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KMID : 1170320220280030051
Korean Journal of Health Economics and Policy
2022 Volume.28 No. 3 p.51 ~ p.78
A systematic review on health literacy of visual impaired people
Lee Han-Bin

Piao Zhaoyan
Na Ho-Jun
Jeon Bo-Young
Han Eun-A
Abstract
Health literacy is a critical factor of health outcomes, especially for persons who have visual impairments. Individuals with visual impairments have more health problems than the general public, which is linked to health knowledge disparities. The purpose of this study is to identify health literacy levels and influencing factors through systematic review for the visually impaired people, and to derive methods to improve health literacy and health management for the people who have visual impairments. The analysis was conducted for research papers published from 2000 to December 2021 in domestic database (KoreaMed, KMbase, RISS, KERIs) and foreign database (PubMed, Cochrane Library, Embase). The searched papers were first excluded by title and abstract, and secondary exclusion was made after full text verification. As a result of the analysis, eight papers were finally selected for the health literacy of the visually impaired. The selected papers evaluated the quality using ROBANS, risk of bias assessment tool for non-randomized studies. As for the quality of the literature, the risk of bias was confirmed as 4 ¡®low¡¯ and 4 ¡®high¡¯ cases. People with visual impairment had lower health literacy than non-disabled people and were less likely to follow health care recommendations (disease prevention, medication compliance, disease perception, etc.). When people who are visually handicapped and health professional were educated, access to information for the visually impaired people increased, and health literacy improved. And to improve health literacy of visually impaired, the ability to obtain health information, the attitude of medical service providers, the interaction and operation method with medical service providers, and information sources were important. Considering the effect of health literacy on health and quality of life, the results of this study showed that the health literacy of the visually impaired was lower than that of the non-disabled. This shows that it is important to understand the factors that interrupt with health literacy of visually impairments. In addition, it is necessary to improve the health literacy of the visual impaired people, and it is necessary to develop a health literacy test tool suitable for the people who are visually impaired to identify the level of health literacy and prepare a way to access more health information.
KEYWORD
Visually Impairments, Health Literacy, Systematic Review, risk of Bias, ROBANS
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