Investigation of health literacy by gender in individuals receiving physiotherapy and rehabilitation services

Yıl 2022, , 205 - 213, 19.12.2022

Ayşenur Gökşen , Zafer Erden , Gizem İrem Kınıklı

https://doi.org/10.15437/jetr.989563

Öz

Purpose: Health literacy is important for the science of physiotherapy, which includes treatment methods based on understanding and practice. To increase the health literacy level of patients, individual characteristics should be considered. The aim of this study is to investigate the health literacy level of individuals who received physiotherapy and rehabilitation services and identify the role of gender on the health literacy level.
Methods: The health literacy levels of patients who received physiotherapy and rehabilitation services due to an orthopedic injury or musculoskeletal problem were examined. Health literacy was evaluated with the Turkey Health Literacy Questionnaire (THLQ). Age, body mass index, disease duration, number of physiotherapy sessions, physiotherapy history and education level were questioned. Whether the data obtained differed according to gender was analysed with appropriate statistical methods.
Results: Average health literacy overall score found as 34.02±8.56. The mean health literacy score of females was found to be significantly better than that of males (p<0.01). No difference was found between genders in terms of excellent health literacy status (p=0.008).
Conclusion: The health literacy level of patients who received physiotherapy and rehabilitation services was found to be sufficient. The health literacy level of females was found to be higher than males. Since our study reveals the health literacy level of patients receiving physiotherapy, it is also expected to contribute to future studies on public health.
with the Turkey Health Literacy Questionnaire (THLQ). Age, body mass index, disease duration,
number of physiotherapy sessions, physiotherapy history and education level were questioned.
Whether the data obtained differed according to gender was analysed with appropriate statistical
methods.
Results: Average health literacy overall score found as 34.02±8.56. The mean health literacy score of
females was found to be significantly better than that of males (p<0.01). No difference was found
between genders in terms of excellent health literacy status (p=0.008).
Conclusion: The health literacy level of patients who received physiotherapy and rehabilitation
services was found to be sufficient. The health literacy level of females was found to be higher than
males. Since our study reveals the health literacy level of patients receiving physiotherapy, it is also
expected to contribute to future studies on public health.

Anahtar Kelimeler

Health Literacy, Physiotherapy, Public Health

Fizyoterapi ve rehabilitasyon hizmeti alan bireylerde sağlık okur yazarlığının cinsiyete göre incelenmesi

Öz

Amaç: Sağlık okuryazarlığı, anlama ve uygulamaya dayalı tedavi yöntemleri içeren fizyoterapi bilimi için önemli bir konudur. Hastaların sağlık okur yazarlığı seviyelerini artırmak için bireysel özelliklerin dikkate alınması gerekmektedir. Bu çalışmanın amacı, fizyoterapi ve rehabilitasyon hizmeti alan bireylerin sağlık okuryazarlık düzeylerini ve cinsiyetin sağlık okuryazarlığı üzerindeki rolünü araştırmaktır.
Yöntem: Ortopedik bir yaralanma veya kas iskelet sistemi problemi sebebi ile fizyoterapi ve rehabilitasyon hizmeti almış olan hastaların sağlık okur yazarlığı düzeyleri incelendi. Bireylerin, Sağlık okuryazarlığı Türkiye Sağlık Okuryazarlığı Anketi (SOYA) ile değerlendirildi. Yaş, vücut kitle indeksi, hastalık süresi, fizyoterapi seans sayısı ve fizyoterapi geçmişi sorgulandı. Elde edilen verilerin cinsiyete göre farklılık gösterip göstermediği uygun istatistiksel yöntemlerle analiz edildi.
Bulgular: Bireylerin sağlık okuryazarlığı ortalama puanı 34,02±8,56 olarak bulundu. Kadınların sağlık okuryazarlığının erkeklerden anlamlı olarak daha iyi olduğu bulundu (p<0,01). Mükemmel sağlık okuryazarlığı durumu açısından ise cinsiyetler arasında bir fark olmadığı bulundu (p=0,008).
Sonuç: Fizyoterapi ve rehabilitasyon hizmeti alan hastaların sağlık okuryazarlığı düzeyinin yeterli olduğu bulundu. Kadınların sağlık okuryazarlığı düzeyinin erkeklere göre daha fazla olduğu bulundu. Bu çalışma fizyoterapi ve rehabilitasyon hizmeti alan hastaların sağlık okuryazarlık düzeyini ortaya koyarken, halk sağlığı ile ilgili gelecek çalışmalara da katkı sağlayacaktır.

Anahtar Kelimeler

Sağlık okur-yazarlığı, fizyoterapi, halk sağlığı

Kaynakça

• 1. Andrus MR, Roth MT. Health literacy: a review. Pharmacotherapy. 2002;22:282-302.
• 2. Tözün M, Sözmen MK. Halk sağlığı bakışı ile sağlık okuryazarlığı. Smyrna Tıp Derg. 2015;2:48-54.
• 3. Tanrıöver MD, Yıldırım HH, Ready FND, et al. Türkiye sağlık okuryazarlığı araştırması. Ankara: Sağlık-Sen Yayınları; 2014.
• 3. Tanrıöver MD, Yıldırım HH, Ready FND, et al. Türkiye sağlık okuryazarlığı araştırması. Ankara: Sağlık-Sen Yayınları; 2014.
• 4. Clouston SA, Manganello JA, Richards M. A life course approach to health literacy: the role of gender, educational attainment and lifetime cognitive capability. Age Ageing. 2017;46:493-9.
• 5. Lee HY, Lee J, Kim NK. Gender differences in health literacy among Korean adults: do women have a higher level of health literacy than men? American Journal of Men's Health. 2015;9:370-9.
• 6. Dehghankar L, Panahi R, Kekefallah L, et al. The study of health literacy and its related factors among female students at high schools in Qazvin. J Health Lit. 2019;4:18-26.
• 7. Corrarino JE. Health literacy and women's health: challenges and opportunities. J Midwifery Women's Health. 2013;58:257-64.
• 8. Sørensen K, Van den Broucke S, Pelikan JM, et al. Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health. 2013;13:1-10.
• 9. Aras Z, Temel Bayık A. Sağlık Okuryazarlığı Ölçeği'nin Türkçe formunun geçerlik ve güvenirliğinin değerlendirilmesi. Florence Nightingale J Nurs. 2017;25:85-94.
• 10. Levasseur M, Carrier A. Do rehabilitation professionals need to consider their clients’ health literacy for effective practice? Clin Rehabil. 2010;24:756-65.
• 11. Aytar A, Tuzun EH, Eker L. Prevalence and related factors of limited health literacy in patients with chronic musculoskeletal diseases. Turk J Phys Med Rehab. 2017;28:54-8.
• 12. Ozdemir H, Alper Z, Uncu Y, et al. Health literacy among adults: a study from Turkey. Health Educ Res. 2010;25:464-77.
• 13. İkiışık H, Turan G, Kutay F, et al. Üçüncü basamak sağlık kuruluşuna başvuran hastaların sağlık okuryazarlığı düzeyinin incelenmesi. J Ankara Univ Fac Med. 2020;73:247-252.
• 14. Magasi S, Durkin E, Wolf MS, et al. Rehabilitation consumers' use and understanding of quality information: a health literacy perspective. Arch Phys Med Rehabil. 2009;90:206-12.
• 15. Temel AB, Çimen Z. Kronik Hastalığı Olan Yaşlı Bireylerde Sağlık Okuryazarlığı, Sağlık Algısı Ve İlişkili Faktörler. Ege Üniv Hemşire Fak Derg. 2017;33:105-25.
• 16. Güven A. Sağlık okuryazarlığını etkileyen faktörler ve sağlık okuryazarlığı ile hasta güvenliği ilişkisi [Yüksek Lisans Tezi]. Ankara: Hacettepe Üniversitesi; 2017.
• 17. Mantwill S, Monestel-Umaña S, Schulz PJ. The relationship between health literacy and health disparities: a systematic review. PLoS One. 2015;10:e0145455.
• 18. Gazmararian JA, Williams MV, Peel J, et al. Health literacy and knowledge of chronic disease. Patient Educ Couns. 2003;51:267-75.
• 19. Williams MV, Baker DW, Parker RM, et al. Relationship of functional health literacy to patients' knowledge of their chronic disease: a study of patients with hypertension and diabetes. Arch Intern Med. 1998;158:166-72.
• 20. Uğurlu Z, Akgün HS. Sağlık kurumlarına başvuran hastaların sağlık okuryazarlığının ve kullanılan eğitim materyallerinin sağlık okuryazarlığına uygunluğunun değerlendirilmesi. Mersin Univ Saglık Bilim Derg. 2011;12:96-106.
• 21. Taggart J, Williams A, Dennis S, et al. A systematic review of interventions in primary care to improve health literacy for chronic disease behavioral risk factors. BMC Fam Pract. 2012;13:1-12.
• 22. Jacobs RJ, Lou JQ, Ownby RL, et al. A systematic review of eHealth interventions to improve health literacy. Health Informatics J. 2016;22:81-98.
• 23. Van Der Heide I, Wang J, Droomers M, et al. The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey. J Health Commun. 2013;18:172-84.
• 24. Furnham A, Annis J, Cleridou K. Gender differences in the mental health literacy of young people. Int J Adolesc Med Health. 2014;26:283-92.
• 25. SaeediKoupai M, Motaghi M. Comparing health literacy in high school female students and their mothers regarding women health. J Health Lit. 2017;1:220-9.
• 26. Punt IM, Armand S, Ziltener J-L, et al. Effect of Wii Fit™ exercise therapy on gait parameters in ankle sprain patients: A randomized controlled trial. Gait Posture. 2017;58:52-8.
• 27. Knoeppel DE. Alternative Cybex exercise positions. J Orthop Sports Phys Ther. 1985;7:73-6.
• 28. Kim H-G, Nam H-K. The effect of thera band exercise on muscle flexibility, balance ability, muscle strength in elderly women. J Korean Acad Community Health Nurs. 2011;22:451-7.
• 29. Kountz DS. Strategies for improving low health literacy. Postgrad Med. 2009;121:171-7.
• 30. Batterham RW, Hawkins M, Collins P, et al. Health literacy: applying current concepts to improve health services and reduce health inequalities. Public Health. 2016;132:3-12.