A Research to Examine Parental Health Literacy and Use of Pediatric Services

Yıl 2023, , 1 - 19, 29.04.2023

Servet Alp , Nurdan Oral Kara

https://doi.org/10.52642/susbed.1153216

Cited By: 3

Öz

The aim of this study was to determine the health literacy levels of parents with children enrolled in kindergartens in Burdur city center, to reveal the differences according to sociodemographic characteristics, to determine the level of use of pediatric health services by parents and to determine the factors affecting this level. In the study, no sample selection was made and data were obtained from 237 parents. As a result of the analysis, it was calculated that parents had a high level of health literacy. It was determined that the level of parental health literacy did not differ significantly according to other sociodemographic and research questions, except for having a child with a diagnosed chronic disease. As a result of the chi-square analysis, a statistically significant relationship was found between income level and the most common medicines given to the child without a prescription, the number of children and the status of giving medicines to their children without a prescription, the number of visits to a health institution for their child in the last year and the level of reaction in an unexpected/emergency situation related to the child(ren). However, no statistically significant relationship was found between having a chronic disease diagnosed in a child and the health institution to which the child(ren) is regularly referred; between the number of children and the level of reaction in an unexpected/emergency situation related to the child(ren); and between the number of children and the level of giving over-the-counter medication to their children. Having a chronic disease or being constantly in such an environment has a positive effect on the level of health literacy.

Anahtar Kelimeler

Health Literacy, Pediatric Services, Parent, Health Promotion, Health Policy

Ebeveyn Sağlık Okuryazarlığı ile Pediatri Hizmetleri Kullanımını İncelenmeye Yönelik Bir Araştırma

Öz

Bu araştırmanın amacı Burdur il merkezindeki anasınıflarına kayıtlı çocuğu olan ebeveynlerin sağlık okuryazarlık düzeylerini belirlemek, sosyodemografik özelliklere göre farklılıklarını ortaya koymak, ebeveynlerin pediatri sağlık hizmetlerini kullanım düzeyini belirlemek ve bu düzeyi etkileyen faktörleri saptamaktır. Araştırmada, örneklem seçimine gidilmemiş olup, 237 ebeveynden veri elde edilmiştir. Analizler sonucunda, ebeveynlerin yüksek sağlık okuryazarlık düzeyine sahip olduğu hesaplanmıştır. Ebeveyn sağlık okuryazarlık düzeyinin tanı konulmuş kronik bir rahatsızlığa sahip çocuğu olma durumu hariç diğer sosyodemografik ve araştırma sorularına göre anlamlı farklılık göstermediği tespit edilmiştir. Yapılan ki kare analizi sonucunda, gelir düzeyi ile çocuğa reçetesiz en sık verilen ilaçlar; çocuk sayısı ve çocuklarına reçetesiz ilaç verme durumu ve son bir yıl içerisinde çocuğu için sağlık kurumuna başvuru sayısı ile çocuk(lar) ile ilgili beklenmedik/acil bir durumda tepki düzeyi arasında istatiksel olarak anlamlı ilişki tespit edilmiştir. Ancak çocuğuna tanı konulmuş kronik bir hastalığa sahip olma durumu ile sürekli başvurulan sağlık kuruluşu; çocuk sayısı ile çocuk(lar) ile ilgili beklenmedik/acil bir durumda tepki düzeyi ve çocuk sayısı ve çocuklarına reçetesiz ilaç verme durumu arasında herhangi bir ilişki bulunmamıştır. Kronik bir hastalığa sahip olma ve/veya böyle bir ortamda sürekli bulunmanın sağlık okuryazarlık düzeyi üzerinde olumlu bir etkisi vardır.

Anahtar Kelimeler

Sağlık Okuryazarlığı, Pediatri Hizmetleri, Ebeveyn, Sağlığı Geliştirme, Sağlık Politikası

Kaynakça

• Aaronson, N. L., Cox, C. T., & Boss, E. F. (2019). Parental health literacy in pediatric otolaryngology: A pilot study. International Journal of Pediatric Otorhinolaryngology, 125(June), 87–91. https://doi.org/10.1016/j.ijporl.2019.06.029
• Akbulut, Y. (1998). Acil Servislerin Amaç Dışı Kullanımı ve Nedenleri. Yayımlanmamış Yüksek Lisans Tezi, Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara.
• Alpar, R. (2012). Uygulamalı İstatistik ve Geçerlik-Güvenirlik. Ankara: Detay Yayıncılık.
• Aras, Z., & Bayık Temel, A. (2017). Sağlık Okuryazarlığı Ölçeğinin Türkçe Formunun Geçerlilik Ve Güvenirliğinin Değerlendirilmesi (Evaluation of the Validity and Reliability of the Turkish Form of the Health Literacy Scale). Florence Nightingale Hemşirelik Dergisi, 25(2), 85.
• Baker, D. W., Parker, R. M., Williams, M. V., & Clark, W. S. (1998). Health literacy and the risk of hospital admission. Journal of General Internal Medicine, 13(12), 791–798. https://doi.org/10.1046/j.1525-1497.1998.00242.x
• Bayram, N. (2010). Yapısal Eşitlik Modellemesine Giriş: AMOS Uygulamaları (1. Baskı). Ezgi Kitapevi, Bursa.
• Beers, B., McDonald, V., Quistberg, D., Ravenell, K., Asch, D., & JA., S. (2003). Disparities in health literacy between African American and non-African American primary care patients. Abstract. Journal of General Internal Medicine. 18(Supplement 1): 169.
• Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low Health Literacy and Health Outcomes: An Updated Systematic Review. Annals of Internal Medicine, 155(2), 97. https://doi.org/10.7326/0003-4819-155-2-201107190-00005
• Betz, C. L., Ruccione, K., Meeske, K., Smith, K., & Chang, N. (2008). Health literacy: a pediatric nursing concern. Pediatric Nursing, 34, 231–239.
• Bittlingmayer, U. H., Harsch, S., & Islertas, Z. (2021). Health Literacy in the Context of Health Inequality – A Framing and a Research Overview (ss. 11–43). https://doi.org/10.1007/978-3-658-30909-1_2
• Bitzer, E. M., & Schwendemann, H. E. (2021). The Significance of Health Literacy for Public Health and Health Promotion (ss. 83–97). https://doi.org/10.1007/978-3-658-30909-1_5
• Bozdağ, Z. (2019). Amaç Dışı Acil Servis Kullanım Nedenleri ve Amaç Dışı Kullanımı Azaltmaya İlişkin Yönetimsel Öneriler: Çorum İli Örneği. Yüksek Lisans Tezi, Hitit Üniversitesi Sosyal Bilimler Enstitüsü, Çorum.
• Byrne, B. (2016). Structural Equation Modeling with AMOS: Basic Concepts, Applications, and Programming (Third Edit). Routledge 711 Third Avenue, New York, NY 10017.
• Çakmak, O. (2018). Gazi Üniversitesi Tıp Fakültesi Acil Servisine Başvuran Hastaların Demografik Özellikleri, Triyaj Uygunlukları ve Sağlık Okuryazarlığı Durumlarının Dağılımı. Tıpta Uzmanlık Tezi, Gazi Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, Ankara.
• Can, A. (2013). SPSS ile Bilimsel Araştırma Sürecinde Nicel Veri Analizi. Içinde SPSS ile Bilimsel Araştırma Sürecinde Nicel Veri Analizi (3. baskı). Ankara: Pegem Akademi. https://doi.org/10.14527/9786053644484
• Davis, T. C., & Wolf, M. S. (2004). Health literacy: implications for family medicine. Family Medicine, 36, 595–598.
• de Buhr, E., & Tannen, A. (2020). Parental health literacy and health knowledge, behaviours and outcomes in children: a cross-sectional survey. BMC Public Health, 20(1), 1096. https://doi.org/10.1186/s12889-020-08881-5
• Demirköse, H., Yapar, D., & Seçil, Ö. (2021). 0-6 Yaş Grubu Çocuğu Olan Annelerin Sağlık Okuryazarlığı Düzeyi Ve Çocukların Ev Kazası Geçirme Durumu Ile Ilişkisi. 31(2), 74–82.
• Deniz, S. (2018). Malatya İli Akçadağ İlçesinde Sağlık Okuryazarlığı Düzeyinin Değerlendirilmesi.
• Dewalt, D. A., Dilling, M., Rosenthal, M. S., & Pignone, M. P. (2007). Asthma Care Measures in Children. Ambulatory Pediatrics, 7(1).
• Dore-Stites, D., Lopez, M. J., Magee, J. C., Bucuvalas, J., Campbell, K., Shieck, V., Well, A., & Fredericks, E. M. (2020). Health literacy and its association with adherence in pediatric liver transplant recipients and their parents. Pediatric Transplantation, 24(5), 1–7. https://doi.org/10.1111/petr.13726
• Ertuğrul, B., & Albayrak, S. (2021). Ebeveynlerin Sağlık Okuryazarlığı Düzeyinin Çocukluk Dönemi Aşılarına Yönelik Tutum ve Davranışlarıyla İlişkisi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 8(2), 186–195. https://doi.org/10.31125/hunhemsire.966461
• Finch, W. H., Jason C., I., & French, B. F. (2016). Finch WH, Immekus JC, French BF (2016). Applied Psychometrics Using SPSS and AMOS. Information Age Publishing Inc. United States of America.
• Friedland, R. (1998). New estimates of the high costs of inadequate health literacy, Proceedings of Pfizer Conference “Promoting Health Literacy: a Call to Action,” Pfizer, Inc., Washington, DC.
• Frisch, A.-L., Camerini, L., Diviani, N., & Schulz, P. J. (2012). Defining and measuring health literacy: how can we profit from other literacy domains? Health Promotion International, 27(1), 117–126. https://doi.org/10.1093/heapro/dar043
• Gazmararian, J. A., Parker, R. M., & Baker, D. W. (1999). Reading skills and family planning knowledge and practices in a low- income managed-care population. Obstetrics and Gynecology, 93(2), 239–244. https://doi.org/10.1016/S0029-7844(98)00431-1
• George, D., & Mallery, P. (2020). IBM SPSS statistics 26 step by step: A simple guide and reference. Sixteenth Edition Routledge. Harrington, K. F., Zhang, B., Magruder, T., Bailey, W. C., & Gerald, L. B. (2015). The Impact of Parent’s Health Literacy on Pediatric Asthma Outcomes. Pediatric, Allergy, Immunology, and Pulmonology, 28(1), 20–26. https://doi.org/10.1089/ped.2014.0379
• IOM (Institute of Medicine). (2004). Health literacy: A prescription to end confusion. The National Academies Press, Washington, DC.
• Janisse, H. C., Naar-King, S., & Ellis, D. (2010). Brief Report: Parent’s Health Literacy among High-Risk Adolescents with Insulin Dependent Diabetes. Journal of Pediatric Psychology, 35(4), 436–440. https://doi.org/10.1093/jpepsy/jsp077
• Kern, A. S., Watts, K. D., Rychlik, K., & McColley, S. A. (2015). Disparities in Parental Health Literacy at a Pediatric Cystic Fibrosis Center. Pediatric, Allergy, Immunology, and Pulmonology, 28(1), 55–59. https://doi.org/10.1089/ped.2014.0396
• Kickbusch, I. (2013). Health Literacy. The Solid Facts. Geneva: World Health Organization. http://gbv.eblib.com/patron/FullRecord.aspx?p=1582975.
• Kickbusch, Ilona. (2009). Health Literacy: engaging in a political debate. International Journal of Public Health, 54(3), 131–132. https://doi.org/10.1007/s00038-009-7073-1
• Kirsch, I., Jungeblut, A., Jenkins, L., & Kolstad, A. (1993). Adult Literacy in America: A First Look at the Results of the National Adult Literacy Survey (NALS). Washington, DC: National Center for Education Statistics, U.S. Department of Education.
• Kline, R. B. (2015). Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford publications.
• Levin-Zamir, D., Leung, A. Y. M., Dodson, S., & Rowlands, G. (2017). Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective. Information Services & Use, 37(2), 131–151. https://doi.org/10.3233/ISU-170834
• Macy, M. L., Davis, M. M., Clark, S. J., & Stanley, R. M. (2011). Parental health literacy and asthma education delivery during a visit to a community-based pediatric emergency department: A pilot study. Pediatric Emergency Care, 27(6), 469–474. https://doi.org/10.1097/PEC.0b013e31821c98a8
• Manganello, J. A., DeVellis, R. F., Davis, T. C., & Schottler-Thal, C. (2015). Development of the Health Literacy Assessment Scale for Adolescents (HAS-A). Journal of Communication in Healthcare, 8(3), 172–184. https://doi.org/10.1179/1753807615Y.0000000016
• Morgan, G. A., Barrett, K. C., Leech, N. L., & Gloeckner, G. W. (2019). IBM SPSS for Introductory Statistics: Use and Interpretation. Içinde IBM SPSS for Introductory Statistics: Use and Interpretation. Routledge. https://doi.org/10.4324/9780429287657
• Morrison, A. K., Brousseau, D. C., Brazauskas, R., & Levas, M. N. (2015). Health literacy affects likelihood of radiology testing in the pediatric emergency department. Journal of Pediatrics, 166(4), 1037-1041.e1. https://doi.org/10.1016/j.jpeds.2014.12.009
• Morrison, A. K., Myrvik, M. P., Brousseau, D. C., Hoffmann, R. G., & Stanley, R. M. (2013). The Relationship Between Parent Health Literacy and Pediatric Emergency Department Utilization: A Systematic Review. Academic Pediatrics, 13(5), 421–429. https://doi.org/10.1016/j.acap.2013.03.001
• Morrison, A. K., Schapira, M. M., Gorelick, M. H., Hoffmann, R. G., & Brousseau, D. C. (2014). Low caregiver health literacy is associated with higher pediatric emergency department use and nonurgent visits. Academic Pediatrics, 14(3), 309–314. https://doi.org/10.1016/j.acap.2014.01.004
• Nguyen, T. H., Paasche-Orlow, M. K., & McCormack, L. A. (2017). The state of the science of health literacy measurement. Information Services & Use, 37(2), 189–203. https://doi.org/10.3233/ISU-170827
• Otal, D., Wizowski, L., Pemberton, J., Nagel, K., Fitzgerald, P., & Walton, J. M. (2012). Parent health literacy and satisfaction with plain language education materials in a pediatric surgery outpatient clinic: A pilot study. Journal of Pediatric Surgery, 47(5), 964–969. https://doi.org/10.1016/j.jpedsurg.2012.01.057
• Paakkari, L., & Paakkari, O. (2012). Health literacy as a learning outcome in schools. Health Education, 112(2), 133–152. https://doi.org/10.1108/09654281211203411
• Parikh, N. S., Parker, R. M., Nurss, J. R., Baker, D. W., & Williams, M. V. (1996). Shame and health literacy: the unspoken connection. Patient Education and Counseling, 27(1), 33–39. https://doi.org/10.1016/0738-3991(95)00787-3
• Payza, U. (2014). Acil Servise Başvuran Hastaların Demografik Özellikleri, Aciliyet Algıları, Bu Algıyı Etkileyen Faktörler ve Acil Servise Bakış Açıları. Tıpta Uzmanlık Tezi, Kâtip Çelebi Tıp Fakültesi Acil Tıp Anabilim Dalı, İzmir.
• Pulgarón, E. R., Sanders, L. M., Patiño-Fernandez, A. M., Wile, D., Sanchez, J., Rothman, R. L., & Delamater, A. M. (2014). Glycemic control in young children with diabetes: The role of parental health literacy. Patient Education and Counseling, 94(1), 67–70. https://doi.org/10.1016/j.pec.2013.09.002
• Ratzan, S., & Parker, R. (2000). Introduction. In: National Library of Medicine Current Bibliographies in Medicine: Health Literacy. Selden CR, Zorn M, Ratzan SC, Parker RM, Editors. NLM Pub. No. CBM 2000-1. Bethesda, MD: National Institutes of Health, U.S. Department of Health and Human.
• Robinson, J., Paulhus, D., Shaver, P., & Wrightsman, L. (1991). Measures of personality and social psychological attitudes. Measures of Social Psychological Attitudes Series, 1, 17-59.
• Rudd, R., Moeykens, B., & Colton, T. (2000). Health and literacy: A review of medical and public health literature. In: Annual Review of Adult Learning and Literacy. Comings J, Garners B, Smith C, Editors. New York: Jossey-Bass.
• Sanders, L. M., Thompson, V. T., & Wilkinson, J. D. (2007). Caregiver health literacy and the use of child health services. Pediatrics, 119(1). https://doi.org/10.1542/peds.2005-1738
• Scott, T. L., Gazmararian, J. A., Williams, M. V., & Baker, D. W. (2002). Health Literacy and Preventive Health Care Use Among Medicare Enrollees in a Managed Care Organization. Medical Care, 40(5), 395–404. https://doi.org/10.1097/00005650-200205000-00005
• Sheikh, S., Hendry, P., Kalynych, C., Owensby, B., Johnson, J., Kraemer, D. F., & Carden, D. (2016). Assessing patient activation and health literacy in the ED. American Journal of Emergency Medicine, 34(1), 93–96. https://doi.org/10.1016/j.ajem.2015.09.045
• Shih, S.-F., Liu, C.-H., Liao, L.-L., & Osborne, R. H. (2016). Health literacy and the determinants of obesity: a population-based survey of sixth grade school children in Taiwan. BMC Public Health, 16(1), 280. https://doi.org/10.1186/s12889-016-2879-2
• Shin, W. K., Braun, T. M., & Inglehart, M. R. (2014). Parents’ dental anxiety and oral health literacy: Effects on parents’ and children’s oral health-related experiences. Journal of Public Health Dentistry, 74(3), 195–201. https://doi.org/10.1111/jphd.12046
• Simonds, S. (1974). Health education as social policy. Proceedings of the Will Rogers Conf on Health Education. Health Education Monographs., 2(1), 1–10.
• Sørensen, K., Van Den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., & Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(1), 80. https://doi.org/10.1186/1471-2458-12-80
• Toçi, E., Genc, B., Sorensen, K., Jerliu, N., Ramadani, N., Roshi, E., & Brand, H. (2013). Health Literacy and Socioeconomic Characteristics among Older People in Transitional Kosovo. British Journal of Medicine and Medical Research, 3(4), 1646–1658. https://doi.org/10.9734/BJMMR/2013/3972 Ulusoy, E., Yılmaz, T. E., Çifci, A., Yılmaz, T., Kasım, İ., & Özkara, A. (2020). The Role of Parents and Health Literacy in Healthy Child Follow-up. Ankara Medical Journal, 20(3), 588–604. https://doi.org/10.5505/amj.2020.59320
• Varlı, S., Çelikyürek, N. A., & Sevinç, Ö. (2019). Varlı S., Atalay Çelikyürek N. ve Sevinç Ö. (2019). Bir üniversite hastanesi pediatri poliklinikleri’ne başvuran çocukların ailelerinin sağlık okuryazarlığı düzeyleri. 3.Uluslararası-21.Ulusal Halk Sağlığı Kongresi, 26-30 Kasım 2019, Antalya.
• Velardo, S., & Drummond, M. (2017). Emphasizing the child in child health literacy research. Journal of Child Health Care, 21(1), 5–13. https://doi.org/10.1177/1367493516643423
• Williams, MV, Parker, R., Baker, D., Parikh, N., Pitkin, K., Coates, W., & JR., N. (1995). Inadequate functional health literacy among patients at two public hospitals. Journal of the American Medical Association, 274(21), 1677–1682.
• Williams, Mark V, Baker, D. W., Parker, R. M., & Nurss, J. R. (1998). Relationship of Functional Health Literacy to Patients’ Knowledge of Their Chronic Disease A Study of Patients With Hypertension and Diabetes. Arch Intern Med., 158, 166–172. https://jamanetwork.com/
• Wills, J. (2009). Health literacy: New packaging for health education or radical movement? International Journal of Public Health, 54(1), 3–4. Wysocki, T., Nansel, T. R., Holmbeck, G. N., Chen, R., Laffel, L., Anderson, B. J., & Weissberg-Benchell, J. (2009). Collaborative Involvement of Primary and Secondary Caregivers: Associations with Youths’ Diabetes Outcomes. Journal of Pediatric Psychology, 34(8), 869–881. https://doi.org/10.1093/jpepsy/jsn136
• Yeniçeri, Ş. (2019). Yeniçeri Ş. (2019). Çocuk Acil Hastaları Ebeveynlerinin Akılcı İlaç Kullanımı Ve Yetişkin Sağlık Okuryazarlığı. Yüksek Lisans Tezi, Tokat Gaziosmanpaşa Üniversitesi Sağlık Bilimleri Enstitüsü, Tokat.
• Yin, H. S., Johnson, M., Mendelsohn, A. L., Abrams, M. A., Sanders, L. M., & Dreyer, B. P. (2009). The Health Literacy of Parents in the United States: A Nationally Representative Study. Pediatrics, 124(Supplement_3), S289–S298. https://doi.org/10.1542/peds.2009-1162E
• Yılmaz, Y., & Çelik, H. (2009). Lisrel ile Yapısal Eşitlik Modellemesi – I: Temel Kavramlar, Uygulamalar, Programlama. (1. Baskı). Pegem Akademi, Ankara.