Huh Ki Young, Song Ildae
Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul, Republic of Korea.
Clinical Trials Center, Seoul National University Hospital, Seoul, Republic of Korea.
Sci Rep. 2025 Sep 2;15(1):32297. doi: 10.1038/s41598-025-08705-9.
Health literacy is a key factor influencing treatment adherence and outcomes. This study analyzed the 2023 Korea National Health and Nutrition Examination Survey (KNHANES) to explore the relationship between demographic and socioeconomic factors and health literacy. We examined associations between factors such as age, gender, residential region, education, and income with health literacy, which consisted of 10 questions and 1 knowledge assessment. Multiple linear regression was applied to the sum of health literacy scores, and multivariate ordinal regression was used for the knowledge assessment. A total of 5,713 participants were analyzed. Results showed that age ≥ 65 years negatively affected health literacy scores (- 1.01), while females had a positive effect (0.93), though elderly females had a negative impact (- 1.60). Higher education and income were positively associated with health literacy, with education showing the greatest effect (3.42). Elderly individuals and education levels had the strongest negative and positive effects, respectively, in the Technology and Resources domain. In conclusion, older age, lower education, and lower income were linked to lower health literacy, with gender's impact varying by age group, especially in digital health literacy.
健康素养是影响治疗依从性和治疗结果的关键因素。本研究分析了2023年韩国国民健康与营养检查调查（KNHANES），以探讨人口统计学和社会经济因素与健康素养之间的关系。我们研究了年龄、性别、居住地区、教育程度和收入等因素与健康素养之间的关联，健康素养由10个问题和1项知识评估组成。对健康素养得分总和应用多元线性回归，对知识评估采用多变量有序回归。共分析了5713名参与者。结果显示，年龄≥65岁对健康素养得分有负面影响（-1.01），而女性有正面影响（0.93），不过老年女性有负面影响（-1.60）。较高的教育程度和收入与健康素养呈正相关，其中教育程度的影响最大（3.42）。在技术和资源领域，老年人和教育水平分别具有最强的负面影响和正面影响。总之，年龄较大、教育程度较低和收入较低与较低的健康素养相关，性别影响因年龄组而异，尤其是在数字健康素养方面。
