Evaluation of the relationship between health literacy and mindful eating in obesity patients

Yasemin Koçyiğit; Şule Bıçakcı Ay; Gözde Kübra Demirel; Özge Eris Davut

doi:10.32322/jhsm.1660252

Research Article

Evaluation of the relationship between health literacy and mindful eating in obesity patients

Year 2025, Volume: 8 Issue: 3, 514 - 523, 30.05.2025

Yasemin Koçyiğit , Şule Bıçakcı Ay , Gözde Kübra Demirel , Özge Eris Davut

https://doi.org/10.32322/jhsm.1660252

Abstract

Aims: Obesity is a multifactorial chronic disease and is a significant cause of morbidity and mortality when left untreated. Preventive health services play a substantial role in the fight against diseases that can cause a global crisis such as obesity. The primary goal of preventive health services in obesity is to ensure that people acquire healthy eating habits. It has been shown that factors such as maladaptive social attitudes, emotional eating have a significant effect on mindful eating. Health literacy and mindful eating are essential concepts in developing healthy eating habits. In this study, we aim to measure the health literacy levels of obese individuals, evaluate their mindful eating, and reveal whether there is any relationship between them.
Methods: The study consists of obese patients who were eligible and applied to Ankara Etlik City Hospital Obesity Center between August-December 2024. The individuals who gave their consent were given a form that evaluated their socio-demographic information, the Turkish Health Literacy Survey-32 (THLS-32) and the Mindful Eating Questionnaire (MEQ) and mental status examinations were conducted through face-to-face interviews by two psychiatrists in accordance with DSM-5 diagnostic criteria. Individuals under the age of 18 and those with conditions that could impair judgment were excluded from the study. With regard to eating disorders, participants were likewise evaluated by the interviewers based on DSM-5 diagnostic criteria.
Results: A total of 232 obese individuals were included in the study (191 female, 41 male). When the health literacy scores were examined, 3.0% (n=7) were inadequate (0-25), 23.7% (n=55) were problematic-limited (26-33), 47.8% (n=111) were sufficient (34-42), 24.6% (n=57) were excellent (43-50), and the general mindful eating scores were 2.90±0.541. When the relationship between health literacy and mindful eating is examined, it is seen that there is a positive (r=0.157) significant relationship at general score (r=0.146), treatment and service score (r=0.137), disease prevention and health promotion - access to health related-information (r=0.167), disease prevention and health promotion - understanding health related information (r=0.141), access to health-related information (r=0.154) and understanding health related-information (r=0.157).
Conclusion: Obesity treatment requires a multidimensional approach. For this process to be practical, many factors, such as healthy diet, physical activity, psychological support, and increasing health literacy, should be considered together. Healthy diet is an integral part of this multidimensional approach. Determining the psychological and individual factors associated with obesity, determining these factors, and increasing health literacy with dietary education and awareness-based practices can contribute to a more efficient, permanent, and sustainable weight loss process for obese patients.

Keywords

Obesity, health literacy, mindfulness, disordered eating behavior

Ethical Statement

Approval was obtained from the Ankara Etlik City Hospital Ethics Committee (dated 14.08.2024 and decision number AEŞH-BADEK-2024-659) before the study.

Supporting Institution

Project Number

AEŞH-BADEK-2024-659

Thanks

References

GBD 2021 Obesity Collaborators. Global, regional, and national burden of disease attributable to high body-mass index in 204 countries and territories, 1990-2021: a systematic analysis. Lancet. 2024;403(10428): 1015-1034. doi:10.1016/S0140-6736(24)00411-2
Wolever RQ, Best JL. Mindfulness-based approaches to eating disorders. In: Didonna F, editor. Clinical handbook of mindfulness. New York: Springer; 2009. p. 259-287.
Zavala GA, Ainscough TS, Jimenez-Moreno AC. Barriers to a healthy diet and physical activity in Mexican adults: results from the Mexican Health and Nutrition Survey. Nutr Bull. 2022;47(3):298-306. doi:10.1111/nbu.12568
Soylar P, Kadıoğlu BU. Yetişkin bireylerin sağlık okuryazarlığı ve obeziteyle ilişkili bazı davranışlarının incelenmesi. Sak Tıp Derg. 2020; 10(2):270-276. doi:10.31832/smj.700979
Çın A, Akkan T, Dağdeviren M, et al. Valuation of the relationship of health literacy and healthy eating attitude in obesity. Turk J Fam Pract. 2022;26(4):154-163. doi:10.54308/tahd.2022.42104
Vidgen HA, Gallegos D. Defining food literacy and its components. Appetite. 2014;76:50-59. doi:10.1016/j.appet.2014.01.010
Yilmazel G, Çetinkaya F. Relation between health literacy levels, hypertension awareness and control among primary-secondary school teachers in Turkiye. AIMS Public Health. 2017;4(4):314-325. doi:10.3934/publichealth.2017.4.314
Speirs KE, Messina LA, Munger AL, Grutzmacher SK. Health literacy and nutrition behaviors among low-income adults. J Health Care Poor Underserved. 2012;23(3):1082-1091. doi:10.1353/hpu.2012.0113
Bandura A. Self-efficacy: The exercise of control. New York: W H Freeman/Times Books/Henry Holt & Co; 1997.
von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behaviour in a national sample of British adults. J Epidemiol Community Health. 2007;61(12):1086-1090. doi:10.1136/jech. 2006.053967
Nakamura T, Akamatsu R, Yoshiike N. Mindful eating proficiency and healthy eating literacy among Japanese mothers: associations with their own and their children’s eating behavior. Nutrients. 2021;13(12):4439. doi:10.3390/nu13124439
Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42:159-173.
Sørensen K, Pelikan JM, Röthlin F, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-1058. doi:10.1093/eurpub/ckv043
Okyay P, Abacıgil T. Türkiye sağlık okuryazarlığı ölçekleri güvenilirlik ve geçerlilik çalışması. T.C. Sağlık Bakanlığı; 2016. Accessed October 2, 2024. Available from: https://ekutuphane.saglik.gov.tr/Yayin/530
Framson C, Kristal AR, Schenk JM, et al. Development and validation of the mindful eating questionnaire. J Am Diet Assoc. 2009;109(8):1439-1444. doi:10.1016/j.jada.2009.05.006
Köse G, Tayfur M, Birincioğlu I, et al. Adaptation study of the mindful eating questionnaire (MEQ) into Turkish. J Cogn-Behav Psychother Res. 2016;1. doi:10.5455/JCBPR.250644
Stroebele-Benschop N, Damms-Machado A, Milan F, et al. Gender differences in the outcome of obesity treatments and weight loss maintenance: a systematic review. J Obes Weight Loss Ther. 2013;3:1-11. doi:10.4172/2165-7904.1000176
Tiwari A, Balasundaram P. Public health considerations regarding obesity. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.
van Strien T. Causes of emotional eating and matched treatment of obesity. Curr Diab Rep. 2018;18(6):35. doi:10.1007/s11892-018-1000-x
Zervos K, Koletsi M, Mantzios M, et al. An eight-week mindful eating program applied in a Mediterranean population with overweight or obesity: the EATT intervention study. Psychol Rep. 2022;125(2):1011-1040. doi:10.1177/0033294120988104
Karaca V, Rakıcıoğlu N. Yetişkinlerde yeme farkındalığı, beslenme bilgi düzeyi ve antropometrik ölçümlerin değerlendirilmesi. HÜ Sağlık Bil Fak Derg. 2024;11(3):671-689. doi:10.21020/husbfd.1443850
Barışkan H, Karakoç Kumsar A. Sağlık bilimleri fakültesi öğrencilerinde abdominal obezite sıklığı ve yeme farkındalık düzeyleri. Koç Üniv Hemş Eği Araş Derg. 2020;17(2):162-169. doi:10.5222/HEAD.2020.44452
Köse G. Üniversite öğrencilerinin yeme farkındalığının üzerine bir araştırma [doktora tezi]. Ankara: Başkent Üniversitesi Sağlık Bilimleri Enstitüsü; 2017.
Mason AE, Jhaveri K, Cohn M, et al. A pilot randomized trial of a mindful eating intervention targeting consumption of sugar-sweetened beverages. Obesity. 2020;28(6):1100-1106.
Hamurcu P, Taş D. Sağlık çalışanlarında yeme farkındalığı düzeyinin belirlenmesi: Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim Araştırma Hastanesi örneği. Batı Karadeniz Tıp Derg. 2022;6(1):96-105. doi:10.29058/mjwbs.1030982
Kristeller JL, Wolever RQ. Mindfulness-based eating awareness training for treating binge eating disorder: the conceptual foundation. Eat Disord. 2011;19(1):49-61.
Tapper K, Shaw C, Ilsley J, et al. Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite. 2009;52(2):396-404. doi:10.1016/j.appet.2008.11.012
Kao TSA, Wei CN, Chen ML, et al. Effects of mindfulness-based interventions on obesogenic eating behaviors: a systematic review and meta-analysis. Obes Rev. 2025;26(3):e13860. doi:10.1111/obr.13860
Kausman R, Polivy J. If not dieting, then what? Psychol Today. 2018;51(1): 42-48.
Kim H, Xie B. Health literacy in the eHealth era: a systematic review of the literature. Patient Educ Couns. 2022;105(6):1076-1087.
Özkan S, Dikmen AT, Hakan K, et al. Prevalence and determiners of health literacy in Turkiye. Turk Sağl Okuryazar Derg. 2020;1:27-39. doi: 10.54247/SOYD.2020.3
Kaya M, Yılmaz Ö. Bireysel özellikler, sağlık okuryazarlığı ve genel sağlık durumu arasındaki ilişki. MAKÜ SOBED. 2020;33:113-122. doi: 10.20875/makusobed.820452
Sala M, Shankar Ram S, Vanzhula IA, Levinson CA. Mindfulness and eating disorder psychopathology: a meta-analysis. Int J Eat Disord. 2020;53(6):834-851. doi:10.1002/eat.23247
Treasure J, Schmidt U, Macdonald P. The clinician’s guide to collaborative caring in eating disorders: the new Maudsley method. 2nd ed. London: Routledge; 2020.
Kickbusch I, Pelikan JM, Apfel F, Tsouros AD. Health literacy: the solid facts. Copenhagen: WHO Regional Office for Europe; 2013.
Chen X, Hay JL, Waters EA, et al. Health literacy and use and trust in health information. J Health Commun. 2021;26(12):911-920. doi:10.1080/ 10810730.2018.1511658
Carbone ET, Zoellner JM. Nutrition and health literacy: a systematic review to inform nutrition research and practice. J Acad Nutr Diet. 2012; 112(2):254-265. doi:10.1016/j.jada.2011.08.042

Obezite hastalarında sağlık okuryazarlığı ve yeme farkındalığı ilişkisinin araştırılması

Year 2025, Volume: 8 Issue: 3, 514 - 523, 30.05.2025

Yasemin Koçyiğit , Şule Bıçakcı Ay , Gözde Kübra Demirel , Özge Eris Davut

https://doi.org/10.32322/jhsm.1660252

Abstract

Amaç: Obezite multifaktöriyel kronik bir hastalıktır ve tedavi edilmediğinde önemli bir morbidite ve mortalite nedenidir. Obezite gibi küresel bir krize neden olabilen hastalıkların mücadelesinde koruyucu sağlık hizmetlerinin rolü büyüktür. Obezitede koruyucu sağlık hizmetlerinin öncelikli amacı halkın sağlıklı beslenme alışkanlıklarının kazandırılabilmesidir. Sağlıklı beslenme alışkanlıklarının geliştirilmesinde sağlık okuryazarlığı ve yeme farkındalığı önemli kavramlardır. Bu çalışmada amacımız, obeziteli bireylerin sağlık okuryazarlığı düzeylerini ölçmek, yeme farkındalıklarını değerlendirmek ve bunlar arasında herhangi bir ilişki olup olmadığını ortaya koymaktır.
Yöntemler: Araştırma, Ağustos 2024-Eylül 2024 tarihleri arasında Etlik Şehir Hastanesi Obezite Merkezi’ne başvuran ve çalışmaya uygun olan obeziteli hastalardan oluşmaktadır. Onam veren bireylere sosyodemografik bilgilerinin değerlendirildiği bir form, Türkiye Sağlık Okur Yazarlığı Anketi-32 (TSOY-32) ve Yeme Farkındalığı Ölçeği (YFÖ) verilmiş ve ruhsal durum muayeneleri yapılmıştır.
Bulgular: Çalışmaya toplamda 232 obeziteli birey dahil edilmiştir (191 kadın, 41 erkek). Sağlık okur yazarlığı genel puanlarına bakıldığında %3,0’ı (n=7) yetersiz (0-25), %23,7’si (n=55) sorunlu-sınırlı (26-33), %47,8’i (n=111) yeterli (34-42), %24,6’sı (n=57) mükemmel (43-50) düzeyine sahip olduğu, toplam yeme farkındalığı ortalama puanlarına bakıldığında ise 2,90±0,541 olduğu görülmüştür. Sağlık okuryazarlığı ve yeme farkındalığı arasında ilişkiye bakıldığında yeme farkındalığı ile sağlık okuryazarlığı genel toplam puan (r=0,146), tedavi ve hizmet puanı (r=0,137), hastalıklardan korunma ve sağlığın geliştirilmesi-bilgiye ulaşma (r=0,167), hastalıklardan korunma ve sağlığın geliştirilmesi-bilgiyi anlama (r=0,141), sağlıkla ilgili bilgiye ulaşma (r=0,154) ve sağlıkla ilgili bilgiyi anlama sağlık okuryazarlığı alt boyutları arasında pozitif yönde (r=0,157) anlamlı ilişki olduğu görülmüştür.

Sonuç: Obezite tedavisi, çok yönlü bir yaklaşım gerektirir ve bu sürecin etkin olabilmesi için sağlıklı beslenme, fiziksel aktivite, psikolojik destek ve sağlık okuryazarlığının arttırılması gibi birçok faktörün bir arada ele alınması gerekir. Sağlıklı beslenme, bu çok boyutlu yaklaşımın önemli bir parçasıdır. Obeziteyle ilişkili olan psikolojik ve bireysel faktörlerin belirlenmesi, bu faktörlerin belirlenmesi ile beslenme eğitimi ile farkındalık temelli uygulamalarla sağlık okuryazarlığının artırılması obezite hastalarına daha verimli, kalıcı ve sürdürülebilir bir kilo verme sürecine katkıda bulunabilir.

Keywords

obezite, sağlık okuryazarlığı, farkındalık, beslenme ve yeme bozuklukları

Project Number

AEŞH-BADEK-2024-659

References

GBD 2021 Obesity Collaborators. Global, regional, and national burden of disease attributable to high body-mass index in 204 countries and territories, 1990-2021: a systematic analysis. Lancet. 2024;403(10428): 1015-1034. doi:10.1016/S0140-6736(24)00411-2
Wolever RQ, Best JL. Mindfulness-based approaches to eating disorders. In: Didonna F, editor. Clinical handbook of mindfulness. New York: Springer; 2009. p. 259-287.
Zavala GA, Ainscough TS, Jimenez-Moreno AC. Barriers to a healthy diet and physical activity in Mexican adults: results from the Mexican Health and Nutrition Survey. Nutr Bull. 2022;47(3):298-306. doi:10.1111/nbu.12568
Soylar P, Kadıoğlu BU. Yetişkin bireylerin sağlık okuryazarlığı ve obeziteyle ilişkili bazı davranışlarının incelenmesi. Sak Tıp Derg. 2020; 10(2):270-276. doi:10.31832/smj.700979
Çın A, Akkan T, Dağdeviren M, et al. Valuation of the relationship of health literacy and healthy eating attitude in obesity. Turk J Fam Pract. 2022;26(4):154-163. doi:10.54308/tahd.2022.42104
Vidgen HA, Gallegos D. Defining food literacy and its components. Appetite. 2014;76:50-59. doi:10.1016/j.appet.2014.01.010
Yilmazel G, Çetinkaya F. Relation between health literacy levels, hypertension awareness and control among primary-secondary school teachers in Turkiye. AIMS Public Health. 2017;4(4):314-325. doi:10.3934/publichealth.2017.4.314
Speirs KE, Messina LA, Munger AL, Grutzmacher SK. Health literacy and nutrition behaviors among low-income adults. J Health Care Poor Underserved. 2012;23(3):1082-1091. doi:10.1353/hpu.2012.0113
Bandura A. Self-efficacy: The exercise of control. New York: W H Freeman/Times Books/Henry Holt & Co; 1997.
von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behaviour in a national sample of British adults. J Epidemiol Community Health. 2007;61(12):1086-1090. doi:10.1136/jech. 2006.053967
Nakamura T, Akamatsu R, Yoshiike N. Mindful eating proficiency and healthy eating literacy among Japanese mothers: associations with their own and their children’s eating behavior. Nutrients. 2021;13(12):4439. doi:10.3390/nu13124439
Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42:159-173.
Sørensen K, Pelikan JM, Röthlin F, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-1058. doi:10.1093/eurpub/ckv043
Okyay P, Abacıgil T. Türkiye sağlık okuryazarlığı ölçekleri güvenilirlik ve geçerlilik çalışması. T.C. Sağlık Bakanlığı; 2016. Accessed October 2, 2024. Available from: https://ekutuphane.saglik.gov.tr/Yayin/530
Framson C, Kristal AR, Schenk JM, et al. Development and validation of the mindful eating questionnaire. J Am Diet Assoc. 2009;109(8):1439-1444. doi:10.1016/j.jada.2009.05.006
Köse G, Tayfur M, Birincioğlu I, et al. Adaptation study of the mindful eating questionnaire (MEQ) into Turkish. J Cogn-Behav Psychother Res. 2016;1. doi:10.5455/JCBPR.250644
Stroebele-Benschop N, Damms-Machado A, Milan F, et al. Gender differences in the outcome of obesity treatments and weight loss maintenance: a systematic review. J Obes Weight Loss Ther. 2013;3:1-11. doi:10.4172/2165-7904.1000176
Tiwari A, Balasundaram P. Public health considerations regarding obesity. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.
van Strien T. Causes of emotional eating and matched treatment of obesity. Curr Diab Rep. 2018;18(6):35. doi:10.1007/s11892-018-1000-x
Zervos K, Koletsi M, Mantzios M, et al. An eight-week mindful eating program applied in a Mediterranean population with overweight or obesity: the EATT intervention study. Psychol Rep. 2022;125(2):1011-1040. doi:10.1177/0033294120988104
Karaca V, Rakıcıoğlu N. Yetişkinlerde yeme farkındalığı, beslenme bilgi düzeyi ve antropometrik ölçümlerin değerlendirilmesi. HÜ Sağlık Bil Fak Derg. 2024;11(3):671-689. doi:10.21020/husbfd.1443850
Barışkan H, Karakoç Kumsar A. Sağlık bilimleri fakültesi öğrencilerinde abdominal obezite sıklığı ve yeme farkındalık düzeyleri. Koç Üniv Hemş Eği Araş Derg. 2020;17(2):162-169. doi:10.5222/HEAD.2020.44452
Köse G. Üniversite öğrencilerinin yeme farkındalığının üzerine bir araştırma [doktora tezi]. Ankara: Başkent Üniversitesi Sağlık Bilimleri Enstitüsü; 2017.
Mason AE, Jhaveri K, Cohn M, et al. A pilot randomized trial of a mindful eating intervention targeting consumption of sugar-sweetened beverages. Obesity. 2020;28(6):1100-1106.
Hamurcu P, Taş D. Sağlık çalışanlarında yeme farkındalığı düzeyinin belirlenmesi: Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim Araştırma Hastanesi örneği. Batı Karadeniz Tıp Derg. 2022;6(1):96-105. doi:10.29058/mjwbs.1030982
Kristeller JL, Wolever RQ. Mindfulness-based eating awareness training for treating binge eating disorder: the conceptual foundation. Eat Disord. 2011;19(1):49-61.
Tapper K, Shaw C, Ilsley J, et al. Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite. 2009;52(2):396-404. doi:10.1016/j.appet.2008.11.012
Kao TSA, Wei CN, Chen ML, et al. Effects of mindfulness-based interventions on obesogenic eating behaviors: a systematic review and meta-analysis. Obes Rev. 2025;26(3):e13860. doi:10.1111/obr.13860
Kausman R, Polivy J. If not dieting, then what? Psychol Today. 2018;51(1): 42-48.
Kim H, Xie B. Health literacy in the eHealth era: a systematic review of the literature. Patient Educ Couns. 2022;105(6):1076-1087.
Özkan S, Dikmen AT, Hakan K, et al. Prevalence and determiners of health literacy in Turkiye. Turk Sağl Okuryazar Derg. 2020;1:27-39. doi: 10.54247/SOYD.2020.3
Kaya M, Yılmaz Ö. Bireysel özellikler, sağlık okuryazarlığı ve genel sağlık durumu arasındaki ilişki. MAKÜ SOBED. 2020;33:113-122. doi: 10.20875/makusobed.820452
Sala M, Shankar Ram S, Vanzhula IA, Levinson CA. Mindfulness and eating disorder psychopathology: a meta-analysis. Int J Eat Disord. 2020;53(6):834-851. doi:10.1002/eat.23247
Treasure J, Schmidt U, Macdonald P. The clinician’s guide to collaborative caring in eating disorders: the new Maudsley method. 2nd ed. London: Routledge; 2020.
Kickbusch I, Pelikan JM, Apfel F, Tsouros AD. Health literacy: the solid facts. Copenhagen: WHO Regional Office for Europe; 2013.
Chen X, Hay JL, Waters EA, et al. Health literacy and use and trust in health information. J Health Commun. 2021;26(12):911-920. doi:10.1080/ 10810730.2018.1511658
Carbone ET, Zoellner JM. Nutrition and health literacy: a systematic review to inform nutrition research and practice. J Acad Nutr Diet. 2012; 112(2):254-265. doi:10.1016/j.jada.2011.08.042

There are 37 citations in total.

Details

Primary Language	English
Subjects	Psychiatry, Clinical and Health Psychology (Other)
Journal Section	Original Article
Authors	Yasemin Koçyiğit 0000-0002-9907-2551 Şule Bıçakcı Ay 0000-0003-4787-9860 Gözde Kübra Demirel 0009-0000-2029-5211 Özge Eris Davut 0000-0003-3874-9503
Project Number	AEŞH-BADEK-2024-659
Publication Date	May 30, 2025
Submission Date	March 18, 2025
Acceptance Date	May 27, 2025
Published in Issue	Year 2025 Volume: 8 Issue: 3

Cite

AMA	Koçyiğit Y, Bıçakcı Ay Ş, Demirel GK, Eris Davut Ö. Evaluation of the relationship between health literacy and mindful eating in obesity patients. J Health Sci Med / JHSM. May 2025;8(3):514-523. doi:10.32322/jhsm.1660252

Download Cover Image

Article Files

Full Text

Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS].

The Directories (indexes) and Platforms we are included in are at the bottom of the page.

Note: Our journal is not WOS indexed and therefore is not classified as Q.

You can download Council of Higher Education (CoHG) [Yüksek Öğretim Kurumu (YÖK)] Criteria) decisions about predatory/questionable journals and the author's clarification text and journal charge policy from your browser. https://dergipark.org.tr/tr/journal/2316/file/4905/show

The indexes of the journal are ULAKBİM TR Dizin, Index Copernicus, ICI World of Journals, DOAJ, Directory of Research Journals Indexing (DRJI), General Impact Factor, ASOS Index, WorldCat (OCLC), MIAR, EuroPub, OpenAIRE, Türkiye Citation Index, Türk Medline Index, InfoBase Index, Scilit, etc.

The platforms of the journal are Google Scholar, CrossRef (DOI), ResearchBib, Open Access, COPE, ICMJE, NCBI, ORCID, Creative Commons, etc.

Our Journal using the DergiPark system indexed are;

Ulakbim TR Dizin, Index Copernicus, ICI World of Journals, Directory of Research Journals Indexing (DRJI), General Impact Factor, ASOS Index, OpenAIRE, MIAR, EuroPub, WorldCat (OCLC), DOAJ, Türkiye Citation Index, Türk Medline Index, InfoBase Index

Our Journal using the DergiPark system platforms are;

Google, Google Scholar, CrossRef (DOI), ResearchBib, ICJME, COPE, NCBI, ORCID, Creative Commons, Open Access, and etc.

Journal articles are evaluated as "Double-Blind Peer Review".

Our journal has adopted the Open Access Policy and articles in JHSM are Open Access and fully comply with Open Access instructions. All articles in the system can be accessed and read without a journal user. https//dergipark.org.tr/tr/pub/jhsm/page/9535

Journal charge policy https://dergipark.org.tr/tr/pub/jhsm/page/10912

Our journal has been indexed in DOAJ as of May 18, 2020.

Our journal has been indexed in TR-Dizin as of March 12, 2021.

Articles published in the Journal of Health Sciences and Medicine have open access and are licensed under the Creative Commons CC BY-NC-ND 4.0 International License.