The Level of Health Literacy in Medication and Health Products Usage and Factors Effecting among the Older Adults Who Attended the Senior Schools in the Northeastern of Thailand

Document Type : Original Article

Authors

1 Faculty of Medicine, Mahasarakham University , Thailand,

2 Social Pharmacy Research Unit, Faculty of Pharmacy, Mahasarakham University, Thailand

3 Faculty of Medicine, Mahasarakham University , Thailand, 44150

Abstract

Background and Objective: The selecting and misusing medications and health products may affect the health of the patients.  The aim of this study is to determine the level of literacy and factors affecting health literacy in medication and health products usage in the older adults who attended the senior schools in Northeastern of Thailand.

Materials and Methods: A cross-sectional study with face-to-face interviews and self-report questionnaire study were conducted in March - July 2021. The 1,599 older adults were selected by the stratified random sampling method from the 13 older adult schools. Chi-square test and multiple logistic regression were used to test the association between variables.

Results: The analysis showed that most participants have a low level of health literacy in medication and health products usage. The mean score for all six components of the V-shape model by the Department of Health of Thailand was 145.20 ± 37.13 out of 300 points which was less than 50% of total points. The lowest was average of 22.31± 7.03 out of 50 points. The three levels of health literacy were at the low (≤50 points). Factors affecting to low health literacy in medications and health products usage, were single status (OR=2.27, 95% CI: 1.18, 4.40), lack of family support (OR=1.54, 95% CI: 1.24, 1.91), and having a smartphone (OR=1.58, 95% CI: 1.21, 2.06) with the ability to browse the internet (OR=1.72, 95% CI: 1.28, 2.31).

Conclusion: Public and community stakeholders need to encouraging the older adults to have a better level of health literacy in medications and health products usage are required. Activities should be followed and focus on health literacy. Then, it results in good health for the older adults and improves their ability to be self-care as well.
 

Keywords

Availability of data and materials: The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.


Conflict of Interest: No competing interests were disclosed


Ethics approval and consent to participate: This study was approved by the Human Research Ethics Committee of Mahasarakham University, approval number: 077/2564, date of manufacture: 18 February 2021. Data collection was conducted during March - Jul 2021.


Funding: This research project was financially supported my Mahasarkham University.


Authors’ contributions: T.S., contributed to Conceptualization, Data Curation, Formal Analysis, Resources, Methodology, Investigation, Writing – Original Draft. C.P.contributed to Conceptualization, Methodology, Investigation, Resources, Validation, Formal Analysis, Visualization, Writing – Review & Editing. R.W. contributed to Conceptualization, Project Administration, Methodology, Investigation, Writing – Review & Editing, Funding Acquisition,

References

1. Development FoTGRa. Situation of the Thai elderly in 2020. Nakhon Pathom: Population Research Institute and society, Mahidol University; 2021.
 
2. Affairs DoE. Statistics of the elderly in Thailand 77 as of December 31, 2019 2520 [cited 2020 12/12/2020]. Available from: http://www.dop.go.th/th/know/side/1/1/275.  
 
3. Chesser AK, Keene Woods N, Smothers K, Rogers NJG, medicine g. Health literacy and older adults: A systematic review. 2016;2:2333721416630492.
https://doi.org/10.1177/2333721416630492
PMid:28138488 PMCid:PMC5119904  
 
4. Ishikawa H, Takeuchi T, Yano E. Measuring functional, communicative, and critical health literacy among diabetic patients. Diabetes care. 2008;31(5):874-9.
https://doi.org/10.2337/dc07-1932
PMid:18299446  
 
5. Tavakoly Sany SB, Aman N, Jangi F, Lael-Monfared E, Tehrani H, Jafari A. Quality of life and life satisfaction among university students: Exploring, subjective norms, general health, optimism, and attitude as potential mediators. Journal of American College Health. 2021:1-8.
https://doi.org/10.1080/07448481.2021.1920597
PMid:34242514  
 
6. Development FoTGRa. Situation of the Thai elderly 2019. Bangkok: Printery Company Limited; 2019.  
 
7. Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. 2012;12(1):1-13.
https://doi.org/10.1186/1471-2458-12-80
PMid:22276600 PMCid:PMC3292515  
 
8. Wachira Pengchan CT. Concepts and principles of health literate organizations2018.: Office of Project Driven the Department Hygiene 4.0 ; Department of Health, Ministry of Public Health; 2018.  
 
9. Division of Health Education MoPH. Enhancing and evaluating health literacy and health behaviors. Bangkok2018.  
 
10. Organization WH. United nations development program. policy brief 4: Health literacy. In: 9th Global Conference on Health Promotion. Geneva:: World Health Organization; 2019.  
 
11. Security MoSDaH. The Elderly Act 2003 2003 [cited 2020 17 July 2020]. Available from: http://www.dop.go.th/download/laws/regulation_th_20152509163042_1.pdf.  
 
12. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion international. 2000;15(3):259-67.
https://doi.org/10.1093/heapro/15.3.259
https://doi.org/10.1093/heapro/15.3.183  
 
13. chow SC, Shao, J., & Wang, H. . sample size calculations in clinical research. New York: Marcel Dekker; 2008.
https://doi.org/10.1201/9781584889830  
 
14. Meebunmak Y, Intana J, Kijnopakieat K, Khamthana P, Rungnoei N. Health Literacy among older adults in a semi-urban community in Ratchaburi province. SCNJ. 2019;6:129-41..  
 
15. Division of Health Education DoHSSMoPH. Health Education Program for Enhancement of Comprehensive Knowledge health literacy (HL) on rational use of drugs for public health volunteers and people of working age. Nonthaburi2019.  
 
16. Eakchai Chaiyata , Lapatrada Numkham and Nitchamon Rakkapao. The Relationship between Health Literacy, Medication Intake, and Doctor's Appointment Behavioramong Patients withDiabetes Mellitus and Hypertension in Lamphun Province. Thai Science and Technology Journal 2020;28 No. 1January2020:182-96.  
 
17. Song K, Panuthai S, Nanasilp P. Health Literacy and Health Promoting Behaviors Among Muslim Older Adults. Nursing Journal. 2022;49(3):83-94.  
 
18. Suramitmaitri B. Health literacy studies and the situation of health literacy enhancement of Thai people in order to support the entry into the ASEAN community. 2013.  
 
19. Parker RM, Baker DW, Williams MV, Nurss JRJJogim. The test of functional health literacy in adults. 1995;10(10):537-41.
https://doi.org/10.1007/BF02640361
PMid:8576769  
 
20. Kittiporn Nawsuwan PS, Wantanee Naksrisang. Essential Competencies of Registered Nurses for the Care of the Elderly in an Aging Society. Nursing Journal of The Ministry of Public Health. 2017;27(1):1-11.  
 
21. Srithanee K. Relationship between Health Literacy and Quality of the Elderly's Life at the Central Part of the North-East Thailand. 2017.  
 
22. W. N. Health literacy in Thai elders in senior citizens club of Bangkok. Bangkok: Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University. 2014.  
 
23. Sangduan Ginggeaw NP. The Relationship between Health Literacy and Health Behaviors among Older Adults who have Multi-morbidity. Nursing Journal of the Ministry of Public Health. 2016;25(3):43-54.  
 
24. Ruangkiatkul N. Factors Associated with Health Literacy among Thai Older Adults. Journal of The Department of Medical Services. 2022;47(1):80-6.  
 
25. Trainattawan W W, Watanakukrilert D. Factors influencing health literacy among older adults. 2019;Journal of Health Science Research(13(2)):41-51.  
 
26. A. W. Digital Literacy of Elderly. Interdisciplinary studies journal. 2021(21(1):):1-17.  
 
27. Thangkratok P, Boonpradit, Prissana, Palacheewa, Natchaya Factors predicting health literacy among older adults with chronic diseases in community. Thai Journal of Cardio-Thoracic Nursing. 2022;33(1):215-30.  
 
28. Thanchanok Khumthong WP, Kwanmuang Kaedumkoeng. Factors Influencing Health Literacy forpeople at risk of DiabeteMellitusandHypertensionofUthaiThani and Ang Thong. Veridian E-journal Science Technology Silpakorn University. 2016;3(6):67-85.  
 
29. Nakaphong KpKaN. Health Intelligence and Health Promoting Behaviors and Disease Prevention of the Elderly in Muang District, Phayao Province. journal of social academic. 2019;12(2):239-47.  
 
30. Xu XYL, Angela Yee Man Chau, Pui Hing Health literacy, self-efficacy, and associated factors among patients with diabetes. Health Literacy Research Practice. 2018;2(2):e67-e77.
https://doi.org/10.3928/24748307-20180313-01
PMid:31294279 PMCid:PMC6607806  
 
31. Supawadee Suwannathen NK, Suwich Tirakoat,Chaya Hiruncharoenvate, and Ladapa Ssripasuda. STATE AND PROBLEM OF DIGITAL TECHNOLOGY USAGE OF ELDERLY IN MEUANG DISTRICT, KHON KHAN PROVINCE. Journal of Graduate School Sakon Nakhon Rajabhat University. 2019;16(74):235-45.  
 
32. Arcury TA, Sandberg, Joanne C,Melius, Kathryn P, Quandt, Sara A, Leng, Xiaoyan, Latulipe, Celine, Miller Jr, David P,Smith, D Alden, Bertoni, Alain G Older adult internet use and eHealth literacy. Journal of Applied Gerontology. 2020;39(2):141-50.
https://doi.org/10.1177/0733464818807468
PMid:30353776 PMCid:PMC6698430  
 
33. Kata P. Why do elderly people like Post and Chat on mobile phone applications? : Faculty of Social Science, Kasetsart University; 2018.    

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