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Mesleki Eğitim Merkezi Öğrencilerinde Sağlık Okuryazarlığı ve Sağlıklı Yaşam Biçimi Davranışlarının Değerlendirilmesi

Year 2025, Volume: 35 Issue: 3, 560 - 568, 30.06.2025
https://doi.org/10.54005/geneltip.1650308

Abstract

Amaç: Bu çalışmada mesleki eğitim merkezi öğrencilerinin sağlık okuryazarlığı (SOY) düzeyleri ve sağlıklı yaşam biçimi davranışları (SYBD) arasındaki ilişkinin belirlenmesi amaçlanmıştır.
Yöntem: Kesitsel tipteki çalışma 1-30 Nisan 2024 tarihleri arasında bir il merkezindeki mesleki eğitim merkezlerinde öğrenim gören 343 çocuk ile yürütülmüştür. Veri toplama araçları olarak “Kişisel Bilgi Formu”, “Okul Çağındaki Çocuklar için Sağlık Okuryazarlığı Ölçeği (SOYÖ)” ve “Sağlıklı Yaşam Biçimi Davranışları Ölçeği II (SYBDÖ-II)” kullanılmıştır. Veriler; tanımlayıcı (ortalama, standart sapma, frekans ve yüzde) ve analitik (One-Way ANOVA, İndependent T-test, Spearman’s Correlation) istatistikler kullanılarak analiz edilmiştir. İstatistiksel anlamlılık düzeyi olarak p<0.05 kabul edilmiştir.
Bulgular: Çalışmaya katılanların % 39,9’u düşük, %53,6’sı orta düzeyde SOY’a sahip olduğu tespit edilmiştir Katılımcıların tanımlayıcı özelliklerine göre yapılan analizde, 10. ve 12. sınıf öğrencileri, gelir durumu, düzenli tartılma, beslenme alışkanlıkları ve sağlık eğitimi durumları arasında her iki ölçekten anlamlı farklar bulunmuştur (p<0,05). Yüksek sağlık okuryazarlığına sahip katılımcıların SYBDÖ puanları daha yüksek olup, sağlık okuryazarlığı düzeyi arttıkça manevi gelişim, kişiler arası ilişkiler ve stres yönetimi gibi alt boyutlarda da artış gözlenmiştir. Orta düzeyde sağlık okuryazarlığına sahip katılımcılar, düşük okuryazarlık düzeyindekilerden anlamlı şekilde yüksek puanlar almıştır (p<0,001). Regresyon analizinde, SOYÖ teorik bilgi alt boyutunun SYBDÖ toplam puanına pozitif katkı sağladığı tespit edilmiştir (p=0,044). Model, SOYÖ puanındaki değişimin %13.1'ini açıklamaktadır.
Sonuç: Bu çalışma, sağlık okuryazarlığı düzeyinin sağlıklı yaşam biçimi davranışları üzerinde olumlu etkiler yarattığını ortaya koymuştur. Yüksek sağlık okuryazarlığına sahip bireylerin, yaşam kalitelerinin daha yüksek ve sağlık davranışlarının daha sağlıklı olduğu gözlemlenmiştir. Ayrıca, sağlık eğitimi ve düzenli sağlık takibinin, bireylerin sağlık okuryazarlığına katkı sağladığı bulunmuştur.

References

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  • 2. Denktaş K. Health literacy and e-health literacy among primary school senior students in rural areas (Master's Thesis). Manisa Celal Bayar University, Manisa, 2019.
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  • 6. Jafari A, Sany SBT, Peyman N. The status of health literacy in students aged 6 to 18 years: a systematic review study. Iranian Journal of Public Health, 2021; 50(3), 448.
  • 7. Fleary SA, Joseph P, Pappagianopoulos JE. Adolescent health literacy and health behaviors: A systematic review. Journal of Adolescence, 2018; 62, 116-127.
  • 8. Apfel F, Tsouros AD. Health literacy: the solid facts. Copenhagen: World Health Organization, 2013; 15(1), 3-26.
  • 9. Klinker C, Aaby A, Ringgaard L, Hjort A, Hawkins M, Maindal H. Health Literacy is Associated with Health Behaviors in Students from Vocational Education and Training Schools: A Danish Population-Based Survey. International Journal of Environmental Research and Public Health, 2020; 17(2):671. https://doi.org/10.3390/ijerph17020671
  • 10. Lesińska-Sawicka M, Pisarek E, Nagórska M. The Health Behaviors of Students from Selected Countries-A Comparative Study. Nursing Reports (Pavia, Italy), 2021; 11(2), 404–417. https://doi.org/10.3390/nursrep11020039
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  • 15. Kazak A, Başaran F, Coşkun N, Karakullukçu S. Evaluation of health literacy and healthy lifestyle behaviors among university students studying in health-related departments. Kocaeli Med J. 2021;10(3):273-283. (DOI: 10.5505/ktd.2021.22438)
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  • 17. Karabacak E. Evaluation of health perception and healthy lifestyle behaviors among middle school students (Master's Thesis). Eastern Mediterranean University, Gazimağusa, Cyprus, 2019.
  • 18. Uakarn C, Chaokromthong K, Sintao N. Sample size estimation using Yamane and Cochran and Krejcie and Morgan and green formulas and Cohen statistical power analysis by g*power and comparisons. Apheit International Journal, 2021; 10, 76–88.
  • 19. Haney MO. Psychometric testing of the Turkish version of the health literacy for school-aged children scale. Journal of Child Health Care. 2018; 22(1):97-107.
  • 20. Bahar Z, Beşer A, Gördes N, Ersin F, Kıssal A. Validity and reliability study of the Healthy Lifestyle Behaviors Scale II. Cumhuriyet University Journal of Nursing, 2008; 12(1):1-13.
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  • 25. Karagözoğlu M, İlhan N. Determining the relationship between health literacy and healthy lifestyle behaviors in adolescents (Master's Thesis). Bezmialem Vakıf University, Istanbul, 2021.
  • 26. Ozturk FO, Ayaz-Alkaya S. Health literacy and health promotion behaviors of adolescents in Turkey. Journal of Pediatric Nursing, 2020; 54, e31-e35.
  • 27. Park A, Eckert TL, Zaso MJ, Scott‐Sheldon LA, Vanable PA, Carey KB, et al. Associations between health literacy and health behaviors among urban high school students. Journal of School Health, 2017; 87(12), 885-893.
  • 28. Bulut A, Bulut A, Erçim RE. Healthy lifestyle behaviors of health vocational high school students. Istanbul Bilim University Florence Nightingale Medical Journal, 2016; 2(2), 105-112.
  • 29. Ergün S, Sürücüler HK, Işık R. E-health literacy and healthy lifestyle behaviors in adolescents: The example of Balıkesir. Jaren, 2019; 5(3), 194-203.
  • 30. Berçin T, Özvarış ŞB. Determining healthy lifestyle behaviors and factors affecting these behaviors in high school students (Master's Thesis). Hacettepe University, Ankara, 2010.
  • 31. Sukys S, Trinkuniene L, Tilindiene I. Subjective health literacy among school-aged children: First evidence from Lithuania. International Journal of Environmental Research and Public Health, 2019; 16(18), 3397.
  • 32. Dil S, Şentürk SG, Girgin BA. The relationship between self-esteem and healthy lifestyle behaviors with risky health behaviors and sociodemographic characteristics in adolescents in Çankırı province. Anadolu Psychiatry Journal, 2015; 16(1):51-59. (DOI: 10.5455/apd.151320)
  • 33. Karabacak F, Ergün A. Health literacy of high school students (Master's Thesis). Marmara University, Istanbul, 2019.
  • 34. Cabir FB, Ergün A. Game addiction and healthy lifestyle behaviors in adolescents (Master's Thesis). Marmara University, Istanbul, 2019.

Evaluation of Health Literacy and Healthy Lifestyle Behaviors in Vocational Training Center Students

Year 2025, Volume: 35 Issue: 3, 560 - 568, 30.06.2025
https://doi.org/10.54005/geneltip.1650308

Abstract

Aims: The aim of this study was to determine the relationship between health literacy (HLL) levels and healthy lifestyle behaviors (HBSB) of vocational education center students.
Methods: The cross-sectional study was conducted with 343 children studying in vocational education centers in a city center between April 1-30, 2024. “Personal Information Form”, ‘Health Literacy Scale for School-Age Children (HLSC)’ and ‘Healthy Lifestyle Behaviors Scale II (HRBS-II)’ were used as data collection tools. Data were analyzed using descriptive (mean, standard deviation, frequency and percentage) and analytical (One-Way ANOVA, Independent T-test, Spearman's Correlation) statistics. A statistical significance level of p<0.05 was accepted.
Results: In the analysis made according to the descriptive characteristics of the participants, significant differences were found between 10th and 12th grade students, income status, regular weighing, eating habits and health education in both scales (p<0.05). Participants with high levels of health literacy had higher scores on the SICBS, and as the level of health literacy increased, an increase was observed in sub-dimensions such as spiritual development, interpersonal relationships and stress management. Participants with moderate health literacy had significantly higher scores than those with low health literacy (p<0.001). In the regression analysis, it was found that the theoretical knowledge sub-dimension of the HLSS contributed positively to the total score of the HLSS (p=0.044). The model explains 13.1% of the change in the SFL score.
Conclusion: This study revealed that health literacy level has positive effects on healthy lifestyle behaviors. It was observed that individuals with high health literacy had higher quality of life and healthier health behaviors. In addition, health education and regular health follow-up were found to contribute to individuals' health literacy.

References

  • 1. Cengiz F, Dindar İ. Healthy lifestyle behaviors and influencing factors among high school students in Uzunköprü, Edirne province (Master's Thesis). Trakya University, Edirne, 2020.
  • 2. Denktaş K. Health literacy and e-health literacy among primary school senior students in rural areas (Master's Thesis). Manisa Celal Bayar University, Manisa, 2019.
  • 3. Yurdakul S, Koç Ş. The relationship between health literacy and health promotion behaviors in early adolescents (Master's Thesis). Karamanoğlu Mehmetbey University, Karaman, 2021.
  • 4. McDaid D. Investing in health literacy. Policy briefs and summaries. World Health Organization, European Observatory on Health Systems and Policies; WHO Regional Office for Europe: Copenhagen, Denmark, 2016.
  • 5. WHO J. Health promotion glossary. Health Promotion International, 1998; 13(4), 349-364.
  • 6. Jafari A, Sany SBT, Peyman N. The status of health literacy in students aged 6 to 18 years: a systematic review study. Iranian Journal of Public Health, 2021; 50(3), 448.
  • 7. Fleary SA, Joseph P, Pappagianopoulos JE. Adolescent health literacy and health behaviors: A systematic review. Journal of Adolescence, 2018; 62, 116-127.
  • 8. Apfel F, Tsouros AD. Health literacy: the solid facts. Copenhagen: World Health Organization, 2013; 15(1), 3-26.
  • 9. Klinker C, Aaby A, Ringgaard L, Hjort A, Hawkins M, Maindal H. Health Literacy is Associated with Health Behaviors in Students from Vocational Education and Training Schools: A Danish Population-Based Survey. International Journal of Environmental Research and Public Health, 2020; 17(2):671. https://doi.org/10.3390/ijerph17020671
  • 10. Lesińska-Sawicka M, Pisarek E, Nagórska M. The Health Behaviors of Students from Selected Countries-A Comparative Study. Nursing Reports (Pavia, Italy), 2021; 11(2), 404–417. https://doi.org/10.3390/nursrep11020039
  • 11. Yalçın E, Cavuslu I, Fırıncı B, Yalçınkaya N, Pehlivan E. Health literacy level and related factors of students in a health vocational high school. European Journal of Public Health, 2020. https://doi.org/10.1093/eurpub/ckaa166.367.
  • 12. https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Cocuk-2022-49674 April 18, 2023.
  • 13. Yıldız ME. Women and youth in terms of occupational health and safety. The Sakarya Journal of Law, December 2022; pp. 639-655. (DOI: 10.56701/shd.1184938)
  • 14. Üstündağ, A. Examining School-Aged Children's Health Literacy Knowledge Levels. JOHASS, 2020; 3(2), 567-577.
  • 15. Kazak A, Başaran F, Coşkun N, Karakullukçu S. Evaluation of health literacy and healthy lifestyle behaviors among university students studying in health-related departments. Kocaeli Med J. 2021;10(3):273-283. (DOI: 10.5505/ktd.2021.22438)
  • 16. Yılmazel G, Naçar M, Çetinkaya F. Health promotion behaviors of workers in an industrial organization. TAF Prev Med Bull 2015; 14(2):161-170. (DOI:10.5455/pmb1-1410340413)
  • 17. Karabacak E. Evaluation of health perception and healthy lifestyle behaviors among middle school students (Master's Thesis). Eastern Mediterranean University, Gazimağusa, Cyprus, 2019.
  • 18. Uakarn C, Chaokromthong K, Sintao N. Sample size estimation using Yamane and Cochran and Krejcie and Morgan and green formulas and Cohen statistical power analysis by g*power and comparisons. Apheit International Journal, 2021; 10, 76–88.
  • 19. Haney MO. Psychometric testing of the Turkish version of the health literacy for school-aged children scale. Journal of Child Health Care. 2018; 22(1):97-107.
  • 20. Bahar Z, Beşer A, Gördes N, Ersin F, Kıssal A. Validity and reliability study of the Healthy Lifestyle Behaviors Scale II. Cumhuriyet University Journal of Nursing, 2008; 12(1):1-13.
  • 21. Leech N, Barrett K, Morgan GA. SPSS for Intermediate Statistics: Use and Interpretation. 3rd ed. Routledge; 2007. doi:10.4324/9781410616739
  • 22. Akoğuz YN. Investigation of healthy lifestyle behaviors in high school students. Mediterranean Journal of Sport Science (MJSS), 2022; 5.
  • 23. Çoşkun A, Karagöz Ş. Investigation of obesity prevalence, physical activity level, and healthy lifestyle behaviors in adolescents. Turkey Journal of Sports Sciences, 2021; 5(2), 63-72.
  • 24. Özakgül AA, Aştı TA, Ataç M, Mercan K. Do high school seniors have healthy lifestyle behaviors? Florence Nightingale Journal of Nursing, 2016; 24(1), 16-23.
  • 25. Karagözoğlu M, İlhan N. Determining the relationship between health literacy and healthy lifestyle behaviors in adolescents (Master's Thesis). Bezmialem Vakıf University, Istanbul, 2021.
  • 26. Ozturk FO, Ayaz-Alkaya S. Health literacy and health promotion behaviors of adolescents in Turkey. Journal of Pediatric Nursing, 2020; 54, e31-e35.
  • 27. Park A, Eckert TL, Zaso MJ, Scott‐Sheldon LA, Vanable PA, Carey KB, et al. Associations between health literacy and health behaviors among urban high school students. Journal of School Health, 2017; 87(12), 885-893.
  • 28. Bulut A, Bulut A, Erçim RE. Healthy lifestyle behaviors of health vocational high school students. Istanbul Bilim University Florence Nightingale Medical Journal, 2016; 2(2), 105-112.
  • 29. Ergün S, Sürücüler HK, Işık R. E-health literacy and healthy lifestyle behaviors in adolescents: The example of Balıkesir. Jaren, 2019; 5(3), 194-203.
  • 30. Berçin T, Özvarış ŞB. Determining healthy lifestyle behaviors and factors affecting these behaviors in high school students (Master's Thesis). Hacettepe University, Ankara, 2010.
  • 31. Sukys S, Trinkuniene L, Tilindiene I. Subjective health literacy among school-aged children: First evidence from Lithuania. International Journal of Environmental Research and Public Health, 2019; 16(18), 3397.
  • 32. Dil S, Şentürk SG, Girgin BA. The relationship between self-esteem and healthy lifestyle behaviors with risky health behaviors and sociodemographic characteristics in adolescents in Çankırı province. Anadolu Psychiatry Journal, 2015; 16(1):51-59. (DOI: 10.5455/apd.151320)
  • 33. Karabacak F, Ergün A. Health literacy of high school students (Master's Thesis). Marmara University, Istanbul, 2019.
  • 34. Cabir FB, Ergün A. Game addiction and healthy lifestyle behaviors in adolescents (Master's Thesis). Marmara University, Istanbul, 2019.
There are 34 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other)
Journal Section Original Article
Authors

Osman Ulusal 0000-0001-8319-5306

Serap Batı 0000-0003-3176-6837

Hasan Küçükkendirci 0000-0001-9015-7367

Publication Date June 30, 2025
Submission Date March 3, 2025
Acceptance Date April 21, 2025
Published in Issue Year 2025 Volume: 35 Issue: 3

Cite

Vancouver Ulusal O, Batı S, Küçükkendirci H. Evaluation of Health Literacy and Healthy Lifestyle Behaviors in Vocational Training Center Students. Genel Tıp Derg. 2025;35(3):560-8.

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