Son Youn-Jung, Kim Sun-Hee, Kim Gi Yon, Son Heesook
a Red Cross College of Nursing , Chung-Ang University, Seoul, Korea.
b College of Nursing , Korea University, Seoul, Korea.
J Health Commun. 2017 Dec;22(12):999-1006. doi: 10.1080/10810730.2017.1401687. Epub 2017 Dec 5.
This cross-sectional study aimed to examine the association between health literacy, cancer-related knowledge, and preventive health behaviors among community-dwelling adults in Korea. Data were collected from 542 adults aged ≥ 18 years living in five big provinces in Korea (Seoul, Gyeonggi-do, Gyeongsang-do, Chungcheong-do, and Gangwon-do). Socio-demographic and health-related characteristics were determined using structured questionnaires. Health literacy, cancer-related knowledge, and engagement in preventive health behaviors were measured using validated instruments. These three variables differed according to socio-demographic and health-related characteristics, such as education, sex, age, and marital status. In the hierarchical regression analysis, health literacy (β = 0.26, p < .001) and cancer-related knowledge (β = 0.21, p < .001) were significant predictors of preventive health behavior after adjusting for confounding variables. Cancer-related knowledge partially mediated the effect of health literacy on preventive health behaviors. Health literacy can play a key role in cancer prevention. It is important for healthcare providers to know how to deliver cancer-related knowledge and how to help people with low health literacy to engage in preventive health behaviors, using a variety of health information resources. Further research is needed to develop the instruments to assess comprehension of spoken and written health messages for cancer prevention and screening.
这项横断面研究旨在探讨韩国社区居住成年人的健康素养、癌症相关知识与预防性健康行为之间的关联。数据收集自居住在韩国五个大省（首尔、京畿道、庆尚道、忠清道和江原道）的542名18岁及以上的成年人。使用结构化问卷确定社会人口统计学和健康相关特征。使用经过验证的工具测量健康素养、癌症相关知识以及参与预防性健康行为的情况。这三个变量因社会人口统计学和健康相关特征（如教育程度、性别、年龄和婚姻状况）而异。在分层回归分析中，在调整混杂变量后，健康素养（β = 0.26，p <.001）和癌症相关知识（β = 0.21，p <.001）是预防性健康行为的显著预测因素。癌症相关知识部分介导了健康素养对预防性健康行为的影响。健康素养在癌症预防中可以发挥关键作用。医疗保健提供者了解如何传递癌症相关知识以及如何利用各种健康信息资源帮助健康素养低的人参与预防性健康行为非常重要。需要进一步研究开发评估对癌症预防和筛查的口头和书面健康信息理解的工具。
