노인의 기능적 의료정보 이해능력이 지각된 건강상태에 미치는 영향 = The Influence of Functional Literacy on Perceived Health Status in Korean Older Adults

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to understand the level of functional health literacy and its influence on perceived health status in Korean older adults. Methods: A cross-sectional survey was conducted in Daegu, Kyungpook and Busan province. A total of 103 older adults aged 65 yr or older were interviewed in person between July 1 to August 30, 2007.
Results: A high proportion of older adults were unable to read and understand written basic medical instructions. Only 40-50% were able to comprehend directions for taking medication four times a day or on an empty stomach. Only 11- 38% were able to understand information regarding treatment procedure, informed consent, or educational material for elderly fall prevention. Individuals who were older, single, and had less education and income were more likely to have lower functional health literacy. After adjusting for sociodemographic variables, individuals with lower health literacy had poorly perceived health status. Conclusion: Many Korean older adults have a very low level of fuctional literacy. Low health literacy was independently associated with poorly perceived health status.

참고문헌 (Reference)

1 Parker, R. M., "The test of functional health literacy in adults: A new instrument for measuring patients’literacy skills" 10 : 537-541, 1995

2 Ministry of Health and Welfare, "The study on the status of health and living in Korean older adults"

3 Dewalt, D. A., "The role of literacy in health and health care" 5 : 783-790, 2005

4 U.S. Department of Education, "The health literacy of America’s adults: Results from the 2003 national assessment of adult literacy"

5 Nurss, J. R., "Test of functional health literacy in adults" Peppercorn Books & Press Inc. 2001

6 Cohen, J, "Statistical power analysis for the behavioral sciences (2nd ed.)" Lawrence Erlbaum Associates 1988

7 Amella, E. J, "Presentation of illness in older adults" 104 (104): 40-52, 2004

8 Korea National Statistical Office, "Population projections for Korea"

9 Billek-Sawhney B., "Literacy and the older adult: Educational considerations for health professionals" 21 : 275-281, 2005

10 Dewalt, D. A., "Literacy and health outcomes: A systematic review of the literature" 19 : 1228-1239, 2004

11 Williams, M. V., "Inadequate functional health literacy among patients at two public hospitals" 274 : 1677-1682, 1995

12 Weiss, B. D., "Health status of illiterate adults: Relation between literacy and health status among persons with low literacy skills" 5 : 257-264, 1992

13 Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs, American Medical Association, "Health literacy: Report of the council on scientific affairs" 281 : 552-557, 1999

14 Andrus, M. R., "Health literacy: A review" 22 : 282-302, 2002

15 Schloman, B. F, "Health literacy: A key ingredient for managing personal health" 9 (9): 14-21, 2004

16 Wolf, M. S., "Health literacy and functional health status among older adults" 165 : 1946-1952, 2005

17 Gazmaraian, J. A., "Health literacy among medicare enrollees in a managed care organization" 281 : 545-551, 1999

18 Ferrini, A. F., "Health in the later years (3rd ed.)" McGraw-Hill Higher Education 2000

19 Faul, F, "G*Power version 3.0.5" Universitat Kiel 2006

20 Health Industry Development Institute, "Educational material for tailored home visiting service" 2007

21 Cutilli, C. C, "Do your patients understand? Determining your patients’health literacy skills" 24 : 372-377, 2005

22 Baker, D. W., "Development of a brief test to measure functional health literacy" 38 : 33-42, 1999