Öz
Amaç: Bu çalışmanın amacı tıp fakültesi öğrencilerinin sağlık okuryazarlığı düzeylerini belirlemek ve sağlık okuryazarlığı ile ilişkili olabilecek değişkenleri araştırmaktır.
Gereç ve Yöntem: Kesitsel tipte olan bu çalışma, Necmettin Erbakan Üniversitesi Tıp Fakültesi’nin ilk üç yılında öğrenim gören 702 öğrenci üzerinde gerçekleştirildi. Etik ve yazılı izin alındıktan sonra çalışmanın verileri Ocak-Şubat 2023 tarihleri arasında toplandı. Araştırma için araştırmacılar tarafından 53 sorudan oluşan bir veri toplama formu hazırlandı. Veri toplama formunun son bölümünde Türkiye Sağlık Okuryazarlığı Ölçeği-32 (TSOY-32) kullanıldı. Veri girişi ve analizinde SPSS 28.0 paketi kullanıldı. İstatistiksel anlamlılık p<0,05 olarak kabul edildi.
Bulgular: Araştırmaya dahil edilen 702 öğrencinin %59,3’ü kız idi. Katılımcıların TSOY-32 ölçeğindeki genel indeks puanı ortalaması 31,77 (26,04-36,45) olarak belirlendi. Puanlara göre öğrencilerin %20,9’unun yetersiz sağlık okuryazarlığına sahip olduğu, %37,7’sinin ise problemli-sınırlı sağlık okuryazarlığına sahip olduğu görüldü. Birinci sınıf öğrencilerinin TSOY-32 puanı diğer iki yıla göre anlamlı derecede düşüktü. Geliri giderinden fazla olan kişilerde, koruyucu hizmetler için en çok sağlık kurumlarını kullandığını belirtenlerde ve sağlık okuryazarlığı kavramını duyduğunu belirtenlerde TSOY-32 puanı diğer gruplara göre anlamlı derecede yüksekti (p<0,05).
Sonuç: Bu araştırma sonucunda öğrencilerin yarıdan fazlasının sağlık okuryazarlığının yetersiz veya sorunlu sınırlı düzeyde olduğu tespit edilmiştir.
Anahtar Kelimeler
Kaynakça
- WHO. Health literacy. In: Kickbusch I, Pelikan LM, Apfel F, Tsouros AD, eds. World Health Organization, Regional Office for Europe, 2013a.
- WHO. Health literacy: The solid facts, WHO Regional Office for Europe UN City, Marmorvej 51 DK-2100 Copenhagen, Denmark, 2013b, ISBN: 978 92 890 00154
- T.R. Ministry of Health, General Directorate of Primary Health Care, Health Promotion and Development Dictionary Anıl Printing, 1st Edition, Ankara, 2011.
- Heijmans M, Waverijn G, Rademakers J, van der Vaart R, Rijken M. Functional, communicative and critical health literacy of patients with chronic diseases and its importance for self-management. Patient education and counselling 2015;98(1):41-48.
- Lastrucci V, Lorini C, Caini S, Florence Health Literacy Research Group, Bonaccorsi G. Health literacy as a mediator of the relationship between socioeconomic status and health: A cross-sectional study in a population-based sample in Florence. PLoS ONE. 2019;14(12): e0227007.
- Abel T. Cultural capital in health promotion. In: McQueen DV, Kickbusch I, eds. Health and Modernity: The Role of Theory in Health Promotion. New York Springer 2007;43-73.
- Nielsen-Bohlman L, Panzer AM, Kindig DA (eds), Health Literacy: A Prescription to End Confusion, National Academies Press Washington 2004;31-55.
- Lorini C, Santomauro F, Donzellini M, Capecchi L, Bechini A, Boccalini S, et al. Health literacy and immunisation: A systematic review. Hum Vaccin Immunother 2018;14(2):478-488.
- Tatar M. The relationship between health literacy and healthy lifestyle behaviours among students of the Faculty of Medicine and the study of factors affecting health literacy (Specialisation thesis). Kırıkkale: Kırıkkale University; 2020.
- Akgün Ş, Tok HH, Öztaş D. Healthy lifestyle behaviours and health literacy of nursing students. GUJHS 2021;10(2):247-256.
- Kazak A, Başaran F, Coşkun N, Karakullukçu S. Evaluation of health literacy and healthy lifestyle behaviours of university students studying in health-related departments. Kocaeli Medical Journal 2021;10(3):273-283.
- Okyay P, Abacıgil F, Harlak H. Reliability and validity study of Turkish health literacy scales. Turkish Health Literacy Scale-32 Chapter 3 2016:43-60.
- Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, Brand H. Health literacy and public health: a systematic review and synthesis of definitions and models. BMC Public Health 2012;12(1):1-13.
- Dincer A, Kurşun S. Determining the health literacy level of university students. STED 2017;26(1):20-26.
- Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLSEU). Eur J Public Health 2015;25(6):1053-1058.
- Atay E, Göktaş S, Emiral GO, Dağtekin G, Zencirci SA, Aygar H, et al. Health literacy level and eating behaviour of teachers working in the city centre of Eskisehir, Turkey. International Journal of Research in Medical Sciences. 2018;6(1):27-34.
- Ergün S. Health literacy of health students. Kocaeli Medical Journal 2017;6(3):1-6.
- Kaya ŞD, Uludağ A. Relationship between health literacy and media literacy. Journal of Mehmet Akif Ersoy University Institute of Social Sciences 2017;9(22):194-206.
- Inkaya B, Tüzer H. Examination of the health literacy status of social and health science students at a university. Kocaeli Med 2018;7(3):124-129.
- Lee SY, Tsai TI, Tsai YW, Kuo KN. Health literacy, health status, and health care utilisation among Taiwanese adults: Findings from a national survey. BMC Public Health 2010;10:614.
- Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between health literacy, health status and healthy behaviours among older adults in Isfahan, Iran. J Edu Health Promot 2012;1:31.
- Bonaccorsi G, Lastrucci V, Vettori V, Lorini C; Florence Health Literacy Research Group. Functional health literacy in a population-based sample in Florence: a cross-sectional study using the Newest Vital Sign. BMJ Open. 2019;9:e026356.
- Schillinger D, Barton LR, Karter AJ, Wang F, Adler N. Does literacy mediate the relationship between education and health outcomes? A study of a low-income population with diabetes. Public Health Rep 2006;121:245-254.
- Husson O, Mols F, Fransen MP, van de Poll-France LV, Ezendam NP. Low subjective health literacy is associated with adverse health behaviours and poorer health-related quality of life in colorectal cancer survivors: Results from the PROFILES registry. Psycho-Oncology 2015;24(4):478-486.
- Mantwill S, Monestel-Umana S, Schulz PJ. The relationship between health literacy and health inequalities: a systematic review. PLoS One 2015;10, e0145455.
- Taggart J, Williams A, Dennis S, Newall A, Shortus T, Zwar N, et al. A systematic review of primary care interventions to improve health literacy for chronic disease behavioural risk factors. BMC Family Practice 2012;13:1-12.
- Uysal N, Ceylan E, Koç A. Health literacy level and influencing factors among university students. Health & Social Care in the Community. 2020;28(2):505-511.
- Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, et al. Functional health literacy and risk of hospitalization among Medicare managed care enrollees. AmJ Public Health 2002;92(8):1278-1283.
- Torres R, Nichols J. Health literacy knowledge and experiences of associate degree nursing students: A pedagogical study. Nursing teaching and learning 2014;9(2):84-92
- Yorulmaz DS, Sezer HK. Examining the health literacy of nursing and first and emergency department students and influencing factors. Journal of İnönü University Vocational School of Health Services 2021;9(1):337-352.
Öz
Objective: This study aims to determine the health literacy levels of medical students and to investigate the variables that may be associated with health literacy.
Materials and Methods: This cross-sectional study was carried out on 702 students studying in the first three years of the Necmettin Erbakan University, Faculty of Medicine. After obtaining ethical and written permission, the data of the study were collected between January and February 2023. For the research, a data collection form consisting of 53 questions was prepared by the researchers. The Turkish Health Literacy Scale-32 (TSOY-32) was used in the last part of the data collection form. SPSS 28.0 package was used for data entry and analysis. Statistical significance was accepted at p<0.05.
Result: Of the 702 students included in the study, 59.3% were female. The mean general index score of the participants on the TSOY-32 scale was 31.77 (26.04-36.45). According to the scores, 20.9% of the students had inadequate health literacy and 37.7% had problematic-limited health literacy. The TSOY-32 score of the first year students was significantly lower than that of the other two years. The TSOY-32 score was significantly higher than the other groups in those who reported that people with more income than their expenses most often use health care facilities for preventive services and in those who reported having heard about the concept of health literacy (p<0.05).
Conclusion: As a result of this research, it was found that more than half of the students had insufficient or problematic limited level of health literacy.
Anahtar Kelimeler
Etik Beyan
The study was approved by the Non-Pharmaceutical and Medical Device Ethics Committee of Necmettin Erbakan University Faculty of Medicine with decision number 2023/4119 dated 06.01.2023, and written permission was obtained from the Dean of Necmettin Erbakan University Faculty of Medicine.
Destekleyen Kurum
Yok
Teşekkür
Yok
Kaynakça
- WHO. Health literacy. In: Kickbusch I, Pelikan LM, Apfel F, Tsouros AD, eds. World Health Organization, Regional Office for Europe, 2013a.
- WHO. Health literacy: The solid facts, WHO Regional Office for Europe UN City, Marmorvej 51 DK-2100 Copenhagen, Denmark, 2013b, ISBN: 978 92 890 00154
- T.R. Ministry of Health, General Directorate of Primary Health Care, Health Promotion and Development Dictionary Anıl Printing, 1st Edition, Ankara, 2011.
- Heijmans M, Waverijn G, Rademakers J, van der Vaart R, Rijken M. Functional, communicative and critical health literacy of patients with chronic diseases and its importance for self-management. Patient education and counselling 2015;98(1):41-48.
- Lastrucci V, Lorini C, Caini S, Florence Health Literacy Research Group, Bonaccorsi G. Health literacy as a mediator of the relationship between socioeconomic status and health: A cross-sectional study in a population-based sample in Florence. PLoS ONE. 2019;14(12): e0227007.
- Abel T. Cultural capital in health promotion. In: McQueen DV, Kickbusch I, eds. Health and Modernity: The Role of Theory in Health Promotion. New York Springer 2007;43-73.
- Nielsen-Bohlman L, Panzer AM, Kindig DA (eds), Health Literacy: A Prescription to End Confusion, National Academies Press Washington 2004;31-55.
- Lorini C, Santomauro F, Donzellini M, Capecchi L, Bechini A, Boccalini S, et al. Health literacy and immunisation: A systematic review. Hum Vaccin Immunother 2018;14(2):478-488.
- Tatar M. The relationship between health literacy and healthy lifestyle behaviours among students of the Faculty of Medicine and the study of factors affecting health literacy (Specialisation thesis). Kırıkkale: Kırıkkale University; 2020.
- Akgün Ş, Tok HH, Öztaş D. Healthy lifestyle behaviours and health literacy of nursing students. GUJHS 2021;10(2):247-256.
- Kazak A, Başaran F, Coşkun N, Karakullukçu S. Evaluation of health literacy and healthy lifestyle behaviours of university students studying in health-related departments. Kocaeli Medical Journal 2021;10(3):273-283.
- Okyay P, Abacıgil F, Harlak H. Reliability and validity study of Turkish health literacy scales. Turkish Health Literacy Scale-32 Chapter 3 2016:43-60.
- Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, Brand H. Health literacy and public health: a systematic review and synthesis of definitions and models. BMC Public Health 2012;12(1):1-13.
- Dincer A, Kurşun S. Determining the health literacy level of university students. STED 2017;26(1):20-26.
- Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLSEU). Eur J Public Health 2015;25(6):1053-1058.
- Atay E, Göktaş S, Emiral GO, Dağtekin G, Zencirci SA, Aygar H, et al. Health literacy level and eating behaviour of teachers working in the city centre of Eskisehir, Turkey. International Journal of Research in Medical Sciences. 2018;6(1):27-34.
- Ergün S. Health literacy of health students. Kocaeli Medical Journal 2017;6(3):1-6.
- Kaya ŞD, Uludağ A. Relationship between health literacy and media literacy. Journal of Mehmet Akif Ersoy University Institute of Social Sciences 2017;9(22):194-206.
- Inkaya B, Tüzer H. Examination of the health literacy status of social and health science students at a university. Kocaeli Med 2018;7(3):124-129.
- Lee SY, Tsai TI, Tsai YW, Kuo KN. Health literacy, health status, and health care utilisation among Taiwanese adults: Findings from a national survey. BMC Public Health 2010;10:614.
- Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between health literacy, health status and healthy behaviours among older adults in Isfahan, Iran. J Edu Health Promot 2012;1:31.
- Bonaccorsi G, Lastrucci V, Vettori V, Lorini C; Florence Health Literacy Research Group. Functional health literacy in a population-based sample in Florence: a cross-sectional study using the Newest Vital Sign. BMJ Open. 2019;9:e026356.
- Schillinger D, Barton LR, Karter AJ, Wang F, Adler N. Does literacy mediate the relationship between education and health outcomes? A study of a low-income population with diabetes. Public Health Rep 2006;121:245-254.
- Husson O, Mols F, Fransen MP, van de Poll-France LV, Ezendam NP. Low subjective health literacy is associated with adverse health behaviours and poorer health-related quality of life in colorectal cancer survivors: Results from the PROFILES registry. Psycho-Oncology 2015;24(4):478-486.
- Mantwill S, Monestel-Umana S, Schulz PJ. The relationship between health literacy and health inequalities: a systematic review. PLoS One 2015;10, e0145455.
- Taggart J, Williams A, Dennis S, Newall A, Shortus T, Zwar N, et al. A systematic review of primary care interventions to improve health literacy for chronic disease behavioural risk factors. BMC Family Practice 2012;13:1-12.
- Uysal N, Ceylan E, Koç A. Health literacy level and influencing factors among university students. Health & Social Care in the Community. 2020;28(2):505-511.
- Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, et al. Functional health literacy and risk of hospitalization among Medicare managed care enrollees. AmJ Public Health 2002;92(8):1278-1283.
- Torres R, Nichols J. Health literacy knowledge and experiences of associate degree nursing students: A pedagogical study. Nursing teaching and learning 2014;9(2):84-92
- Yorulmaz DS, Sezer HK. Examining the health literacy of nursing and first and emergency department students and influencing factors. Journal of İnönü University Vocational School of Health Services 2021;9(1):337-352.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Halk Sağlığı (Diğer) |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Erken Görünüm Tarihi | 3 Mayıs 2024 |
| Yayımlanma Tarihi | |
| Gönderilme Tarihi | 3 Kasım 2023 |
| Kabul Tarihi | 22 Ocak 2024 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 6 Sayı: 2 |
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