Korean J Adult Nurs.  2017 Jun;29(3):256-265. 10.7475/kjan.2017.29.3.256.

Health Literacy and Health Behaviors among Older Adults with Cardio-cerebrovascular Disease Residing in Rural Areas

Affiliations
  • 1Department of Nursing, Mokpo Catholic University, Mokpo, Korea. mslee@mcu.ac.kr

Abstract

PURPOSE
The aim of this study was to identify levels of health literacy and reported health behaviors among older adults with cardio-cerebrovascular disease residing in rural areas.
METHODS
A cross-sectional survey was conducted with a convenience sample of 134 older people (mean age=75.5 years, 71.6% Female) registered at seven health centers. The structured questionnaires were used to measure levels of health literacy and health behaviors.
RESULTS
The average functional health literacy score was 6.08±3.04, and the health behavior score was 62.92±6.45. Respectively health behavior was positively associated with health literacy. Education, economic status, number of family members, number of social activities and health literacy were contribution factors explaining 40.64% of the variance in health behavior. Health literacy specifically explained 12.5% of health behavior.
CONCLUSION
These findings suggest that strategies for improving health behaviors and reducing health inequalities may benefit from adopting a stronger focus on health literacy within prevention, patient education, and other public health interventions. Further longitudinal studies are needed to help confirm that improving health literacy in the elderly may be effective in changing health behaviors.


MeSH Terms

Adult*
Aged
Cardiovascular Diseases
Cerebrovascular Disorders
Cross-Sectional Studies
Education
Health Behavior*
Health Literacy*
Humans
Longitudinal Studies
Patient Education as Topic
Public Health
Socioeconomic Factors

Cited by  1 articles

Relationship between Uncertainty in Illness, Subjective Health Status, and Compliance with Sick Role Behavior according to Levels of Health Literacy in Hemodialysis Patients
Young-Mun Cho, Yon-Hee Seo, Mee-Jeong Park
Korean J Adult Nurs. 2018;30(4):437-446.    doi: 10.7475/kjan.2018.30.4.437.


Reference

1. KOSIS. 2015 annual report on the cause of death statistics [Internet]. Daejeon: Statistics Korea;2016. cited 2017 January. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1012.
2. Kim KA, Hwang SY. Knowledge on cardio-cerebrovascular disease and health behaviors among middle-aged postmenopausal women at risk. Korean J Adult Nurs. 2016; 28(4):424–435. DOI: 10.7475/kjan.2016.28.4.424.
Article
3. Müller-Nordhorn J, Binting S, Roll S, Willich SN. An update on regional variation in cardiovascular mortality within Europe. Eur Heart J. 2008; 29(10):1316–1326. DOI: 10.1093/eurheartj/ehm604.
4. Byrne M, Walsh J, Murphy AW. Secondary prevention of coronary heart disease: patient beliefs and health-related behavior. J Psychosom Res. 2005; 58(5):403–415. DOI: 10.1016/j.jpsychores.2004.11.010.
5. Xu L, Rhu SM, Goong HS. Gender differences in predictors of health behaviors modification among patients with cardiovascular disease. J Korea Contents Assoc. 2015; 15(3):280–289. DOI: 10.5392/JKCA.2015.15.03.280.
Article
6. Artinian NT, Fletcher GF, Mozaffarian D, Kris-Etherton P, Van Hom L, Lichtenstein AH, et al. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults. Circulation. 2010; 122:406–441. DOI: 10.1161/CIR.0b013e3181e8edf1.
Article
7. Lee JE, Lee SY, Noh HK, Lee EJ. The influence of functional health literacy on health promotion behavior. J Korean Data Inf Sci Soc. 2015; 26(6):1427–1438. DOI: 10.7465/jkdi.2015.26.6.1427.
Article
8. Paek KS. Impact of health literacy on adherence to self care behavior among the elderly with hypertension in a community. Crisisonomy. 2015; 11(8):157–174.
9. Jeong JH, Kim JS. Health Literacy, health risk perception and health behavior of elders. J Korean Acad Community Health Nurs. 2014; 25(1):65–73. DOI: 10.12799/jkachn.2014.25.1.65.
Article
10. 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. DOI: 10.12799/jkachn.2011.22.1.75.
Article
11. Dewalt DA, Pignone MP. The role of literacy in health and health care. Am Fam Physician. 2005; 72(3):387–388.
12. Chesser AK, Woods NK, Smothers K, Rogers N. Health literacy and older adults: a systematic review. Gerontol Geriatr Med. 2016; 2:1–13. DOI: 10.1177/2333721416630492.
13. Lee NR. Associations between health literacy and health behaviors of some elderly population in Korea [master's thesis]. Seoul: Ewha Woman University;2013.
14. Friis K, Vind BD, Simmons RK, Maindal HT. The relationship between health literacy and health behavior in people with diabetes: a danish population-based study. J Diabetes Res. 2016; 2016:7823130. DOI: 10.1155/2016/7823130.
15. Heijmans M, Waverijn G, Rademakers J, van der Vaart R, Rijken M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Educ Couns. 2015; 98(1):41–48. DOI: 10.1016/j.pec.2014.10.006.
Article
16. Diez Roux AV, Merkin SS, Arnett D, Chambless L, Massing M, Nieto FJ, et al. Neighborhood of residence and incidence of coronary heart disease. N Engl J Med. 2001; 345(2):99–106. DOI: 10.1056/NEJM200107123450205.
Article
17. Lee MS, Lim HJ. Factors related to health promoting behaviors of young-old and old-old elderly in rural areas. J Agric Med Community Health. 2010; 35(4):370–382. DOI: 10.5393/JAMCH.2010.35.4.370.
Article
18. Liu Y, Wang Y, Liang F, Chen Y, Liu L, Li Y, et al. The health literacy status and influencing factors of older population in Xinjiang. Iran J Public Health. 2015; 44(7):913–919.
19. 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
20. Jung EY, Hwang SK. Health literacy and health behavior compliance in patients with coronary artery disease. Korean J Adult Nurs. 2015; 27(3):251–261. DOI: 10.7475/kjan.2015.27.3.251.
Article
21. Quinlan P, Price KO, Magid SK, Lyman S, Mandl LA, Stone PW. The relationship among health literacy, health knowledge, and adherence to treatment in patients with rheumatoid arthritis. HSS J. 2013; 9(1):42–49. DOI: 10.1007/s11420-012-9308-6.
Article
22. 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. DOI: 10.7739/jkafn.2012.19.1.006.
Article
23. Parker RM, Baker DW, Williams MV, Nurss JR. The test of functional health literacy in adults: a new instrument for measuring patient's literacy skills. J Gen Intern Med. 1995; 10(10):537–541. DOI: 10.1007/BF02640361.
24. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987; 36(2):76–81.
25. Kim SE, Oh JN, Lee YM. Health literacy: an evolutionary concept analysis. J Korean Acad Soc Nurs Educ. 2013; 19(4):558–570. DOI: 10.5977/jkasne.2013.19.4.558.
Article
26. Simon MA, Li Y, Dong X. Levels of health literacy in a community-dwelling population of Chinese older adults. J Gerontol A Biol Sci Med Sci. 2014; 69:Suppl 2. S54–S60. DOI: 10.1093/gerona/glu179.
Article
27. Ha JY, Park YH. Health status and factors related to health behaviors of older adults using a senior center. Korean J Adult Nurs. 2015; 27(4):428–437. DOI: 10.7475/kjan.2015.27.4.428.
Article
Full Text Links
  • KJAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr