Factors predicting health literacy among older adults with chronic diseases in community

Authors

  • Pramote Thangkratok Department of Community Health Nursing, Srisavarindhira Thai Red Cross Institute of Nursing https://orcid.org/0000-0001-8169-411X
  • Prissana Boonpradit Sap Poep Subdistrict Health Promoting Hospital, Phetchabun Province
  • Natchaya Palacheewa Department of Community Health Nursing, Srisavarindhira Thai Red Cross Institute of Nursing

Keywords:

health literacy, older adults, chronic diseases, community

Abstract

This predictive research aimed to analyze the factors predicting health literacy among older adults with chronic diseases in the community. The purposive sampling included a total of 161 older adults with chronic diseases in the community in one subdistrict health-promoting hospital. Data were collected using Health Literacy among Older Adults Scale, The Family APGAR Questionnaire, and Health Information Seeking Behaviors through Online Media Questionnaire. Data were analyzed using descriptive statistics and stepwise multiple regression analysis.

The findings revealed that education level was significantly negatively related to health literacy (r = -0.261, p < 0.001). Satisfaction with family support and health information-seeking behaviors through online media scores were significantly negatively related to health literacy (r = 0.234, p < 0.001 and r = 0.163, p < 0.05 respectively). Education level, satisfaction with family support scores, and health information-seeking behaviors through online media scores were significant predictors of health literacy and could explain 15.4% (R2 = 0.154, p < 0.001) of the variance in health literacy in older adults with chronic diseases in the community.

Community health nurses and health care teams should encourage literacy for older adults, empower family members' participation in older adults’ care, and promote health information-seeking behaviors through online media in older adults with sufficient levels of health literacy.

References

Thangkratok P. The role of the nurse in the chronic disease management. Songkla-nagarind Journal of Nursing. 2017;37(2):154-9. (in Thai).

Thangkratok P, Petchsuk R, Keinwong T, Trainattawan W, Thatdee P, Boonpradit P. Care management model for older adults with chronic diseases in the community. Royal Thai Navy Medical Journal. 2020;47(1):234-48. (in Thai).

National Institute on Aging. Supporting older patients with chronic conditions [document on the Internet]. Bethesda, MD: National Institute on Aging (NIA); 2017 [cited 2022 Sep 1]. Available from: nia.nih.gov/health/supporting-older-patients-chronic-conditions

National Council on Aging. Healthy aging. Arlington, VA: National Council on Aging; 2018.

Health Intervention and Technology Assessment Program. The survey of health status among elderly in Thailand. Nonthaburi: Health Intervention and Technology Assessment Program; 2013. (in Thai).

Stormacq C, Wosinski J, Boillat E, Van den Broucke S. Effects of health literacy interventions on health-related outcomes in socioeconomically disadvantaged adults living in the community: a systematic review. JBI Evid Synth. 2020;18(7). 1389-469. doi: 10.11124/JBISRIR-D-18-00023.

Kickbush I, Pelikan JM, Apfel F, Tsouros AD, editors. Health literacy the solid facts. Copenhagen: World Health Organization; 2013.

Sun X, Shi Y, Zeng Q, Wang Y, Du W, Wei N, et al. Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model. BMC Public Health. 2013;13(261):1-8. doi: 10.1186/1471-2458-13-261.

Squiers L, Peinado S, Berkman N, Boudewyns V, McCormack L. The health literacy skills framework. J Health Commun. 2012;17(Suppl 3):30-54. doi: 10.1080/10810730.2012.713442.

Panagioti M, Skevington SM, Hann M, Howells K, Blakemore A, Reeves D, et al. Effect of health literacy on the quality of life of older patients with long-term conditions: a large cohort study in UK general practice. Qual Life Res. 2018;27(5):1257-68. doi: 10.1007/s11136-017-1775-2.

Trainattawan W, Pratanvorapanya W, Palacheewa N, Thangkratok P. Health information seeking behaviors of older adults in the digital era. J Prapokklao Hosp Clin Med Educat Center. 2020;37(4):356-63. (in Thai).

Lee HY, Jin SW, Henning-Smith C, Lee J, Lee J. Role of health literacy in health-related information-seeking behavior online: cross-sectional study. J Med Internet Res. 2021;23(1):e14088. doi: 10.2196/14088.

Mackert M, Mabry-Flynn A, Champlin S, Donovan EE, Pounders K. Health literacy and health information technology adoption: the potential for a new digital divide. J Med Internet Res. 2016;18(10):e264. doi: 10.2196/ jmir.6349.

Clouston SAP, Manganello JA, Richards M. A life course approach to health literacy: the role of gender, educational attainment and lifetime cognitive capability. Age Ageing. 2017;46(3):493-9.

Khosravi A, Ahmadzadeh K, Zareivenovel M. Evaluating the health literacy level among diabetic patients referring to Shiraz health centers. IJISM. 2018;16(1):137-51.

Wu JR, Moser DK, DeWalt DA, Rayens MK, Dracup K. Health literacy mediates the relationship between age and health outcomes in patients with heart failure. Circ Heart Fail. 2016;9(1):e002250. doi: 10.1161/CIRCHEARTFAILURE.115.002250.

Rikard RV, Thompson MS, McKinney J, Beauchamp A. Examining health literacy disparities in the United States: a third look at the National Assessment of Adult Literacy (NAAL). BMC Public Health. 2016;16(1):975. doi: 10.1186/s12889-016-3621-9

Jansen T, Rademakers J, Waverijn G, Verheij R, Osborne R, Heijmans M. The role of health literacy in explaining the association between educational attainment and the use of out-of-hours primary care services in chronically ill people: a survey study. BMC Health Serv Res. 2018;18(1):394. doi: 10.1186/s12913-018-3197-4.

Svendsen IW, Damgaard MB, Bak CK, Bøggild H, Torp-Pedersen C, Svendsen MT, et al. Employment status and health literacy in Denmark: a population-based study. Int J Public Health. 2021;66:598083. doi: 10.3389/ijph.2021.598083.

Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008;67(12):2072-8.

Sap Poep Subdistrict Health Promoting Hospital. Medical statistics. Phetchabun: Phetchabun Sap Poep Subdistrict Health Promoting Hospital; 2019. (in Thai).

Institute of Geriatric Medicine. The comparison of relation of Mini Mental Status Examination Thai version (MMSE-Thai) 2002 and Thai Mini-Mental State Examination; TMSE in dementia screening. Bangkok: Institute of Geriatric Medicine; 2008. (in Thai).

Ogorchukwu JM, Sekaran VC, Nair S, Ashok L. Mental health literacy among late adolescents in South India: what they know and what attitudes drive Them. Indian J Psychol Med. 2016;38(3):234-41.

Bell ML, Kenward MG, Fairclough DL, Horton NJ. Differential dropout and bias in randomised controlled trials: when it matters and when it may not. BMJ. 2013;346:e8668. doi: 10.1136/bmj.e8668.

Suka M, Odajima T, Kasai M, Igarashi A, Ishikawa H, Kusama M, et al. The 14-item health literacy scale for Japanese adults (HLS-14). Environ Health Prev Med. 2013;18 (5):407-15.

Ishikawa H, Takeuchi T, Yano E. Measuring functional, communicative, and critical health literacy among diabetic patients. Diabetes Care. 2008;31(5):874-9.

Malathum P. A model of factors contributing to perceived abilities for health-promoting self-care of community-dwelling Thai older adults [Dissertation Doctor of Philosophy]. Texas: University of Texas at Austin; 2001.

Tipkanjanaraykha K, Yingrengreung S, Kheokao J, Ubolwan K, Jaemtim N, Promsuan W. Health information seeking behaviors of elderly through online media according to perceived health status. Journal of Health Science Research. 2017;11 (Suppl):12-22. (in Thai).

Howell DC. Statistical methods for psychology. 8th ed. California: Cengage Learning; 2013.

Fields B, Lee A, Piette JD, Trivedi R, Mor MK, Obrosky DS, et al. Relationship between adult and family supporter health literacy levels and supporter roles in diabetes management. Fam Syst Health. 2021;39(2):224-33.

Trainattawan W, Wirojratana V, Watana-kukrilert D. Factors influencing health literacy among older adults. Journal of Health Science Research. 2019;13(2):41-51. (in Thai).

Jafari Y, Tehrani H, Esmaily H, Shariati M, Vahedian-Shahroodi M. Family-centred empowerment program for health literacy and self-efficacy in family caregivers of patients with multiple sclerosis. Scand J Caring Sci. 2020;34(4):956-63.

Malathum P, Kongiem J, Intarasombat P. Relationships of family support and friend support to life satisfaction of older adults in rural areas. Rama Nurs J. 2009;15(3):432-48.

Shen M, Hu M, Liu S, Chang Y, Sun Z. Assessment of the Chinese resident health literacy scale in a population-based sample in South China. BMC Public Health. 2015;15(1):637. doi: 10.1186/s12889-015-1958-0.

Sonted S, Sansiriphun N, Deeluea J. Factors related to paternal health literacy among expectant fathers. Nursing Journal CMU. 2021;48(4):217-29. (in Thai).

Chiu HT, Tsai HW, Kuo KN, Leung AYM, Chang YM, Lee PH, et al. Exploring the influencing factors of health literacy among older adults: a cross-sectional survey. Medicina (Kaunas). 2020;56(7):330. doi: 10.3390/medicina56070330.

Downloads

Published

2022-09-24

How to Cite

1.
Thangkratok P, Boonpradit P, Palacheewa N. Factors predicting health literacy among older adults with chronic diseases in community. Thai J Cardio-Thorac Nurs. [Internet]. 2022 Sep. 24 [cited 2024 Nov. 5];33(1):215-30. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/254622

Issue

Section

Research Articles