Research Article
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Predictors of Healthcare Demand Procrastination Among Young Adults: Perceived Access and Health Literacy

Year 2026, Volume: 16 Issue: 2, 102 - 108, 27.03.2026
https://doi.org/10.16899/jcm.1877781
https://izlik.org/JA35DD68MU

Abstract

Aims: This study aimed to examine the relationship between healthcare demand procrastination and perceived access to healthcare services and health literacy among young adults, and to determine whether these variables predict healthcare demand procrastination. Methods: This cross-sectional and correlational study was conducted with 362 young adults. Data were collected using a Sociodemographic Information Form, the Healthcare Demand Procrastination Scale, the Perceived Access to Healthcare Services Scale, and the Health Literacy Scale. Descriptive statistics, Pearson correlation analysis, and multiple linear regression analyses were used for data analysis. Results: Correlation analyses indicated no significant association between healthcare demand procrastination and health literacy or perceived access to healthcare services. In contrast, significant and positive relationships were identified between health literacy and perceived access to healthcare services and their subdimensions. Multiple linear regression analyses revealed that perceived access to healthcare services and health literacy did not significantly predict healthcare demand procrastination or its subdimensions. Conclusion: These findings suggest that healthcare demand procrastination among young adults may occur independently of perceived access to healthcare services and health literacy. It is considered that procrastination in healthcare demand within this age group may be more strongly associated with individual and contextual factors, and that access and health literacy variables alone may not be sufficient to explain healthcare utilization.

Ethical Statement

Ethical approval for this study was obtained from the Health Sciences Research Ethics Committee of a state university (Decision No: E.242998).

Supporting Institution

The author declares that this study received no financial support from any public, commercial, or not-for-profit funding agency.

References

  • 1. Silkane V, Autres I. Health procrastination: the experience of 35–44 years old men. SHS Web Conf. 2016;40:02007.
  • 2. Stead R, Shanahan MJ, Neufeld RW. “I’ll go to therapy, eventually”: procrastination, stress and mental health. Pers Individ Dif. 2010;49(3):175-80.
  • 3. Basirimoghadam M, Rafii F, Ebadi A. Development and psychometric evaluation of nurses’ health-related procrastination scale. Heliyon. 2023;9(7):e17814.
  • 4. Shareinia H, Ghiyasvandian S, Rooddehghan Z, Esteghamati A. The formation of health-related procrastination in patients with type-2 diabetes: a grounded theory research. Front Psychol. 2024;14:1290850.
  • 5. Sirois F. Procrastination, health, and health risk communication. Oxford Research Encyclopedia of Communication. 2017.
  • 6. Azami-Aghdash S, Ghojazedeh M, Sheyklo S, et al. Breast cancer screening barriers from the woman's perspective: a meta-synthesis. Asian Pac J Cancer Prev. 2015;16(8):3463-71.
  • 7. Rafii F, Rahimparvar SFV, Keramat A, Mehrdad N. Procrastination as a key factor in postpartum screening for diabetes: a qualitative study of Iranian women with recent gestational diabetes. Iran Red Crescent Med J. 2017;19(5):e43249.
  • 8. Sirois FM, Biskas M. Procrastination and health in nurses: investigating the roles of stress, health behaviours and social support. Nutrients. 2024;21(7):2150.
  • 9. Johansson F, Rozental A, Edlund K, et al. Associations between procrastination and subsequent health outcomes among university students in Sweden. JAMA Netw Open. 2023;6(1):e2249387.
  • 10. Çağatay A. The relationship between e-health literacy level and healthcare demand postponement behavior. Online Turk J Health Sci. 2024;9(2):150-6.
  • 11. Kıraç R. The effect of supply-based unnecessary health care services on health care demand postponement. Acad Elegance. 2024;11(26):372-88.
  • 12.Çiftçi-Kıraç F. The effect of distrust in health systems on healthcare demand procrastination behavior. KSÜ J Econ Admin Sci. 2024;14(2):101-12.
  • 13. Uysal D. The effect of individuals' level of trust in remote health service delivery on their health service demand postponement behaviors. AHBVU J Fac Econ Admin Sci. 2025;27(3):1071-88.
  • 14. Söyler S. The effects of health beliefs on cancer screening and distrust in health systems on healthcare demand procrastination: a cross-sectional study. Online Turk J Health Sci. 2024;9(2):143-9.
  • 15. Uzun SU, Akın M. When tomorrow comes too late—the silent threat: why people delay needed medical care in Türkiye. J Public Health. 2025;47(1):45-53.
  • 16. Tanner EC, Vann RJ, Kizilova E. Consumer-level perceived access to health services and its effects on vulnerability and health outcomes. J Public Policy Mark. 2020;39(2):230-43.
  • 17. Shavers VL, Shankar S, Alberg AJ. Perceived access to health care and its influence on the prevalence of behavioral risks among urban African Americans. J Natl Med Assoc. 2002;94(11):952-62.
  • 18. Erdoğan EG, Duru P. A comprehensive examination of poverty, healthseeking behavior, and access to health services with a mixed-methods approach. Nurs Health Policy Perspect. 2025;43(1):76-90.
  • 19. Sætre LMS, Krag-Hansen D, Søndergaard J, et al. Exploring perceived access to and previous experiences with general practice and associations with health literacy in the Danish population. Scand J Prim Health Care. 2025:1-15.
  • 20. Lausen LH, Smith SK, Cai A, et al. How is health literacy addressed in primary care? Strategies that general practitioners use to support patients. J Commun Healthc. 2018;11(4):278-87.
  • 21. Levy H, Janke A. Health literacy and access to care. J Health Commun. 2016;21(suppl 1):43-50.
  • 22. Turkish Statistical Institute (TURKSTAT). Address Based Population Registration System data, 2025. Accessed February 5, 2026. https://data. tuik.gov.tr/
  • 23. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis. Behav Res Methods. 2007;39(2):175-91.
  • 24. Tabachnick BG, Fidell LS. Using Multivariate Statistics. 6th ed. Pearson; 2013.
  • 25. Söyler S, Uyar S, Yılmaz G, Çiftçi-Kıraç F. Healthcare demand procrastination scale: development and validation study. J Basic Clin Health Sci. 2022;6(2):283-92.
  • 26. Karahan-Yılmaz S, Ateş M, Abay P. Adaptation and psychometric assessment of the Turkish version. Healthcare. 2025;13:370.
  • 27. Karahan-Yılmaz S, Eskici G. Validity and reliability study of the Turkish form of the Health Literacy Scale Short Form and Digital Healthy Diet Literacy Scale. IKCU Fac Health Sci J. 2021;6(3):19-25.
  • 28. Monaghan C, Moral RdA, Power JMH. Procrastination and preventive health-care in the older U.S. population. Prev Med. 2025;190:108112.
  • 29. Yang T, Guo S, Zhang Q, et al. Barriers or helpers to health: a systematic review and three-level meta-analytic evidence to the associations between procrastination and health. J Health Psychol. 2025.[Epub ahead of print].
  • 30. Fan ZY, Yang Y, Yin RY, Tang L. Effect of health literacy on decision delay in patients with acute myocardial infarction. Front Cardiovasc Med. 2021;8:647161.
  • 31. Garcés IC, Scarinci IC, Harrison L. An examination of sociocultural factors associated with health and health care seeking among Latina immigrants. J Immigr Minor Health. 2006;8(4):377-85.
  • 32. Steinvik LM, Holde GE, Finbråten HS, et al. Health literacy and oral healthrelated behaviors among young adults in Norway. Acta Odontol Scand. 2025;84(14).
  • 33. Cho YI, Lee SYD, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Soc Sci Med. 2008;66(8):1809-16.
  • 34. Yin HS, Dreyer BP, Vivar KL, et 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):117-24.

Genç Yetişkinlerde Sağlık Hizmeti Erteleme Davranışının Yordayıcıları: Erişim Algısı ve Sağlık Okuryazarlığı

Year 2026, Volume: 16 Issue: 2, 102 - 108, 27.03.2026
https://doi.org/10.16899/jcm.1877781
https://izlik.org/JA35DD68MU

Abstract

Amaç: Bu çalışma, genç yetişkinlerde sağlık hizmeti erteleme davranışının algılanan sağlık hizmetlerine erişim ve sağlık okuryazarlığı ile ilişkisini incelemeyi ve bu değişkenlerin erteleme davranışının yordayıcıları olup olmadığını belirlemeyi amaçlamaktadır. Yöntem: Kesitsel ve ilişkisel tasarıma sahip bu araştırma, 362 genç yetişkin ile yürütülmüştür. Veriler sosyodemografik bilgi formu, Sağlık Hizmeti Erteleme Ölçeği, Algılanan Sağlık Hizmetlerine Erişim Ölçeği ve Sağlık Okuryazarlığı Ölçeği kullanılarak toplanmıştır. Veri analizlerinde tanımlayıcı istatistikler, Pearson korelasyon analizi ve çoklu doğrusal regresyon analizleri kullanılmıştır. Bulgular: Korelasyon analizleri, sağlık hizmeti erteleme davranışı ile sağlık okuryazarlığı ve algılanan sağlık hizmetlerine erişim arasında anlamlı bir ilişki olmadığını göstermiştir. Buna karşın sağlık okuryazarlığı ile algılanan sağlık hizmetlerine erişim ve erişimin alt boyutları arasında anlamlı ve pozitif ilişkiler saptanmıştır. Çoklu doğrusal regresyon analizleri, algılanan sağlık hizmetlerine erişim ve sağlık okuryazarlığının sağlık hizmeti erteleme davranışını ve ertelemenin alt boyutlarını anlamlı biçimde yordamadığını ortaya koymuştur. Sonuç: Bu bulgular, genç yetişkinlerde sağlık hizmeti erteleme davranışının algılanan erişim ve sağlık okuryazarlığından bağımsız olarak ortaya çıkabileceğini düşündürmektedir. Erteleme davranışının bu yaş grubunda daha çok bireysel ve bağlamsal etmenlerle ilişkili olabileceği ve sağlık hizmeti kullanımını açıklamada erişim ve okuryazarlık değişkenlerinin tek başına yeterli olmayabileceği değerlendirilmektedir.

Ethical Statement

Bu çalışmanın etik onayı, bir devlet üniversitesinin Sağlık Bilimleri Araştırmaları Etik Kurulu tarafından alınmıştır (Karar No: E.242998).

Supporting Institution

Bu araştırmayı finansal olarak destekleyen kurum bulunmamaktadır.

References

  • 1. Silkane V, Autres I. Health procrastination: the experience of 35–44 years old men. SHS Web Conf. 2016;40:02007.
  • 2. Stead R, Shanahan MJ, Neufeld RW. “I’ll go to therapy, eventually”: procrastination, stress and mental health. Pers Individ Dif. 2010;49(3):175-80.
  • 3. Basirimoghadam M, Rafii F, Ebadi A. Development and psychometric evaluation of nurses’ health-related procrastination scale. Heliyon. 2023;9(7):e17814.
  • 4. Shareinia H, Ghiyasvandian S, Rooddehghan Z, Esteghamati A. The formation of health-related procrastination in patients with type-2 diabetes: a grounded theory research. Front Psychol. 2024;14:1290850.
  • 5. Sirois F. Procrastination, health, and health risk communication. Oxford Research Encyclopedia of Communication. 2017.
  • 6. Azami-Aghdash S, Ghojazedeh M, Sheyklo S, et al. Breast cancer screening barriers from the woman's perspective: a meta-synthesis. Asian Pac J Cancer Prev. 2015;16(8):3463-71.
  • 7. Rafii F, Rahimparvar SFV, Keramat A, Mehrdad N. Procrastination as a key factor in postpartum screening for diabetes: a qualitative study of Iranian women with recent gestational diabetes. Iran Red Crescent Med J. 2017;19(5):e43249.
  • 8. Sirois FM, Biskas M. Procrastination and health in nurses: investigating the roles of stress, health behaviours and social support. Nutrients. 2024;21(7):2150.
  • 9. Johansson F, Rozental A, Edlund K, et al. Associations between procrastination and subsequent health outcomes among university students in Sweden. JAMA Netw Open. 2023;6(1):e2249387.
  • 10. Çağatay A. The relationship between e-health literacy level and healthcare demand postponement behavior. Online Turk J Health Sci. 2024;9(2):150-6.
  • 11. Kıraç R. The effect of supply-based unnecessary health care services on health care demand postponement. Acad Elegance. 2024;11(26):372-88.
  • 12.Çiftçi-Kıraç F. The effect of distrust in health systems on healthcare demand procrastination behavior. KSÜ J Econ Admin Sci. 2024;14(2):101-12.
  • 13. Uysal D. The effect of individuals' level of trust in remote health service delivery on their health service demand postponement behaviors. AHBVU J Fac Econ Admin Sci. 2025;27(3):1071-88.
  • 14. Söyler S. The effects of health beliefs on cancer screening and distrust in health systems on healthcare demand procrastination: a cross-sectional study. Online Turk J Health Sci. 2024;9(2):143-9.
  • 15. Uzun SU, Akın M. When tomorrow comes too late—the silent threat: why people delay needed medical care in Türkiye. J Public Health. 2025;47(1):45-53.
  • 16. Tanner EC, Vann RJ, Kizilova E. Consumer-level perceived access to health services and its effects on vulnerability and health outcomes. J Public Policy Mark. 2020;39(2):230-43.
  • 17. Shavers VL, Shankar S, Alberg AJ. Perceived access to health care and its influence on the prevalence of behavioral risks among urban African Americans. J Natl Med Assoc. 2002;94(11):952-62.
  • 18. Erdoğan EG, Duru P. A comprehensive examination of poverty, healthseeking behavior, and access to health services with a mixed-methods approach. Nurs Health Policy Perspect. 2025;43(1):76-90.
  • 19. Sætre LMS, Krag-Hansen D, Søndergaard J, et al. Exploring perceived access to and previous experiences with general practice and associations with health literacy in the Danish population. Scand J Prim Health Care. 2025:1-15.
  • 20. Lausen LH, Smith SK, Cai A, et al. How is health literacy addressed in primary care? Strategies that general practitioners use to support patients. J Commun Healthc. 2018;11(4):278-87.
  • 21. Levy H, Janke A. Health literacy and access to care. J Health Commun. 2016;21(suppl 1):43-50.
  • 22. Turkish Statistical Institute (TURKSTAT). Address Based Population Registration System data, 2025. Accessed February 5, 2026. https://data. tuik.gov.tr/
  • 23. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis. Behav Res Methods. 2007;39(2):175-91.
  • 24. Tabachnick BG, Fidell LS. Using Multivariate Statistics. 6th ed. Pearson; 2013.
  • 25. Söyler S, Uyar S, Yılmaz G, Çiftçi-Kıraç F. Healthcare demand procrastination scale: development and validation study. J Basic Clin Health Sci. 2022;6(2):283-92.
  • 26. Karahan-Yılmaz S, Ateş M, Abay P. Adaptation and psychometric assessment of the Turkish version. Healthcare. 2025;13:370.
  • 27. Karahan-Yılmaz S, Eskici G. Validity and reliability study of the Turkish form of the Health Literacy Scale Short Form and Digital Healthy Diet Literacy Scale. IKCU Fac Health Sci J. 2021;6(3):19-25.
  • 28. Monaghan C, Moral RdA, Power JMH. Procrastination and preventive health-care in the older U.S. population. Prev Med. 2025;190:108112.
  • 29. Yang T, Guo S, Zhang Q, et al. Barriers or helpers to health: a systematic review and three-level meta-analytic evidence to the associations between procrastination and health. J Health Psychol. 2025.[Epub ahead of print].
  • 30. Fan ZY, Yang Y, Yin RY, Tang L. Effect of health literacy on decision delay in patients with acute myocardial infarction. Front Cardiovasc Med. 2021;8:647161.
  • 31. Garcés IC, Scarinci IC, Harrison L. An examination of sociocultural factors associated with health and health care seeking among Latina immigrants. J Immigr Minor Health. 2006;8(4):377-85.
  • 32. Steinvik LM, Holde GE, Finbråten HS, et al. Health literacy and oral healthrelated behaviors among young adults in Norway. Acta Odontol Scand. 2025;84(14).
  • 33. Cho YI, Lee SYD, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Soc Sci Med. 2008;66(8):1809-16.
  • 34. Yin HS, Dreyer BP, Vivar KL, et 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):117-24.
There are 34 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Melek Yağcı Özen 0000-0003-0314-247X

Submission Date January 30, 2026
Acceptance Date March 2, 2026
Publication Date March 27, 2026
DOI https://doi.org/10.16899/jcm.1877781
IZ https://izlik.org/JA35DD68MU
Published in Issue Year 2026 Volume: 16 Issue: 2

Cite

AMA 1.Yağcı Özen M. Predictors of Healthcare Demand Procrastination Among Young Adults: Perceived Access and Health Literacy. J Contemp Med. 2026;16(2):102-108. doi:10.16899/jcm.1877781