Functional, communicative and critical health literacy among older Polish citizens.

IF 0.8 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Medycyna pracy Pub Date : 2022-04-25 DOI:10.13075/mp.5893.01250

Anna Mirczak

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Abstract

BACKGROUND The level of health literacy possessed by an individual (functional, communicative, critical) determines their ability to effectively self-manage a chronic disease. The aim of the study was to assess the level and functional, communicative, and critical determinants of health literacy in the group of chronically ill older adults. MATERIAL AND METHODS The study was conducted on a representative sample of chronically ill people (N = 400) aged ≥65 years, living in Poland. Three levels of health literacy were measured on the basis of the Functional, Communicative and Critical Health Literacy scale (FCCHL), employed in Polish social research for the first time. RESULTS The conducted research showed that the average health literacy score of the surveyed older adults, measured on the basis of the FCCHL scale, was 2.81±0.71 (M±SD), whereas for the functional subscale of health literacy it was 3.06±0.58 (M±SD), for communicative health literacy it was 2.82±0.86 (M±SD), and for critical health literacy - 2.71±0.92 (M±SD). In terms of functional health literacy, the surveyed seniors most frequently reported problems with reading health-related information, resulting from the use of inadequate font size in information leaflets and brochures. Questions included in the subscale representing communicative health literacy revealed that the majority of the respondents understood the provided information about diseases, nevertheless they were reluctant to share thoughts about their health with other people. Within the framework of critical health literacy, one-third of the respondents did not search for any additional information, trusting that the information obtained was accurate and reliable. CONCLUSIONS The surveyed elderly people rated worse their level of communicative and critical health literacy compared to the functional level. As a consequence of the low level of communicative and critical health literacy of the surveyed older adults, a certain deficit in their self-managing a disease entity is forecast. Med Pr. 2022;73(3).

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波兰老年公民的功能性、沟通性和批判性健康素养。

背景个人的健康素养水平（功能性、沟通性、批判性）决定了他们有效自我管理慢性病的能力。该研究的目的是评估慢性病老年人健康素养的水平和功能、沟通和关键决定因素。材料和方法本研究对居住在波兰的年龄≥65岁的慢性病患者（N=400）的代表性样本进行。根据波兰社会研究首次采用的功能、沟通和关键健康素养量表（FCCHL），测量了三个水平的健康素养。结果所进行的研究表明，基于FCCHL量表测量的受访老年人的平均健康素养得分为2.81±0.71（M±SD），而健康素养的功能分量表为3.06±0.58（M±SD卡），沟通健康素养为2.82±0.86（M±SD），关键健康素养为2.71±0.92（M±SD.）。在功能性健康素养方面，受调查的老年人最常报告阅读健康相关信息的问题，这是由于信息传单和小册子使用的字体不够大。代表沟通健康素养的分量表中包含的问题表明，大多数受访者理解所提供的有关疾病的信息，但他们不愿意与其他人分享关于自己健康的想法。在关键健康素养的框架内，三分之一的受访者没有搜索任何其他信息，相信获得的信息是准确可靠的。结论：与功能水平相比，接受调查的老年人的沟通和批判性健康素养水平较差。由于受访老年人的沟通和批判性健康素养水平较低，预计他们在自我管理疾病实体方面会有一定的不足。Med Pr.2022；73（3）。

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来源期刊

Medycyna pracy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.90

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal publishes original papers, review papers and case studies in Polish and English. The subject matter of the articles includes occupational pathology, physical, chemical and biological agents at workplace, toxicology, mutagenesis, health policy, health management, health care, epidemiology, etc. The magazine also includes reports from national and international scientific conferences on occupational medicine. It also contains letters to the editor. Each first-in-year issue of the magazine comprises former-year indices of authors and keywords.