Health Literacy Level: Akyazı Example

Öz

Aim: Within the scope of this research, it was aimed to determine the health literacy levels of individuals residing in Sakarya/Akyazı and in terms of which socio-demographic characteristics of individuals differ. Methods: 428 participants were reached using the convenience sampling method. However, due to missing data, data from 400 participants were included in the analyses. The Turkey Health Literacy Scale (T-SOY) developed by Okyay et al., (2016) was used to determine the health literacy level of the individuals. The questionnaire prepared by Teleş (2018) was used to determine the socio-demographic characteristics of the patients. Results: 60% of the participants are male, 70% are married, 35.8% are 30 years old and under, 48.5% are associate degree graduates, and 68% are full-time employees. Health literacy levels are higher in women, individuals without chronic diseases, non-smokers, individuals aged 30 and under, individuals with postgraduate education, individuals with an income of 10501 TL or more, and individuals with public insurance, compared to the opposite groups Conclusion: Cultural change over time can be tracked through health literacy assessments. Particularly stakeholders in the health-education-politics-media quadrant can accelerate efforts to increase the level of health literacy by assuming more active roles.

Anahtar Kelimeler

• health
• health literacy
• socio-demographic chareacteristics

Kaynakça

1. Aygun, O., & Cerim, S. (2021). The relationship between general health behaviors and general health literacy levels in the Turkish population. Health Promotion International, 36(5), 1275-1289.
2. Azlan, A. A., Hamzah, M. R., Tham, J. S., Ayub, S. H., Ahmad, A. L., & Mohamad, E. (2021). Associations between health literacy and sociodemographic factors: A cross-sectional study in Malaysia utilising the HLS-M-Q18. International Journal of Environmental Research and Public Health, 18(9), 4860.
3. Bakan, A. B., & Yıldız, M. (2019). 21-64 yaş grubundaki bireylerin sağlık okuryazarlık düzeylerinin belirlenmesine ilişkin bir çalışma. Sağlık ve Toplum, 29(3), 33-40. Baker, D. W., Gazmararian, J. A., Williams, M. V., Scott, T., Parker, R. M., Green, D., ... & Peel,
4. J. (2002). Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. American Journal of Public Health, 92(8), 1278-1283.
5. Bánfai-Csonka, H., Bánfai, B., Jeges, S., Gyebnár, B., & Betlehem, J. (2020). Health literacy among participants from neighbourhoods with different socio-economic statuses in the southern region of Hungary: a pilot study. BMC Public Health, 20(1), 1-8.
6. Barber, M. N., Staples, M., Osborne, R. H., Clerehan, R., Elder, C., & Buchbinder, R. (2009). Up to a quarter of the Australian population may have suboptimal health literacy depending upon the measurement tool: results from a population-based survey. Health Promotion International, 24(3), 252-261.
7. Beauchamp, A., Buchbinder, R., Dodson, S., Batterham, R. W., Elsworth, G. R., McPhee, C., ... & Osborne, R. H. (2015). Distribution of health literacy strengths and weaknesses across socio-demographic groups: a cross-sectional survey using the Health Literacy Questionnaire (HLQ). BMC Public Health, 15(1), 1-13.
8. Beauchamp, A., Sheppard, R., Wise, F., & Jackson, A. (2020). Health literacy of patients attending cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation And Prevention, 40(4), 249-254.

9. Brewer, N. T., Tzeng, J. P., Lillie, S. E., Edwards, A. S., Peppercorn, J. M., & Rimer, B. K. (2009). Health literacy and cancer risk perception: implications for genomic risk communication. Medical Decision Making, 29(2), 157-166.
10. Colbert, A. M., Sereika, S. M., & Erlen, J. A. (2013). Functional health literacy, medication‐taking self‐efficacy and adherence to antiretroviral therapy. Journal of Advanced Nursing, 69(2), 295-304.
11. Çelikyürek, N. A., Acımış, N. M., & Özcan, B. (2020). Bir üniversite hastanesi dahiliye polikliniğine başvuranlarda sağlık okuryazarlığı düzeyi ve ilişkili etmenler. Pamukkale Medical Journal, 13(2), 258-266.
12. Dişsiz, G., & Yılmaz, M. (2016). Complementary and alternative therapies and health literacy in cancer patients. Complementary Therapies in Clinical Practice, 23, 34-39.
13. Doyle, G., Cafferkey, K., & Fullam, J. (2012). The European health literacy survey: results from Ireland. UCD: HLS EU, 8, 30.
14. Garcia-Codina, O., Juvinyà-Canal, D., Amil-Bujan, P., Bertran-Noguer, C., González-Mestre, M. A., Masachs-Fatjo, E., ... & Saltó-Cerezuela, E. (2019). Determinants of health literacy in the general population: results of the Catalan health survey. BMC Public Health, 19, 1-12.
15. González-Chica, D. A., Mnisi, Z., Avery, J., Duszynski, K., Doust, J., Tideman, P., ... & Stocks, N. (2016). Effect of health literacy on quality of life amongst patients with ischaemic heart disease in Australian general practice. PloS One, 11(3), e0151079.
16. Hasnain-Wynia, R., & Wolf, M. S. (2010). Promoting health care equity: is health literacy a missing link?. Health Services Research, 45(4), 897.
17. Hersh, L., Salzman, B., & Snyderman, D. (2015). Health literacy in primary care practice. American Family Physician, 92(2), 118-124. Jayasinghe, U. W., Harris, M. F., Parker, S. M., Litt, J., Van Driel, M., Mazza, D., ... & Preventive
18. Evidence into Practice (PEP) Partnership Group. (2016). The impact of health literacy and life style risk factors on health-related quality of life of Australian patients. Health and Quality of Life Outcomes, 14, 1-13.
19. Koskan, A., Friedman, D. B., & Hilfinger Messias, D. K. (2010). Health literacy among hispanics: A systematic research review (1992-2008). Hispanic Health Care International, 8(2), 65 76.
20. Kutner, M., Greenburg, E., Jin, Y., & Paulsen, C. (2006). The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. NCES 2006-483. National Center for Education Statistics.
21. Lee, S. Y. D., Tsai, T. I., & Tsai, Y. W. (2013). Accuracy in self-reported health literacy screening: a difference between men and women in Taiwan. BMJ Open, 3(11), e002928.
22. Levin-Zamir, D., Baron-Epel, O. B., Cohen, V., & Elhayany, A. (2016). The association of health literacy with health behavior, socioeconomic indicators, and self-assessed health from a national adult survey in Israel. Journal of Health Communication, 21(sup2), 61-68.
23. Liu, Y. B., Liu, L., Li, Y. F., & Chen, Y. L. (2015). Relationship between health literacy, health related behaviors and health status: A survey of elderly Chinese. International Journal of Environmental Research and Public Health, 12(8), 9714-9725.
24. Nguyen, H. T., Kirk, J. K., Arcury, T. A., Ip, E. H., Grzywacz, J. G., Saldana, S. J., ... & Quandt, S. A. (2013). Cognitive function is a risk for health literacy in older adults with diabetes. Diabetes Research and Clinical Practice, 101(2), 141-147.
25. Okyay, P., Abacıgil, F., & Harlak, H. (2016). Türkiye sağlık okuryazarlığı ölçeği-32 (TSOY 32). Türkiye Sağlik Okuryazarliği Ölçekleri Güvenilirlik ve Geçerlilik Çalişmasi, Sağlık Bakanlığı. 43-62.
26. Özdemir, S., & Akça, H. (2021). Türkiye’de sağlık okuryazarlığı. SDÜ Tıp Fakültesi Dergisi, 28(3), 535-536.
27. Özkan, S., Aksakal, F.N., Çalışkan, D., Dikmen, A.U., Tüzün, H., Taşçı, Ö. (2018). Türkiye sağlık okuryazarlığı düzeyi ve ilişkili faktörlerin araştırılması. Sağlık Bakanlığı Sağlığın Geliştirilmesi Genel Müdürlüğü. Ankara.
28. Paasche-Orlow, M. K., & Wolf, M. S. (2007). The causal pathways linking health literacy to health outcomes. American Journal of Health Behavior, 31(1), S19-S26.
29. Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., ... & (HLS-EU) Consortium Health Literacy Project European. (2012). Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health, 12, 1-13.
30. Sørensen, K., Pelikan, J. M., Röthlin, F., Ganahl, K., Slonska, Z., Doyle, G., ... & Brand, H. (2015). Health literacy in Europe: comparative results of the European health literacy survey (HLS EU). The European Journal of Public Health, 25(6), 1053-1058.
31. Sykes, S., Wills, J., Rowlands, G., & Popple, K. (2013). Understanding critical health literacy: a concept analysis. BMC Public Health, 13(1), 1-10.
32. Tanrıöver, M. D., Yıldırım, H.H., Ready F.N., Çakır, B. & Akalın, H. E. (2014). Türkiye Sağlık Okuryazarlığı Araştırması. Sağlık-Sen Yayınları, Ankara. 37-52.
33. Teleş, M. (2018). Sağlık okuryazarlığının belirleyicileri ve hasta sonuçlarına etkisi: Kardiyoloji polikliniğine başvuran hastalar üzerinde bir araştırma. [Yayınlanmış Doktora Tezi]. Hacettepe Üniversitesi, Sosyal Bilimler Enstitüsü, Sağlık Yönetimi Anabilim Dalı. Ankara.
34. Temel, A. B., & Çimen, Z. (2015). Kronik hastalığı olan yaşlı bireylerde sağlık okuryazarlığı, sağlık algısı ve ilişkili faktörler. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 33(3), 105 125.
35. Tokuda, Y., Doba, N., Butler, J. P., & Paasche-Orlow, M. K. (2009). Health literacy and physical and psychological wellbeing in Japanese adults. Patient Education and Counseling, 75(3), 411-417.
36. U.S. Department of Health & Human Services. (2006). Surgeon General’s Workshop on Improving Health Literacy. Retrieved, 27 October 2023, chrome extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.ncbi.nlm.nih.gov/books/NB K44257/pdf/Bookshelf_NBK44257.pdf