慢性病病人成人功能性健康知能程度之相關因素探討

The Related Factors of Adult Functional Health Literacy Level in Chronic Disease Patients

目的：健康知能指在健康照護體系下，能閱讀，理解以及書寫文件的能力。本研究引進成人功能性健康知能簡短測驗量表，並進行中文版修訂。方法：研究採回溯性、橫斷式模式，以結構式問卷進行。採方便取樣方式，從2008年1月至12月收集600位慢性病人研究並接受中文版成人功能性健康知能簡短測驗量表評量。結果：本中文版成人功能性健康知能簡短測驗量表之專家內容效度為90.7；其Cronbach's α為0.975。600位慢性病病人中健康知能測驗平均為56 ± 35分。健康知能不適當者約有40%。不同年齡層、教育程度及家庭年收入其健康知能均有顯著差異（p值均<0.001）。結論：本中文版健康知能量表其信、效度可接受。慢性病人年齡愈高健康知能分數愈低；教育年限愈長分數愈高。

Objetives. Health literacy is the ability to read and understand written materials commonly encountered in health care settings. In this study, we assessed health literacy level and analyzed factors related to health literacy scores in adults with chronic diseases. Methods. In this cross-sectional study, we administered structural questionnaires to collect information from 600 adult patients with chronic diseases from January 2008 to December 2008. Health literacy was assessed using the traditional Chinese version of short test of functional health literacy in adults(S-TOFHLA). Results. The instrument had a content validity 90.7 and a Cronbach's a of 0.975.The overall average functional health literacy score was 56±35. About 40% of our subjects had inadequate literacy levels. We found significant differences in functional health literacy scores across age groups, education strata, and annul family income (all p<0.001). Conclusions. The validity and reliability of the traditional Chinese version of S-TOFHLA was acceptable. Elderly patients had lower health literacy scores. The more years of education, the higher the literacy scores.