Browse > Article

Exploring the Possibility of Using Public Institution's Health Message for Measuring Health Literacy  

Hong, Kyung-Jin (Graduate School of Public Health, Seoul National University)
Ju, Young-Gi (School of Communnication, Hallym University)
Jun, Sang-Il (Korea Institute of Environment and Health)
Yoon, Hye-Jung (Risk Analysis and Research Division, Korea Food and Drug Administration)
You, Myoung-Soon (Graduate School of Public Health, Seoul National University)
Publication Information
Abstract
Objectives: Improving public capability to obtain, understand, and use health information is important for decision-making and communication. This study attempts to measure adults' literacy of the information provided by a public health institution. Factors affecting different health literacy level are also investigated. The relation between public risk perception and health literacy is examined as well. Methods: A total of 800 korean adults were surveyed. To provide the participants health literacy questions, health messages of heavy metals released by KFDA as well as literacy questions developed by NIKL were used. A total of eight questions were developed to measure health literacy. The dimensions of risk perception proposed by Brewer et al.(2008) were modified to measure risk perception. Results: The average percentage of correct answer for all literacy questions was only 65.57%. Individuals at the older age, and with lower education/ income level were more likely to be low literate. In addition, health literacy was strongly associated with risk perception. Conclusions: Public literacy of health information is influenced by socio demographic factors. This study suggested a possibility that low health literacy may affect unrealistically high risk perception. Further studies with sophisticated methodologies to measure health literacy need to be developed.
Keywords
Health literacy; Heavy metal; KFDA; Risk perception;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Berkman, N. D., Davis, T. C., & McCormack, L. (2010). Health literacy: What is it? Journal of Health Communication, 15(S2), 9-19.
2 Brewer, N. T., Chapman, G. B., Gibbons, F. X., Gerrard, M., McCaul, K. D., & Weinstein, N. D. (2007). Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination. Health Psychology, 26(2), 136-145.   DOI
3 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.   DOI
4 John, S. C. (2004). Coverage of breast cancer in the Australian print media-does advertising and editorial coverage reflect correct social marketing messages? Journal of Health Communication, 9(4), 309-325.   DOI   ScienceOn
5 Kim, S. H., & Lee, E. J. (2008). The influence of functional literacy on perceived health status in Korean. Journal of Korean Academy of Nursing, 38(2), 195-203.   DOI
6 Kim, S. S., Kim, S. H., & Lee, S. Y. (2005). Health literacy: development of a Korean health literacy assessment tool. Journal of Korean Society for Health Education and Promotion, 22(4), 215-227.
7 Korea Food & Drug Administration. (2010). A study on the heavy metal of crustacean. Retrieved from http://www.kfda.go.kr/index.kfda?mid=56&seq=13224&cmd=v
8 Korea Food & Drug Administration. (2010). A study on the heavy metal of paper box. Retrieved from http://www.kfda.go.kr/index.kfda?mid=56&seq=12612&cmd=v
9 Korea Food & Drug Administration. (2011). The reenactment of cadmium contents standard. Retrieved from http://www.kfda.go.kr/index.kfda?mid=56&seq=15739&cmd=v
10 Lee, S. A., & Park, M. H., (2010). A study on health literacy, medication knowledge, and medication misuse of rural elderly. Journal of the Korean Gerontological Society, 30(2), 485-497.
11 Lee, T. H., & Kang, S. J., (2008). Health literacy in the Korean elderly and influencing factors. Journal of the Korean Gerontological Society, 28(4), 847-863.
12 McCormack, L., Bann, C., Squiers, L., Berkman, N. D., Squire, C., Schillinger, D., . . . Hibbard, J. (2010). Measuring health literacy: a pilot study of a new skills-based instrument. Journal of Health Communication, 15(S2), 51-71.   DOI
13 The National Institute of the Korean Language. (2008). Literacy of Korean adults. Seoul, Korea: Author.
14 Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267.   DOI   ScienceOn
15 Orbell, S., Crombie, I., & Johnston, G. (1996). Social cognition and social structure in the prediction of cervical screening uptake. British Journal of Health Psychology, 1(1), 35-50.   DOI
16 Park, J. E., & Son, M. S. (2001). Public health and medical journalism. Seoul, Korea: Korea Press Foundation.
17 Peters, E. M., Burraston, B., & Mertz, C. (2004). An emotion based model of risk perception and stigma susceptibility: cognitive appraisals of emotion, affective reactivity, worldviews, and risk perceptions in the generation of technological stigma. Risk Analysis, 24(5), 1349-1367.   DOI   ScienceOn
18 Rundmo, T. (2002). Associations between affect and risk perception. Journal of Risk Research, 5(2), 119-135.   DOI   ScienceOn
19 Schapira, M. M., Davids, S. L., McAuliffe, T. L., & Nattinger, A. B. (2004). Agreement between scales in the measurement of breast cancer risk perceptions. Risk Analysis, 24(3), 665-673.   DOI   ScienceOn
20 Schillinger, D., Grumbach, K., Piette, J., Wang, F., Osmond, D., Daher, C., . . . Bindman, A. B. (2002). Association of health literacy with diabetes outcomes. JAMA: the Journal of the American Medical Association, 288(4), 475-482.   DOI   ScienceOn
21 Sharif, I., & Blank, A. E. (2010). Relationship between child health literacy and body mass index in overweight children. Patient Education and Counseling, 79(1), 43-48.   DOI   ScienceOn
22 Talosig-Garcia, M., & Davis, S. W. (2005). Information-seeking behavior of minority breast cancer patients: An exploratory study. Journal of Health Communication, 10, 53-64.   DOI   ScienceOn
23 Wolf, M. S., Feinglass, J., Thompson, J., & Baker, D. W. (2010). In search of 'low health literacy': Threshold vs. gradient effect of literacy on health status and mortality. Social Science & Medicine, 70(9), 1335-1341.   DOI   ScienceOn
24 Yin, H. S., Mendelsohn, A. L., Wolf, M. S., Parker, R. M., Fierman, A., van Schaick, L., . . . Dreyer, B. P. (2010). Parents' medication administration errors: role of dosing instruments and health literacy. Archives of Pediatrics and Adolescent Medicine, 164(2), 181.   DOI   ScienceOn
25 Zarcadoolas, C., Pleasant, A. F., & Greer, D. S. (2006). Advancing health literacy: A framework for understanding and action (Vol. 17): Jossey-Bass Inc Pub.