Department of Public Health, Gazi University School of Medicine, Ankara, Turkey.
Department of Public Health, Ankara University School of Medicine, Ankara, Turkey.
Int J Health Plann Manage. 2023 Jul;38(4):986-998. doi: 10.1002/hpm.3640. Epub 2023 Apr 5.
This study examined how health literacy (HL) levels are associated with health care utilization (HCU) and health promotion behaviours (HPB) in Turkey.
We conducted face-to-face interviews and utilised the Turkish HL Scale-32 (n = 6228).
HL score was inversely related to the number of outpatient admissions (OAs) (β = -0.001) and emergency department admissions (EAs) (β = -0.006) in the Poisson regression model. Sex, age, perceived health, income group, and education level were other variables related to the number of OAs and EAs. Health literacy levels were related to physical activity (PA) (for excellent HL, OR: 3.93 (95% CI: 2.54-6.08)) and acquiring healthy eating habits (HEHs) (for excellent HL, OR: 3.56 (95% CI: 2.40-5.29) in the logistic regression model. Education levels are related to PA, HEHs, and smoking cessation or reduction. Income groups, except those with very sufficient income, are related to PA and HEHs.
Improving HL can help reduce health admissions. The relationship of HCU with gender, age, education, perceived health, and income group supports the Anderson model. Limited HL groups should be prioritised as risk groups in health promotion programs. The association of HL and socio-economic variables with HPB supports the ecological model.
本研究考察了健康素养（HL）水平与土耳其医疗保健利用（HCU）和健康促进行为（HPB）之间的关系。
我们进行了面对面访谈，并使用了土耳其 HL 量表-32（n=6228）。
在泊松回归模型中，HL 评分与门诊就诊次数（OAs）（β=-0.001）和急诊就诊次数（EAs）（β=-0.006）呈负相关。性别、年龄、感知健康、收入群体和教育水平是与 OAs 和 EAs 数量相关的其他变量。HL 水平与体力活动（PA）（对于优秀 HL，OR：3.93（95%CI：2.54-6.08））和养成健康饮食习惯（HEHs）（对于优秀 HL，OR：3.56（95%CI：2.40-5.29））相关。教育水平与 PA、HEHs 和戒烟或减少吸烟有关。除了收入非常充足的群体外，收入群体与 PA 和 HEHs 有关。
提高 HL 可以帮助减少健康就诊。HCU 与性别、年龄、教育、感知健康和收入群体的关系支持安德森模型。应将 HL 有限的群体作为健康促进计划中的高危人群。HL 与社会经济变量与 HPB 的关联支持生态模型。
