慢性病病人成人功能性健康知能程度之相關因素探討

The Related Factors of Adult Functional Health Literacy Level in Chronic Disease Patients

李懿倫(Yi-Lun Lee) ； 張永源(Yong-Yuan Chang)

《醫學與健康期刊》 1卷1期 (2012/09) Pp. 61-70

https://doi.org/10.29585/YYWYLL.201209.0006

摘要

Objetives. Health literacy is the ability to read and understand written materials commonly encountered in health care settings. In this study, we assessed health literacy level and analyzed factors related to health literacy scores in adults with chronic diseases.Methods. In this cross-sectional study, we administered structural questionnaires to collect information from 600 adult patients with chronic diseases from January 2008 to December 2008. Health literacy was assessed using the traditional Chinese version of short test of functional health literacy in adults (S-TOFHLA).Results. The instrument had a content validity 90.7 and a Cronbach's α of 0.975. The overall average functional health literacy score was 56±35. About 40% of our subjects had inadequate literacy levels. We found significant differences in functional health literacy scores across age groups, education strata, and annual family income (all p＜0.001).Conclusions. The validity and reliability of the traditional Chinese version of S-TOFHLA was acceptable. Elderly patients had lower health literacy scores. The more years of education, the higher the literacy scores.

關鍵字

健康知能 ； 功能性健康知能測驗 ； 慢性病

並列摘要

Objetives. Health literacy is the ability to read and understand written materials commonly encountered in health care settings. In this study, we assessed health literacy level and analyzed factors related to health literacy scores in adults with chronic diseases.Methods. In this cross-sectional study, we administered structural questionnaires to collect information from 600 adult patients with chronic diseases from January 2008 to December 2008. Health literacy was assessed using the traditional Chinese version of short test of functional health literacy in adults (S-TOFHLA).Results. The instrument had a content validity 90.7 and a Cronbach's α of 0.975. The overall average functional health literacy score was 56±35. About 40% of our subjects had inadequate literacy levels. We found significant differences in functional health literacy scores across age groups, education strata, and annual family income (all p＜0.001).Conclusions. The validity and reliability of the traditional Chinese version of S-TOFHLA was acceptable. Elderly patients had lower health literacy scores. The more years of education, the higher the literacy scores.

並列關鍵字

Health literacy ； Test of functional health literacy ； Chronic disease