Relationship Between Health Anxiety And Compliance Preventive Behaviors with Health Literacy in the COVID-19 Process

Öz

Giriş ve Amaç: COVID-19 gibi salgın dönemlerinde bireylerin sağlık okuryazarlık düzeyleri oldukça önemlidir. Bu çalışmanın amacı, COVID-19 sürecinde sağlık okuryazarlığı ile sağlık anksiyetesi ve önleyici davranışlara uyum arasındaki ilişkinin incelenmesidir. Gereç ve Yöntemler: Çalışma tanımlayıcı ve kesitsel tiptedir. Veriler Ocak-Nisan 2021 tarihleri arasında Google Drive Form aracılığı ile toplanmıştır. Çalışma Türkiye’nin kuzey batısında şehir merkezinde yer alan dahil edilme kriterlerine uyan 428 belediye çalışanı ile yapılmıştır.Veriler, Sosyo Demografik ve Önleyici Davranışlara Uyum Formu, Sağlık Anksiyetesi Ölçeği (SAÖ) ve Türkiye Sağlık Okuryazarlığı Ölçeği (TSOY-32) ile toplanmıştır. Bulgular: Araştırmaya katılanların yeterli sağlık okuryazarlığına sahip oldukları (35,51 ± 7,13) bulunmuştur. COVID-19 sürecinde bireylerin yeterli sağlık okuryazarlık düzeylerinin önleyici davranışlara uyum konusunda etkili olduğu gözlemlendi. Sağlık Okuryazarlığı puan ortalaması ile Sağlık anksiyetesi puan ortalamaları arasında negatif yönlü anlamlı bir korelasyon olduğu bulundu (r= -0.459, p=0.000). Sonuç: COVID-19 döneminde özellikle birinci basamak sağlık hizmetlerinde yada halk sağlığı alanında çalışanlar tarafından verilecek sağlık okuryazarlığı eğitim ve danışmanlık hizmetleri, bireylerin sağlık anksiyetesini azaltarak önleyici davranışlara uyumu artırabilir.

Anahtar Kelimeler

• COVID-19
• Public Health
• Health literacy
• Health anxiety
• Preventive Behaviors

Relationship Between Health Anxiety and Compliance Preventive Behaviors with Health Literacy in the COVID-19 Process

Öz

Objective: Health literacy levels of individuals are very important during epidemic periods such as COVID-19. The aim of this study is to evaluate the relationship between adaptation to preventive behavior and health anxiety with health literacy level in the COVID-19 process. Material and Methods: This study is a descriptive and cross-sectional study. The data were collected between January and April 2021 via Google Drive Form. The study involved 428 people who met the inclusion criteria working in a Provincial Municipality in north-west Turkey. The data were collected using Socio-demographic and compliance to preventive behavior data form, “Turkey Health Literacy Scale” and “Health Anxiety Scale”. Results: Participants in the study were found to have adequate health literacy (35.51 ± 7.13). It was observed that the level of adequate health literacy of individuals during the COVID-19 process were effective complying with preventive behavior. It was found that there was a significant negative correlation between the health literacy score averages and the health anxiety score averages (r= -0.459, p=0.000). Conclusion: Health literacy education and counseling services especially by those working in the field of primary health care and public health, can reduce health anxiety by increasing the adaptation of individuals to preventive behaviors during the COVID-19 period.

Anahtar Kelimeler

• COVID-19
• Public health
• Health literacy
• Health anxiety
• Preventive behaviors.

Kaynakça

1. World Health Organization. Statement on the Second Meeting of the International Health Regulations (2005) Emergency Committee Regarding the Outbreak of Novel Coronavirus Geneva, Switzerland. https://www.who.int/ news-room/detail/30-01-2020-statement-on-the-second-meeting-ofthe-international-health-regulations-(2005)-emergency-committeeregarding-the-outbreak-of-novel-coronavirus-(2019-ncov), 2019 (accessed 10.01.2021).
2. Worldometer. COVID-19 Coronavirus Pandemic. https://www.worldometers.info/coronavirus/, 2020 (accessed 11.01.2021).
3. Paakkari, L, Okan, O, COVID-19: Health literacy is an underestimated problem. Lancet Public Health, 2020, 5(5), e249-50.
4. Akbal, E, Gökler, M.E, COVID-19 Salgını Sürecinde Eksikliği Ortaya Çıkan Bir Gerçek: Sağlık Okuryazarlığı, ESTÜDAM Halk Sağlığı Dergisi, 2020, 5(COVID-19 Special Issue), 148-155.
5. World Health Organization. Health Promotion Glossary Geneva, Switzerland. https://www.who.int/ health promotion/about/HPR%20Glossary%201998.pdf?ua=1, 1998 (accessed 10.01.2021).
6. Republic of Turkey Ministry of Health General Directorate of Health Promotion. Turkey health literacy levels and related factors research. https://sggm.saglik.gov.tr/TR-56524/turkiye-saglik-okuryazarligi-duzeyi-ve-iliskili-faktorleri-arastirmasi.html, 2018 (accessed 10.01.2021).
7. Nguyen, H.C, Nguyen, M.H, Do, B.N, Tran, C.Q, Nguyen, T.T, Pham, K.M, et al., People with suspected COVID-19 symptoms were more likely depressed and had lower health-related quality of life: The potential benefit of health literacy, Journal of Clinical Medicine, 2020, 9(4), 965.
8. Castro-Sánchez, E, Chang, P.W.S, Vila-Candel, R, Escobedo, A.A, Holmes, A.H, Health literacy and infectious diseases: Why does it matter? International Journal of Infection Disease, 2016, 43, 103-110.

9. Andersson, G, Hedman, E, Andersson, E, Internet based cognitive behavioural therapy for severe health anxiety: randomized controlled trial, The British Journal of Psychiatry, 2011, 198(3) , 230-236.
10. Bukhsh, A, Hussain, S, Rehman, I.U, Mallhi T.H, Khan Y.H, Khaliel A.M, et al., Awareness and perception of seasonal influenza (Flu) among health science and Non-Health science university students in Pakistan: A nation wide survey, Pakistan Journal of Pharmaceutical Sciences, 2019, 32(4), 1789-1796.
11. Okyay, P, Abacıgil, F, Türkiye Sağlık Okuryazarlığı Ölçekleri Güvenilirlik ve Geçerlilik Çalışması, https://sbu.saglik.gov.tr/Ekutuphane/kitaplar/Sa%C4%9Fl%C4%B1k%20Okur%20Yazarl%C4%B1%C4%9F%C4%B1.pdf. 2016 (accessed 2 January 2021).
12. Aydemir, O, Kirpinar, I, Sati, T, Uykur, B, Cengisiz, C, Reliability and validity of the Turkish Version of the Health Anxiety Inventory, Archive of Neuropsychiatry, 2013, 50(4), 325–331.
13. 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, 259-267.
14. Abel, T, McQueen, D, Critical health literacy and the COVID-19 crisis, Health Promotion International, 2020, 35(6), 1612-1613.
15. Sørensen, K, Pelikan, J.M, Röthlin, F, Ganahl, K, Slonska, Z, Doyle, G, et al., Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Europen Journal of Public Health, 2015, 25(6), 1053-1058.
16. Jovic, V, Marinkovic, J, Kovec, N, Health literacy in a population of primary health-care in Belgrade, Serbia, International Journal of Public Health, 2011, 56(2), 201-207.
17. Liu, Y.B, Liu, L, Li, Y.F, Chen, Y.L, Yong-Bing, Liu, et al., Relationship between health literacy, health-related behaviors and health status: A survey of elderly chinese. International Journal of Environmental Research and Public Health, 2015, 12(8), 9714-9725.
18. Toçi, E, Burazeri, G, Kamberi, H, Jerliu, N, Sorensen, K, Brand, H, Socio-economic correlates of functional health literacy among patients of primary healthcare in Kosovo, Public Health, 2014, 128(9), 842-848.
19. Morris, N.S, MacLean, C.D, Littenberg, B, Change in health literacy over 2 years in older adults with diabetes Diabetes Educational, 2013, 39(5), 638-646.
20. Ussher, M, Ibrahim, R.S, Reid, F, Swah, A, Rowlands, G, Psychosocial correlates of health literacy among older patients with coronary heart disease, Journal of Health Communication, 2010, 15(7), 788-804.
21. Han, B.C, Covid-19 has reduced us to a “society of survival”. https://www.efe.com/efe/english/destacada/byung-chul-han-covid-19-has-reduced-us-to-a-society-of-survival/50000261-4244328 2021 (accessed 5.01.2021).
22. Ataguba, O.A, Ataguba, J.E, Social determinants of health: the role of effective communication in the COVID-19 pandemic in developing countries, Global Health Action, 2020, 13(1), 1-6.
23. Neter, E, Brainin, E, Association between health literacy, ehealth literacy, and health outcomes among patients with long-term conditions: A systematic review. European Psychologist, 2019, 24(1), 68-81.
24. Zarocostas, J, How to fight an infodemic, The Lancet, 2020, 395(10225), 676.
25. Peksoy, K.S, Kaplan, S, Evaluating the relationship between nursing students awareness of the COVID-19 pandemic and health behaviors with health literacy, Journal of Education and Research in Nursing, 2020, 17(4), 304-11.
26. Manav, F, Kaygı Kavramı, Toplum Bilimleri Dergisi, 2011, 5(9), 201-211.
27. Özdelikara, A, Ağaçdiken, A.S, Mumcu, N, Determination of health perception, health anxiety and effecting factors among nursing students, Medical Journal of Bakırköy, 2018, 14(3), 275-282.
28. Biçer, İ, Çakmak, C, Demir, H, Kurt, M, Koronavirüs Anksiyete Ölçeği Kısa Formu: Türkçe Geçerlik ve Güvenirlik Çalışması, Anadolu Kliniği Tıp Bilimleri Dergisi, 2020, 25(1), 216-225.
29. Ekiz, T, Ilıman, E, Dönmez, E, Bireylerin Sağlık Anksiyetesi Düzeyleri ile Covıd-19 Salgını Kontrol Algısının Karşılaştırılması, Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 2020, 6(1), 139-154.
30. Kulu, M, Özsoy, F, Sağlık Çalışanları Dışı Toplumsal Örneklemde COVID-19 Anksiyete ve Sağlık Anksiyetesi Düzeyleri, Kocaeli Medical Journal, 2021, 10(1), 112-117.
31. El-Gabalawy, R, Mackenzie, C.S, Thibodeau, M.A, Asmundson, G.J, G, Sareen, J, Health anxiety disorders in older adults: conceptualizing complex conditions in late life. Clinical Psychology Review, 2013, 33(8), 1096-1105.
32. Rode, S, Salkovskis, P, Dowd, H, Hanna, M, Health anxiety levels in chronic pain clinic attenders, Journal of Psychosomatic Research, 2006, 60(2), 155-161.
33. Republic of Turkey Ministry of Health, COVID-19 new coronavirus disease, https://covid19bilgi.saglik.gov.tr/tr/ 2021 (accessed 20.01.2021).
34. Lin, YH, Liu, CH, Chiu, Y.C, Google searches for the keywords of “washhands” predict the speed of national spread of COVID-19 outbreak among 21 countries. Brain, Behavior and Immunity, 2020, 87(3), 30-32.
35. Papagiannis, D, Malli, F, et al., Assessment of knowledge, attitudes, and practices towards new coronavirus (SARS-CoV-2) of health care professionals in Greece before the out break period, International Journal of Environmental Research and Public Health, 2020, 17(14), 4925.
36. Wang, M, Han, X, et al. Impact of health education on knowledge and behaviors toward ınfectious diseases among students in Gansu province, China, Biomedical Research International, 2018, 7, 6397340.
37. Ren, L.L, Wang, Y.M, et al., Identification of a novel coronavirus causing severe pneumonia in human: a descriptive study. Chinese Medical Journal, 2020, 133(9), 1015-1024.
38. Lorini, C, Santomauro, F, et al., Health literacy and vaccination: A systematic review, Human Vaccines & Immunotherapeutics, 2018, 14(2), 478-488.
39. Smith, S.G, Curtis, L.M, Wardle, J, von Wagner, C, Wolf, M.S, Skill Set or Mind Set? Associations between health literacy, patient activation and health, PLoS ONE, 2013, 8(9), e74373.