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Bir Aile Sağlığı Merkezine Kayıtlı Bireylerin Sağlık Okuryazarlığı, Aşı Okuryazarlığı ve Etkileyen Faktörler

Year 2023, Volume: 17 Issue: 1, 22 - 30, 31.03.2023
https://doi.org/10.21763/tjfmpc.1174277

Abstract

Giriş: Bu çalışma, yetişkinler arasında sağlık okuryazarlığı ve COVID-19 aşı okuryazarlığı düzeylerini ve bu düzeylerle ilişkili faktörleri incelemeyi amaçlamıştır. Yöntem: Kesitsel tipteki bu çalışma 2021 yılının Ekim-Kasım-Aralık aylarında Ankara’da bir aile sağlığı merkezinde yürütülmüştür. Örneklem, çalışmaya katılmayı kabul eden 372 yetişkinden oluşmaktadır. Veri toplamak için Kişisel Bilgi Formu, Sağlık Okuryazarlığı Ölçeği ve COVID-19 Aşı Okuryazarlığı Ölçeği kullanıldı. Bulgular: Katılımcıların %55,6'sının kadın, %52,2'sinin 40-64 yaş arasında, %65,1'inin evli, %51,6'sının üniversite mezunu, %50,3'ünün giderine eşit gelire sahip, %39,5'inin kronik hastalığı olduğu belirlendi. Katılımcıların %85,8'i COVID-19'a yakalanmadığı ve %3,5'i COVID-19'a karşı aşılanmadığı belirlendi. Sağlık Okuryazarlığı Ölçeği puan ortalaması 108.19 (SS=14.63), COVID-19 Aşı Okuryazarlığı Ölçeği ortalama puanı 2.74 (SS=0.60) bulundu. Yaşlıların, eğitim düzeyi ve gelir düzeyi düşük olan bireylerin Sağlık Okuryazarlığı ve COVID-19 Aşı Okuryazarlığı puanları anlamlı olarak daha düşük olduğu belirlendi (p<0.05). Eğitim düzeyi, COVID-19 aşısı olma durumu ve sağlık okuryazarlığı, COVID-19 aşı okuryazarlığının %37'sini açıkladı. Sonuç: Mevcut çalışmada, katılımcıların sağlık okuryazarlığı düzeyinin yeterli olduğunu ve COVID-19 aşı okuryazarlığının orta düzeyde olduğu belirlenmiştir. Yaş grubu, eğitim düzeyi ve gelir düzeyinin bu düzeyleri etkilediği belirlendi. Ayrıca eğitim düzeyi, COVID-19 aşısı olma durumu ve sağlık okuryazarlığı düzeyi COVID-19 aşı okuryazarlığının yordayıcıları olarak belirlendi. COVID-19 aşı okuryazarlığını artırmak için yordayıcı faktörlerin göz önünde bulundurulması önerilmektedir.

References

  • 1. Nutbeam D. The evolving concept of health literacy. Social Science & Medicine 2008;67(12):2072–2078. doi:10.1016/j.socscimed.2008.09.050
  • 2. Aslantekin F, Yumrutaş M. Sağlık Okuryazarlığı ve Ölçümü. TAF Preventive Medicine Bulletin 2014; 13(4): 327- 334. doi:10.5455/pmb1-1364566995
  • 3. Biasio LR, Bonaccorsi G, Lorini C, Pecorelli S. Assessing COVID-19 vaccine literacy: a preliminary online survey. Hum Vaccin Immunother 2021;17:1304-12. doi: 10.1080/21645515.2020.1829315
  • 4. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion international 2000;15(3):259-67. doi: 10.1093/heapro/15.3.259
  • 5. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, Fullam J, Konilis B, Agrafiotis D, Uiters E, Falcon M, Mensing M, Tchamov K, Van Den Broucke S, Brand H, HLS-EU Consortium. Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). European Journal of Public Health 2015; 25(6):1053–1058. doi:10.1093/eurpub/ckv043
  • 6. Bakan AB, Yıldız M. A Study on Determining the Health Literacy Levels of Individuals Aged 21-64. Sağlık ve Toplum 2019; 29(3):33-40.
  • 7. Berberoğlu U, Öztürk O, İnci MB, Ekerbiçer HÇ. Evaluation of the Health Literacy Status Among Individuals Aged 18-65 Registered in a Family Health Center. Sakarya Tıp Dergisi 2018; 8(3), 575-581.doi: 10.31832/smj.453846
  • 8. Ozkan S, Baran Aksakal FN, Çalışkan D, Dikmen AU, Tüzün H, Taşcı Ö, Ünal SC. Turkey health literacy levels and related factors research (pp. 55–80) 2018; Accessed: https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/SOYA%20RAPOR.pdf (Accessed 5th Apr 2022)
  • 9. Levy H, & Janke A. Health literacy and access to care. Journal of health communication, 2016; 21(sup1), 43-50. doi:10.1080/10810730.2015.1131776
  • 10. Ture DA, Demirci H, Sengoren Dikis O. The relationship between health literacy and disease specific costs in subjects with chronic obstructive pulmonary disease (COPD). The aging male 2020; 23(5), 396-402. doi:10.1080/13685538.2018.1501016
  • 11. Kugbey N, Meyer-Weitz A, Asante KO. Access to health information, health literacy and health-related quality of life among women living with breast cancer: Depression and anxiety as mediators. Patient education and counseling 2019; 102(7), 1357-1363. doi:10.1016/j.pec.2019.02.014
  • 12. Ratzan SC. Vaccine Literacy: A New Shot for Advancing Health, Journal of Health Communication 2011; 16:3, 227-229. doi: 10.1080/10810730.2011.561726
  • 13. Michel JP, Goldberg J. Education, Healthy Ageing and Vaccine Literacy. The journal of nutrition, health & aging 2021; 25(5), 698-701. doi: 10.1007/s12603-021-1627-1
  • 14. Gusar I, Konjevoda S, Babić G, Hnatešen D, Čebohin M, Orlandini R, Dželalija B. Pre-Vaccination COVID-19 Vaccine Literacy in a Croatian Adult Population: A Cross-Sectional Study. International journal of environmental research and public health 2021; 18(13), 7073. doi: 10.3390/ijerph18137073
  • 15. Aras Z, Temel Bayik A. Evaluation of Validity and Reliability of the Turkish Version of Health Literacy Scale. Florence Nightingale Hemşirelik Dergisi 2017; 25(2), 85-94. doi: 10.17672/fhnd.94626
  • 16. Durmuş A, Akbolat M, Amarat M. Turkish validity and reliability of COVID-19 Vaccine Literacy Scale. Cukurova Medical Journal 2021; 46(2), 732-741. doi: 10.17826/cumj.870432
  • 17. Rowlands G. Health literacy: ways to maximise the impact and effectiveness of vaccination information. Hum Vaccin Immunother. 2014;10:2130-5. doi: 10.4161/hv.29603
  • 18. Wu JR, Moser DK, DeWalt DA, RayenS MK, & Dracup K. Health literacy mediates the relationship between age and health outcomes in patients with heart failure. Circulation: Heart Failure 2016; 9(1), e002250. doi: 10.1161/CIRCHEARTFAILURE.115.002250.
  • 19. Ayaz Alkaya S, & Ozturk FO. Health Literacy Levels of Women and Related Factors in Turkey. Journal of Nursing Research 2021; 29(6), e180. doi: 10.1097/JNR.0000000000000452
  • 20. Yu L, Mottola G, Bennett DA, Boyle PA. Adverse impacts of declining financial and health literacy in old age. The American Journal of Geriatric Psychiatry 2021; 29(11), 1129-1139. doi: 10.1016/j.jagp.2021.02.042
  • 21. Sun X, Shi Y, Zeng Q, Wang Y, Du W, Wei N, ... & Chang C. Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model. BMC public health 2013; 13(1), 1-8. doi: 10.1186/1471-2458-13-261
  • 22. Palumbo R, Annarumma C, Adinolfi P, Musella M, & Piscopo G. The Italian Health Literacy Project: Insights from the assessment of health literacy skills in Italy. Health Policy 2016; 120(9), 1087-1094. doi: 10.1016/j.healthpol.2016.08.007
  • 23. World Health Orgaziation (2021) COVID-19 advice for the public: Getting vaccinated. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/covid-19-vaccines/advice (Accessed 5th Apr 2022)
  • 24. Mohamad O, Zamlout A, AlKhoury N, Alsalkini M, & Shaaban, R. Factors associated with the intention of Syrian adult population to accept COVID19 vaccination: A cross-sectional study. BMC Public Health 2021; 21(1), 1-10. doi: 10.1186/s12889-021-11361-z
  • 25. Lazarus JV, Ratzan SC, Palayew A, Gostin LO, Larson HJ, Rabin K, ... & El-Mohandes A. A global survey of potential acceptance of a COVID-19 vaccine. Nature medicine 2021; 27(2), 225-228. doi: 10.1038/s41591-020-1124-9
  • 26. Salali GD, Uysal, MS. COVID-19 vaccine hesitancy is associated with beliefs on the origin of the novel coronavirus in the UK and Turkey. Psychological medicine 2020; 1-3. doi: 10.1017/S0033291720004067

Health Literacy, COVID-19 Vaccine Literacy and Related Factors of Individuals Registered with a Family Health Center

Year 2023, Volume: 17 Issue: 1, 22 - 30, 31.03.2023
https://doi.org/10.21763/tjfmpc.1174277

Abstract

Background: This study aimed to examine health literacy and COVID-19 vaccine literacy levels among adults and the factors associated with these levels. Methods: This cross-sectional study was conducted in a family health center in Ankara in October-November-December 2021. The sample consisted of 372 adults who agreed to participate in the study. The Personal Information Form, the Health Literacy Scale, and the COVID-19 Vaccine Literacy Scale were used to collect data. Results: It was determined that 55,6% of the participants were women, 52,2% were between the ages of 40-64, 65,1% were married, 51,6% were university graduates, 50,3% had income equal to their expenses, 39,5% had chronic diseases, 85,8% of them had not contracted COVID-19, and 3,5% had not been vaccinated against COVID-19. The mean score of the Health Literacy Scale was 108.19 (SD=14.63). The mean score of the COVID-19 Vaccine Literacy Scale was 2.74 (SD=0.60). The health literacy and COVID-19 vaccine literacy scores of the elderly, individuals with low education and low income levels were found to be significantly lower (p<0.05). Education level, being vaccinated against COVID-19 or not, and health literacy explained 37% of COVID-19 Vaccine Literacy. Conclusions: The current study found that the health literacy level of the participants was sufficient, and the COVID-19 vaccine literacy level was moderate. It was determined that age group, level of education, and level of income affected these levels. In addition, education level, COVID-19 vaccination status and health literacy level were determined as predictors of COVID-19 vaccine literacy. It is recommended to consider predictive factors to increase COVID-19 vaccine literacy.

References

  • 1. Nutbeam D. The evolving concept of health literacy. Social Science & Medicine 2008;67(12):2072–2078. doi:10.1016/j.socscimed.2008.09.050
  • 2. Aslantekin F, Yumrutaş M. Sağlık Okuryazarlığı ve Ölçümü. TAF Preventive Medicine Bulletin 2014; 13(4): 327- 334. doi:10.5455/pmb1-1364566995
  • 3. Biasio LR, Bonaccorsi G, Lorini C, Pecorelli S. Assessing COVID-19 vaccine literacy: a preliminary online survey. Hum Vaccin Immunother 2021;17:1304-12. doi: 10.1080/21645515.2020.1829315
  • 4. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion international 2000;15(3):259-67. doi: 10.1093/heapro/15.3.259
  • 5. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, Fullam J, Konilis B, Agrafiotis D, Uiters E, Falcon M, Mensing M, Tchamov K, Van Den Broucke S, Brand H, HLS-EU Consortium. Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). European Journal of Public Health 2015; 25(6):1053–1058. doi:10.1093/eurpub/ckv043
  • 6. Bakan AB, Yıldız M. A Study on Determining the Health Literacy Levels of Individuals Aged 21-64. Sağlık ve Toplum 2019; 29(3):33-40.
  • 7. Berberoğlu U, Öztürk O, İnci MB, Ekerbiçer HÇ. Evaluation of the Health Literacy Status Among Individuals Aged 18-65 Registered in a Family Health Center. Sakarya Tıp Dergisi 2018; 8(3), 575-581.doi: 10.31832/smj.453846
  • 8. Ozkan S, Baran Aksakal FN, Çalışkan D, Dikmen AU, Tüzün H, Taşcı Ö, Ünal SC. Turkey health literacy levels and related factors research (pp. 55–80) 2018; Accessed: https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/SOYA%20RAPOR.pdf (Accessed 5th Apr 2022)
  • 9. Levy H, & Janke A. Health literacy and access to care. Journal of health communication, 2016; 21(sup1), 43-50. doi:10.1080/10810730.2015.1131776
  • 10. Ture DA, Demirci H, Sengoren Dikis O. The relationship between health literacy and disease specific costs in subjects with chronic obstructive pulmonary disease (COPD). The aging male 2020; 23(5), 396-402. doi:10.1080/13685538.2018.1501016
  • 11. Kugbey N, Meyer-Weitz A, Asante KO. Access to health information, health literacy and health-related quality of life among women living with breast cancer: Depression and anxiety as mediators. Patient education and counseling 2019; 102(7), 1357-1363. doi:10.1016/j.pec.2019.02.014
  • 12. Ratzan SC. Vaccine Literacy: A New Shot for Advancing Health, Journal of Health Communication 2011; 16:3, 227-229. doi: 10.1080/10810730.2011.561726
  • 13. Michel JP, Goldberg J. Education, Healthy Ageing and Vaccine Literacy. The journal of nutrition, health & aging 2021; 25(5), 698-701. doi: 10.1007/s12603-021-1627-1
  • 14. Gusar I, Konjevoda S, Babić G, Hnatešen D, Čebohin M, Orlandini R, Dželalija B. Pre-Vaccination COVID-19 Vaccine Literacy in a Croatian Adult Population: A Cross-Sectional Study. International journal of environmental research and public health 2021; 18(13), 7073. doi: 10.3390/ijerph18137073
  • 15. Aras Z, Temel Bayik A. Evaluation of Validity and Reliability of the Turkish Version of Health Literacy Scale. Florence Nightingale Hemşirelik Dergisi 2017; 25(2), 85-94. doi: 10.17672/fhnd.94626
  • 16. Durmuş A, Akbolat M, Amarat M. Turkish validity and reliability of COVID-19 Vaccine Literacy Scale. Cukurova Medical Journal 2021; 46(2), 732-741. doi: 10.17826/cumj.870432
  • 17. Rowlands G. Health literacy: ways to maximise the impact and effectiveness of vaccination information. Hum Vaccin Immunother. 2014;10:2130-5. doi: 10.4161/hv.29603
  • 18. Wu JR, Moser DK, DeWalt DA, RayenS MK, & Dracup K. Health literacy mediates the relationship between age and health outcomes in patients with heart failure. Circulation: Heart Failure 2016; 9(1), e002250. doi: 10.1161/CIRCHEARTFAILURE.115.002250.
  • 19. Ayaz Alkaya S, & Ozturk FO. Health Literacy Levels of Women and Related Factors in Turkey. Journal of Nursing Research 2021; 29(6), e180. doi: 10.1097/JNR.0000000000000452
  • 20. Yu L, Mottola G, Bennett DA, Boyle PA. Adverse impacts of declining financial and health literacy in old age. The American Journal of Geriatric Psychiatry 2021; 29(11), 1129-1139. doi: 10.1016/j.jagp.2021.02.042
  • 21. Sun X, Shi Y, Zeng Q, Wang Y, Du W, Wei N, ... & Chang C. Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model. BMC public health 2013; 13(1), 1-8. doi: 10.1186/1471-2458-13-261
  • 22. Palumbo R, Annarumma C, Adinolfi P, Musella M, & Piscopo G. The Italian Health Literacy Project: Insights from the assessment of health literacy skills in Italy. Health Policy 2016; 120(9), 1087-1094. doi: 10.1016/j.healthpol.2016.08.007
  • 23. World Health Orgaziation (2021) COVID-19 advice for the public: Getting vaccinated. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/covid-19-vaccines/advice (Accessed 5th Apr 2022)
  • 24. Mohamad O, Zamlout A, AlKhoury N, Alsalkini M, & Shaaban, R. Factors associated with the intention of Syrian adult population to accept COVID19 vaccination: A cross-sectional study. BMC Public Health 2021; 21(1), 1-10. doi: 10.1186/s12889-021-11361-z
  • 25. Lazarus JV, Ratzan SC, Palayew A, Gostin LO, Larson HJ, Rabin K, ... & El-Mohandes A. A global survey of potential acceptance of a COVID-19 vaccine. Nature medicine 2021; 27(2), 225-228. doi: 10.1038/s41591-020-1124-9
  • 26. Salali GD, Uysal, MS. COVID-19 vaccine hesitancy is associated with beliefs on the origin of the novel coronavirus in the UK and Turkey. Psychological medicine 2020; 1-3. doi: 10.1017/S0033291720004067
There are 26 citations in total.

Details

Primary Language English
Subjects Public Health, Environmental Health, Primary Health Care
Journal Section Orijinal Articles
Authors

Fatma Özlem Öztürk 0000-0003-1942-6637

Günseli Peker 0000-0003-3183-4115

Publication Date March 31, 2023
Submission Date September 15, 2022
Published in Issue Year 2023 Volume: 17 Issue: 1

Cite

Vancouver Öztürk FÖ, Peker G. Health Literacy, COVID-19 Vaccine Literacy and Related Factors of Individuals Registered with a Family Health Center. TJFMPC. 2023;17(1):22-30.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.