• 보건교육건강증진학회지
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• 제29권3호
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• pp.53-61
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• 2012

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.

• 지역사회간호학회지
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• 제25권1호
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• pp.65-73
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• 2014

Purpose: The aim of this study is to clarify the level of health literacy, health risk perception and health behavior of Korean elders and to determine the impact of their health literacy and health risk perception on their health behavior. Methods: A descriptive correlation study was conducted with 188 elders aged 65 or older in senior welfare centers in Busan. Questionnaires were used to measure levels of health literacy, health risk perception, and health behavior. Descriptive statistics, t-test, ANOVA, Kruskal Wallis test, Pearson's correlation, and hierarchical regression were performed. Results: 43.6% of the subjects had low levels of health literacy. There was a negative relation between health literacy and health risk perception, and between health risk perception and health behavior. There was a positive relation between health literacy and health behavior. Health concern, health literacy affected health behavior. Health literacy independently accounted for 24% of health behavior. Health risk perception didn't affect health behavior. Conclusion: Many of the Korean elders had low levels of health literacy and health literacy was independently associated with health behavior. These findings show that interventions for improving health literacy are necessary to enhance health behavior of the elderly.

• 지역사회간호학회지
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• 제26권4호
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• pp.330-341
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• 2015

Purpose: This study developed a self-report measure for easy assessing of the health literacy of Asian immigrant women in South Korea. Methods: After a literature review, focus group interviews, and content validity evaluation, 14 preliminary items were generated. These were translated into Chinese, Vietnamese, and English. Data were collected from 229 Asian immigrant women. Validity and reliability tests were conducted. Results: Factor analysis yielded final 10 items in three factors: primary functional and interactive health literacy, secondary functional and interactive health literacy, and critical health literacy, which explained 61.90% of the total variance of health literacy. In known-group comparisons, health literacy was significantly lower in recent immigrants, those with a low education level, and those with low Korean language proficiency. For convergent validity, health literacy was positively associated with health specific self-efficacy and maternal health knowledge. For criterion-related validity, health literacy was positively associated with the REALM-SF. The overall reliability coefficient (Cronbach's ${\alpha}$) of the instrument was .773. Conclusion: The Health Literacy Assessment Scale for Asian Immigrant Women (HLAS) represents a multidimensional construct which encompasses functional, interactive, and critical health literacy. This self-report HLAS can be a useful and convenient method for appraising the health literacy of Asian immigrant women.

• 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.

• 대한간호학회지
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• 제39권3호
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• pp.386-392
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• 2009

Purpose: This descriptive study was done to identify the relationship between health literacy and health status and to provide basic data for developing nursing interventions for Korean-Chinese elders living in Yanbian, China. Methods: For data collection, intentional sampling of 300 elders was used. The questionnaire was composed of 5 items based on "Ministry of Health, the People's Republic of China(2008)" to measure health literacy, 33 health status items from the "Korean Health Status Measure for Elderly People" developed by Shin(2002), revised for use in China, and 9 general characteristics. Data were analyzed using SPSS Win 13.0 program. Results: Total level of health literacy was relatively high(68.7%). Elders had high scores for taking medicines according to doctor's instruction, but lower ones for full comprehension through communication with doctors. Health status was high for emotional, physical, and social function in that order. There were significant differences between general characteristics and health status for gender, age, marital status, education, family, smoking, and alcohol consumption in that order. Results of multiple regression analysis for factors influencing health status showed that self-report health level was the most influential, followed by health literacy, age, gender. Conclusion: Health literacy is the main factor affecting health promotion among minority elders indicating a need to develop health promotion programs for elders who have low health literacy.

• Journal of the Korean Data and Information Science Society
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• 제24권2호
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• pp.257-265
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• 2013

의료정보이해능력을 평가하는 것이 매우 중요한 시점이 도래함에 따라 이를 위한 다양한 측정도구들이 개발되어 오고 있다. 그러나 적절한 한국어판 측정도구 개발에 대한 논의는 활발하지 못한 실정이다. 본 연구에서는 5점 척도로 구성된 한국어판 REALM (rapid estimate of adult literacy in medicine) 측정도구를 제안하고 타당성에 대해서 알아보았다. 그 결과 5점 척도로 구성된 한국어판 측정도구의 신뢰도는 매우 높으며, 인자분석 결과 단일차원을 형성함을 알 수 있었다. 그리고 2점 척도에 비하여 긍정적인 응답이 적게 나타났으며, NVS (the newest vital sign)와의 상관계수를 구해본 바 통계적으로 유의하게 나타났다. 이에 5점 척도를 이용한 한국어판 REALM은 타당한 측도임을 알 수 있었다. 마지막으로 의료정보이해능력에 대하여 일반학생과 간호학과 학생 간에는 통계적으로 유의한 차이가 있었다.

• 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.

• 한국융합학회논문지
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• 제10권4호
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• pp.57-63
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• 2019

본 연구는 외국인 여성의 구강건강문해력을 측정하여 구강보건지식, 구강보건행태와 구강건강문해력의 연관성을 알아보고자 한다. 연구대상자는 2018년 6월~2018년 9월 까지 경북 일부 지역의 외국인 여성 248에게 설문지 조사를 실시하였다. 연구결과는 언어적 구강건강문해력은 나이, 교육수준, 한국거주기간에서, 기능적 구강건강문해력은 결혼유무, 교육수준, 한국거주기간에서 유의한 차이가 있었다. 외국인 여성의 구강건건강문해력을 증진시키기 위해서는 구강보건지식과 구강 보건행태를 변화 시킬 수 있는 효율적인 구강건강프로그램이 개발되어야 하겠다.

• 임상간호연구
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• 제17권1호
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• pp.27-34
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• 2011

Purpose: The objective of this research was to measure health literacy level of the visitors of a university hospital's out patient clinic and to consider its influence factors. Methods: Subjects were 400 visitors in an outpatient clinic of a university hospital. By using self-report questionnaire which included Newest Vital Sign (NVS) and general information inquiry, the level of health literacy and its influence factors were measured. The data were analyzed by using t-test, ANOVA, and Pearson's correlation. Results: The NVS score of subjects was $3.54({\pm}1.91)$ out of maximum 6 scale. The factors that have significant relationships with the health literacy were age, sex, marital status, educational background, monthly income, health information source, number of diseases, number of medications and drinking status. Participants who are men, in old age, having lack of supportive relationship, having low levels of education, having low income, having more comorbid diseases & medications, tend to have lower NVS score compared to others. Conclusion: We suggest extending our research results for evaluating the risky group to improve the health literacy and to develop the strategic methods for better health outcomes.