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KMID : 0858820200370010001
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Journal of Korean Society for Health Education and Promotion
2020 Volume.37 No. 1 p.1 ~ p.13
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Factors associated with health literacy among older adults: Results of the HLS-EU-Q16 measure
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Chun Hee-Ran
Lee Ju-Yul
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Abstract
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Objectives: This study was performed to identify and investigate the factors associated with the level of health literacy among older adults in Seoul, using the European Health Literacy Survey Q16(HLS-EU-Q16) measure.
Methods: Data were drawn from a cross-sectional study conducted in Seoul of older residents, aged 60~79. A total of 302 elderly were recruited according to gender, age, and geography. Health literacy was assessed using the short version of the HLS-EU-Q16. The comprehensive health literacy measure consists of three domains: health care, diseases prevention, and health promotion. For explanatory variables, demographic(gender, age, marital status), socioeconomic(education level, subjective economic status, National Basic Livelihood Act recipients), and health-related factors (self-rated health, number of chronic diseases and, medical check-ups) were considered. Descriptive statistics and multivariate linear regression models were used to identify variables associated with health literacy.
Results: The mean score of health literacy was 11.4±3.7. Multivariate regression analyses found significant associations between health literacy and education, subjective economic status(higher), number of chronic diseases(over 3), and medical check-up(additional). Associated factors differed by domain-specific health literacy.
Conclusion: Health promotion programs for elderly should pay more attention to vulnerable groups in regarding health literacy. The results call for further studies with utilizing longitudinal design and diverse measures.
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KEYWORD
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health literacy, elderly, health promotion, HLS-EU-Q16
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