인구와사회협동연구소

고령자의 헬스리터러시 관련 요인 HLS-EU-Q16 측정도구 활용/ 천희란·이주열/ 2020/ 보건교육건강증진학회지/ 37(1)/ 1-13. 

<초록>

Objectives: This study was performed to identify and investigate the factors associated with the level of health

literacy among older adults in Seoul, using the European Health Literacy Survey Q16(HLS-EU-Q16) measure.

Methods: Data were drawn from a cross-sectional study conducted in Seoul of older residents, aged 60~79. A total

of 302 elderly were recruited according to gender, age, and geography. Health literacy was assessed using the

short version of the HLS-EU-Q16. The comprehensive health literacy measure consists of three domains: health

care, diseases prevention, and health promotion. For explanatory variables, demographic(gender, age, marital

status), socioeconomic(education level, subjective economic status, National Basic Livelihood Act recipients), and

health-related factors (self-rated health, number of chronic diseases and, medical check-ups) were considered.

Descriptive statistics and multivariate linear regression models were used to identify variables associated with

health literacy. Results: The mean score of health literacy was 11.4±3.7. Multivariate regression analyses found

significant associations between health literacy and education, subjective economic status(higher), number of

chronic diseases(over 3), and medical check-up(additional). Associated factors differed by domain-specific health

literacy. Conclusion: Health promotion programs for elderly should pay more attention to vulnerable groups in

regarding health literacy. The results call for further studies with utilizing longitudinal design and diverse

measures.