Chen Pin-Tzu, Chen Min-Li, Chang Li-Chun, Kuo Chin-Ho, Kuan Yu-Hsiang
Division of Hematology-Oncology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, 60002, Taiwan.
Graduate Institute of Nursing, Chang Gung University of Science and Technology, Chiayi County, Taiwan.
Open Med (Wars). 2025 Jul 8;20(1):20251203. doi: 10.1515/med-2025-1203. eCollection 2025.
Investigated the relationship between health literacy and treatment adherence and compliance due to incorrect medication use resulting from low health literacy in southern Taiwan.
A cross-sectional study in Chiayi, Taiwan (Sep-Nov 2013) used randomized sampling to survey 300 adults. Health literacy was assessed via the test of functional health literacy in adults, and medication knowledge/behavior was assessed via a validated questionnaire (KR-20 = 0.83). Data were analyzed using SPSS (chi-square, -tests, ANOVA, Pearson's correlation, < 0.05).
It was found that 97.9% of the respondents had adequate health literacy. Age negatively correlated with health literacy ( = -0.395; < 0.0001) and positively with medication knowledge ( = 0.121; = 0.038). Women exhibited higher health literacy and medication knowledge than men. Higher education levels and living with health professionals were associated with better health literacy. Patients with chronic diseases had lower health literacy than those without (mean scores: 31.5 vs 32.7). Significant correlations were observed between health literacy and treatment adherence and compliance and use.
Targeted health literacy interventions are required across different ages, genders, and education levels to improve medication use and health outcomes. Future research should examine the long-term effects of these interventions.
调查台湾南部地区健康素养与治疗依从性之间的关系，以及因健康素养低导致用药错误的情况。
2013年9月至11月在台湾嘉义进行的一项横断面研究采用随机抽样方法，对300名成年人进行了调查。通过成人功能性健康素养测试评估健康素养，通过经过验证的问卷（KR-20 = 0.83）评估用药知识/行为。使用SPSS（卡方检验、t检验、方差分析、Pearson相关性分析，P < 0.05）对数据进行分析。
发现97.9%的受访者具备足够的健康素养。年龄与健康素养呈负相关（r = -0.395；P < 0.0001），与用药知识呈正相关（r = 0.121；P = 0.038）。女性的健康素养和用药知识高于男性。较高的教育水平和与健康专业人员同住与更好的健康素养相关。患有慢性病的患者的健康素养低于未患慢性病的患者（平均得分：31.5对32.7）。健康素养与治疗依从性、合规性及用药之间存在显著相关性。
需要针对不同年龄、性别和教育水平进行有针对性的健康素养干预，以改善用药情况和健康结果。未来的研究应考察这些干预措施的长期效果。
