scholarly journals Faktor-Faktor Yang Berhubungan Dengan Tingkat Literasi Kesehatan Pasien Pelayanan Kedokteran Keluarga

2021 ◽  
Vol 5 (2) ◽  
pp. 681-692
Author(s):  
Karina Samaria Santosa ◽  
Hadi Pratomo

ABSTRACT Introduction: Health literacy is crucial for health management, but still has become a problem in many countries. The objective of this study was to assess patient’s health literacy levels in Kiara Family Medicine Clinic of the Medical Faculty University of Indonesia and its determinants. Method: This was quantitative research with cross- sectional design. The population was all patients visiting the clinic during the data collection period. The samples were patients who met the inclusion and exclusion criteria, chosen with consecutive sampling technique. Minimal sample size was counted using different proportion hypothesis test formula, results in minimum of 134 respondents. The independent variables were age, language, ethnicity, sex, level of education, length of education, occupation, income, access to health services, and health information access. The dependent variable was levels of health literacy.The instruments were questionnaires on health literacy determinats and Newest Vital Sign adapted in bahasa Indonesia (NVS-I). Univariate, bivariate (chi-square test), and multivariate (logistic regression) analyses were conducted. Results: 27.4% of respondents had high health literacy level and 72.6% of respondents had low health literacy level. Factors associated with health literacy levels were health information access and length of education. The most dominant influencing factor of health literacy was accessibility to health information. Conclusion: Most of the patients had low health literacy level with NVS-I measurement. The factor most associated with health literacy level was health information access. More efforts are needed in promoting patient’s health literacy through improving health information access. Keywords: family medicine, health information access, health literacy

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Desalew Tilahun ◽  
Abebe Abera ◽  
Gugsa Nemera

Abstract Background Health literacy plays a prominent role in empowering individuals for prevention as well as management of non-communicable diseases (NCDs). However, there is paucity of information on the health literacy of patients with non-communicable diseases in Ethiopia. Therefore, this study aimed to assess communicative health literacy and associated factors in patients with NCDs on follow-up at Jimma Medical Center (JMC), Ethiopia. Methods A cross-sectional study was conducted from 4 May 2020 to 4 July 2020 with 408 randomly selected adult patients, attending outpatient department of JMC in Ethiopia. The final sample size was obtained by using single population proportion formula. All patients with NCDs who were on follow-up at chronic illness clinic, JMC, were used as a source population. All eligible patients with NCDs who fulfilled the inclusion criteria were included in this study. A simple random sampling technique was used to recruit study participants. Data were collected through structured interviewer administered questionnaires on the six of nine health literacy domains using Health Literacy Questionnaire (HLQ) containing 30 items, socio-demographic and socio-economic characteristics, disease-related factors, and health information sources. Multivariable logistic regression was executed to determine the associations. Result Descriptive analysis shows more than half of the respondents in four of the six health literacy domains had high communicative health literacy level (CHLL). The proportion of people with high CHLL across each of the domains was as follows: health care provider support (56.1%), social support for health (53.7%), active engagement with a healthcare provider (56.1%), and navigating healthcare system (53.4%). We found educational status was significantly associated with five of six health literacy domains whereas number of sources was associated with four of six health literacy domains. Conclusion The overall findings of the current study indicate that health literacy levels vary according to socio-demographic and disease characteristics of patients. Thus, healthcare professionals should assess patients’ health literacy level and tailor information and support to the health literacy skills and personal context of their patients.


2016 ◽  
Vol 150 (1) ◽  
pp. 52-59 ◽  
Author(s):  
Régis Vaillancourt ◽  
Yen Truong ◽  
Shazya Karmali ◽  
Amanda Kraft ◽  
Selina Manji ◽  
...  

Background: Medications that taste unpleasant can be a struggle to administer to children, most often resulting in low adherence rates. Pictograms can be useful tools to improve adherence by conveying information to patients in a way that they will understand. Methods: One-on-one structured interviews were conducted with parents/guardians and with children between the ages of 9 and 17 years at a pediatric hospital. The questionnaire evaluated the comprehension of 12 pictogram sets that described how to mask the taste of medications for children. Pictograms understood by >85% of participants were considered validated. Short-term recall was assessed by asking participants to recall the meaning of each pictogram set. Results: There were 51 participants in the study—26 (51%) were children aged 9 to 17 years and 25 (49%) were parents or guardians. Most children (54%) had health literacy levels of grade 10 or higher. Most parents and guardians (92%) had at least a high school health literacy level. Six of the 12 pictogram sets (50%) were validated. Eleven of 12 pictogram sets (92%) had a median translucency score greater than 5. All 12 pictogram sets (100%) were correctly identified at short-term recall and were therefore validated. Conclusion: The addition of validated illustrations to pharmaceutical labels can be useful to instruct on how to mask the taste of medication in certain populations. Further studies are needed to assess the clinical impact of providing illustrated information to populations with low health literacy.


2017 ◽  
Vol 57 (5) ◽  
pp. 519-527 ◽  
Author(s):  
Adam M. Drent ◽  
David C. Brousseau ◽  
Andrea K. Morrison

Parents of children seeking nonurgent care in the emergency department completed surveys concerning media use and preferences for health education material. Results were compiled using descriptive statistics, compared by health literacy level with logistic regression, adjusting for race/ethnicity and income. Semistructured qualitative interviews to elicit reasons for preferences, content preference, and impact of health information were conducted and analyzed using content analysis. Surveys (n = 71) showed that despite equal access to online health information, parents with low health literacy were more likely to use the internet less frequently than daily ( P < .01). Surveys and interviews (n = 30) revealed that health information will be most effective when distributed by a health care professional and must be made available in multiple modalities. Parents requested general information about childhood illness, including diagnosis, treatment, and signs and symptoms. Many parents believed that appropriate health information would change their decision-making regarding seeking care during their child’s next illness.


2021 ◽  
Author(s):  
Takaedza Munangatire ◽  
Nestor Tomas ◽  
Violetha Mareka

Abstract Background: Inadequate health literacy and poor health practices among nurses could be a hindrance to empowering the population with good health practices. For the nurses to empower the population, they need to be equipped with good health literacy and good health practices. The starting point of solving this problem is through provision of deliberate health literacy and health practice education in the nursing curriculum. This study explored health literacy level and health practices of nursing students in Namibia. Specifically the study examined the health literacy level, health practices and the relationship between the two among nursing students across four levels of study. Methods: A descriptive cross-sectional study was carried out among 205 nursing students. A simple random stratified sampling method was used and data were collected using questionnaire for health literacy (16 items) and health practices (11 items. Pearson correlation, independent t-test and One-way ANOVA were used to analyse the data. Results: The overall mean general health literacy score was 13.04± 1.52. The majority (n=157;76.5%) of the students were found to have adequate health literacy scores, 21.5% with moderate health literacy scores and only 2% with inadequate health literacy scores. The overall mean health practice score was 32.4± 5.50. Most (n=106; 51.7%) of the students were found to have poor health practices, 44.4% had average health practices and 3.9% had good health practices. There was no significant relationship between health literacy levels and health practices of the students (p=0.63).Conclusions: Nursing students have good health literacy but more efforts should be applied to maintain such health literacy levels during and beyond the point of graduation. However, with poor health practices, there is need to investigate more on the contributing factors and develop strategies that can support good health practices among nursing students and maybe these can be transferred into their professional careers as nurses.


2019 ◽  
Author(s):  
Hanna Vollbrecht ◽  
Vineet Arora ◽  
Sebastian Otero ◽  
Kyle Carey ◽  
David Meltzer ◽  
...  

BACKGROUND Technology is a potentially powerful tool to assist patients with transitions of care during and after hospitalization. Patients with low health literacy who are predisposed to poor health outcomes are particularly poised to benefit from such interventions. However, this population may lack the ability to effectively engage with technology. Although prior research studied the role of health literacy in technology access/use among outpatients, hospitalized patient populations have not been investigated in this context. Further, with the rapid uptake of technology, access may no longer be pertinent, and differences in technological capabilities may drive the current digital divide. Thus, characterizing the digital literacy of hospitalized patients across health literacy levels is paramount. OBJECTIVE We sought to determine the relationship between health literacy level and technological access, use, and capability among hospitalized patients. METHODS Adult inpatients completed a technology survey that asked about technology access/use and online capabilities as part of an ongoing quality of care study. Participants’ health literacy level was assessed utilizing the 3-question Brief Health Literacy Screen. Descriptive statistics, bivariate chi-squared analyses, and multivariate logistic regression analyses (adjusting for age, race, gender, and education level) were performed. Using Bonferroni correction for the 18 tests, the threshold <i>P</i> value for significance was &lt;.003. RESULTS Among 502 enrolled participants, the mean age was 51 years, 71.3% (358/502) were African American, half (265/502, 52.8%) were female, and half (253/502, 50.4%) had at least some college education. Over one-third (191/502, 38.0%) of participants had low health literacy. The majority of participants owned devices (owned a smartphone: 116/173, 67.1% low health literacy versus 235/300, 78.3% adequate health literacy, <i>P</i>=.007) and had used the Internet previously (143/189, 75.7% low health literacy versus 281/309, 90.9% adequate health literacy, <i>P</i>&lt;.001). Participants with low health literacy were more likely to report needing help performing online tasks (133/189, 70.4% low health literacy versus 135/303, 44.6% adequate health literacy, <i>P</i>&lt;.001). In the multivariate analysis, when adjusting for age, race, gender, and education level, we found that low health literacy was not significantly associated with a lower likelihood of owning smartphones (OR: 0.8, 95% CI 0.5-1.4; <i>P</i>=.52) or using the internet ever (OR: 0.5, 95% CI 0.2-0.9; <i>P</i>=.02). However, low health literacy remained significantly associated with a higher likelihood of needing help performing any online task (OR: 2.2, 95% CI 1.3-3.6; <i>P</i>=.002). CONCLUSIONS The majority of participants with low health literacy had access to technological devices and had used the internet previously, but they were unable to perform online tasks without assistance. The barriers patients face in using online health information and other health information technology may be more related to online capabilities rather than to technology access. When designing and implementing technological tools for hospitalized patients, it is important to ensure that patients across digital literacy levels can both understand and use them.


2019 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Rasha A. Almubark ◽  
Mada Basyouni ◽  
Ashjan Alghanem ◽  
Amani S. Alqahtani ◽  
Nasser F. BinDhim

Background: Low health literacy and medication literacy can be associated with adverse medication-related events. The objectives of this research were to characterize medication use, describe health information sources, and characterize medication literacy in the KSA population. Methods: A cross-sectional nationwide survey was conducted among Saudi residents aged 18 years or above. Results: A total of 3,557 surveys were available for analysis (men = 1,811 and women = 1,746). Respondents were concentrated in younger categories, and each region was represented by 7% to 8% of respondents by design. Twenty-three percent of respondents (n = 825) reported having at least one chronic disease. A total of 1,882 (53%) of respondents reported ever looking for health information; of those, web pages were the most popular information sources. Among those taking medication for chronic disease, only 61% agreed that they knew how their medication should be monitored, 51% agreed that they knew what to do if they missed a dose, and 50% agreed that they knew their drug's side effects. Conclusion: This study's results suggest that interventions focused on medication literacy and tailored to prevalent chronic disease groups should be explored. Because the most common source of health information is web pages, interventions to improve overall health information literacy, especially pertaining to online medication information, should be studied.


Author(s):  
Emrah Atay ◽  
Saniye Göktaş ◽  
Gülsüm Öztürk Emiral ◽  
Gökçe Dağtekin ◽  
Sevil Akbulut Zencirci ◽  
...  

Background: The purpose of this study is to determine the level of Health Literacy of teachers who work at the city center of Eskisehir and to evaluate the relation with eating behaviors and some of possible related variables.Methods: This cross-sectional research study was conducted between 1st of March and 28th of April 2017 with the primary, secondary and high school teachers. Study group consists of 825 teachers who agreed to participate to the study. The Questionnaire form includes the socio-demographic variables of teachers, potential factors associated with the health literacy, Turkish Health Literacy Scale 32 (THLS-32) and The Three-Factor Eating Questionnaire.Results: The mean age was 41.91±8.80 years ranging from 22 to 65 years. The median score of the general index of the THLS-32 was found to be as 32.81 and 52.1% of our study population were found to be above the median score. The participants showed a negative correlation between the scores of ‘emotional eating’,‘uncontrolled eating’ scale and THLS-32, positive correlation between ‘cognitive restraint’ eating scale THLS-32.Conclusions: The health literacy level of teachers is important because of effecting both themselves and students. The teachers and the health care providers should collaborate on the topic more and they should be encouraged to participate in health related programmes.


2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Vina Putri Patandung ◽  
Kusrini Kadar ◽  
Kadek Ayu Erika

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic disease with high level of complexity that requires extensive education and self-care management. The demands on individuals with T2DM are complicated by the fact that self-care often depends on printed educational materials and high health literacy skills. Every individual who needs health information and services also needs health literacy skills to find health information and services, communicating needs, respond to and using the information and obtaining health services, understanding health information, and finding realible health information and services to suit all needs, making the right decision to act. This study aims to determine the level of functional, communicative, and critical health literacy of T2DM patients at Pangolombian and Kakaskasen Public Health Centre of Tomohon City, as well as factors related to the level of health literacy. Method: Quantitative descriptive to describe the level of health literacy and correlation to see factors related to the patient's health literacy level. The sample of this study was a patient of T2DM who followed prolanis, amounted to 34 people, determined by using purposive sampling. Data were obtained by interview and using demographic characteristics questionnaire and Functional, Communicative, and Critical Health Literacy questionnaires. Result: Generally, health literacy level of T2DM patients is still low both for functional, communicative, and critical. This can happen because of various factors but the most related is the low access to health information and patient education level. Conclusion: The results of this study showed that health literacy level of T2DM patient in Tomohon city is still very low. This happened because access to health information is still less obtained by patients and also their education level is still low. These results can be used as recommendations for health workers to pay more attention to how to educate patients who should be adjusted to the level of education so that the information provided can be put to good use by the patient.


Author(s):  
Kijpokin Kasemsap

This chapter emphasizes the prospect of health literacy; the evaluation of health literacy level; health literacy and health communication; health literacy and health information; and the current issues of health literacy in global health care. Good health literacy is important because patients are living longer and experiencing a wider range of health issues. Health professionals must commit to promoting for improved health literacy in health care organizations and should establish the specific health care goals toward improving health literacy in strategic plans, performance plans, programs, and educational initiatives. Health professionals can utilize a broad range of health communication strategies to ensure patients understand their options and share their health care decisions. Through health education and training, effective health information can help promote patients' health literacy level in global health care.


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