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한국판 건강문해력 측정도구(HLS-EU-Q47) 개발 및 노인 대상 적용

Development of Korean Version of European Health Literacy Survey (HLS-EU-Q47) and Applied to the Elderly

  • 한희원 (원광대학교 교육학과) ;
  • 박성지 (원광대학교 중등특수교육과) ;
  • 강지숙 (원광대학교 간호학과) ;
  • 문경숙 (원광대학교 교육학과) ;
  • 김지희 (원광대학교 의과대학병원 재활의학과) ;
  • 황종남 (원광대학교 복지보건학부) ;
  • 오종묵 (원광대학교 건강정보소통연구소) ;
  • 우희순 (원광대학교 작업치료학과/환경과학연구소)
  • Han, Hee-Won (Dept. of Education, Wonkwang University) ;
  • Park, Sung-Ji (Dept. of Secondary Special Education, Wonkwang University) ;
  • Kang, Ji Sook (Dept. of Nursing, Wonkwang University) ;
  • Moon, Kyoung-Suk (Dept. of Education, Wonkwang University) ;
  • Kim, JI HEE (Dept. of Physical Medicine and Rehabilitation, Wonkwang University Hospital) ;
  • Hwang, Jongnam (Div. of Social Welfare & Health Administration Wonkwang University) ;
  • Oh, Jongmuk (Inst. for Health Information Communication, Wonkwang University) ;
  • Woo, Hee-Soon (Dept. of Occupational Therapy, Wonkwang University)
  • 투고 : 2021.03.05
  • 심사 : 2021.04.27
  • 발행 : 2021.11.30

초록

목적 : 건강정보에 대한 이해·적용·판단·접근에 기반한 건강문해력의 개념을 다루고 있는 HLS-EU-Q47의 한국판을 개발하고, 노인들을 대상으로 본 도구를 적용하여 국내 노인들의 포괄적인 건강문해력 수준을 확인하는데 목적이 있다. 연구방법 : HLS-EU-Q47의 번안 과정을 거쳐 전문가를 대상으로 내용타당도 검증을 통해 문항을 확정하였다. 이렇게 완성된 Korean-HLS-EU-Q47(K-HLS-EU-Q47)을 지역사회 노인 254명을 대상으로 내적일치도 및 신뢰도 분석과 일반적 변인에 따른 비교 분석을 실시하였다. 결과 : 노인들을 대상으로한 본 도구의 내적일치도는 Cronbach's 𝛼 .81~.91로 높은 수준의 신뢰도를 보였다. 일반적 특성에 따른 비교 성별과 연령에 따른 건강문해력의 차이를 보였는데, 남성이 여성에 비해 건강문해력이 높았으며 연령이 높아질수록 건강문해력의 저하를 보이는 것으로 나타났다. 결론 : 본 연구를 통하여 국내 노인의 포괄적인 건강문해력 수준을 확인하는데 사용할 수 있는 K-HLS-EU-Q47을 소개하였으며, 본 연구 결과를 통한 노인들의 건강문해력 수준의 이해를 통하여 노인들이 보다 건강한 삶을 유지할 수 있는 방법들의 모색이 활성화되기를 기대하는 바이다.

Objective : This study aimed to develop a Korean version of the HLS-EU-Q47 that deals with the concept of health literacy based on the understanding, apply/use, process/appraisal, and access/obtain to health information. The purpose of this study is to confirm the level of comprehensive health literacy of the elderly in Korea using this tool. Methods : After going through the Korean interpretation process of HLS-EU-Q47, the items were confirmed through content validity verification by experts. The completed Korean-HLS-EU-Q47 (K-HLS-EU-Q47) was applied to 254 elderly people in the local community to analyze the degree of internal consistency and reliability. Furthermore, a comparative analysis based on the general variables was conducted. Results : The internal consistency of this tool for the elderly yielded Cronbach's 𝛼 of .81~.91, indicating a high level of reliability. There was a difference in health literacy according to sex and age based on general characteristics. Men had higher health literacy than women, and with increasing age, health literacy decreased. Conclusion : In this study, the K-HLS-EU-Q47 was developed to assess the comprehensive health literacy level of the elderly in Korea. It is expected that the search for ways to maintain a healthier life for the elderly through understanding the health literacy levels of the elderly using the results of this study will become more active.

키워드

과제정보

본 연구는 2019년 대한민국 교육부와 한국연구재단의 지원을 받아 수행된 연구임(NRF-2019S1A5A2A03035246).

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