健康素养对老年人自我效能感和预防保健利用的影响。
Effects of health literacy to self-efficacy and preventive care utilization among older adults.
机构信息
Clinical Trials Center, China Medical University Hospital, Taichung, Taiwan.
出版信息
Geriatr Gerontol Int. 2013 Jan;13(1):70-6. doi: 10.1111/j.1447-0594.2012.00862.x. Epub 2012 Jun 4.
AIM
This study examined the relationships between health literacy, self-efficacy and preventive care utilization among older adults in Taiwan.
METHODS
The data were from a longitudinal survey, "Taiwan Longitudinal Study in Aging" in 2003 and 2007. A total of 3479 participants who completed both two waves were included for analysis. Health literacy first was constructed through education, cognitive function and disease knowledge through structural equation modeling (SEM); then, the associations of health literacy to later self-efficacy and preventive care were examined.
RESULTS
The model fit of SEM was good, indicating that the construct of health literacy was appropriate. Healthy literacy showed a moderate positive effect on self-efficacy and a small positive effect on preventive care utilization.
CONCLUSIONS
Health literacy increases self-efficacy and utilization of preventive care. Promoting people's health knowledge and health literacy is suggested.
目的
本研究旨在探讨台湾老年人的健康素养、自我效能与预防保健利用之间的关系。
方法
数据来自 2003 年和 2007 年的“台湾老龄化纵向研究”的纵向调查。共纳入了完成两次调查的 3479 名参与者进行分析。通过结构方程建模（SEM），健康素养首先通过教育、认知功能和疾病知识构建；然后，检验了健康素养与后来的自我效能和预防保健利用之间的关联。
结果
SEM 的模型拟合良好，表明健康素养的构建是合适的。健康素养对自我效能有适度的积极影响，对预防保健利用有较小的积极影响。
结论
健康素养可提高自我效能和预防保健利用。建议促进人们的健康知识和健康素养。
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