James Tyler G, Sullivan Meagan K, Dumeny Leanne, Lindsey Katherine, Cheong JeeWon, Nicolette Guy
Department of Health Education and Behavior, University of Florida, Gainesville, Florida, USA.
Department of Social and Behavioral Sciences, University of Florida, Gainesville, Florida, USA.
J Am Coll Health. 2020 Feb-Mar;68(2):200-206. doi: 10.1080/07448481.2018.1538151. Epub 2018 Dec 10.
Health literacy and health insurance literacy affect healthcare utilization. The purpose of this study was to determine the relation between health insurance knowledge, self-efficacy, and student healthcare utilization in the past year. A random sample of 1,450 respondents, over the age of 18, attending a public university in the southeastern United States completed a survey in March 2017. A model was constructed to test the effect of health insurance self-efficacy on the relation between knowledge and healthcare utilization in the past year. Health insurance knowledge ( = 5.8, range 0-10) and self-efficacy ( = 2.48, range 1-4) were low. Self-efficacy was a significant moderator when explaining healthcare utilization in the past year. College students have low knowledge and self-efficacy regarding health insurance. These findings can be used for developing policies and self-efficacy-based health education programs that may increase student healthcare utilization.
健康素养和健康保险素养会影响医疗保健的利用情况。本研究的目的是确定过去一年中健康保险知识、自我效能感与学生医疗保健利用之间的关系。2017年3月，对美国东南部一所公立大学1450名年龄在18岁以上的受访者进行了随机抽样调查。构建了一个模型来检验健康保险自我效能感对过去一年知识与医疗保健利用之间关系的影响。健康保险知识（平均值 = 5.8，范围0 - 10）和自我效能感（平均值 = 2.48，范围1 - 4）较低。在解释过去一年的医疗保健利用情况时，自我效能感是一个显著的调节变量。大学生对健康保险的知识和自我效能感较低。这些研究结果可用于制定政策和开展基于自我效能感的健康教育项目，以提高学生对医疗保健的利用。
