Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Relationship Between Health Literacy and Spinal Functions in Young Adults: A Cross-Sectional Research
Genç Yetişkinlerde Sağlık Okuryazarlığı ve Omurga Fonksiyonları Arasındaki İlişki: Kesitsel Araştırma
Hilal ASLANa , Rabia Tuğba TEKİNb
aAnkara Yıldırım Beyazıt University Faculty of Health Science, Department of Physiotherapy and Rehabilitation, Ankara, Türkiye
bHacettepe University Faculty of Health Science, Department of Physiotherapy and Rehabilitation, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2025;10(3):670-6
doi: 10.5336/healthsci.2024-107532
Article Language: EN
Full Text
ABSTRACT
Objective: This study investigated the relationship between health literacy (HL) and spine functions in young adults. Material and Methods: 367 young adults participated in the study. Researchers collected demographic data and assessed participants' health perceptions, information-seeking behaviors, and spinal pain status. Health literacy was measured using the Turkish Health Literacy Scale (TSOY-32), with scores categorized as inadequate (0-25), problematic-limited (>25-33), adequate (>33-42), or excellent (>42-50). Spine functions were evaluated using the Spine Function Index. Results: Participants demonstrated limited health literacy levels with a median score of 32.66 (range: 8.33-50). Primary sources for health information were healthcare professionals (49.9%), internet (37.1%), family (10.9%), and friends (2.2%). Most participants rated their general health as "good" (52.9%) or "moderate" (38.1%), with smaller percentages reporting "very good" (6.3%) or "bad" (2.7%) health status. The median spinal pain score was 80 (range: 4-100). Statistical analysis revealed no significant relationship between different health literacy levels and spinal functionality or pain measures. Conclusion: The study found no association between health literacy and spine pain or functioning in young adults. Participants showed limited health literacy levels overall. Given the significant life changes occurring during young adulthood, adequate health literacy is crucial and should be evaluated alongside various health-related factors to promote better health outcomes in this population.

Keywords: Young adult; health literacy; spine
ÖZET
Amaç: Bu çalışma genç yetişkin bireylerde sağlık okuryazarlığı (SO) ile omurga fonksiyonları arasındaki ilişkiyi araştırmıştır. Gereç ve Yöntemler: 367 genç yetişkin katılımcı çalışmaya dahil edildi. Demografik veriler, sağlık algıları, bilgi edinme yolları ve omurga ağrısı durumu değerlendirildi. Sağlık okuryazarlığı Türkiye Sağlık Okuryazarlığı Ölçeği (TSOY-32) ile ölçüldü ve puanlar yetersiz (0-25), sorunlu-sınırlı (>25-33), yeterli (>33-42) ve mükemmel (>42-50) olarak kategorize edildi. Omurga fonksiyonları Omurga Fonksiyonel İndeksi ile değerlendirildi. Bulgular: Katılımcıların SO düzeyleri ortanca değeri 32,66 (aralık: 8,33-50) olarak bulundu ve sınırlı sağlık okuryazarlığı düzeyini gösterdi. Sağlık bilgisi edinme kaynakları sırasıyla doktor/sağlık personeli (%49,9), internet (%37,1), aile (%10,9) ve arkadaşlar (%2,2) idi. Katılımcıların çoğunluğu genel sağlık durumunu "iyi" (%52,9) veya "orta" (%38,1) olarak değerlendirdi. Omurga ağrısı ortanca değeri 80 (aralık: 4-100) bulundu. Farklı SO düzeyleri ile omurga fonksiyonelliği ve ağrısı arasında istatistiksel olarak anlamlı bir ilişki saptanmadı. Sonuç: Genç yetişkinlerde sağlık okuryazarlığı ile omurga ağrısı ve fonksiyonelliği arasında ilişki bulunmadı. Katılımcılar genel olarak sınırlı SO düzeyine sahipti. Yaşamda önemli değişimlerin yaşandığı genç yetişkinlik döneminde yeterli sağlık okuryazarlığı düzeyi kritik öneme sahiptir ve diğer sağlık faktörleriyle birlikte değerlendirilmelidir.

Anahtar Kelimeler: Genç yetişkin; sağlık okuryazarlığı; omurga
REFERENCES:
  1. World Health Organization. Health Promotion Glossary. 1998. [Link] 
  2. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97-107. [Crossref]  [PubMed] 
  3. Nelson MC, Story M, Larson NI, Neumark-Sztainer D, Lytle LA. Emerging adulthood and college-aged youth: an overlooked age for weight-related behavior change. Obesity (Silver Spring). 2008;16(10):2205-11. [Crossref]  [PubMed] 
  4. Viner R. Co-occurrence of adolescent health risk behaviors and outcomes in adult life: findings from a national birth cohort. J Adolesc Health. 2005;36(2):98-9. [Crossref]  [PubMed] 
  5. Chang LC. Health literacy, self-reported status and health promoting behaviours for adolescents in Taiwan. J Clin Nurs. 2011;20(1-2):190-6. [Crossref]  [PubMed] 
  6. Institute of Medicine (US) Committee on Health Literacy. Health Literacy: A Prescription to End Confusion. Nielsen-Bohlman L, Panzer AM, Kindig DA, editors. Washington (DC): National Academies Press (US); 2004. [Crossref]  [PubMed] 
  7. Özkan S, Uğraş Dikmen A, Tüzün H, Karakaya K. Prevalence and determines of health literacy in Turkey. Türkiye Sağlık Okuryazarlığı Dergisi. 2016;16(1):27-39. [Link] 
  8. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al; HLS-EU Consortium. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-8. [Crossref]  [PubMed]  [PMC] 
  9. Sedrez JA, da Rosa MI, Noll M, Medeiros Fda S, Candotti CT. Fatores de risco associados a alterações posturais estruturais da coluna vertebral em crianças e adolescentes [Risk factors associated with structural postural changes in the spinal column of children and adolescents]. Rev Paul Pediatr. 2015;33(1):72-81. [Crossref]  [PubMed]  [PMC] 
  10. Schwab F, Lafage V, Boyce R, Skalli W, Farcy JP. Gravity line analysis in adult volunteers: age-related correlation with spinal parameters, pelvic parameters, and foot position. Spine (Phila Pa 1976). 2006;31(25):E959-67. [Crossref]  [PubMed] 
  11. WHO Scientific Group on the Burden of Musculoskeletal Conditions at the Start of the New Millennium. The burden of musculoskeletal conditions at the start of the new millennium. World Health Organ Tech Rep Ser. 2003;919:i-x, 1-218, back cover. [PubMed] 
  12. Warsi A, LaValley MP, Wang PS, Avorn J, Solomon DH. Arthritis self-management education programs: a meta-analysis of the effect on pain and disability. Arthritis Rheum. 2003;48(8):2207-13. [Crossref]  [PubMed] 
  13. Pacheco MP, Carvalho PJ, Cavalheiro L, Sousa FM. Prevalence of postural changes and musculoskeletal disorders in young adults. Int J Environ Res Public Health. 2023;20(24):7191. [Crossref]  [PubMed]  [PMC] 
  14. Gordon MM, Hampson R, Capell HA, Madhok R. Illiteracy in rheumatoid arthritis patients as determined by the rapid estimate of adult literacy in medicine (REALM) score. Rheumatology (Oxford). 2002;41(7):750-4. [Crossref]  [PubMed] 
  15. Hirsh JM, Boyle DJ, Collier DH, Oxenfeld AJ, Nash A, Quinzanos I, et al. Limited health literacy is a common finding in a public health hospital's rheumatology clinic and is predictive of disease severity. J Clin Rheumatol. 2011;17(5):236-41. [Crossref]  [PubMed] 
  16. Arnett JJ. Emerging adulthood: A theory of development from the late teens through the twenties. Am Psychol. 2000;55(5):469-80. [Crossref] 
  17. Koole D, Lans A, Lang JH, de Groot TM, Borkhetaria P, Verlaan JJ, et al. Limited health literacy results in lower health-related quality of life in spine patients. Spine J. 2024;24(2):263-72. [Crossref]  [PubMed] 
  18. Langley GB, Sheppeard H. The visual analogue scale: its use in pain measurement. Rheumatol Int. 1985;5(4):145-8. [Crossref]  [PubMed] 
  19. Okyay P, Abacıgil F, Harlak H. Türkiye Sağlık Okuryazarlığı Ölçeği-32 (TSOY-32). In: Okyay P, Abacıgil F, editors. Türkiye Sağlık Okuryazarlığı Ölçekleri Güvenilirlik Ve Geçerlilik Çalışması. 1. Baskı. Ankara: Anıl Reklam Matbaa; 2016. p.43-63. [Crossref] 
  20. Tonga E, Gabel CP, Karayazgan S, Cuesta-Vargas AI. Cross-cultural adaptation, reliability and validity of the Turkish version of the spine functional index. Health Qual Life Outcomes. 2015;13:30. [Crossref]  [PubMed]  [PMC] 
  21. WHO. A conceptual framework for action on the social determinants of health. 2010. [Link] 
  22. Rüegg R, Abel T. The relationship between health literacy and health outcomes among male young adults: exploring confounding effects using decomposition analysis. Int J Public Health. 2019;64(4):535-45. [Crossref]  [PubMed] 
  23. Kripa S, Kaur H. Identifying relations between posture and pain in lower back pain patients: a narrative review. Bull Fac Phys Ther. 2021;26(34):1-4. [Crossref] 
  24. Briggs AM, Jordan JE, Buchbinder R, Burnett AF, O'Sullivan PB, Chua JYY, et al. Health literacy and beliefs among a community cohort with and without chronic low back pain. Pain. 2010;150(2):275-83. [Crossref]  [PubMed] 
  25. Loke YK, Hinz I, Wang X, Rowlands G, Scott D, Salter C. Impact of health literacy in patients with chronic musculoskeletal disease--systematic review. PLoS One. 2012;7(7):e40210. [Crossref]  [PubMed]  [PMC] 
  26. Köppen PJ, Dorner TE, Stein KV, Simon J, Crevenna R. Health literacy, pain intensity and pain perception in patients with chronic pain. Wien Klin Wochenschr. 2018;130(1-2):23-30. [Crossref]  [PubMed]  [PMC] 
  27. Minghelli B. School physiotherapy programme: improving literacy regarding postures adopted at home and in school in adolescents living in the south of Portugal. Work. 2020;67(1):95-102. [Crossref]  [PubMed] 
  28. Ayotte BJ, Allaire JC, Bosworth H. The associations of patient demographic characteristics and health information recall: the mediating role of health literacy. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn. 2009;16(4):419-32. [Crossref]  [PubMed] 
  29. Şirin H, Deniz S, Oğuzöncül AF, Ketrez G, Ertuğrul O, Memiş D. Fırat Üniversitesi Meslek Yüksek Okulu öğrencilerinin sağlık okuryazarlığı düzeyi ve ilişkili faktörlerin belirlenmesi [Assessment of health literacy level and relevant factors amongst the students of Fırat University Vocational School]. Estüdam Halk Sağlığı Dergisi. 2021;6(2):148-58. [Link] 
  30. Özdenk S, Demir Özdenk G, Özcebe L, Üner S. Bir üniversitenin 4. sınıf öğrencilerinin sağlık okuryazarlığı ve ilişkili bazı faktörlerin incelenmesi [Investigation of health literacy and some related factors of 4th grade students in a university]. Mersin Üniversitesi Sağlık Bilimleri Dergisi. 2019;12(1):48-59. [Crossref] 
  31. Akalın B, Yalman F, Baydili K, Modanlıoğlu A, Sancar T. Genç bireylerin yeni medya okuryazarlığı ile sağlık okuryazarlığı davranışları arasındaki ilişkinin tespit edilmesi (Determining the relationship between new media literacy and health literacy behaviors of young individuals). Sağlık ve Sosyal Refah Araştırmaları Dergisi. 2021;3(2):136-44. [Link] 
  32. Smith B, Magnani JW. New technologies, new disparities: the intersection of electronic health and digital health literacy. Int J Cardiol. 2019;292:280-2. [PubMed]  [PMC] 
  33. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1789-858. Erratum in: Lancet. 2019;393(10190):e44. [Crossref]  [PubMed]  [PMC] 
  34. Dolphens M, Vansteelandt S, Cagnie B, Vleeming A, Nijs J, Vanderstraeten G, et al. Multivariable modeling of factors associated with spinal pain in young adolescence. Eur Spine J. 2016;25(9):2809-21. [PubMed] 
  35. Agency for Healthcare Research and Quality. Health literacy interventions and outcomes: an updated systematic review. 2011. [Link] 

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