- 期刊
- OpenAccess
探討社區中、老年人的健康資訊取得對健康識能的影響
The influence of health-related information access on health literacy among middle-aged and older people in community-dwelling
摘要
隨著我國即將邁入超高齡社會，高品質老年生活成為重要的健康政策方向，各界提出「健康識能」能維繫良好健康備受關注，但其中也發現各國研究因人文特色、種族、年代而有相異結果。因此，本研究目的為探討社區中、老年人的健康資訊取得對健康識能的影響，及重要的影響因子。資料採用衛生福利部國民健康署2015年「中、老年身心社會生活狀況長期追蹤調查」（Taiwan Longitudinal Study on Aging, TLSA），共計5,646人，在控制性別、教育程度、年齡、婚姻、自覺健康狀況、運動行為、物質使用行為等會影響健康資訊取得對健康識能情形之因子之下進行階層迴歸分析。結果發現：（1）研究對象的人口學變項、自覺健康狀況、健康維護行為及健康資訊取得皆為影響健康識能之重要因素；（2）透過階層迴歸分析，健康資訊取得可解釋影響健康識能的變異量達27.4%；（3）女性研究對象在整體分數及高分組中健康識能分數都高於男性，且在人際傳播專業人員與非專業人員使用皆多於男性。結論:本研究指出中、老年人的健康資訊取得對健康識能有影響，且不同性別的健康資訊取得的管道亦有差異。藉此研究可做為未來規劃健康識能照護活動措施之參考，以提升中老年人健康福祉。
並列摘要
High-quality older living has emerged as a crucial health strategy as Taiwan is on the verge of becoming a super-aging society. Although studies in different nations have revealed varying results according to humanistic traits, race, and age, health literacy can help preserve good health. This research explores the factors of health information access on health literacy among middle-aged and older adults in the community. The data are based on the 2015 Taiwan Longitudinal Study on Aging (TLSA) database, which included 5,646 participants. A hierarchical regression analysis was conducted to account for potential influences on accessing health-related information and health literacy, taking into control variables including gender, education, age, marital status, self-reported health status, exercise habits, drug use, etc. We found that: 1. Demographic variables, self-rated health, health maintenance behavior, and access to health information were all critical factors that influenced health literacy. 2. According to hierarchical regression analysis, access to health information can predict 27.4% of the variance in health literacy. 3. In the overall score and high-level score group, female participants have higher health literacy than males, as does their use of interpersonal communication professionals and non-professionals. Our results indicated that access to health information by middle-aged and older people affects health literacy and that there were differences in the channels of health information access for different genders. This study can be used to plan future related care and activity measures for health literacy.