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JDR Vol.18 No.8 pp. 924-931
(2023)
doi: 10.20965/jdr.2023.p0924

Paper:

Health Literacy of the Elderly During the COVID-19 Pandemic: A Cross-Sectional Study

Weerayut Muenboonme*1, Pachanat Nunthaitaweekul*2,*3,†, and Bhichit Rattakul*4,*5

*1Department of Disaster and Emergency Medical Operation, Faculty of Health Science and Technology, Navamindradhiraj University
3 Khao Road, Dusit, Bangkok 10300, Thailand

*2Faculty of Nursing, Chulalongkorn University
Bangkok, Thailand

*3Risk and Disaster Management Program, Chulalongkorn University
Bangkok, Thailand

*4Asian Disaster Preparedness Center
Bangkok, Thailand

*5Thai Network for Disaster Resilience
Bangkok, Thailand

Corresponding author

Received:
July 21, 2023
Accepted:
October 6, 2023
Published:
December 1, 2023
Keywords:
health literacy, elderly, COVID-19 pandemic, disaster risk management, Thailand
Abstract

This study assessed health literacy (HL) and its associated factors among the elderly during the COVID-19 pandemic, in which HL affected disaster risk management. This cross-sectional study included elderly individuals from Dusit District, Bangkok, Thailand. A total sample of 500 was obtained through simple random sampling conducted between March and October 2022. Spearman’s rank correlation and the eta coefficient were used to analyze the relationships. As for the results, the total HL of the elderly was fair (x̄ = 54.01, S.D. = 14.05). Considering each aspect, it was found that 1) access to information and health services was poor (x̄ = 11.91, S.D. = 2.97), 2) comprehension of health information was fair (x̄ = 14.01, S.D. = 3.65), 3) assessment of health information and services was fair (x̄ = 13.60, S.D. = 3.83), and 4) application of information and health services was fair (x̄ = 14.49, S.D. = 3.60). Age, education, and comorbidity were factors related to the HL of the elderly during the COVID-19 pandemic in Dusit District (p < 0.001). The results elucidate the HL of the population of this community during the COVID-19 pandemic, providing an indicator of the community’s potential for disaster risk management, including the preparedness, mitigation, response, and recovery phases.

Cite this article as:
W. Muenboonme, P. Nunthaitaweekul, and B. Rattakul, “Health Literacy of the Elderly During the COVID-19 Pandemic: A Cross-Sectional Study,” J. Disaster Res., Vol.18 No.8, pp. 924-931, 2023.
Data files:
References
  1. [1] World Health Organization, “Health Promotion Glossary,” WHO/HPR/HEP/98.1, 1998. https://www.who.int/publications/i/item/WHO-HPR-HEP-98.1 [Accessed November 12, 2022]
  2. [2] Department of Older Person, “Selfcare and elder development knowledge bank,” (in Thai). https://www.dop.go.th/th/know/side/1/1/1159 [Accessed November 12, 2022]
  3. [3] T. Khumthong, W. Potisiri, and K. Kaedumkoeng, “Factors influencing health literacy for people at risk of diabete mellitus and hypertension of Uthai Thani and Ang Thong,” Veridian E-J., Science and Technology Silpakorn University, Vol.3, No.6, pp. 67-85, 2016 (in Thai).
  4. [4] K. Uemura, M. Yamada, and H. Okamoto, “The effectiveness of an active learning program in promoting a healthy lifestyle among older adults with low health literacy: A randomized controlled trial,” Gerontology, Vol.67, No.1, pp. 25-35, 2021. https://doi.org/10.1159/000511357
  5. [5] A. K. Chesser, N. K. Woods, K. Smothers, and N. Rogers, “Health literacy and older adults: A systematic review,” Gerontol. Geriatr. Med., Vol.2, 2016. https://doi.org/10.1177/2333721416630492
  6. [6] A. Srikuankaew, A. Jiawiwatkul, and S. Thayansin, “The relationship between happiness, health literacy and quality of life of elderly: A case study in Wiang Elderly School, Fang District, Chiang Mai Province,” Connex.: J. Humanit. Soc. Sci., Vol.7, No.2, pp. 76-95, 2018 (in Thai).
  7. [7] Y. Liu, H. Meng, N. Tu, and D. Liu, “The relationship between health literacy, social support, depression, and frailty among community-dwelling older patients with hypertension and diabetes in China,” Front. Public Health, Vol.8, 280, 2020. https://doi.org/10.3389/fpubh.2020.00280
  8. [8] F. Zhang, P. P.-L. Or, and J. W.-Y. Chung, “The effects of health literacy in influenza vaccination competencies among community-dwelling older adults in Hong Kong,” BMC Geriatr., Vol.20, 103, 2020. https://doi.org/10.1186/s12877-020-1504-5
  9. [9] C. Zarcadoolas, A. Pleasant, and D. S. Greer, “Understanding health literacy: An expanded model,” Health Promot. Int., Vol.20, No.2, pp. 195-203, 2015. https://doi.org/10.1093/heapro/dah609
  10. [10] R. Armitage and L. B. Nellums, “COVID-19 and the consequences of isolating the elderly,” Lancet Public Health, Vol.5, No.5, pp. E256, 2020. https://doi.org/10.1016/S2468-2667(20)30061-X
  11. [11] B. Choompunuch, W. Suksatan, J. Sonsroem, S. Kutawan, and A. In-udom, “Stress, adversity quotient, and health behaviors of undergraduate students in a Thai university during COVID-19 outbreak,” Belitung Nurs. J., Vol.7, No.1, pp. 1-7, 2021. https://doi.org/10.33546/bnj.1276
  12. [12] Z. Shahid et al., “COVID-19 and older adults: What we know,” J. Am. Geriatr. Soc., Vol.68, No.5, pp. 926-929, 2020. https://doi.org/10.1111/jgs.16472
  13. [13] L. Paakkari and O. Okan, “COVID-19: Health literacy is an underestimated problem,” Lancet Public Health, Vol.5, No.5, pp. E249-E250, 2020. https://doi.org/10.1016/S2468-2667(20)30086-4
  14. [14] W. Chaoayachai, R. Prompahakul, and A. Prasertsang, “Health literacy and new normal in older adults,” J. R. Thai Army Nurses, Vol.22, No.2, pp. 41-48, 2021 (in Thai).
  15. [15] H. Ishikawa and E. Yano, “Patient health literacy and participation in the health-care process,” Health Expect., Vol.11, No.2, pp. 113-122, 2008. https://doi.org/10.1111/j.1369-7625.2008.00497.x
  16. [16] B. D. Weiss and R. Palmer, “Relationship between health care costs and very low literacy skills in a medically needy and indigent Medicaid population,” J. Am. Board Fam. Pract., Vol.17, No.1, pp. 44-47, 2004. https://doi.org/10.3122/jabfm.17.1.44
  17. [17] T. V. Tran et al., “Impacts and interactions of COVID-19 response involvement, health-related behaviours, health literacy on anxiety, depression and health-related quality of life among healthcare workers: A cross-sectional study,” BMJ Open, Vol.10, No.12, e041394, 2020. https://doi.org/10.1136/bmjopen-2020-041394
  18. [18] D. W. Baker et al., “Health literacy and mortality among elderly persons,” Arch. Intern. Med., Vol.167, No.14, pp. 1503-1509, 2007. https://doi.org/10.1001/archinte.167.14.1503
  19. [19] W. Suksatan, B. Choompunuch, A. Koontalay, V. Posai, and A. H. Abusafia, “Predictors of health behaviors among undergraduate students during the COVID-19 pandemic: A cross-sectional predictive study,” J. Multidiscip. Healthc., Vol.14, pp. 727-734, 2021. https://doi.org/10.2147/JMDH.S306718
  20. [20] M. Panagioti et al., “Effect of health literacy on the quality of life of older patients with long-term conditions: A large cohort study in UK general practice,” Qual. Life Res., Vol.27, No.5, pp. 1257-1268, 2018. https://doi.org/10.1007/s11136-017-1775-2
  21. [21] N. Ruangkiatkul, “Factors associated with health literacy among Thai older adults,” J. Dep. Med. Serv., Vol.47, No.1, pp. 80-86, 2021 (in Thai).
  22. [22] A. S. LeRoy, B. Robles, L. S. Kilpela, and L. M. Garcini, “Dying in the face of the COVID-19 pandemic: Contextual considerations and clinical recommendations,” Psychol. Trauma: Theory Res. Pract. Policy, Vol.12, No.S1, pp. S98-S99, 2020. https://doi.org/10.1037/tra0000818
  23. [23] S. Laohathai, “Outcome comparison between video assisted thoracoscopic surgery and open thoracotomy on primary spontaneous pneumothorax in a tertiary hospital in Thailand,” J. Med. Assoc. Thail., Vol.104, No.1, pp. 100-104, 2021. https://doi.org/10.35755/jmedassocthai.2021.01.11510
  24. [24] Bangkok Metropolitan Administration, “Bangkok Population.” https://webportal.bangkok.go.th/hesd/page/main/1686/%E0%B8%84%E0%B8%B9%E0%B9%88%E0%B8%A1%E0%B8%B7%E0%B8%AD%E0%B8%9C%E0%B8%B9%E0%B9%89%E0% [Accessed November 12, 2022]
  25. [25] Bangkok Metropolitan Administration, “Exercise Rate Survey of Bangkok.” https://webportal.bangkok.go.th/dusit/page/sub/11658/%E0%B8%A3%E0%B8%B2%E0%B8%A2%E0%B8%87%E0%B8%B2%E0%B8%99%E0%B8%9C%E0%B8%A5%E0%B8%81%E0%B8%B2%E0%B8%A3%E0%B8%94%E0%B8%B3%E0%B9%80%E0%B8%99%E0%B8%B4%E0%B8%99%E0%B8%87%E0%B8%B2%E0%B8%99%E0%B8%9B%E0%B8%A3%E0%B8%B0%E0%B8%88%E0%B8%B3%E0%B8%9B%E0%B8%B5O12 [Accessed November 12, 2022]
  26. [26] T. Yamane, “Statistics: An Introductory Analysis,” 2nd Edition, New York, Harper & Row, 1967.
  27. [27] B. Srisaard, “Principles of Research,” 10th Edition, Surivitayasarn, 2002.
  28. [28] S. Crowe et al., “The effect of COVID-19 pandemic on the mental health of Canadian critical care nurses providing patient care during the early phase pandemic: A mixed method study,” Intensive Crit. Care Nurs., Vol.63, 102999, 2021. https://doi.org/10.1016/j.iccn.2020.102999
  29. [29] Department of Disaster Prevention and Mitigation, Ministry of Interior, Thailand, “National Disaster Risk Management Plan 2015,” 2015.
  30. [30] P. Nunthaitaweekul et al., “Tele health self-management (THSM) innovation for patients with COVID-19: A conceptual design,” J. Disaster Res., Vol.17, No.7, pp. 1158-1164, 2022. https://doi.org/10.20965/jdr.2022.p1158
  31. [31] J. Kim, H. Y. Lee, M. C. Christensen, and J. R. Merighi, “Technology access and use, and their associations with social engagement among older adults: Do women and men differ?,” J. Gerontol.: Ser. B, Vol.72, No.5, pp. 836-845, 2017. https://doi.org/10.1093/geronb/gbw123
  32. [32] S. Anuruang, “Multimorbidity in older persons: Situation, challenge issues, and care management,” J. Nurs. Sci. Chulalongkorn Univ., Vol.29, No.2, pp. 1-14, 2017 (in Thai).
  33. [33] J. A. Manganello, “Health literacy and adolescents: A framework and agenda for future research,” Health Educ. Res., Vol.23, No.5, pp. 840-847, 2008. https://doi.org/10.1093/her/cym069
  34. [34] V. Posai, W. Suksatan, B. Choompunuch, A. Koontalay, J. Ounprasertsuk, and J. M. Sadang, “Assessment of the health-promoting behaviors of hospitalized patients with non-communicable diseases during the second wave of COVID-19,” J. Multidiscip. Healthc., Vol.14, pp. 2185-2194, 2021. https://doi.org/10.2147/JMDH.S329344
  35. [35] U. Patil et al., “Health literacy, digital health literacy, and COVID-19 pandemic attitudes and behaviors in U.S. college students: Implications for interventions,” Int. J. Environ. Res. Public Health, Vol.18, No.6, 3301, 2021. https://doi.org/10.3390/ijerph18063301
  36. [36] S. Ginggeaw and N. Prasertsri, “The relationship between health literacy and health behaviors among older adults who have multi-morbidity.” Nurs. J. Minist. Public Health, Vol.25, No.3, pp. 43-54, 2016 (in Thai).
  37. [37] M. K. Lee and J. Oh, “Health-related quality of life in older adults: Its association with health literacy, self-efficacy, social support, and health-promoting behavior,” Healthcare, Vol.8, No.4, 407, 2020. https://doi.org/10.3390/healthcare8040407
  38. [38] Y. Li et al., “Health literacy, social support, and care ability for caregivers of dementia patients: Structural equation modeling,” Geriatr. Nurs., Vol.41, No.5, pp. 600-607, 2020. https://doi.org/10.1016/j.gerinurse.2020.03.014
  39. [39] J. P. Mackenbach, “The persistence of health inequalities in modern welfare states: The explanation of a paradox,” Soc. Sci. Med., Vol.75, No.4, pp. 761-769, 2012. https://doi.org/10.1016/j.socscimed.2012.02.031
  40. [40] D. Hidayati, Widayatun, and A. Situmorang, “The importance of family and community approach in reducing the risk faced by the elderly during the COVID-19 pandemic,” J. Disaster Res., Vol.18, No.4, pp. 415-423, 2023. https://doi.org/10.20965/jdr.2023.p0415

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Last updated on Nov. 04, 2024