Araştırma Makalesi
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Jinekolojik Kanserli Kadınların Sağlık Okuryazarlığı Düzeyleri ve Etkileyen Faktörlerin Belirlenmesi

Yıl 2023, Cilt: 6 Sayı: 1, 1 - 15, 28.04.2023

Serpil Abalı Çetin Emine Buse Toy

https://doi.org/10.54803/sauhsd.1212069

Öz

Amaç: Bu çalışma jinekolojik kanserli kadınların sağlık okuryazarlığı düzeyleri ile etkileyen faktörleri belirlemek amacıyla yapıldı.
Yöntem: Tanımlayıcı ve kesitsel tipteki araştırmanın örneklemini, Ocak-Haziran 2021 tarihleri arasında, İzmir ilindeki bir Eğitim Araştırma Hastanesinin Onkoloji Merkezinde jinekolojik onkoloji servisinde tedavi gören ve çalışmaya katılmaya gönüllü 128 kadın oluşturdu. Veriler, anket formu ve Sağlık Okuryazarlığı Ölçeği kullanılarak yüz yüze görüşme yöntemi ile toplandı.
Bulgular: Çalışmada jinekolojik kanserli kadınların yaş ortalaması 60,81±11,18 bulundu. Kadınların sağlık okuryazarlık ölçeği toplam puan ortalaması 94,38±13,91’dir. Sağlık okuryazarlığı düzeyi ile istatistiksel olarak anlamlı (p<0,05) bulunan faktörler kadınların eğitim durumu, çocuk sayısı, çalışma durumu ve bir yıl içinde hastane başvuru sayısıdır. Çalışmada jinekolojik kanser türü, kür sayısı, tedavinin tipi, hastalık süresi, hastalığın başlangıç yaşı ve tedavisiz geçen süre sağlık okuryazarlığı ile ilişkili bulunmamıştır (p>0,05).
Sonuç: Çalışmada kadınların sağlık okuryazarlık düzeyinin yeterli oluğu sağlık okuryazarlığını etkileyen faktörlerin genellikle sosyo-demografik değişkenler olduğu, hastalık özellikleri ve sağlık davranışlarının sağlık okuryazarlık düzeyini etkilemediği sonucuna varıldı.

Anahtar Kelimeler

Jinekolojik kanser sağlık okuryazarlığı etkileyen faktörler

Kaynakça

  • WHO. World Cancer Report 2020. https://www.iarc.who.int/cards_page/world-cancer-report. (Date of Access:12.10.2022).
  • Gultekin M, Dundar S, Kucukyildiz I, et al. Survival of gynecological cancers in Turkey: where are we at?. J Gynecol Oncol. 2017;28(6):e85. doi: 10.3802/jgo.2017.28.e85
  • Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Cancer J Clin. 2018;68(6):394-424. doi:10.3322/caac.21492
  • Stewart SL, Lakhani N, Brown PM, Larkin OA, Moore AR, Hayes NS. Gynecologic cancer prevention and control in the National Comprehensive Cancer Control Program: progress, current activities, and future directions. J Womens Health (Larchmt). 2013;22:651-57
  • Sezer A. The Relationship between Health Literacy and Healthy Lifestyle Behaviors, Master Thesis, Marmara University Institute of Health Sciences, Department of Public Health Nursing. 2012; İstanbul.
  • WHO, 2013. https://apps.who.int/iris/bitstream/handle/10665/128703/e96854.pdf (Date of Access:22.11.2022).
  • Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, Fullam J, et al. HLS-EU Consortium. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-8. doi:10.1093/eurpub/ckv043.
  • Tanrıöver M.N, Yıldırım H.H, Ready N.D, Çakır B, Akalın H.E. Türkiye Sağlık Okuryazarlığı Araştırması(Turkey Health Literacy Survey). Sağlık ve Sosyal Hizmet Çalışanları Sendikası Yayınları. 2014.
  • Oldach B.R, Katz M.L. Health literacy and cancer screening: A systematic review. Patient Education and Counseling. 2014;94(2), 149–157. doi:10.1016/j.pec.2013.10.001
  • Humphrys E, Burt J, Rubin G. et al. The influence of health literacy on the timely diagnosis of symptomatic cancer: A systematic review. 2019;28:e12920. doi:10.1111/ecc.12920
  • McDowell BD, Klemp J, Blaes A, Cohee AA, Trentham-Dietz A, Kamaraju S, Otte JL, Mott SL, Chrischilles EA. The association between cancer care coordination and quality of life is stronger for breast cancer patients with lower health literacy: A Greater Plains Collaborative study. Support Care Cancer. 2020 Feb;28(2):887-895. doi: 10.1007/s00520-019-04894-y.
  • Gunn CM, Paasche-Orlow MK, Bak S, Wang N, Pamphile J, Nelson K, Morton S, Battaglia TA. Health Literacy, Language, and Cancer-Related Needs in the First 6 Months After a Breast Cancer Diagnosis. JCO Oncol Pract. 2020;16(8):e741-e750. doi: 10.1200/JOP.19.00526.
  • İlhan N, Gencer S, Özdemir Ö, Maviyildiz S. The Relationship Between Health Literacy and Illness Self-Care Management in Turkish Patients With Cancer. 2020;47(3), 73-85. doi:10.1188/20.ONF.E73-E85
  • Duong TV, Sørensen K, Pelikan JM, Van den Broucke S, Lin IF, Lin YC, Huang HL, Chang PW. Health-related behaviors moderate the association between age and self-reported health literacy among Taiwanese women. Women Health. 2018;58(6):632-646. doi: 10.1080/03630242.2017.1333074.
  • Sørensen K, Makaroff LE, Myers L, Robinson P, Henning GJ, Gunther CE, Roediger AE. The call for a strategic framework to improve cancer literacy in Europe. Arch Public Health. 2020;(23)78:60. doi: 10.1186/s13690-020-00441-y.
  • Aras Z, Bayık Temel A. Evaluation of Validity and Reliability of the Turkish Version of HLS. F.N. Hem. Derg. 2017; 25(2): 85-94.
  • Toci E, Burazeri G, Jerliu N, Sorensen K, Ramadani N, Hysa B, Brand H. Health literacy, self-perceived health and self-reported chronic morbidity among older people in Kosovo. Health Promot Int. 2015;30:667–674
  • Baccolini V, Isonne C, Salerno C, Giffi M, Migliara G, Mazzalai E, Turatto F, Sinopoli A, Rosso A, De Vito C, Marzuillo C, Villari P. The association between adherence to cancer screening programs and health literacy: A systematic review and meta-analysis. Prev Med. 2022;155:106.
  • Coughlin SS, Datta B, Vernon M, Hatzigeorgiou C, George V. Health literacy among cancer survivors: Results from the 2016 behavioral risk factor surveillance system survey. Medicine. 2022; 101(9).
  • Sarıyar S, Kılıç H.F. Tools Used in the Assessment of Health Literacy. JOHUFON. 2019;6(2):126-131.
  • Aktan G.V, Özdemir F. Health literacy levels of women in climacteric period. Cukurova Med J. 2020;45(1):352-361. doi:10.17826/cumj.641709.
  • Tiraki Z, Yılmaz M. Cervical cancer knowledge, self-efficacy, and health literacy levels of married women. J Cancer Educ. 2018;33:1270-8.
  • Michou M, Panagiotakos D.B, Lionis C, Costarelli V. Sex and age in relation to health and nutrition literacy levels in a sample of Greek adults. International Journal of Health Promotion and Education. 2020; 58(5), 229-241.
  • Güven A. Factors affecting health literacy and the relationship between health literacy and patient safety. Hacettepe University Institute of Social Sciences. Master's thesis.2017; Ankara.
  • Kanu C, Brown C.M, Rascati K, Moczygemba L.R, Mackert M, Wilfong L. Are health literacy and patient activation related to health outcomes in breast cancer patients?. HLRP. 2021;5(3), 171-8.
  • Liu Y.B, Liu L, Li Y.F, Chen Y.L. Relationship between health literacy, health-related behaviors and health status: A survey of elderly Chinese. International journal of environmental research and public health. 2015;12(8), 9714-25.
  • Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, Ren J, Peel J. Health literacy and use of outpatient physician services by Medicare managed care enrollees. J Gen Intern Med. 2004;19(3):215-20. doi:10.1111/j.1525-1497.2004.21130.x.
  • Friedland R.B, O’Neill G. Understanding health literacy: new estimates of the costs of inadequate health literacy. Washington, DC: National Academy on an Aging Society.1998;1-24.
  • Dost A, Özsoy MD. Health Literacy Levels of Individuals with Chronic Disease and Influencing Factors. Journal of Inonu University Health Services Vocational School. 2022;10(2):652-66. doi:10.33715/inonusaglik.1010493.

Determining Health Literacy Level of Women with Gynecological Cancer and Affecting Factors

Yıl 2023, Cilt: 6 Sayı: 1, 1 - 15, 28.04.2023

Serpil Abalı Çetin Emine Buse Toy

https://doi.org/10.54803/sauhsd.1212069

Öz

Aim: This study was conducted to determine the health literacy levels of women with gynecological cancer and the affecting factors.
Method: The sample of this descriptive and cross-sectional study consisted of 128 women who volunteered to participate in the study and were treated in the gynecological oncology service of the Oncology Center of a Training and Research Hospital in Izmir between January and June 2021. Data were collected by face-to-face interview method using a questionnaire and HLS.
Results: In the study, the mean age of women with gynecological cancer is 60.81±11.18. The mean total score of the women's HLS is 94.38±13.91. The factors that are found to be significantly (p<0.05) associated with the level of health literacy are the education level of the women, the number of children, the employment status, and the number of hospital admissions in a year. In the study, the type of gynecological cancer, the number of regimens, the type of treatment, the duration of the disease, the age of onset of the disease, and the period without treatment were not associated with health literacy (p>0.05).
Conclusion: In the study, it was concluded that the health literacy level of women was sufficient, the factors affecting health literacy were generally socio-demographic variables, and the disease characteristics and health behaviors did not affect the health literacy level.

Anahtar Kelimeler

Gynecological cancer health literacy affecting factors

Kaynakça

  • WHO. World Cancer Report 2020. https://www.iarc.who.int/cards_page/world-cancer-report. (Date of Access:12.10.2022).
  • Gultekin M, Dundar S, Kucukyildiz I, et al. Survival of gynecological cancers in Turkey: where are we at?. J Gynecol Oncol. 2017;28(6):e85. doi: 10.3802/jgo.2017.28.e85
  • Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Cancer J Clin. 2018;68(6):394-424. doi:10.3322/caac.21492
  • Stewart SL, Lakhani N, Brown PM, Larkin OA, Moore AR, Hayes NS. Gynecologic cancer prevention and control in the National Comprehensive Cancer Control Program: progress, current activities, and future directions. J Womens Health (Larchmt). 2013;22:651-57
  • Sezer A. The Relationship between Health Literacy and Healthy Lifestyle Behaviors, Master Thesis, Marmara University Institute of Health Sciences, Department of Public Health Nursing. 2012; İstanbul.
  • WHO, 2013. https://apps.who.int/iris/bitstream/handle/10665/128703/e96854.pdf (Date of Access:22.11.2022).
  • Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, Fullam J, et al. HLS-EU Consortium. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-8. doi:10.1093/eurpub/ckv043.
  • Tanrıöver M.N, Yıldırım H.H, Ready N.D, Çakır B, Akalın H.E. Türkiye Sağlık Okuryazarlığı Araştırması(Turkey Health Literacy Survey). Sağlık ve Sosyal Hizmet Çalışanları Sendikası Yayınları. 2014.
  • Oldach B.R, Katz M.L. Health literacy and cancer screening: A systematic review. Patient Education and Counseling. 2014;94(2), 149–157. doi:10.1016/j.pec.2013.10.001
  • Humphrys E, Burt J, Rubin G. et al. The influence of health literacy on the timely diagnosis of symptomatic cancer: A systematic review. 2019;28:e12920. doi:10.1111/ecc.12920
  • McDowell BD, Klemp J, Blaes A, Cohee AA, Trentham-Dietz A, Kamaraju S, Otte JL, Mott SL, Chrischilles EA. The association between cancer care coordination and quality of life is stronger for breast cancer patients with lower health literacy: A Greater Plains Collaborative study. Support Care Cancer. 2020 Feb;28(2):887-895. doi: 10.1007/s00520-019-04894-y.
  • Gunn CM, Paasche-Orlow MK, Bak S, Wang N, Pamphile J, Nelson K, Morton S, Battaglia TA. Health Literacy, Language, and Cancer-Related Needs in the First 6 Months After a Breast Cancer Diagnosis. JCO Oncol Pract. 2020;16(8):e741-e750. doi: 10.1200/JOP.19.00526.
  • İlhan N, Gencer S, Özdemir Ö, Maviyildiz S. The Relationship Between Health Literacy and Illness Self-Care Management in Turkish Patients With Cancer. 2020;47(3), 73-85. doi:10.1188/20.ONF.E73-E85
  • Duong TV, Sørensen K, Pelikan JM, Van den Broucke S, Lin IF, Lin YC, Huang HL, Chang PW. Health-related behaviors moderate the association between age and self-reported health literacy among Taiwanese women. Women Health. 2018;58(6):632-646. doi: 10.1080/03630242.2017.1333074.
  • Sørensen K, Makaroff LE, Myers L, Robinson P, Henning GJ, Gunther CE, Roediger AE. The call for a strategic framework to improve cancer literacy in Europe. Arch Public Health. 2020;(23)78:60. doi: 10.1186/s13690-020-00441-y.
  • Aras Z, Bayık Temel A. Evaluation of Validity and Reliability of the Turkish Version of HLS. F.N. Hem. Derg. 2017; 25(2): 85-94.
  • Toci E, Burazeri G, Jerliu N, Sorensen K, Ramadani N, Hysa B, Brand H. Health literacy, self-perceived health and self-reported chronic morbidity among older people in Kosovo. Health Promot Int. 2015;30:667–674
  • Baccolini V, Isonne C, Salerno C, Giffi M, Migliara G, Mazzalai E, Turatto F, Sinopoli A, Rosso A, De Vito C, Marzuillo C, Villari P. The association between adherence to cancer screening programs and health literacy: A systematic review and meta-analysis. Prev Med. 2022;155:106.
  • Coughlin SS, Datta B, Vernon M, Hatzigeorgiou C, George V. Health literacy among cancer survivors: Results from the 2016 behavioral risk factor surveillance system survey. Medicine. 2022; 101(9).
  • Sarıyar S, Kılıç H.F. Tools Used in the Assessment of Health Literacy. JOHUFON. 2019;6(2):126-131.
  • Aktan G.V, Özdemir F. Health literacy levels of women in climacteric period. Cukurova Med J. 2020;45(1):352-361. doi:10.17826/cumj.641709.
  • Tiraki Z, Yılmaz M. Cervical cancer knowledge, self-efficacy, and health literacy levels of married women. J Cancer Educ. 2018;33:1270-8.
  • Michou M, Panagiotakos D.B, Lionis C, Costarelli V. Sex and age in relation to health and nutrition literacy levels in a sample of Greek adults. International Journal of Health Promotion and Education. 2020; 58(5), 229-241.
  • Güven A. Factors affecting health literacy and the relationship between health literacy and patient safety. Hacettepe University Institute of Social Sciences. Master's thesis.2017; Ankara.
  • Kanu C, Brown C.M, Rascati K, Moczygemba L.R, Mackert M, Wilfong L. Are health literacy and patient activation related to health outcomes in breast cancer patients?. HLRP. 2021;5(3), 171-8.
  • Liu Y.B, Liu L, Li Y.F, Chen Y.L. Relationship between health literacy, health-related behaviors and health status: A survey of elderly Chinese. International journal of environmental research and public health. 2015;12(8), 9714-25.
  • Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, Ren J, Peel J. Health literacy and use of outpatient physician services by Medicare managed care enrollees. J Gen Intern Med. 2004;19(3):215-20. doi:10.1111/j.1525-1497.2004.21130.x.
  • Friedland R.B, O’Neill G. Understanding health literacy: new estimates of the costs of inadequate health literacy. Washington, DC: National Academy on an Aging Society.1998;1-24.
  • Dost A, Özsoy MD. Health Literacy Levels of Individuals with Chronic Disease and Influencing Factors. Journal of Inonu University Health Services Vocational School. 2022;10(2):652-66. doi:10.33715/inonusaglik.1010493.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik
Bölüm Araştırma Makalesi
Yazarlar

Serpil Abalı Çetin 0000-0003-0922-7060

Emine Buse Toy Bu kişi benim 0000-0002-6898-1920

Erken Görünüm Tarihi 28 Nisan 2023
Yayımlanma Tarihi 28 Nisan 2023
Gönderilme Tarihi 30 Kasım 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 6 Sayı: 1

Kaynak Göster

APA Abalı Çetin, S., & Toy, E. B. (2023). Determining Health Literacy Level of Women with Gynecological Cancer and Affecting Factors. Sakarya Üniversitesi Holistik Sağlık Dergisi, 6(1), 1-15. https://doi.org/10.54803/sauhsd.1212069
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