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				Health Literacy and Health Status of Korean-Chinese Elderly People Living in Yanbian, China														
			
			Chun Yu Li, Ogcheol Lee, Gi Soo Shin, Xian Wen Li			
				J Korean Acad Nurs 2009;39(3):386-392.   Published online June 29, 2009			
									DOI: https://doi.org/10.4040/jkan.2009.39.3.386
							
							 
				
										
										 Abstract  PDF
Purpose
This descriptive study was done to identify the relationship between health literacy and health status and to provide basic data for developing nursing interventions for Korean-Chinese elders living in Yanbian, China.Methods For data collection, intentional sampling of 300 elders was used. The questionnaire was composed of 5 items based on "Ministry of Health, the People's Republic of China (2008)" to measure health literacy, 33 health status items from the "Korean Health Status Measure for Elderly People" developed by Shin (2002), revised for use in China, and 9 general characteristics. Data were analyzed using SPSS Win 13.0 program.Results Total level of health literacy was relatively high (68.7%). Elders had high scores for taking medicines according to doctor's instruction, but lower ones for full comprehension through communication with doctors. Health status was high for emotional, physical, and social function in that order. There were significant differences between general characteristics and health status for gender, age, marital status, education, family, smoking, and alcohol consumption in that order. Results of multiple regression analysis for factors influencing health status showed that self-report health level was the most influential, followed by health literacy, age, gender.Conclusion Health literacy is the main factor affecting health promotion among minority elders indicating a need to develop health promotion programs for elders who have low health literacy.
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Commentary: Response regarding the commentary of van der Ploeg W. Assessment and measurement of health literacy: An integrative review of the literature. Nursing & Health Sciences 2010; 12: 145-146Josephine M. Mancuso
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