Health Literacy, Health Risk Perception and Health Behavior of Elders

Jeong Hee Jeong; Jung Soon Kim

doi:10.12799/jkachn.2014.25.1.65

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

¹Graduate School, College of Nursing, Pusan National University, Yangsan, Korea.

²College of Nursing, Pusan National University, Yangsan, Korea.

• Received: February 10, 2014 • Revised: March 18, 2014 • Accepted: March 25, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract

Abstract

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.
Key Words: Health literacy; Health behavior; Elderly

Table 1

General and Health related Characteristics of Subjects and Health Literacy, Health Risk Perception and Health Behavior according to Subject's Characteristics (N=188)

^†Scheffé test; ^‡Kruskal Wallis test; ^§Mann-Whitney U test.

Table 2

Health Literacy, Health Risk Perception, and Health Behavior Levels and Correlations between Health Literacy, Health Risk Perception, and Health Behavior (N=188)

NVS=newest vital sign.

Table 3

Impact of Health Literacy and Health Risk Perception on Health Behavior in Elderly (N=188)

^†Standardized β.

This article is based on a part of the first author's master's thesis from Pusan National University.

1. Jeong KH, Oh YH, Lee YK, Sohn CK, Park BM, Lee SY, et al. Report No.: 11-1352000-000672-12. 2011 A study on the status of elderly. Policy Report. Sejong City: Ministry of Health and Welfare; 2012. 04.
2. Gu MO, Kim JH, Kim JI, Kim HJ, Kim HS, Oh JJ, et al. A study on the barriers to health behavior in elderly people in Korea. J Korean Gerontol Nurs. 2003;5(2):117–126.
3. Gu MO, Eun Y. Health-promoting behaviors of older adults compared to young and middle-aged adults in Korea. J Gerontol Nurs. 2002;28(5):46–53. Article
4. Cutilli CC. Health literacy in geriatric patients: An integrative review of the literature. Orthop Nurs. 2007;26(1):43–48. PubMed
5. Billek-Sawhney B, Reicherter EA. Literacy and the older adult: Educational considerations for health professionals. Top Geriatr Rehabil. 2005;21(4):275–281.
6. Schloman BF. Health literacy: A key ingredient for managing personal health. Online J Issues Nurs. 2004;9(2):6.
7. Nielsen-Bohlman L, Panzer AM, Kindig D. Health literacy: A prescription to end confusion. Washington, DC: National Academies Press; 2004. 331 p.
8. Maiman LA, Becker MH. The health belief model: Origins and correlates in psychological theory. Health Educ Behav. 1974;2(4):336–353. Article PDF
9. Brewer NT, Tzeng JP, Lillie SE, Edwards AS, Peppercorn JM, Rimer BK. Health literacy and cancer risk perception: implications for genomic risk communication. Med Decis Making. 2009;29(2):157–166. http://dx.doi.org/10.1177/0272989X08327111Article PubMed PDF
10. Macabasco-O'Connell A, DeWalt DA, Broucksou KA, Hawk V, Baker DW, Schillinger D, et al. Relationship between literacy, knowledge, self-care behaviors, and heart failure-related quality of life among patients with heart failure. J Gen Intern Med. 2011;26(9):979–986. Article PubMed PMC
11. Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health care use among medicare enrollees in a managed care organization. Med Care. 2002;40(5):395–404. Article PubMed
12. Son YJ, Song EK. Impact of health literacy on disease-related knowledge and adherence to self-care in patients with hypertension. J Korean Acad Fundam Nurs. 2012;19(1):6–15. Article
13. Liu T, Xu YJ, Zhang YH, Yan QH, Song XL, Xie HY, et al. Associations between risk perception, spontaneous adaptation behavior to heat waves and heatstroke in guangdong province, China. BMC Public Health. 2013;13:913. http://dx.doi.org/10.1186/1471-2458-13-913Article PubMed PMC PDF
14. Park JE, Sohn AR. The influence of media communication on risk perception and behavior related to mad cow disease in South Korea. Osong Public Health Res Perspect. 2013;4(4):203–208. http://dx.doi.org/10.1016/j.phrp.2013.06.005Article PubMed PMC
15. Kim YH. Relations among fall efficacy, perception of fall risk and fall prevention behavior in the frail elderly at home. J Korea Acad-Ind Coop Soc. 2013;14(7):3383–3389. http://dx.doi.org/10.5762/KAIS.2013.14.7.3383Article
16. Friedman DB, Corwin SJ, Dominick GM, Rose ID. African american men's understanding and perceptions about prostate cancer: Why multiple dimensions of health literacy are important in cancer communication. J Community Health. 2009;34(5):449–460. http://dx.doi.org/10.1007/s10900-009-9167-3Article PubMed PDF
17. Weiss BD, Mays MZ, Martz W, Castro KM, DeWalt DA, Pignone MP, et al. Quick assessment of literacy in primary care: The newest vital sign. Ann Fam Med. 2005;3(6):514–522. Article PubMed PMC
18. Kim JE. Measuring the level of health literacy and influence factors: Targeting the visitors of a university hospital's outpatient clinic. J Korean Clin Nurs Res. 2011;17(1):27–34.
19. Ministry of Food and Drug Safety. Notification No. 2012-140 food labelling standard [Internet] Osong: Ministry of Food and Drug Safety; 2012;cited 2013 March 05. Available from: http://www.mfds.go.kr/index.do?mid=687
20. Brewer NT, Chapman GB, Gibbons FX, Gerrard M, McCaul KD, Weinstein ND. Meta-analysis of the relationship between risk perception and health behavior: The example of vaccination. Health Psychol. 2007;26(2):136–145. Article PubMed
21. Hong KJ, Ju YK, Jun SI, Yoon HJ, You MS. Exploring the possibility of using public institution's health message for measuring health literacy. Korean J Health Educ Promot. 2012;29(3):53–61.
22. Park JY, June KJ. Influencing factors on functional health literacy among the rural elderly. J Korean Acad Community Health Nurs. 2011;22(1):75–85. Article
23. Kim SH, Lee EJ. The influence of functional literacy on perceived health status in Korean older adults. J Korean Acad Nurs. 2008;38(2):195–203. Article
24. Lee TW, Kang SJ. Health literacy in the Korean elderly and influencing factors. J Korean Gerontol Soc. 2008;28(4):847–863.
25. Seo IS. Health knowledge level and health-promoting behavior of the Elderly. J Korean Gerontol Soc. 2000;20(2):1–28.
26. Braun BL. Knowledge and perception of fall-related risk factors and fall-reduction techniques among community-dwelling elderly individuals. Phys Ther. 1998;78(12):1262–1276. Article PubMed
27. Oh HJ, Kim DH. Research on the influential factors in senior citizens' health promotion behaviors. Health Soc Sci. 2012;32:177–201.

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Health Literacy, Health Risk Perception and Health Behavior of Elders

Table 1 General and Health related Characteristics of Subjects and Health Literacy, Health Risk Perception and Health Behavior according to Subject's Characteristics (N=188)

^†Scheffé test; ^‡Kruskal Wallis test; ^§Mann-Whitney U test.

Table 2 Health Literacy, Health Risk Perception, and Health Behavior Levels and Correlations between Health Literacy, Health Risk Perception, and Health Behavior (N=188)

NVS=newest vital sign.

Table 3 Impact of Health Literacy and Health Risk Perception on Health Behavior in Elderly (N=188)

^†Standardized β.