Research in Community and Public Health Nursing

Original Articles

Digital Health Literacy and Associated Factors Among Older Adults Living Alone in South Korea: A Cross-Sectional Study: Minhwa Hwang, Gahye Kim, Seonghyeon Lee, Yeon-Hwan Park; Res Community Public Health Nurs. 2024;35(4):389-400. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00766

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Abstract PDF: Purpose
This study aimed to examine the level of digital health literacy and identify factors associated with digital health literacy among older adults living alone in South Korea.
Methods
A cross-sectional study was conducted on 140 older adults aged 65 and above who live alone. Descriptive statistics and non-parametric methods were used to explore the relationship between digital health literacy and independent variables. A generalized linear model was used to identify factors associated with digital health literacy.
Results
Among 140 smartphone-owning older adults living alone, 52.1% were using the Internet via digital devices, and the participants’ average digital health literacy score was 6.64±7.46. Univariate analysis results showed significant differences in digital health literacy according to age, education level, and multimorbidity. The factors associated with digital health literacy were identified as gender (B=−0.36, p=.031), age (B=−0.06, p<.001), education level (B=0.12, p<.001), and sleep problems (B=−0.06, p=.006).
Conclusion
Despite widespread Internet and smartphone use, older adults living alone with chronic diseases showed low levels of digital health literacy, which were significantly associated with gender, age, education level, and sleep problems. Enhancing digital health literacy among vulnerable populations is crucial for the effective implementation of digital health services. Collaborative efforts, including tailored digital health interventions to enhance the digital health literacy of vulnerable populations and supportive policies, are essential to bridge the digital divide and promote health equity.

Reliability and Validity of the Korean Version of 8-item Health Literacy Assessment Tool (K-HLAT-8): Mirae Jo, Eun-mi Kwak; Res Community Public Health Nurs. 2024;35(4):351-362. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00682

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Abstract PDF: Purpose
The purpose of this study was to evaluate the validity and reliability of the Korean version of the Health Literacy Assessment Tool (K-HLAT-8) for Korean adults.
Methods
The survey was conducted from April 1, 2020 to May 30, 2020 at a university hospital, a university, and one community picnic area with adults who understood the purpose of the study and voluntarily agreed to participate. A total of 220 adults participated in this study. After forward and backward translation of the original version of the Health Literacy Assessment Tool 8 (HLAT-8) into Korean, construct validity (confirmatory factor analysis), convergent validity, and reliability were evaluated. Convergent validity was confirmed through the correlation between the K-HLAT-8 and the Self-As Carer Inventory (SCI).
Results
Construct validity, evaluated using confirmatory factor analysis, showed good fit. The K-HLAT-8 showed a positive correlation with the SCI score. In terms of internal consistency, Cronbach’s α of the K-HLAT-8 was 0.85. For test-retest reliability, the intraclass correlation coefficient (ICC) was .99 (95% CI: 0.97~0.99).
Conclusion
The reliability and validity were confirmed, so K-HLAT-8 can be applied to evaluate the health literacy of Korean adults. Furthermore, these assessment results should be used as basic data to implement programs that can improve health literacy.

Review Article

A Systematic Review of Questionnaire Measuring eHealth Literacy: Jung-Won Ahn, Mi Young Kim; Res Community Public Health Nurs. 2024;35(3):297-312. Published online September 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00752

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Abstract PDF: Purpose
This review aims to summarize the characteristics of currently used questionnaires measuring eHealth literacy and assess the quality of their psychometric properties in self-reported assessments within community settings.
Methods
The systematic analysis was conducted using the COnsensus-based Standards for the selection of health Measurement INstruments checklist to evaluate the methodological quality of studies on measurement properties.
Results
A total of 21 studies, including 19 questionnaires, were reviewed. The findings indicated that the quality of psychometric assessments for eHealth literacy was generally rated as 'good,' with most studies addressing multiple aspects of reliability and validity. Internal reliability, content validity, hypothesis testing, and responsiveness were particularly well-supported, each receiving over 10 sufficient ratings. However, there was limited evidence regarding measurement errors, test-retest reliability, criterion validity, and analyses of floor and ceiling effects.
Conclusion
This study contributes to the enhancement of eHealth literacy measurement tool selection and improves the reporting of their validity and reliability, thereby increasing the credibility of future research.

Original Articles

The Relationships between Rural Elderly’s Suicide Literacy, Suicide Stigma and Coping Advice for Suicide Prevention: The Moderated Mediation Effect of Social Expectations for Experiencing Negative Emotions: Soon Tae An, Han Nah Lee, Jeong Hee Cho; J Korean Acad Community Health Nurs. 2022;33(2):164-174. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.164

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Abstract PDF: Purpose
The purpose of this study is to examine the effects of the rural elderly suicide literacy level upon suicide stigma and coping advice with suicidal crises (recommending professional help for a suicidal person). In particular, this study investigates the role of cultural norms (perceived social expectations for the experience of negative emotions) on suicide stigma and coping ability. Methods A survey was conducted addressing elderly people (N=119) living in rural areas. Regression analysis using SPSS PROCESS macro was used to examine the relationships among the key variables. Results Participants with higher suicide literacy showed lower suicide stigma, and this perception had a significant effect on enhancing their coping advice with suicidal crises. Also, perceived social expectations significantly influenced the relationship between suicide stigma and coping advice. With lower levels of social expectations, the mediating effect of suicide stigma on the relationship between suicide literacy and recommending professional help did not exist whereas the indirect effect was significant when it pertained to high levels of social expectations. Conclusion This result signifies that suicide stigma serves as a barrier deterring Koreans from reaching out for professional help regarding their mental health. Moreover, these findings underscore the importance of cultural psychological factors such as perceived social expectations in terms of developing suicide prevention strategies.

Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community: Jeong Ju Hong; J Korean Acad Community Health Nurs. 2021;32(3):303-311. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.303

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Abstract PDF

Purpose
This study investigated the health literacy level of, the hypertension knowledge of, the self-management behaviors of, and the factors influencing self-management behaviors of the hypertensive elderly population residing in the urban and rural areas.
Methods
Data were collected from November to December 2017 by the trained research staff. For two months, a total of 160 subjects in urban and rural areas who had been taking antihypertensive medications consented to participate in the project. 157 participants completed the survey. Results: The health literacy score of the hypertensive elderly subjects was at 48.38±8.13, the hypertension knowledge score at 8.90±2.01 points, and the self-management behaviors score at 52.96±8.08. The factor that influenced the self-management behaviors of the hypertensive elderly subjects the most was the health literacy, followed by the residential area, and the hypertension knowledge.
Conclusion
The research findings suggest that a health promotion program for the hypertensive elderly population should be designed in consideration of the health literacy, the area of residence and the hypertension knowledge of the elderly.

Citations

Citations to this article as recorded by

A Cross-Sectional Study of Physical Fitness and Risk of Hypertension in Korean Adults Aged 20–59
Bogja Jeoung, Jiyoun Kim
Healthcare.2023; 11(14): 2057. CrossRef

Reliability and Validity of the Korean version of Short-Form Health Literacy Scale for Adults: Young Joo Seo, Eun Mi Kwak, Mi Rae Jo, A-Ra Ko, Soon Hwan Kim, Hee Young Oh; J Korean Acad Community Health Nurs. 2020;31(4):416-426. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.416

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Abstract PDF

Purpose
The aim of this study was to evaluate the validity and reliability of the Korean version of Short-form Health Literacy Scale (HLS-SF-K12) for Adults.
Methods
The English HLS-SF12 was translated into Korean with forward and backward translation. Survey data were collected from 204 adults who visited two hospitals in Korea. Content validity, construct validity, and known-groups validity were evaluated. Cronbach's ⍺ for internal consistency and test-retest were used to assess reliability. SPSS 21.0 and AMOS 21.0 software were used for data analysis.
Results
The HLS-SF-K12 was composed of 12 items, and three subscales (health care, disease prevention, and health promotion). The instrument explained reliable internal consistency with Cronbach’s ⍺ for the total scale of .89, and .74~.81 for subscales. The model of three subscales for the HLS-SF-K12 was validated by confirmatory factor analysis (Normed x 2 =2.14 (p<.001), GFI=.92, RMR=.04, RMSEA=.08, CFI=.94, TLI=.92, IFI=.94). The hypothesis testing which analyzed the differences in health literacy by age and education level was satisfied.
Conclusion
The HLS-SF-K12 is a valid and reliable instrument for measuring health information comprehension for adults in Korea.

Citations

Citations to this article as recorded by

The effects of health literacy on medication compliance in the independent living: Mediating effect of e-health literacy: A cross-sectional descriptive study
Woo Joo Nam, Ju Young Ha
Journal of Korean Gerontological Nursing.2024; 26(2): 180. CrossRef
Factors influencing self-management behaviors in older people with multiple chronic conditions based on the individual and family self-management theory: A cross-sectional study
Youngji Seo, Sunyoung Jung
Journal of Korean Gerontological Nursing.2024; 26(3): 332. CrossRef
Development and validation of the Health Literacy Index for the Community for the Korean National Health and Nutrition and Examination Survey
Junghee Yoon, Soo Jin Kang, Mangyeong Lee, Juhee Cho
Epidemiology and Health.2024; 46: e2024061. CrossRef
Cultural and linguistic adaption and testing of the Health Literacy Questionnaire (HLQ) among healthy people in Korea
Jin-Hee Park, Richard H. Osborne, Hee-Jun Kim, Sun Hyoung Bae, Sonu Goel
PLOS ONE.2022; 17(8): e0271549. CrossRef
Health literacy measures in South Korea: A scoping review
Heeran Chun, Su Hyun Kim, Eunja Park
Korean Journal of Health Education and Promotion.2022; 39(4): 39. CrossRef

Trends and Level in Health Literacy Research on Immigrants in Korea: A Literature Review: Soo Jin Kang, Na Kyum Hyung; J Korean Acad Community Health Nurs. 2020;31(3):322-336. Published online September 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.3.322

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4 Citations

Abstract PDF

Purpose
This study aimed to investigate the current state and trends of health literacy research considering migrants living in South Korea.
Methods
A review of the literature was conducted using electronic data base and citation tracking. A total of 82 articles were identified, of which 16 articles that met the inclusion criteria were selected for review. Two authors reviewed the articles independently using a matrix table and then examined four aspects of the studies jointly: research method, immigrant characteristics, health literacy assessment, and main findings.
Results
Most of the articles (n=13) were descriptive studies and three were methodology studies for instrument development. Of the 13 studies, eight involved female immigrants, four of health literacy involved migrant workers, and four concerned North Korean Refugees. A total of eight types of health literacy assessment tools were used. Sufficient samples and sampling methods were lacking at the population level.
Conclusion
The results of the review generally showed that the health literacy of immigrants was lower than that of native South Koreans, and that there was a difference between nationality and gender among immigrants; however, further research is needed to review a larger sample with a validated instrument.

Citations

Citations to this article as recorded by

Development of a mobile health information application for immigrant women in South Korea
Sou Hyun Jang, Yong Jeong Yi, Yun-Mi Song
Online Information Review.2024; 48(5): 889. CrossRef
Developing and Validating the Health Literacy Scale for Migrant Workers: Instrument Development and Validation Study
Soo Jin Kang, Hye-Kyung Oh, Hae-Ra Han
JMIR Public Health and Surveillance.2024; 10: e59293. CrossRef
Association between divorce and access to healthcare services among married immigrants: propensity score approaches
Suyeong Bae, James E. Graham, Sanghun Nam, Ickpyo Hong
Archives of Public Health.2022;[Epub] CrossRef
Health literacy and health information-seeking behavior of immigrants in South Korea
Yong Jeong Yi, Barun Hwang, Hyunsoo Yoon, Hyuncheon Jeong
Library & Information Science Research.2021; 43(4): 101121. CrossRef

The Effects of the Level of Health Literacy and Self-care Activities on Quality of Life of Patients with Diabetes in Korea: Soo Jin Kang, Chanho Park; J Korean Acad Community Health Nurs. 2020;31(2):189-198. Published online June 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.2.189

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4 Citations

Abstract PDF

Purpose
The purpose of this study was to identify levels of health literacy and examine the effects of health literacy and self-care activities on quality of life of patients with type 2 diabetes.
Methods
A cross sectional design was used. Questionnaires were administered via the Gallup to 500 Korean patients with diabetes in Seoul and Gyeonggi areas. The data were analyzed using descriptive statistics, independent t tests, one way ANOVA, and hierarchical regression.
Results
Of 500 patients, 12.4% (n=62) indicated ‘inadequate’ health literacy, and 43.8% (n=219) reported ‘marginal’ or ‘adequate’ health literacy. Levels of health literacy significantly differed by demographic characteristics, self-care activities, and quality of life. The factors that had a significant effect on quality of life included inadequate health literacy (B=3.63, p=.042) and marginal health literacy (B=3.84, p=.002); however, no significant relationship was found for self-care activities (B=0.01, p=.827).
Conclusion
The results of this study demonstrate a need for further research with large samples using Korean Health Literacy Scale for Diabetes Mellitus to establish the relationships between health literacy, diabetes self-care activities, and quality of life.

Citations

Citations to this article as recorded by

The Mediating Role of Acceptance Action and Self-Care in Diabetes Self-Stigma’s Impact on Type 2 Diabetes Quality of Life: A Cross-Sectional Study
Kawoun Seo
Behavioral Sciences.2023; 13(12): 993. CrossRef
Selected health behaviors associated with health literacy and digital health literacy
Eun Jin Choi, Heeran Chun, Woosung Kwak
Korean Journal of Health Education and Promotion.2022; 39(5): 81. CrossRef
Effect of Disease-related Knowledge and Health Enhancement Lifestyle on Self-management Behavior among Chronic Hepatitis C Patients
Hoo Jeung CHO, Euna PARK
THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2022; 34(2): 219. CrossRef
The Relationships Among Health Literacy, Illness Perception, and Diabetes Self-Care in Korean-Speaking Immigrants With Diabetes
Suwon Park, Yaewon Seo
Clinical Nursing Research.2022; 31(7): 1234. CrossRef

Concept Analysis of Health Literacy for Patients with Cardiovascular Disease using Hybrid Model: Jeong Eun Sim, Seon Young Hwang; J Korean Acad Community Health Nurs. 2019;30(4):494-507. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.494

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Abstract PDF

PURPOSE
The purpose of this study is to provide a clear definition of the health literacy for patients with cardiovascular disease by analyzing the dimensions and properties using Hybrid concept analysis.
METHODS
The concept of health literacy of patients with cardiovascular disease was analyzed according to the cyclic process of theoretical phase-field work phase-final analysis phase presented in the Hybrid model. We reviewed 26 literatures and conducted in-depth interviews with 13 patients with cardiovascular disease.
RESULTS
The concept of health literacy in cardiovascular patients is derived from two dimensions and five attributes. Literacy skills, health information search ability and health information utilization skills were derived as attributes in the individual functional dimension, while active communication with the medical team and utilization of health information support resources were derived at the interrelational dimension. It is defined as the individualized and integrated ability of an individual to explore and utilize the various health information needed to make appropriate health decisions during the chronic course after diagnosis of cardiovascular disease, to communicate proactively with medical staffs and to utilize support resources.
CONCLUSION
This study will contribute to the development and related research of health literacy measurement tools that can be used in cardiovascular nursing practice based on the attributes and indicators of health literacy for patients with cardiovascular disease.

Citations

Citations to this article as recorded by

Hypertension literacy: Concept analysis
Kennedy Diema Konlan, Hyeonkyeong Lee, Eun Kyoung Choi
Nursing Open.2023; 10(9): 6078. CrossRef

The Effect of Health Literacy and Self-care Performance on Health Care Utilization of Medicaid Elderly: Yun Hee Hwang, Ga Eon Lee; J Korean Acad Community Health Nurs. 2019;30(4):484-493. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.484

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Abstract PDF

PURPOSE
The purpose of this study was to examine the effect of health literacy and self-care performance on health care utilization of medicaid elderly.
METHODS
A total of 203 medicaid elderly over 65 and living in B-metropolitan city were interviewed. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and Hierarchical Multiple regression.
RESULTS
The average score of the health literacy was 7.88Â±2.84 out of 12. The average score of self-care was 3.26Â±0.77 points on the 5 point scale. The frequency of health care utilization by the subjects was 6.65Â±5.25 a month. The health literacy and self-care performance showed a statistically significant positive correlation. The health literacy and self-care performance showed a statistically significant negative correlation with health care utilization. The factors affecting health care utilization of the subjects were self-care performance, health literacy, and religion, and the explanatory power was 25%.
CONCLUSION
The results indicate that the self-care performance, health literacy, religion are significant factors of health care utilization in medicaid elderly. Therefore, it is necessary to develop strategies to improve their self-care performance and health literacy for reasonable health care utilization. Also, it is necessary to provide the elderly with correct information about medical use from accessible religious institutions, senior community center, and welfare centers.

Citations

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Factors influencing handwashing among community dwelling older adults, using the 2021 Community Health Survey: A secondary analysis study
Yun Hee Hwang, Hye Jung Jun
Journal of Korean Gerontological Nursing.2023; 25(2): 197. CrossRef

Effects of Health Literacy and Knowledge on Diabetic Self-care in the Elderly with DM Living Alone: Nan Hui Kim, Young Ran Yang, Myung Ha Lee; J Korean Acad Community Health Nurs. 2016;27(4):370-379. Published online December 31, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.4.370

1,725 View
59 Download
15 Citations

Abstract PDF

PURPOSE
The aim of this study was to evaluate the level of self-care adherence in the elderly with diabetes mellitus (DM) who have lived alone, and to investigate the association between health literacy, diabetic knowledge and self-care adherence.
METHODS
Descriptive research using the cross-sectional approach was conducted. Data was collected by using a convenience sampling of 201 participants who aged sixty-five years old or more and have lived alone. Statistical analysis was conducted by using an independent t-test, one-way ANOVA, ScheffÃ© test, Pearson correlation coefficient and stepwise multiple regression analysis.
RESULTS
Mean scores of health literacy, diabetic knowledge and adherence of self-care were 4.41Â±3.54 points out of a possible 12, 6.22Â±2.55 points out of a possible 15, 58.56Â±17.28 points out of a possible 112, respectively. Adherence of self-care showed a statistical association with health literacy (r=.26, p<.001) and diabetic knowledge (r=.30, p<.001). Statistically significant factors in the regression model were monthly income, diabetic knowledge and exercise.
CONCLUSION
The level of self-care adherence in the elderly with diabetes living alone was relatively low. Diabetic knowledge was an important factor to improve the level of self-care adherence for the elderly with diabetes living alone.

Citations

Citations to this article as recorded by

Relationships Among Health Literacy, Self-Efficacy, Self-Management, and HbA1c Levels in Older Adults with Diabetes in South Korea: A Cross-Sectional Study
Geun Young Jang, Soo Jung Chang, Jun Hee Noh
Journal of Multidisciplinary Healthcare.2024; Volume 17: 409. CrossRef
Influence of Digital Literacy and Patient Activation on Sick Role Behavior in Vulnerable Older Adults with Diabetes
Young-Eun Yi, Hyun-Ju Lee
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(2): 179. CrossRef
Diabetes self‐care activities and its correlates in patients with diabetic neuropathy
Younhee Kang, Inkyung Park
Journal of Clinical Nursing.2024;[Epub] CrossRef
Factors influencing self-management behaviors in older people with multiple chronic conditions based on the individual and family self-management theory: A cross-sectional study
Youngji Seo, Sunyoung Jung
Journal of Korean Gerontological Nursing.2024; 26(3): 332. CrossRef
Influencing factors on self-care of older adults living alone in a community during COVID-19: A cross-sectional study
Heeyoung Woo, Minkyung Gu
Journal of Korean Gerontological Nursing.2023; 25(1): 1. CrossRef
The effects of diabetes knowledge, self-efficacy, and depression on self-management in older patients with diabetes in the community: A cross-sectional study
Hyeok Gyu Park, Myoung Jin Kwon
Journal of Korean Gerontological Nursing.2022; 24(4): 389. CrossRef
The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes
Kawoun Seo
Journal of Korean Academy of Community Health Nursing.2021; 32(1): 86. CrossRef
The Effects of Snack Control Education and Telephone Coaching on Self-Management, Social Support, Self-Efficacy, and Blood Glucose in Diabetes Patients
Hye Eun Park
The Journal of Korean Diabetes.2021; 22(4): 274. CrossRef
Health Literacy, Knowledge and Self-care Behaviors in Patients with Pulmonary Tuberculosis Living in Community
Seo Hui Yang, Eun Young Jung, Yang Sook Yoo
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(1): 1. CrossRef
Intervention study of a foot‐care programme enhancing knowledge and practice among nurses and care workers at in‐home service providers
Kashiko Fujii, Minna Stolt
Nursing Open.2020; 7(4): 1039. CrossRef
Readiness for utilizing digital intervention: Patterns of internet use among older adults with diabetes
Sunhee Park, Beomsoo Kim
Primary Care Diabetes.2020; 14(6): 692. CrossRef
The Effect of Health Literacy and Self-care Performance on Health Care Utilization of Medicaid Elderly
Yun Hee Hwang, Ga Eon Lee
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 484. CrossRef
Effects of Diabetic Foot Care Education for the Aged with Low Health Literacy
Hyemin Kim, Ji Min Seo
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 560. CrossRef
A new comprehensive diabetes health literacy scale: Development and psychometric evaluation
Eun-Hyun Lee, Young Whee Lee, Kwan-Woo Lee, Moonsuk Nam, So Hun Kim
International Journal of Nursing Studies.2018; 88: 1. CrossRef
Relationships of health literacy to self‐care behaviors in people with diabetes aged 60 and above: Empowerment as a mediator
Kyung Suk Shin, Eun‐Hyun Lee
Journal of Advanced Nursing.2018; 74(10): 2363. CrossRef

Development of a Health Literacy Assessment Scale for Asian Immigrant Women in South Korea: Ji Sook An, Sook Ja Yang; J Korean Acad Community Health Nurs. 2015;26(4):330-341. Published online December 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.4.330

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7 Citations

Abstract PDF

PURPOSE
This study developed a self-report measure for easy assessing of the health literacy of Asian immigrant women in South Korea.
METHODS
After a literature review, focus group interviews, and content validity evaluation, 14 preliminary items were generated. These were translated into Chinese, Vietnamese, and English. Data were collected from 229 Asian immigrant women. Validity and reliability tests were conducted.
RESULTS
Factor analysis yielded final 10 items in three factors: primary functional and interactive health literacy, secondary functional and interactive health literacy, and critical health literacy, which explained 61.90% of the total variance of health literacy. In known-group comparisons, health literacy was significantly lower in recent immigrants, those with a low education level, and those with low Korean language proficiency. For convergent validity, health literacy was positively associated with health specific self-efficacy and maternal health knowledge. For criterion-related validity, health literacy was positively associated with the REALM-SF. The overall reliability coefficient (Cronbach's alpha) of the instrument was .773.
CONCLUSION
The Health Literacy Assessment Scale for Asian Immigrant Women (HLAS) represents a multidimensional construct which encompasses functional, interactive, and critical health literacy. This self-report HLAS can be a useful and convenient method for appraising the health literacy of Asian immigrant women.

Citations

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A Multi-component Living Lab on Health Engagement for Advancing Self-care Agency among Migrant Workers in South Korea: A mixed methods study
Youlim Kim, Hyeonkyeong Lee, Sookyung Kim, Junghee Kim
Research in Community and Public Health Nursing.2023; 34: 281. CrossRef
Definitions and measurement of health literacy in health and medicine research: a systematic review
Kristin Hjorthaug Urstad, Marit Helen Andersen, Marie Hamilton Larsen, Christine Råheim Borge, Sølvi Helseth, Astrid Klopstad Wahl
BMJ Open.2022; 12(2): e056294. CrossRef
Health literacy measures in South Korea: A scoping review
Heeran Chun, Su Hyun Kim, Eunja Park
Korean Journal of Health Education and Promotion.2022; 39(4): 39. CrossRef
A Study on the Reliability and Validity of the Korean Health Literacy Instrument for Late School-Aged Children
Sook-Kyoung Park, Eun-Gyeong Kim
International Journal of Environmental Research and Public Health.2021; 18(19): 10304. CrossRef
Trends and Level in Health Literacy Research on Immigrants in Korea: A Literature Review
Soo Jin Kang, Na Kyum Hyung
Journal of Korean Academy of Community Health Nursing.2020; 31(3): 322. CrossRef
Associations of health belief and health literacy with Pap smear practice among Asian immigrant women
Yong-Sook Eo, Ji-Soo Kim
European Journal of Oncology Nursing.2019; 42: 63. CrossRef
Concept Analysis of Health Literacy for Patients with Cardiovascular Disease using Hybrid Model
Jeong Eun Sim, Seon Young Hwang
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 494. CrossRef

Health Literacy and Health Behavior in Late School-age Children: Byeong Soon Jang, Dong Hee Kim; J Korean Acad Community Health Nurs. 2015;26(3):199-208. Published online September 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.3.199

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12 Citations

Abstract PDF

PURPOSE
This study was conducted to analyze the association between health literacy and health behavior and the effect of health literacy on health behavior in late school-age children.
METHODS
Data were obtained from 333 participants who were 5th and 6th-grade students sampled from 8 elementary schools in Busan. Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen) and Newest Vital Sign (NVS) was used for assessing linguistic and functional health literacy, and the health promotion behavior score was measured for health behavior.
RESULTS
The percentage of those with limited linguistic and functional health literacy was high (47.1%, 56.8%). Linguistic health literacy (r=.38, p<.001) and functional health literacy (r=.11, p=.048) had a correlation with health behavior. Health behavior was significantly associated with perceived health status (beta=1.94, p<.001), number of times of health education (beta=0.18, p<.001), academic achievement (p<.001), home literacy environment (beta=0.13, p=.016), perception of changes after health education (p=.011), and linguistic health literacy (beta=0.23, p<.001).
CONCLUSION
The results of this study indicate that children with adequate health literacy are more likely to do health behaviors. Therefore, it is important to develop educational strategies to raise children's health literacy level and consequently to induce them to perform more health behaviors in daily life.

Citations

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Bo-Yun Hub, Mi Ran Kim
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Association Between Health Literacy and Health Promoting Behavior (Eating Habits, Physical Activity, and Stress) of University Students
Yoon-Sun Kim
Korean Journal of Community Nutrition.2022; 27(2): 94. CrossRef
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Ayşegül Akca, Sultan Ayaz-alkaya
Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi.2021; 8(3): 328. CrossRef
Health Literacy and Related Factors Depending on Socioeconomic Status
Yoon Jin Oh, Ki Hyun Park
Korean Journal of Family Practice.2021; 11(4): 280. CrossRef
Factors Affecting Health Behaviors in Late School-aged Children from Multicultural Families
Sangmi Lee
Child Health Nursing Research.2020; 26(1): 23. CrossRef
Health Literacy and Health Promotion Behaviors of Adolescents in Turkey
Fatma Ozlem Ozturk, Sultan Ayaz-Alkaya
Journal of Pediatric Nursing.2020; 54: e31. CrossRef
Poor Performance of Children Age 7 to 13 Years on the Newest Vital Sign
Carol J. Howe, Christine Van Scoyoc, Gina K. Alexander, Jada L. Stevenson
HLRP: Health Literacy Research and Practice.2018;[Epub] CrossRef
Oral health literacy of upper grade elementary school children
Jinsil Hong, Young-Sam Kim, Kee-Wan Chang
Journal of Korean Academy of Oral Health.2018; 42(4): 229. CrossRef
Development of oral health literacy assessment tool for fifth and sixth grade elementary school students
Jinsil Hong, Yuna Shin, Kee-Wan Chang
Journal of Korean Academy of Oral Health.2017; 41(3): 214. CrossRef
Health Literacy and Its Related Factors in North Korean Refugees
Youn Jung Son, Hyun Joon Kim, Hye Jin Jeong, In Young Hwang, Moo Young Kim, Soo Hyoung Lee, Ki Hyun Park, Kee Ho Park, Chae Bong Kim, Hyang Im, Ji Young Lee
Korean Journal of Health Promotion.2017; 17(2): 71. CrossRef
Health Literacy in Adolescents With Sickle Cell Disease
Elizabeth L. Perry, Patricia A. Carter, Heather A. Becker, Alexandra A. Garcia, Michael Mackert, Karen E. Johnson
Journal of Pediatric Nursing.2017; 36: 191. CrossRef
Health Literacy and Health Promoting Behaviors in adolescents
Ji Young Kim, Min Hyun Suk
Journal of Korean Public Health Nursing.2016; 30(3): 570. CrossRef

The Influence of Health Literacy and Diabetes Knowledge on Diabetes Self-care Activities in Korean Low-income Elders with Diabetes: Ji Hye Jeong, Nam Hee Park, So Young Shin; J Korean Acad Community Health Nurs. 2014;25(3):217-224. Published online September 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.3.217

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4 Citations

Abstract PDF

PURPOSE
This study aimed to assess the levels of and relationships among health literacy, knowledge about diabetes, and self-care activities in the Korean low-income elderly with diabetes and to identify factors influencing the self-care activities of this vulnerable population.
METHODS
This study surveyed a total of 151 low-income elderly patients with diabetes registered at 16 Visiting Health Care Services in B City, Korea. Health literacy was measured with the Newest Vital Sign. Diabetes knowledge was measured with the Diabetes Knowledge Test. The Summary of Diabetes Self-care Activities Questionnaire was used to assess diabetes self-care activities. A stepwise multiple regression analysis was conducted to identify significant factors influencing diabetes self-care activities in these patients.
RESULTS
In the regression model, diabetes knowledge (beta=.322, p<.001), exercise (beta=.337, p<.001), and experiences of diabetes education (beta=.241, p=.001) were significantly associated with increased diabetes self-care activities in low-income elderly patients with diabetes when gender, education, health literacy, and subjective health state were controlled.
CONCLUSION
To improve diabetes self-care activities in the low-income elderly with diabetes, it is important to develop a customized program considering their knowledge, exercise, and diabetes education experience.

Citations

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Health Literacy, Health Risk Perception and Health Behavior of Elders: Jeong Hee Jeong, Jung Soon Kim; J Korean Acad Community Health Nurs. 2014;25(1):65-73. Published online March 31, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.1.65

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Abstract PDF

PURPOSE
The aim of this study is to clarify the level of health literacy, health risk perception and health behavior of Korean elders and to determine the impact of their health literacy and health risk perception on their health behavior.
METHODS
A descriptive correlation study was conducted with 188 elders aged 65 or older in senior welfare centers in Busan. Questionnaires were used to measure levels of health literacy, health risk perception, and health behavior. Descriptive statistics, t-test, ANOVA, Kruskal Wallis test, Pearson's correlation, and hierarchical regression were performed.
RESULTS
43.6% of the subjects had low levels of health literacy. There was a negative relation between health literacy and health risk perception, and between health risk perception and health behavior. There was a positive relation between health literacy and health behavior. Health concern, health literacy affected health behavior. Health literacy independently accounted for 24% of health behavior. Health risk perception didn't affect health behavior.
CONCLUSION
Many of the Korean elders had low levels of health literacy and health literacy was independently associated with health behavior. These findings show that interventions for improving health literacy are necessary to enhance health behavior of the elderly.

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