Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
권호 표지

Exploring the Possibility of Using Public Institution's Health Message for Measuring Health Literacy

헬스 리터러시 측정을 위한 공공기관 건강정보의 활용 가능성 탐색

  • Hong, Kyung-Jin (Graduate School of Public Health, Seoul National University) ;
  • Ju, Young-Gi (School of Communnication, Hallym University) ;
  • Jun, Sang-Il (Korea Institute of Environment and Health) ;
  • Yoon, Hye-Jung (Risk Analysis and Research Division, Korea Food and Drug Administration) ;
  • You, Myoung-Soon (Graduate School of Public Health, Seoul National University)
  • Received : 2012.07.31
  • Accepted : 2012.09.26
  • Published : 2012.09.30
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Abstract

Objectives: Improving public capability to obtain, understand, and use health information is important for decision-making and communication. This study attempts to measure adults' literacy of the information provided by a public health institution. Factors affecting different health literacy level are also investigated. The relation between public risk perception and health literacy is examined as well. Methods: A total of 800 korean adults were surveyed. To provide the participants health literacy questions, health messages of heavy metals released by KFDA as well as literacy questions developed by NIKL were used. A total of eight questions were developed to measure health literacy. The dimensions of risk perception proposed by Brewer et al.(2008) were modified to measure risk perception. Results: The average percentage of correct answer for all literacy questions was only 65.57%. Individuals at the older age, and with lower education/ income level were more likely to be low literate. In addition, health literacy was strongly associated with risk perception. Conclusions: Public literacy of health information is influenced by socio demographic factors. This study suggested a possibility that low health literacy may affect unrealistically high risk perception. Further studies with sophisticated methodologies to measure health literacy need to be developed.

Keywords

References

  1. Berkman, N. D., Davis, T. C., & McCormack, L. (2010). Health literacy: What is it? Journal of Health Communication, 15(S2), 9-19.
  2. Brewer, N. T., Chapman, G. B., Gibbons, F. X., Gerrard, M., McCaul, K. D., & Weinstein, N. D. (2007). Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination. Health Psychology, 26(2), 136-145. https://doi.org/10.1037/0278-6133.26.2.136
  3. Brewer, N. T., Tzeng, J. P., Lillie, S. E., Edwards, A. S., Peppercorn, J. M., & Rimer, B. K. (2009). Health literacy and cancer risk perception: implications for genomic risk communication. Medical Decision Making, 29(2), 157-166. https://doi.org/10.1177/0272989X08327111
  4. John, S. C. (2004). Coverage of breast cancer in the Australian print media-does advertising and editorial coverage reflect correct social marketing messages? Journal of Health Communication, 9(4), 309-325. https://doi.org/10.1080/10810730490468441
  5. Kim, S. H., & Lee, E. J. (2008). The influence of functional literacy on perceived health status in Korean. Journal of Korean Academy of Nursing, 38(2), 195-203. https://doi.org/10.4040/jkan.2008.38.2.195
  6. Kim, S. S., Kim, S. H., & Lee, S. Y. (2005). Health literacy: development of a Korean health literacy assessment tool. Journal of Korean Society for Health Education and Promotion, 22(4), 215-227.
  7. Korea Food & Drug Administration. (2010). A study on the heavy metal of crustacean. Retrieved from http://www.kfda.go.kr/index.kfda?mid=56&seq=13224&cmd=v
  8. Korea Food & Drug Administration. (2010). A study on the heavy metal of paper box. Retrieved from http://www.kfda.go.kr/index.kfda?mid=56&seq=12612&cmd=v
  9. Korea Food & Drug Administration. (2011). The reenactment of cadmium contents standard. Retrieved from http://www.kfda.go.kr/index.kfda?mid=56&seq=15739&cmd=v
  10. Lee, S. A., & Park, M. H., (2010). A study on health literacy, medication knowledge, and medication misuse of rural elderly. Journal of the Korean Gerontological Society, 30(2), 485-497.
  11. Lee, T. H., & Kang, S. J., (2008). Health literacy in the Korean elderly and influencing factors. Journal of the Korean Gerontological Society, 28(4), 847-863.
  12. McCormack, L., Bann, C., Squiers, L., Berkman, N. D., Squire, C., Schillinger, D., . . . Hibbard, J. (2010). Measuring health literacy: a pilot study of a new skills-based instrument. Journal of Health Communication, 15(S2), 51-71. https://doi.org/10.1080/10810730.2010.499987
  13. The National Institute of the Korean Language. (2008). Literacy of Korean adults. Seoul, Korea: Author.
  14. Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. https://doi.org/10.1093/heapro/15.3.259
  15. Orbell, S., Crombie, I., & Johnston, G. (1996). Social cognition and social structure in the prediction of cervical screening uptake. British Journal of Health Psychology, 1(1), 35-50. https://doi.org/10.1111/j.2044-8287.1996.tb00490.x
  16. Park, J. E., & Son, M. S. (2001). Public health and medical journalism. Seoul, Korea: Korea Press Foundation.
  17. Peters, E. M., Burraston, B., & Mertz, C. (2004). An emotion based model of risk perception and stigma susceptibility: cognitive appraisals of emotion, affective reactivity, worldviews, and risk perceptions in the generation of technological stigma. Risk Analysis, 24(5), 1349-1367. https://doi.org/10.1111/j.0272-4332.2004.00531.x
  18. Rundmo, T. (2002). Associations between affect and risk perception. Journal of Risk Research, 5(2), 119-135. https://doi.org/10.1080/136698702753499597
  19. Schapira, M. M., Davids, S. L., McAuliffe, T. L., & Nattinger, A. B. (2004). Agreement between scales in the measurement of breast cancer risk perceptions. Risk Analysis, 24(3), 665-673. https://doi.org/10.1111/j.0272-4332.2004.00466.x
  20. Schillinger, D., Grumbach, K., Piette, J., Wang, F., Osmond, D., Daher, C., . . . Bindman, A. B. (2002). Association of health literacy with diabetes outcomes. JAMA: the Journal of the American Medical Association, 288(4), 475-482. https://doi.org/10.1001/jama.288.4.475
  21. Sharif, I., & Blank, A. E. (2010). Relationship between child health literacy and body mass index in overweight children. Patient Education and Counseling, 79(1), 43-48. https://doi.org/10.1016/j.pec.2009.07.035
  22. Talosig-Garcia, M., & Davis, S. W. (2005). Information-seeking behavior of minority breast cancer patients: An exploratory study. Journal of Health Communication, 10, 53-64. https://doi.org/10.1080/10810730500263638
  23. Wolf, M. S., Feinglass, J., Thompson, J., & Baker, D. W. (2010). In search of 'low health literacy': Threshold vs. gradient effect of literacy on health status and mortality. Social Science & Medicine, 70(9), 1335-1341. https://doi.org/10.1016/j.socscimed.2009.12.013
  24. Yin, H. S., Mendelsohn, A. L., Wolf, M. S., Parker, R. M., Fierman, A., van Schaick, L., . . . Dreyer, B. P. (2010). Parents' medication administration errors: role of dosing instruments and health literacy. Archives of Pediatrics and Adolescent Medicine, 164(2), 181. https://doi.org/10.1001/archpediatrics.2009.269
  25. Zarcadoolas, C., Pleasant, A. F., & Greer, D. S. (2006). Advancing health literacy: A framework for understanding and action (Vol. 17): Jossey-Bass Inc Pub.