Factor Predicting Health Literacy of Older People with Hypertension and Co-morbidity in Trang Province

Authors

  • Wararat Tiparat Boromarachanonburi, Nursing College of Trang
  • Sopit Suwanweala Boromarachanonburi, Nursing College of Trang
  • Yanat Wauters Boromarachanonburi, Nursing College of Trang

Keywords:

Health Literacy, Older People, Hypertension, Co-Morbidity

Abstract

This predictive research investigated the level of health literacy and the predicting factors                                for health literacy of older people with hypertension and co-morbidity. Sample was 166 older                      people with hypertension and co-morbidity calculated by G* power program. And multi-stage  random sampling was applied. The research instrument was a questionnaire consisting five parts;  1) personal information, 2) family factor, 3) environment factors 4) participation in community     activities, and 5) health literacy. Content validity of the questionnaire was confirmed by three    experts yielding a value of.92. Cronbach’s alpha coefficient was employed to test the reliability    of the questionnaires yielding a value of .78. Data were analyzed using descriptive statistics, and   multiple regression analysis (stepwise). The results of this study showed that;   

1. The majority of the sample (88.55%) had the functional health literacy. The rest (11.45 %) had the interactive health literacy. There was no sample had a critical health literacy.

2. Frequency of participation in the community activities, and income accounted for 33.2% of the variance in explaining the health literacy of the old people with hypertension and co-morbidity (R2 = .332).

The findings suggest that healthcare personnel should run activities focusing more about promoting personal relationship, and critical thinking of old people in order to encourage them to take care of themselves resulting in reducing disease complication.

References

Akepalakorn, W. (2016). The Report of Thailand Population Health Examination Survey IV. Nonthburi. Health System Research Institute. (in Thai)

Chesser, A. K., Woods, N. K., Smothers, K., & Rogers, N. (2016). Health Literacy and Older Adults: A Systematic Review. Gerontology and Geriatric Medicine, 15(2), 1-13.

Cheytim, A., Prasertsuk, N., & Kerdnaimongkol, U. (2018). The Happiness of The Elderly in The Elderly Club, Bangkok. Integrated Social Science Journal, 5(1), 85-108. (in Thai)

Deenamjued, W., & Srisaeng, P. (2019). Health Literacy of Healthy Aging among Elderly People in Bangkok Metropolitan: A Case Study for Promoting Health Literacy Elderly. Vajira Medical Journal: Journal of Urban Medicine, 63(Supplement), S73-S82. (in Thai)

Division of Non Communication Disease, Department of Disease Control, Ministry of Public Health. (2018). Statistic of Non Communicable Disease. Retrieved Jan 21, 2020 from http://www.thaincd.com. (in Thai)

Foundation of Thai Gerontology Research and Development Institute. (2018). Situation of the Thai Elderly 2017. Deuan Tula Printing House. Bangkok. (in Thai)

Ginggaeaw, S., & Prasertsri, N. (2016). The Relationship Between Health Literacy and Health Behaviors among Older Adults Who Have Multi-Morbidity. Nursing Journal of the Ministry of Public Health, 25(3), 43-54. (in Thai)

Ginggaeaw, S., Prasertsri, N., & Promwong, W. (2019). The Roles of Community Nurse for Promoting Health Literacy in the Elderly with Chronic Illness. Journal of Nursing, Public Health, and Education, 20(1), 3-13. (in Thai)

Hair, F. J., Black, C. W., Babin, J. B., & Anderson, E. R. (2010). Multivariate Data Analysis. (7th ed). New Jersey: Pearson Education.

Health Education Division, Depart of Health Service Support Ministry of Public Health. (2011). Health Intelligence. Bangkok: New Thammada Printing (Thailand) Ltd. (in Thai)

Hongkrajok, H., Pathumarak, N., & Masingboon, K. (2016). Influences of Health Literacy, Perceived Self-Efficacy, on Self-Care Behaviors among Patients with Primary Hypertension. Royal Thai Navy Medical Journal, 43(2), 39-54. (in Thai)

Jindawong, B., Bumrerraj, S., Luvira, V., Kuhiranyaratn, P. (2014). Functional Health Literacy in Patients at Srinagarind Hospital, Khon Kaen Province. Graduate Research Conference, Khon Koen University, MMP88, 1855-1865. (in Thai)

Kanthawee, P., & Pongpanich, S. (2019). The Study of Health Literacy among Elderly People, Pa-Teung Sub- District, Mae Chan District, ChiangRai Province. ChiangRai Medical Journal, 11(1), 73-83. (in Thai)

Khongjarean, K. P., & Nakaphong, N. (2019). Health Intelligence and Health Promoting Behaviors and Disease Prevention of the Elderly in Muang District, Phayao Province. Journal of social Acodemic, 12(2), 385-399. (in Thai)

Lakeaw, A., & Chaleekrea, T. (2015). Health Literacy and Factors Related to Medication among Patients with Hypertension Ban Piang Luang Subdistrict Health Promoting Hospital, Chiang Mai Province. The 6th National and International, 635-649. (in Thai)

Meebunmak, Y., Intana, J., Kijnopakleat, K., Khamthana, P., & Rungnoel, N. (2019). Health Literacy among Older Adults in A Semi-Urban Community in Ratchaburi Province. The Southern College Network Journal of Nursing and Public Health, 6(Special Issue), 129-141. (in Thai)

Nilnate, W., Hengpraprom, S., & Hanvoravongchai, P. (2016). Level of Health Literacy in Thai Elders Bangkok, Thailand. J Health Res, 30(5), 315-321.

Nutbeam, D. (2008). The Evolving Concept of Health Literacy. Social Science and Medicine, 67(12), 2072-2078.

Orem, D. E. (2001). Nursing: Concept of Practice. (6th ed). St.Louis: Mosby.

Panurat, S., Bhoosahas, P., Thutsaringkarnsakul, S., Krachangpho, P., Thuratham, W., & Natetipawan, P. (2019). Factors Related to Health Literacy among the Elderly I Pak Phli District, Nakhon Nayok Province. Journal of the Police Nurses, 11(1), 86-94. (in Thai)

Romero, S. S., Scortegagna, H. M., & Doring, M. (2019). Functional Health Literacy Level and Behavior in the Health of the Elderly. Texto Contexto – Enferm, 27, e5230017.

Shi, D., Li, J., Wang, Y., Wang, S., Liu, K., Shi, R., et al. (2017). Association Between Health Literacy and Hypertension Management in a Chinese Community: A Retrospective Cohort Study. Internal and Emergency Medicine, 12, 765-776.doi: 10.1007/s11739-017-1651-7.

Sittikhankaew, R. (2016). Health Literacy of Hypertensive Patients among Hmong Hll Tribe in Wiangkaen District. Independent Study: Master of Public Health. Chiangrai Province. University of Phayao. (in Thai)

Strategy and Planning Division, Ministry of Public Health. (2018). Public Health Statistic. Retrieved from http://www.bps.moph.go.th. (in Thai)

Thummaphol, P., Piaseu, N., & Maruo, S. J. (2015). Health Literacy and Clinical Outcomes in People with Hypertension, Dyslipidemia and Type 2 Diabetes Mellitus. Journal of Nursing and Health Care, 176-182. (in Thai)

Trang Province Public Health Office. (2018). Data Warehouse of Non Communicable Disease. Retrieved from http://www.tro.moph.go.th/index2.php. (in Thai)

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Published

2020-04-27