• 보건교육건강증진학회지
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• 제29권3호
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• pp.75-89
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• 2012

Objectives: This study was performed to identify the level of health literacy and to investigate the relationship between the health literacy and preventive health care use in middle-aged adults in Korea. Methods: A total of 315 adults aged 40 to 64 years living in Seoul participated in the study. Data were collected from December 15-24, 2010 from outpatient hospitals, clinics, workplaces and other locations in the community. Health literacy was measured using the Functional Health Literacy and Self-rated Health Literacy Questionnaires. Preventive health service use was defined as receiving screening (general health checkups, gastric and colorectal cancer, mammogram, and pap smear) and influenza vaccination. Descriptive analysis, t-test, and ANOVA were used. Results: The mean of functional health literacy was 3.87 (score range 0-6) and the self-rated health literacy was 60.08 (score range 16-80). The most difficult items of the self-rated questionnaires were patient educational materials provided by health care providers and medical forms. The most difficult items of functional health literacy were information-based, including nutritional facts and clinical schedules. Association between health literacy and preventive health service use was not found. Conclusions: Further study is necessary with larger samples and with considerations for their education level, age, and preventive health care use.

• 대한간호학회지
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• 제38권2호
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• pp.195-203
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• 2008

Purpose: The purpose of this study was to understand the level of functional health literacy and its influence on perceived health status in Korean older adults. Methods: A cross-sectional survey was conducted in Daegu, Kyungpook and Susan province. A total of 103 older adults aged 65 yr or older were interviewed in person between July 1 to August 30, 2007. Results: A high proportion of older adults were unable to read and understand written basic medical instructions. Only 40-50% were able to comprehend directions for taking medication four times a day or on an empty stomach. Only 11-38% were able to understand information regarding treatment procedure, informed consent, or educational material for elderly fall prevention. Individuals who were older, single, and had less education and income were more likely to have lower functional health literacy. After adjusting for sociodemographic variables, individuals with lower health literacy had poorly perceived health status. Conclusion: Many Korean older adults have a very low level of fuctional literacy. Low health literacy was independently associated with poorly perceived health status.

• 융합정보논문지
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• 제12권1호
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• pp.45-54
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• 2022

본 연구는 대학생의 건강행위에 영향을 미치는 요인을 규명하기 위해 시도되었으며, 횡단적 서술적 조사 연구 방법으로 2020년 5월부터 6월까지 161명의 참여자를 대상으로 수행되었다. 건강정보이해능력, 건강관리 자기효능감 및 흡연, 음주, 식습관, 신체활동, 비만도의 건강행위 자료를 수집하였다. 대학생의 건강정보이해능력과 건강관리 자기효능감은 각각 평균 10.14±1.39점, 3.96±0.60점이었고, 대상자의 9.9%가 흡연자, 23.0%가 문제음주자, 96.9%가 식습관의 모니터링을 요하는 자, 63.4%가 신체활동이 낮거나 중간 정도인 자, 29.8%가 과체중 또는 비만인 자였다. 성별은 흡연에, 건강정보이해능력은 식습관에, 그리고 성별과 건강관리 자기효능감은 신체활동에 유의한 요인으로 나타났다. 성별과 건강정보이해능력, 건강관리 자기효능감을 고려하여 대학생의 건강행위를 증진시킬 수 있는 방안이 모색되어야 하겠다.

• Child Health Nursing Research
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• 제20권4호
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• pp.322-331
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• 2014

목적 본 연구는 초등학교 고학년의 건강정보문해력 정도를 파악하고 건강정보문해력에 영향을 미치는 일반적 특성을 파악하기 위해 수행되었다. 방법 대상자는 G도 시, 군지역 9개 초등학교 5, 6학년으로 331명을 대상으로 하였다. 자료수집은 2013년 7월 15일부터 8월 15일까지 실시되었으며 자료분석은 PASW (SPSS ver.20.0) 프로그램을 이용하여 분석하였다. 결과 언어적 건강정보문해력의 평균점수는 42점 만점에 $24.02{\pm}7.16$점으로 정답률은 57.2%이며, 학년과 학교성적이 언어적 건강정보문해력에 유의한 영향을 미치는 변수로 나타났다. 기능적 건강정보문해력 중 수리영역의 평균점수는 6점 만점에 $4.73{\pm}1.49$점으로 정답률 78.8%이며, 학년과 학교성적이 유의한 영향을 미치는 변수로 나타났다. 기능적 건강정보문해력 중 독해영역의 평균점수는 6점 만점에 $4.54{\pm}1.34$점으로 정답률은 75.7%로성별과 학교성적이 유의한 영향을 미치는 변수로 나타났다. 결론 초등학교 고학년의 언어적 건강정보문해력은 매우 낮은 수준이며, 기능적 건강정보문해력은 건강과 관련된 내용을 판단하기에 충분하지 않은 수준임을 알 수 있었다. 건강정보문해력은 특히, 학교성적에 따라 차이를 보여, 학교성적이 낮은 학생을 대상으로 한 건강정보문해력을 높이기 위한 전략이 필요하다. 또한 성인을 대상으로 한 선행 연구에서 대상자에 따른 다른 다양한 요인이 건강정보문해력에 영향을 미치는 것을 고려해 볼 때 초등학생의 건강정보문해력에 영향을 미치는 다양한 요인에 대한 연구가 필요하다.

• Journal of the Korean Data and Information Science Society
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• 제26권6호
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• pp.1427-1438
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• 2015

본 연구는 우리나라 중년 여성의 기능적 의료정보 이해능력과 건강증진행위의 관련성을 파악하고자 시행되었다. 연구대상은 K도와 D광역시 1개에 거주하는 40~64세의 중년 여성으로 편의추출 방식으로 수집하였다. 연구결과 중년 여성의 기능적 의료정보 이해능력은 13점 만점에 $4.75{\pm}2.98$점, 건강증진행위는 5점 만점에 $2.30{\pm}0.55$점으로 낮게 나타났다. 기능적 의료정보 이해능력과 건강증진행위는 양의 상관관계가 있다고 나타났으며, 기능적 의료정보 이해능력은 연령, 교육수준 등의 인구사회학적 요인을 통제한 상태에서 중년 여성의 건강증진행위에 유의한 영향을 주는 것으로 확인되었다. 이는 의료정보 이해능력이 향상될수록 건강증진행위를 증가시킬 수 있다는 결과이다. 따라서 중년 여성을 위한 맞춤식 교육프로그램 및 의료정보 이해능력을 효과적으로 향상시킬 수 있는 전략을 개발하고 그 효과를 검증하는 연구가 지속되어야 할 것을 제안하는 바이다.

• 성인간호학회지
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• 제27권3호
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• pp.251-261
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• 2015

Purpose: The aim of this study was to identify the levels of and the related factors to health literacy and health behavior compliance in patients with coronary artery disease. Methods: A cross-sectional survey was conducted with a convenience sample of 121 hospitalized patients with coronary artery disease. The structured questionnaires were used to measure the levels of health literacy and health behavior compliance. Results: The average linguistic health literacy score was $32.23{\pm}21.46$, the functional health literacy score was $6.51{\pm}5.08$, and the health behavior compliance score was $61.66{\pm}15.53$. The levels of education (${\beta}$=.35), income (${\beta}$=.27), and perceived health status (${\beta}$=.21) were found significant, explaining 41.8% of the variance in linguistic health literacy. The levels of education (${\beta}$=.23), income (${\beta}$=.27), age (${\beta}$=-.24), and family support (${\beta}$=.22) were found to be significant, explaining 50.9% of the variance in functional health literacy. The levels of education (${\beta}$=.27), family support (${\beta}$=.20), and linguistic health literacy (${\beta}$=.40) were found to be the significant factors, which explained 45.1% of the variance in health behavior compliance. Linguistic health literacy specifically explained 9.5% of health behavior compliance. Conclusion: Health literacy was associated with health behavior compliance, influencing the factors of health behavior compliance. These findings suggest that the interventions for improving health literacy are necessary to enhance health behavior compliance in patients with coronary artery disease.

• 한국학교보건학회지
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• 제36권3호
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• pp.71-81
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• 2023

Purpose: This study aimed to investigate the trends in domestic research related to health literacy in children and adolescents. Methods: Six journal articles and four dissertations or theses related to health literacy in children and adolescents were analyzed according to the following criteria: study aim, research design, study population and sample size, sampling method, health literacy variables, and characteristics of health literacy measurement instruments. Result: The majority of studies focused on general children and adolescents. Correlational studies were most prevalent, while no experimental study was identified at all. The variable most frequently explored in relation to health literacy was health promoting behaviors. Functional health literacy instruments, assessing numeracy and reading comprehension, were most commonly used to evaluate child and adolescent health literacy. Conclusion: Considering the emphasis on health literacy improvement in order to achieve health equity across the entire life cycle, there is a need for both quantitative and qualitative growth in domestic health literacy studies for children and adolescents. School-based interventions are essential for enhancing health literacy. Furthermore, it is also necessary to develop an instrument to measure health literacy of children and adolescents that can be utilized and monitored at the national level.

• 성인간호학회지
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• 제29권3호
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• pp.256-265
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• 2017

Purpose: The aim of this study was to identify levels of health literacy and reported health behaviors among older adults with cardio-cerebrovascular disease residing in rural areas. Methods: A cross-sectional survey was conducted with a convenience sample of 134 older people (mean age=75.5 years, 71.6% Female) registered at seven health centers. The structured questionnaires were used to measure levels of health literacy and health behaviors. Results: The average functional health literacy score was $6.08{\pm}3.04$, and the health behavior score was $62.92{\pm}6.45$. Respectively health behavior was positively associated with health literacy. Education, economic status, number of family members, number of social activities and health literacy were contribution factors explaining 40.64% of the variance in health behavior. Health literacy specifically explained 12.5% of health behavior. Conclusion: These findings suggest that strategies for improving health behaviors and reducing health inequalities may benefit from adopting a stronger focus on health literacy within prevention, patient education, and other public health interventions. Further longitudinal studies are needed to help confirm that improving health literacy in the elderly may be effective in changing health behaviors.

• 지역사회간호학회지
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• 제30권4호
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• pp.494-507
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• 2019

Purpose: The purpose of this study is to provide a clear definition of the health literacy for patients with cardiovascular disease by analyzing the dimensions and properties using Hybrid concept analysis. Methods: The concept of health literacy of patients with cardiovascular disease was analyzed according to the cyclic process of theoretical phase-field work phase-final analysis phase presented in the Hybrid model. We reviewed 26 literatures and conducted in-depth interviews with 13 patients with cardiovascular disease. Results: The concept of health literacy in cardiovascular patients is derived from two dimensions and five attributes. Literacy skills, health information search ability and health information utilization skills were derived as attributes in the individual functional dimension, while active communication with the medical team and utilization of health information support resources were derived at the interrelational dimension. It is defined as the individualized and integrated ability of an individual to explore and utilize the various health information needed to make appropriate health decisions during the chronic course after diagnosis of cardiovascular disease, to communicate proactively with medical staffs and to utilize support resources. Conclusion: This study will contribute to the development and related research of health literacy measurement tools that can be used in cardiovascular nursing practice based on the attributes and indicators of health literacy for patients with cardiovascular disease.

• 한국학교보건학회지
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• 제32권3호
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• pp.165-174
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• 2019

Purpose: The purpose of this study was to identify the influence of eHealth literacy on health promoting behaviors, thereby providing basic data for the development of interventions for health promoting behaviors among university students. Methods: Data were collected from 242 university students aged 19 and over in a university located in K province in South Korea. Participants responded to structured questionnaires in September 2018. eHealth literacy and health promoting behaviors were measured by eHealth Litaracy (EHL) and a translated version of the Health Promoting Lifestyle Profile (HPLP-II), respectively. The correlation between eHealth literacy and health promoting behaviors were analyzed using Pearson's correlation, and multiple regression analysis was carried out to examine the influence of eHealth literacy on health promoting behaviors. Results: The participants had a moderate level of eHealth literacy with the greatest score recorded in the sub-domain of functional eHealth literacy and the lowest in the sub-domain of critical eHealth literacy. Female students and students who majored in healthcare had higher levels of eHealth literacy than male students and those with non-healthcare majors. The degree of health promoting behaviors was moderate or lower with the highest score being in the sub-domain of interpersonal support and the lowest in the sub-domain of health responsibility. Health promoting behaviors had significant relationships with eHealth literacy, exercise hours, subjective health status, and health concerns. Multiple regression analyses revealed that the participants engaged more in health promoting behaviors when they had greater eHealth literacy (β=.18, p<.001), interest in their own health (β=.33, p<.001), exercise hours (β=.18~.23, p<.001), and subjective health status (β=.17~.18, p=.007~.031). Conclusion: In order to facilitate health promoting behaviors of university students, interventions for health promoting behaviors need to be developed including strategies to improve competencies relevant to critical eHealth literacy and to increase exercise hours.