Dahlberg K. Health literacy friendly organizations - A scoping review about promoting health literacy in a surgical setting. Patient Educ Couns 2024;125:108291.
  • Keim Malpass J, Letzkus LC, Kennedy C. Parent/caregiver HL among children with special health care needs: a systematic review of the literature. BMC Pediatr 2015;15:92.
  • Lawrence PR. The relationship of parental HL to medication errors. J Pediatr Health Care 2021;35(2):156-164.
  • Reddy AR, Doshi AK, Mak A, et al. Assessing the HL of caregivers in the pediatric intensive care unit: a mixed methods study. Front Pediatr 2023;11:1308673.

Sık Görülen Pediatrik Cerrahi Hastalıklarda Ebeveyn Bilgi, Tutum ve Sağlık Okuryazarlığının Değerlendirilmesi

Year 2025, Volume: 7 Issue: 3, 401 - 412, 13.10.2025
https://doi.org/10.52827/hititmedj.1726298

Abstract

Amaç: Çocuklarda sık görülen cerrahi hastalıklar, morbidite ve sağlık sistemine yük açısından önemli bir halk sağlığı sorunudur. Bu çalışmada, ebeveynlerin yaygın cerrahi hastalıklara ilişkin bilgi, tutum ve sağlık okuryazarlıklarını değerlendirmek, bunların sosyodemografik faktörlerle ilişkisini incelemek ve bu faktörlerin pediatrik cerrahi süreçleri üzerindeki olası etkilerini araştırmak amaçlanmıştır.
Gereç ve Yöntem: Kesitsel ve tanımlayıcı nitelikteki çalışmaya, aile sağlığı merkezlerine başvuran, 0–18 yaş aralığında çocuğu bulunan 121 ebeveyn dahil edilmiştir. Veriler; sosyodemografik bilgiler, cerrahi hastalıklara yönelik 10 soruluk bilgi testi, 10 maddelik tutum ölçeği ve Sağlık Okuryazarlığı Ölçeği – Kısa Form (HLS-SF12)’dan oluşan anketle toplanmıştır. İstatistiksel analizlerde t-testi, ANOVA ve korelasyon testleri kullanılmıştır.
Bulgular: Katılımcıların %71,1’i kadın, %51,2’si 36–45 yaş aralığındadır. Apandisit ve sünnet hakkında bilgi düzeyi yüksek; hidrosel ve inmemiş testis gibi hastalıklarda bilgi eksiklikleri belirgindir. Yüksek Sağlık okuryazarlığı düzeyi; kadın cinsiyet, yüksek eğitim, memuriyet, şehirde yaşama ve yüksek gelirle anlamlı ilişkilidir (p<0,05). Katılımcıların %55,4’ü internetten bilgi aradığını ancak sadece %4,1’inin sosyal medyaya güvendiğini belirtmiştir. %57’si doğrudan uzmana başvururken, %84,3’ü ikinci uzman görüşü almıştır.
Sonuç: Ebeveynlerin bilgi düzeyi ve sağlık okuryazarlığı, sosyodemografik özelliklerden önemli ölçüde etkilenmektedir. Ciddi komplikasyonlara yol açabilecek yaygın hastalıklar ve tedavi zamanlaması konusunda bilgi eksiklikleri, aile hekimlerinin danışmanlık rolünün güçlendirilmesi ve sağlık okuryazarlığı düşük gruplar için basit, güvenilir ve anlaşılır bilgi kaynaklarının yaygınlaştırılmasıyla giderilebilir. Okul temelli girişimler ve dijital sağlık platformları gibi yapılandırılmış ve sistematik eğitim programları bu hedeflere ulaşmada önemli bir rol oynayabilir.

Ethical Statement

Çalışma için 03/06/2025 tarihinde Hitit Üniversitesi Tıp Fakültesi Araştırmalar Etik Kurulu’ndan onay alınmıştır. Karar no: 2025/128.

References

  • Rentea RM, St Peter SD. Pediatric appendicitis. Surg Clin North Am 2017;97:93–112.
  • Nguyen V, Ngo L, Jaqua EE. Cryptorchidism (UndescendedTesticle). Am Fam Physician 2023;108(4):378-385.
  • Shabanzadeh DM, Clausen S, Maigaard K, Fode M. Complications of Male Circumcision - A Systematic Review, Meta-Analysis, and Meta-Regression. Urology 2021;152:25-34.
  • Sørensen K, Pelikan JM, Röthlin F, 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.
  • Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med 2011;155(2):97-107.
  • Abacigil Ergin F, Harlak H, Okyay P. Health literacy and related factors among university students. Asia Pac J Public Health 2019;31(3):259–267.
  • Pawellek M, Kopf FM, Egger N, Dresch C, Matterne U, Brandstetter S. Pathways linking parental health literacy with health behaviours directed at the child: a scoping review. Health Promot Int 2022;37(2):daab154.
  • Yılmaz SK, Eskici G. Validity and Reliability Study of the Turkish Form of the Health Literacy Scale Short Form and Digital Healthy Diet Literacy Scale. Izmir Katip Celebi Univ Fac Health Sci J 2021;6(3):19-25.
  • Patoulias I, Koutsogiannis E, Panopoulos I, Michou P, Feidantsis T, Patoulias D. Hydrocele in Pediatric Population. Acta Medica (Hradec Kralove) 2020;63(2):57-62.
  • Morrison AK, Myrvik MP, Brousseau DC, Hoffmann RG, Stanley RM. The relationship between parent health literacy and pediatric emergency department utilization: a systematic review. Acad Pediatr 2013;13(5):421-429.
  • Landier M, Villemagne T, Le Touze A, et al. The position of a written document in preoperative information for pediatric surgery: A randomized controlled trial on parental anxiety, knowledge, and satisfaction. J Pediatr Surg 2018;53(3):375-380.
  • Otal D, Wizowski L, Pemberton J, Nagel K, Fitzgerald P, Walton JM. Parent health literacy and satisfaction with plain language education materials in a pediatric surgery outpatient clinic: a pilot study. J Pediatr Surg 2012;47(5):964-969.
  • Yin SH, Dreyer BP, Vivar KL, MacFarland, Schaick L, Mendelsohn AL. Perceived Barriers to Care and Attitudes Towards Shared Decision-making Among Low Socioeconomic Status Parents: Role of Health Literacy. Acad Pediatr 2012;12(2):117–124.
  • Çoşkun N, Demir E. Analysis of YouTube Videos on Circumcision: Assessment of Reliability and Quality for Patients and Parents. Eur J Ther 2024;30(5):626–637.
  • Morrison AK, Glick A, Yin HS. Health Literacy: Implications for Child Health. Pediatr Rev 2019;40(6):263-277.
  • Kampouroglou G, Velonaki VS, Pavlopoulou ID, Fildissis G, Tsoumakas K. Parental health literacy in the pediatric surgical setting. Chirurgia (Bucur) 2019;114:326–330.
  • Olsbø S, Kiserud SG, Hermansen Å, Hamilton Larsen M, Bjørnland K. Health literacy in parents of children with Hirschsprung disease: a novel study. Pediatr Surg Int 2024;41(1):21.
  • Kampouroglou G, Velonaki VS, Pavlopoulou ID, et al. Health literacy of parents/caregivers of paediatric surgical patients: A study on 1000 individuals. Afr J Paediatr Surg 2021;18(2):85-89.
  • Jaensson M, Josefin W, Dahlberg K. Health literacy friendly organizations - A scoping review about promoting health literacy in a surgical setting. Patient Educ Couns 2024;125:108291.
  • Keim Malpass J, Letzkus LC, Kennedy C. Parent/caregiver HL among children with special health care needs: a systematic review of the literature. BMC Pediatr 2015;15:92.
  • Lawrence PR. The relationship of parental HL to medication errors. J Pediatr Health Care 2021;35(2):156-164.
  • Reddy AR, Doshi AK, Mak A, et al. Assessing the HL of caregivers in the pediatric intensive care unit: a mixed methods study. Front Pediatr 2023;11:1308673.
There are 22 citations in total.

Details

Primary Language English
Subjects Pediatric Surgery
Journal Section Research Articles
Authors

Nurcan Çoşkun 0000-0002-8657-7884

Tuba Kayır 0000-0001-5190-549X

Publication Date October 13, 2025
Submission Date June 24, 2025
Acceptance Date August 31, 2025
Published in Issue Year 2025 Volume: 7 Issue: 3

Cite

AMA Çoşkun N, Kayır T. Evaluation of Parental Knowledge, Attitudes and Health Literacy in Common Pediatric Surgical Diseases. Hitit Medical Journal. October 2025;7(3):401-412. doi:10.52827/hititmedj.1726298