Evaluation of the Relationship Between Nutrition Literacy and Health Literacy in Adults

Hulya Kamarli Altun, Gülen Suna, N. Seremet Kürklü, M. Ş. Karaçil Ermumcu, Zeynep Ateş, Eylül Akçınar, Havva Akın
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Abstract

Aim: This study aims to determine the relationship between nutrition literacy (NL) and health literacy (HL) of adults. Subjects and Method: This cross-sectional study included 450 individuals aged 18-65 years residing in Antalya. A questionnaire including socio-demographic characteristics, health status, nutritional habits, Turkish Health Literacy Scale-32, and the Evaluation Instrument of Nutrition Literacy on Adults was applied to the subjects by face-to-face interview technique and anthropometric measurements were taken. Results: The mean age of the participants was 34.3±13.14 years. While more than half of them had inadequate (14.2%) and problematic-limited HL (37.6%), 87.3% of them were found to have adequate NL. Mean NL scores of women were found to be significantly higher than men (27.9±2.76; 26.5±3.32, p<0.001, respectively). Most of participants with adequate NL had bachelor/ postgraduate education (p<0.001). Individuals with adequate NL have significantly higher HL levels and scores than those with limited NL (p=0.001 and p<0.001, respectively). A weak positive correlation was found between HL and NL (r=0.262; p<0.05). In the multivariate model, however, subjects with inadequate HL had higher levels of inadequate NL (OR: 2.498; 95% CI: 1.284-4.859; p=0.007) and poor general nutritional knowledge (OR: 1.858; 95% CI: 1.151-2.998; p=0.011). Conclusion: According to the results of our study, it was observed that the HL scale, which was adapted to Turkish to assess HL, was insufficient in assessing NL, since there was a low correlation between NL and HL.
成人营养素养与健康素养关系的评价
目的:探讨成人营养素养(NL)与健康素养(HL)的关系。对象和方法:这项横断面研究包括450名年龄在18-65岁的居住在安塔利亚的人。采用面对面访谈法对受试者进行社会人口特征、健康状况、营养习惯、土耳其健康素养量表-32和成人营养素养评估工具等问卷调查,并进行人体测量。结果:参与者平均年龄为34.3±13.14岁。虽然超过一半的患者HL不足(14.2%)和问题限制性HL(37.6%),但其中87.3%的患者发现NL充足。女性NL平均得分显著高于男性(27.9±2.76;26.5±3.32,p<0.001)。大多数具有足够NL的参与者具有学士/研究生教育(p<0.001)。NL充足个体的HL水平和评分显著高于NL有限个体(p=0.001和p<0.001)。HL与NL呈弱正相关(r=0.262;p < 0.05)。然而,在多变量模型中,HL不足的受试者有更高水平的NL不足(OR: 2.498;95% ci: 1.284-4.859;p=0.007)和一般营养知识差(OR: 1.858;95% ci: 1.151-2.998;p = 0.011)。结论:根据我们的研究结果,由于NL与HL的相关性较低,我们发现土耳其语中用于评估HL的HL量表在评估NL时存在不足。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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