Bernstein Kunsook, Han Shinhi, Park Chan Gi, Lee Young-Me, Hong OiSaeng
Hunter College, City University of New York, New York, USA.
LaGuardia Community College, Long Island City, NY, USA.
Health Educ Behav. 2020 Jun;47(3):457-467. doi: 10.1177/1090198120907887. Epub 2020 Feb 26.
Low health literacy is closely related to a higher rate of hospitalization and of emergency services usage, leading to billions of dollars in avoidable health care costs and contributing to individuals' poor physical and mental health. While Korean Americans (KAs) have a high prevalence of general health and mental health problems, relatively little is known about their health and mental health literacy, specifically their depression literacy. This study aims to evaluate KAs' health literacy and depression literacy, as related to sociodemographic characteristics. An exploratory study was conducted with 681 community-residing adult KAs using the Center for Epidemiologic Studies Depression (CES-D) Scale, the Depression Literacy Questionnaire (D-Lit), and the One-Question Health Literacy Scale. Data analyses were performed using one-way analysis of variance and ordinal logistic regression of health literacy, a multiple linear regression model of depression literacy. Findings indicate a positive correlation between depression literacy and health literacy. Health literacy was also significantly related to religion, English language proficiency, income, education, and perceived physical health. Additionally, depression literacy was significantly related to age, Korean language preference over English, and education. Health literacy and depression literacy education are warranted to address low health literacy and depression literacy among KAs to reduce their health and mental health disparities.
健康素养低下与更高的住院率和急诊服务使用率密切相关，导致数十亿美元本可避免的医疗费用，并导致个人身心健康状况不佳。虽然韩裔美国人普遍存在健康和心理健康问题，但对于他们的健康和心理健康素养，尤其是他们的抑郁素养，人们了解得相对较少。本研究旨在评估韩裔美国人与社会人口学特征相关的健康素养和抑郁素养。对681名居住在社区的韩裔美国成年人进行了一项探索性研究，使用了流行病学研究中心抑郁量表（CES-D）、抑郁素养问卷（D-Lit）和单问题健康素养量表。数据分析采用健康素养的单因素方差分析和有序逻辑回归、抑郁素养的多元线性回归模型。研究结果表明抑郁素养与健康素养之间存在正相关。健康素养还与宗教、英语语言能力、收入、教育程度和自我感知的身体健康显著相关。此外，抑郁素养与年龄、对韩语而非英语的偏好以及教育程度显著相关。有必要开展健康素养和抑郁素养教育，以解决韩裔美国人中健康素养低下和抑郁素养低下的问题，减少他们的健康和心理健康差距。
