Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey.
Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey.
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DOI：
10.1186/1471-2458-10-614
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发表时间：
2010-10-16
影响因子：
4.5
通讯作者：
Kuo KN
中科院分区：
文献类型：
--
作者：
Lee SY;Tsai TI;Tsai YW;Kuo KN
健康素养低被认为是一个全球性的健康威胁。本研究的目的是评估台湾成年人健康素养低的流行率和社会人口统计学协变量，并探讨健康素养与健康状况和卫生保健利用之间的关系。2008年对1，493名成年人进行了全国调查。健康素养的测量使用普通话健康素养量表。健康状况是根据自我评定的身体和心理健康状况来衡量的。卫生保健利用率是根据自我报告的门诊就诊、急诊室就诊和住院情况来衡量的。大约30%的成年人被发现健康知识水平低（不足或边缘）。他们往往年龄较大，受教育年限较少，家庭收入较低，居住在人口较少的地区。健康素养不足与心理健康状况较差相关（OR，0.57; 95%CI，0.35-0.91）。即使在调整其他协变量后，也没有发现健康素养和医疗保健利用之间的关联。台湾的健康素养普遍较低（不足且边缘）。卫生知识普及率低的现象很普遍，并不一定表明需要采取干预措施。在其他国家，系统地努力评估卫生知识普及程度低对卫生成果的影响，将有助于阐明卫生保健提供和筹资系统的特点，这些特点可能会减轻卫生知识普及程度低对健康的不利影响。
Low health literacy is considered a worldwide health threat. The purpose of this study is to assess the prevalence and socio-demographic covariates of low health literacy in Taiwanese adults and to investigate the relationships between health literacy and health status and health care utilization. A national survey of 1493 adults was conducted in 2008. Health literacy was measured using the Mandarin Health Literacy Scale. Health status was measured based on self-rated physical and mental health. Health care utilization was measured based on self-reported outpatient clinic visits, emergency room visits, and hospitalizations. Approximately thirty percent of adults were found to have low (inadequate or marginal) health literacy. They tended to be older, have fewer years of schooling, lower household income, and reside in less populated areas. Inadequate health literacy was associated with poorer mental health (OR, 0.57; 95% CI, 0.35-0.91). No association was found between health literacy and health care utilization even after adjusting for other covariates. Low (inadequate and marginal) health literacy is prevalent in Taiwan. High prevalence of low health literacy is not necessarily indicative of the need for interventions. Systematic efforts to evaluate the impact of low health literacy on health outcomes in other countries would help to illuminate features of health care delivery and financing systems that may mitigate the adverse health effects of low health literacy.
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