LEVEL OF HEALTH LITERACY AND ASSOCIATED FACTORS AMONG RURAL AND URBAN SECONDARY SCHOOL STUDENTS IN SANLIURFA PROVINCE, TURKEY

Öz

Low health literacy is a major source of poor health status among all age group. Aim of this study is to investigate level of health literacy and factors associated with it among children in the rural and urban secondary school in Sanliurfa province of Turkey. The cross –sectional study was carried out among children aged 12-15 years old in urban and rural areas in the Southeast Anatolia Region of Turkey. Health Literacy Survey Questionnaire (HLS-EU-Q47) was used for data collection. In this study, general internal consistency (Cronbach's alpha) of the HLS-EU-Q47; was found to be 0.916. Total 1,997 chidden participated from 18 schools in the study, 47.2% were females and 52.8% were males. The age of the participant’s ranged from 12 to 15 years. The mean (SD) of measured weight, height, and BMI of the students were 47.2 ± 10.7 kg, 154.4 ± 7.8 cm, and 19.6 ± 3.5 kg/m2, respectively. The prevalence of obesity, overweight and underweight were 6.5%, 13.8%, and 6.3% respectively. The prevalence of having daily breakfast, soft-drink, fruit, and tooth brushing frequency were 53.6%, 14.4%, 39.3%, and 38.5% respectively. Generally, the HL level was very low among the children in this study. 

Anahtar Kelimeler

• Health literacy
• school children
• rural health
• urban health
• parent education

KIRSAL VE KENTSEL YAŞAMDAKİ ORTAOKUL ÖĞRENCİLERINDE SAĞLIK OKURYAZARLIĞI DÜZEYi VE İLİŞKİLİ FAKTÖRLER, ŞANLIURFA TÜRKİYE

Öz

Düşük sağlık okuryazarlığı, tüm yaş grupları arasında kötü sağlık durumunun önemli bir nedenidir. Bu çalışmanın amacı, Türkiye'nin Şanlıurfa ilindeki kırsal ve kentsel ortaokuldaki çocuklar arasında sağlık okuryazarlığı düzeyini ve bununla ilişkili faktörleri araştırmaktır. Bu çalışma Türkiye'nin Güneydoğu Anadolu Bölgesi'ndeki kentsel ve kırsal alanlarda 12-15 yaş arası çocuklar arasında gerçekleştirilen . kesitsel tipte bir çalışmadır. Veri toplama için Sağlık Okuryazarlığı Anketi (HLS-EU-Q47) kullanılmıştır. Bu çalışmada, HLS-EU-Q47'nin genel iç tutarlılığı (Cronbach's alpha); 0.916 olarak bulunmuştur. Çalışmaya 18 okuldan toplam 1.997 kişi katıldı,% 47.2'si kadın,% 52.8'i erkekti. Katılımcının yaşı 12 ile 15 arasında değişmekte idi. Öğrencilerin ölçülen ağırlık, boy ve VKİ ortalamaları (SD) sırasıyla 47.2 ± 10.7 kg, 154.4 ± 7.8 cm ve 19.6 ± 3.5 kg / m2 idi. Obezite, aşırı kilo ve düşük kilo prevalansı sırasıyla% 6.5,% 13.8 ve% 6.3 idi. Günlük kahvaltı, meşrubat, meyve ve diş fırçalama sıklığı sıklığı sırasıyla% 53.6,% 14.4,% 39.3 ve% 38.5 idi. Genel olarak, bu çalışmada sağlık okuryazarlığı düzeyi çocuklar arasında çok düşük tespit edildi.

Anahtar Kelimeler

• Sağlık okuryazarlığı
• okul çocukları
• kırsal sağlık
• kentsel sağlık
• ebeveyn eğitimi

Kaynakça

1. 1. Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. Low health literacy and health outcomes: an updated systematic review. Annals of internal medicine, 2011;155(2), 97-107.
2. 2. Kirsch IS. The International Adult Literacy Survey (IALS): Understanding What Was Measured. Princeton, NJ: Educational Testing Service. 2001
3. 3. Roopa Chari, Joel Warsh, Tara Ketterer, Jobayer Hossain, Iman Sharif. Association between health literacy and child and adolescent obesity. Patient Education and Counseling,2014; 94; 61–66
4. 4. Kristine Sørensen, Stephan Van den Broucke, James Fullam, Gerardine Doyle, Jürgen Pelikan, Zofia Slonska and Helmut Brand. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 2012;12:80
5. 5. Lynn Nielsen-Bohlman, Allison M. Panzer, David A. Health Literacy: A Prescription to End Confusion. the National Academies Press. 2004, ISBN: 0-309-52926-3, 368 pages, 6 x 9, available from the National Academies Press at: http://www.nap.edu/catalog/10883.html
6. 6. Borzekowski DLG. Considering children and health literacy: a theoretical approach. Pediatrics. 2009; 124:282–8. doi:10.1542/peds.2009-1162D.
7. 7. Irwin L, Siddiqi A, Hertzman C. Early child development: a powerful equalizer. Final report for the World Health Organization’s Commission on social determinants of health. Vancouver: University of British Columbia. 2007
8. 8. Marmot M, Friel S, Bell R, Houweling TAJ, Taylor S. Closing the gap in a generation: Health equity through action on the social determinants of health. Lancet. 2008; 372:1661–9. doi:10.1016/S0140-6736(08)61690-6.

9. 9. Zarcadoolas C, Pleasant A, Greer DS. Understanding health literacy: an expanded model. Health Promot Int.2005; 20:195–203. doi:10.1093/ heapro/dah609.
10. 10. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA, 2014; 311(8):806–14.
11. 11. Darren A. DeWalt and Ashley Hink (2009). Health Literacy and Child Health Outcomes: A Systematic Review of the Literature. Pediatrics.2009;124; S265.
12. 12. Martha Driessnack, Sophia Chung, Elena Perkhounkova, & Maria Hein. Using the ‘‘Newest Vital Sign’’ to Assess Health Literacy in Children. Journal of Pediatric Health Care, 2014; 28. Number 2;165-171
13. 13. Turkish statistical institute 2017 report. www.turkstat.gov.tr
14. 14. Pınar Okyay, Filiz Abacıgil. Türkiye sağlik okuryazarliği ölçekleri güvenilirlik ve geçerlilik çalişmasi. Avrupa sağlik okuryazarliği ölçeği türkçe uyarlamasi (ASOY-TR). MOH, Turkey, 2016.
15. 15. Krebs NF, Himes JH, Jacobson D, Nicklas TA, Guilday P, Styne D. Assessment of child and adolescent overweight and obesity. Pediatrics. 2007; 120 Suppl 4: S193–228 [PubMed]
16. 16. C. Roberts, J. Freeman, O. Samdal, C. Schnohr, M. Looze, S. Nic Gabhainn, and R. Iannotti. The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensions. Int J Public Health. 2009; 54(Suppl 2): 140–150.
17. 17. 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. [PubMed: 21768583]
18. 18. Amalraj S, Starweather C, Nguyen C, Naeim A. Health literacy, communication, and treatment decision-making in older cancer patients. Oncology. 2009; 23(4):369–375. [PubMed: 19476267]
19. 19. Koay K, Schofield P, Jefford M. Importance of health literacy in oncology. Asia Pac J Clin Oncol.2012; 8:14–23. [PubMed: 22369440]
20. 20. Davis TC, Williams MV, Marin E, Parker RM, Glass J. Health literacy and cancer communication. CA Cancer J Clin. 2002; 53(3):134–149. [PubMed: 12018928]
21. 21. Martin LT, Ruder T, Escarce JJ, et al. Developing predictive models of health literacy. J Gen Intern Med. 2009; 24(11):1211–1216. [PubMed: 19760299]
22. 22. Julie Halverson, Ana Martinez-Donate, Amy Trentham-Dietz, Matthew C. Walsh, , Jeanne Schaaf Strickland, Mari Palta et.al. Health Literacy and Urbanicity Among Cancer Patients. J Rural Health. 2013; 29(4): 392–402. doi:10,1111/jrh.12018.
23. 23. Farzaneh Golboni, Haidar Nadrian, Sarisa Najafi, Shayesteh Shirzadi, Hassan Mahmoodi (2017). Urban–rural differences in health literacy and its determinants in Iran: A community‐based study. The Australia Journal of Rural Health, 2017; Volume26, Issue2. https://doi.org/10.1111/ajr.12378
24. 24. Rong H, Cheng X, Garcia JM, Zhang L, Lu L, Fang J, et al. Survey of health literacy level and related influencing factors in military college students in Chongqing, China: A cross-sectional analysis. PLoS ONE, 2017; 12(5): e0177776. https://doi.org/10.1371/journal.pone.0177776
25. 25. Paakkari L, Kokko S, Villberg J, Paakkari O, Tynjälä J. Health literacy and participation in sports club activities among adolescents. Scand J Public Health. 2017 Dec;45(8):854-860. doi: 10.1177/1403494817714189. Epub, Jul 4.
26. 26. Iman Sharif and Arthur E. Blank (2010). Relationship between Child Health Literacy and Body Mass Index in Overweight Children. Patient Educ Couns, 2010; 79(1): 43–48.