scholarly journals Does Health Literacy Affect the Uptake of Annual Physical Check-Up?: The Varying Impact by Age Groups

2020 ◽  
Author(s):  
Hee Yun Lee ◽  
Sooyoung Kim ◽  
Jessica Neese ◽  
Mi Hwa Lee

Abstract Introduction Little is known about how health literacy is linked to physical check-ups. This study aimed to examine the levels of physical check-ups by age group and the role of health literacy regarding physical check-ups. Methods Data for the study were obtained from the 2017 Health Information National Trends Survey. The original sample included 3,285 respondents, but only 3,146 surveys were used for this study. Andersen’s Behavioral Model of Health Services Use (Andersen, 1995) guided this study, and a binomial logistic regression model was conducted using Stata 12.0 software package. Results Annual check-ups were reported by 82.0% of the older group and 67.3% of the younger group. Both groups had similar ratios for health literacy-related item reporting. Study results show that annual check-up was positively associated with confidence in getting health information, having health insurance, and having a primary doctor for both age groups. However, getting a regular check-up was negatively associated with frustration while searching for information among the younger group while it was positively associated with difficulty understanding information for the older group. Conclusions To increase annual physical check-ups, health literacy-related interventions should be developed and address the barriers most associated with health check-ups. One way of addressing this barrier is to improve the line of communication from healthcare professionals to consumers through the use of easy-to-understand explanations appropriate for the consumer.

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Hee Yun Lee ◽  
Sooyoung Kim ◽  
Jessica Neese ◽  
Mi Hwa Lee

Abstract Background Little is known about how health literacy is linked to physical check-ups. This study aimed to examine the levels of physical check-ups (self-reported check-ups within the last year) by age group (those aged 18–59 years and those aged = ≥ 60 years) and the role of health literacy regarding physical check-ups in the United States. Methods Data for the study were obtained from the 2017 Health Information National Trends Survey. The original sample included 3,285 respondents, but only 3,146 surveys were used for this study. Andersen’s Behavioral Model of Health Services Use guided this study, and a binomial logistic regression model was conducted using Stata 12.0 software package. Results While 82.0 % of the older group had an annual check-up, 67.3 % of the younger group had one. Both groups had similar ratios for health literacy-related item reporting. Study results show that annual check-up was positively associated with confidence in getting health information, having health insurance, and having a primary doctor for both age groups. However, getting a regular check-up was negatively associated with frustration while searching for information among the younger group. In comparison, it was positively associated with difficulty understanding information for the older group. Conclusions To increase annual physical check-ups, health literacy-related interventions should be developed and address the barriers most associated with health check-ups. One way of addressing this barrier is to improve communication from healthcare professionals to consumers through the use of easy-to-understand explanations appropriate for the consumer.


2020 ◽  
Author(s):  
Soo Young Kim ◽  
Yuqi Guo ◽  
Chorong Won ◽  
Hee Yun Lee

Abstract Background: caregiving responsibilities significantly impact females’ decisions on adhering to preventive mammography. The purpose of this study is to examine (1) the levels of mammogram receipt, (2) the role of caregiving factors on the receipt of mammogram in caregiving group, and (3) the role of cancer beliefs on mammogram screening in caregivers and non-caregivers.Methods: the 2017 Health Information National Trends Survey (HINTS) provides samples of 1228 women aged 40 to 75 years old for this secondary analysis. By using Andersen’s Behavioral Model of Health Services Use, a binomial logistic regression model was used to analyze associations between mammography and socioeconomic factors, caregiving factors, and cancer belief factors. Results: caregivers who provided more caregiving hours per week (OR=0.749, 95% CI=0.564-0.94) and caregivers who had the belief of rather not knowing the likelihood of getting cancer (OR=0.673, 95% CI=0.496-0.914) were less likely to use mammogram. However, caregivers who believed cancer is more common than heart disease (OR=1.490, 95% CI=1.302- 2.151) were more likely to use a mammogram. Non-caregivers who worried about getting cancer (OR=1.158, 95% CI=0.793-1.691) were more likely to use mammogram, but non-caregivers who had the belief of rather not know the likelihood of getting cancer (OR=0.825, 95% CI=0.713-0.955) were less likely to use mammogram.Conclusions: to support caregivers’ breast cancer prevention, caregiving-related policies based on caregiving hours should be developed. Particularly, effort to promote breast cancer screening education and care support among older primary caregivers will likely increase their adherence to preventive mammography uptake. The development of targeted cancer prevention interventions on specific cancer beliefs held by both groups are also urgently needed to promote mammography.


2020 ◽  
Author(s):  
Soo Young Kim ◽  
Yuqi Guo ◽  
Chorong Won ◽  
Hee Yun Lee

Abstract Background caregiving responsibilities significantly impact females’ decisions on adhering to preventive mammography. The purpose of this study is to examine (1) the levels of Mammogram receipt, (2) the role of caregiving factors on the receipt of mammogram in caregiving group, and (3) the role of cancer beliefs on Mammogram screening in caregivers and non-caregivers. Methods the 2017 Health Information National Trends Survey (HINTS) provides samples of 1228 women aged 40 to 75 years old for this secondary analysis. By using Andersen’s Behavioral Model of Health Services Use, a binomial logistic regression model was used to analyze associations between mammography and socioeconomic factors, caregiving factors, and cancer belief factors. Results caregivers who provided more hours of caregiving per week (OR=0.749, 95% CI=0.564-0.94) and caregivers who had the belief of rather not know the likelihood of getting cancer (OR=0.673, 95% CI=0.496-0.914) were less likely to use mammogram. However, caregivers who believed cancer is more common than heart disease (OR=1.490, 95% CI=1.302- 2.151) were more likely to use mammogram. Non-caregivers who worried about getting cancer (OR=1.158, 95% CI=0.793-1.691) were more likely to use mammogram, but non-caregivers who had the belief of rather not know the likelihood of getting cancer (OR=0.825, 95% CI=0.713-0.955) were less likely to use mammogram. Conclusions to support caregivers’ breast cancer prevention, caregiving-related policies based on caregiving hours should be developed. Particularly, effort to promote breast cancer screening education and care support among older primary caregivers will likely increase their adherence to preventive mammography uptake. Development of targeted cancer prevention interventions on specific cancer beliefs held by both groups are also urgently needed to promote mammography.


2020 ◽  
Author(s):  
Soo Young Kim ◽  
Yuqi Guo ◽  
Chorong Won ◽  
Hee Yun Lee

Abstract Background: caregiving responsibilities significantly impact females’ decisions on adhering to preventive mammography. The purpose of this study is to examine (1) the levels of mammogram receipt, (2) the role of caregiving factors on the receipt of mammogram in caregiving group, and (3) the role of cancer beliefs on mammogram screening in caregivers and non-caregivers.Methods: the 2017 Health Information National Trends Survey (HINTS) provides samples of 1228 women aged 40 to 75 years old for this secondary analysis. By using Andersen’s Behavioral Model of Health Services Use, a binomial logistic regression model was used to analyze associations between mammography and socioeconomic factors, caregiving factors, and cancer belief factors. Results: caregivers who provided more caregiving hours per week (OR=0.749, 95% CI=0.564-0.94) and caregivers who had the belief of rather not knowing the likelihood of getting cancer (OR=0.673, 95% CI=0.496-0.914) were less likely to use mammogram. However, caregivers who believed cancer is more common than heart disease (OR=1.490, 95% CI=1.302- 2.151) were more likely to use a mammogram. Non-caregivers who worried about getting cancer (OR=1.158, 95% CI=0.793-1.691) were more likely to use mammogram, but non-caregivers who had the belief of rather not know the likelihood of getting cancer (OR=0.825, 95% CI=0.713-0.955) were less likely to use mammogram.Conclusions: to support caregivers’ breast cancer prevention, caregiving-related policies based on caregiving hours should be developed. Particularly, effort to promote breast cancer screening education and care support among older primary caregivers will likely increase their adherence to preventive mammography uptake. The development of targeted cancer prevention interventions on specific cancer beliefs held by both groups are also urgently needed to promote mammography.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Soo Young Kim ◽  
Yuqi Guo ◽  
Chorong Won ◽  
Hee Yun Lee

Abstract Background caregiving responsibilities significantly impact females’ decisions on adhering to preventive mammography. The purpose of this study is to examine (1) the levels of mammogram receipt, (2) the role of caregiving factors on the receipt of mammogram in caregiving group, and (3) the role of cancer beliefs on mammogram screening in caregivers and non-caregivers. Methods the 2017 Health Information National Trends Survey (HINTS) provides samples of 1228 women aged 40 to 75 years old for this secondary analysis. By using Andersen’s Behavioral Model of Health Services Use, a binomial logistic regression model was used to analyze associations between mammography and socioeconomic factors, caregiving factors, and cancer belief factors. Results caregivers who provided more caregiving hours per week (OR = 0.749, 95% CI = 0.564–0.94) and caregivers who had the belief of rather not knowing the likelihood of getting cancer (OR = 0.673, 95% CI = 0.496–0.914) were less likely to use mammogram. However, caregivers who believed cancer is more common than heart disease (OR = 1.490, 95% CI = 1.302–2.151) were more likely to use a mammogram. Non-caregivers who worried about getting cancer (OR = 1.158, 95% CI = 0.793–1.691) were more likely to use mammogram, but non-caregivers who had the belief of rather not know the likelihood of getting cancer (OR = 0.825, 95% CI = 0.713–0.955) were less likely to use mammogram. Conclusions to support caregivers’ breast cancer prevention, caregiving-related policies based on caregiving hours should be developed. Particularly, effort to promote breast cancer screening education and care support among older primary caregivers will likely increase their adherence to preventive mammography uptake. The development of targeted cancer prevention interventions on specific cancer beliefs held by both groups are also urgently needed to promote mammography.


2016 ◽  
Vol 44 (2) ◽  
pp. 178-190
Author(s):  
Ann Hallyburton

Purpose The purpose of this paper is to examine healthcare professionals’ own health literacy through the lenses of information behavior and evidence-based practice. These practitioners’ health information literacy is critical to client care. Design/methodology/approach This conceptual paper applies general and professional-specific models of information behavior and issues of bias to methods in which healthcare practitioners seek, evaluate and use research information within professional practice. Findings Case examples from library, medical and the broader healthcare literature are used to explore ways in which care professionals’ information behaviors align with or deviate from information behavior models and the role of different types of bias in their information behavior. Adaption of evidence-based practice precepts, already familiar to healthcare professionals, is proposed as a method to improve practitioners’ health information literacy. Originality/value Explorations of “health literacy” have primarily focused on healthcare consumers’ interactions with basic health information and services. The health literacy (and health information literacy) of care practitioners has received much less attention. By gaining a greater understanding of how information behaviors intersect with healthcare practitioners’ own health literacy, the librarians and educators who serve future and current care professionals can offer more informed information literacy instruction, enabling practitioners to provide improved patient care.


Author(s):  
Soondool Chung ◽  
Hee Yun Lee ◽  
Miwoo Lee ◽  
Semi Chung

Health literacy is necessary to understand health information and make appropriate decisions regarding one’s health. This study aims to investigate (1) the health literacy level of Korean citizens and Korean American (KA) immigrants in the United States and (2) factors that influence health literacy across three age groups. A quota sampling method was used to collect cross-sectional survey data from 404 Korean participants and 404 KA immigrants. Andersen’s behavioral model was used as the theoretical framework for this study. Overall, Korean participants had a higher mean score on health literacy than did the KA immigrants. Only one of predisposing and enabling factors were significant variables influencing health literacy in KA immigrants, while several predisposing, enabling and need factors were significantly associated with health literacy in Korean adults. Our findings indicate that both countries need to have a community-based health literacy educational program that is tailored to each age group.


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