The impact of health literacy on knowledge, Attitude and decision towards hospice care among community-dwelling seniors

Hsiang Yun Huang, Kuang Ming Kuo, I. Cheng Lu, Hsing Wu, Chi Wei Lin, Ming Ta Hsieh, Yu Ching Lin, Ru Yi Huang, I. Ting Liu, Chi Hsien Huang

研究成果: Article

2 引文 斯高帕斯(Scopus)

摘要

The aim of this study was to investigate the relationships between health literacy and hospice knowledge, attitude and decision in community-dwelling elderly participants. This cross-sectional study enrolled 990 community-dwelling elderly participants in three residential areas, with a mean age of 71.53 ± 7.22 years. Health literacy was assessed using the Mandarin version of the European Health Literacy Survey Questionnaire. Knowledge, attitude and decision towards hospice care were assessed using an interviewer-administered questionnaire. Partial least squares were used for data analysis. More than half of the respondents had sufficient knowledge of hospice care (60.7%) and a positive attitude (77.3%) and positive decision (85%) towards hospice care. In the structural equation model, general health literacy positively predicted knowledge (β = 0.73, p <0.001), attitude (β = 0.06, p = 0.038) and decision (β = 0.14, p < 0.001) towards hospice care. General health literacy had a greater overall effect on hospice decision (β = 0.57) than hospice knowledge (β = 0.54). In addition, disease prevention health literacy also demonstrated a higher level of influence on hospice decision (β = 0.59) than hospice knowledge (β = 0.53). Health literacy was associated with hospice knowledge, attitude and decision. Incorporating health literacy interventions into hospice promotion strategies is recommended.

原文English
頁(從 - 到)e724-e733
期刊Health and Social Care in the Community
27
發行號5
DOIs
出版狀態Published - 2019 一月 1

All Science Journal Classification (ASJC) codes

  • Social Sciences (miscellaneous)
  • Sociology and Political Science
  • Health Policy
  • Public Health, Environmental and Occupational Health

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    Huang, H. Y., Kuo, K. M., Lu, I. C., Wu, H., Lin, C. W., Hsieh, M. T., Lin, Y. C., Huang, R. Y., Liu, I. T., & Huang, C. H. (2019). The impact of health literacy on knowledge, Attitude and decision towards hospice care among community-dwelling seniors. Health and Social Care in the Community, 27(5), e724-e733. https://doi.org/10.1111/hsc.12791