Lee Eun Jin, Lee Hee Yun, Chung Soondool
College of Health and Welfare, Woosong University, Republic of South Korea. School of Social Work, University of Minnesota, Twin Cities. Department of Social Welfare, Ewha Womans University, Republic of South Korea.
Health Soc Work. 2017 Aug 1;42(3):133-142. doi: 10.1093/hsw/hlx026.
The purpose of this study was to investigate the level of health literacy of adults living in South Korea and identify factors associated with health literacy in different age groups. Using a quota sampling method, authors recruited 1,000 Korean adults age 20 years and older. Health literacy was measured by using three items selected from a 16-question self-report health literacy measure. In accordance with Andersen's behavioral model, predisposing, enabling, and need factors were included in the multiple regression model. Age differences were found in health literacy levels; specifically, lower health literacy was associated with older age. For the 20 through 44-year age group, health literacy was positively associated with having private health insurance and higher self-rated health status. For the 45 through 64 and the 65 and over age groups, education was positively associated with health literacy. For the oldest age group, gender also had a positive association with health literacy. Lower levels of depression were significantly linked to a higher level of health literacy across all ages. This study illustrates ways to increase health literacy among different age groups and prioritizes target intervention groups in an effort to reduce health disparities.
本研究的目的是调查生活在韩国的成年人的健康素养水平，并确定不同年龄组中与健康素养相关的因素。作者采用配额抽样方法，招募了1000名20岁及以上的韩国成年人。健康素养通过从一份16题的自我报告健康素养测量表中选取的三个项目来衡量。根据安德森的行为模型，在多元回归模型中纳入了 predisposing、enabling 和需求因素。在健康素养水平上发现了年龄差异；具体而言，较低的健康素养与较高年龄相关。对于20至44岁年龄组，健康素养与拥有私人医疗保险和较高的自我健康评价呈正相关。对于45至64岁以及65岁及以上年龄组，教育与健康素养呈正相关。对于最年长的年龄组，性别也与健康素养呈正相关。在所有年龄段中，较低的抑郁水平与较高的健康素养显著相关。本研究阐述了提高不同年龄组健康素养的方法，并对目标干预组进行了优先排序，以努力减少健康差距。
