Does health literacy affect attitudes towards healthy eating and health anxiety in young adults?

Betül Seref 1, Serap Incedal Irgat 1, Gamze Goke Arslan 2 *
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1 Department of Nutrition and Dietetic, Karamanoglu Mehmetbey University Faculty of Health Sciences, Karaman, Turkey
2 Department of Fundamentals Nursing, Karamanoglu Mehmetbey University Faculty of Health Sciences, Karaman, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 20, Issue 4, pp. 10-16. https://doi.org/10.23950/jcmk/13485
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ABSTRACT

Objective: The purpose of this study was to investigate the relationship between young people's health literacy, healthy eating attitudes, and health anxiety.
Material and methods: The data of this cross-sectional and descriptive study were collected by face-to-face interviews with students studying in the department of nursing, nutrition and dietetics and health management at the health sciences faculty of a university located in the Central Anatolia region of Turkey. The sample of the study consisted of 599 students who volunteered to participate in the study. In collecting the data of the study, Individual Descriptive Information Form, Turkish Health Literacy Scale (THLS-32), Attitudes towards Healthy Eating Scale (ASHN), Health Anxiety Inventory (Short Version) (HAI) used.
Results: It was determined that the total mean score of the students on the THLS-32 scale was 33.57±8.41, the mean total score of ASHN was 70.57±10.87, and the mean total score of HAI was 19.67±7.43. There was a positive relationship between students' health literacy and their attitudes towards healthy eating (r=0.258, p=0.000), a negative relationship between health anxiety (r=-0.171, p=0.000) and their attitudes towards healthy eating and health anxiety (r= -0.166, p=0.000).
Conclusion: It is important that this study is the first to examine health literacy, attitudes towards healthy eating, and health anxiety together. It is thought that improving the health literacy and healthy eating attitudes of students who will be health care professionals and reducing their health anxiety will provide significant benefits individually and socially.

CITATION

Seref B, Incedal Irgat S, Goke Arslan G. Does health literacy affect attitudes towards healthy eating and health anxiety in young adults?. J CLIN MED KAZ. 2023;20(4):10-6. https://doi.org/10.23950/jcmk/13485

REFERENCES

  • WHO, World Health Organization. Division of Health Promotion, Education, and Communication. (‎1998)‎. Health promotion glossary. World Health Organization. https://apps.who.int/iris/handle/10665/64546. Access of date: 03.11.2022.
  • Sørensen K. Health Literacy. In: Wright JD. editor. International Encyclopedia of the Social & Behavioral Sciences. 2nd ed. Oxford: Elsevier; 2015. p. 653-656. https://doi.org/10.1016/B978-0-08-097086-8.14083-8
  • Carrara A, Schulz P. The Role of Health Literacy in Predicting Adherence to Nutritional Recommendations: A Systematic Review. Patient Education and Counseling. 2018; 101:16-24. https://doi.org/10.1016/j.pec.2017.07.005
  • Silk KJ, Sherry J, Winn B, Keesecker N, Horodynski MA, Sayır A. Increasing nutrition literacy: testing the effectiveness of print, web site, and game modalities. Journal of Nutrition Education and Behavior. 2008; 40(1):3-10. https://doi.org/10.1016/j.jneb.2007.08.012
  • Özenoğlu A, Gün B, Karadeniz B, Koç F, Bilgin V, Bembeyaz Z et al. The attitudes of nutrition literacy in adults towards healthy nutrition and its relation with body mass index [in Turkish]. Life Sciences. 2021; 16(1):1-18. https://doi.org/10.12739/NWSA.2021.16.1.4B0037
  • Abramowitz JS, Braddock AE. Hypochondriasis and health anxiety. Hogrefe Publishing; 2011, 1 p.
  • Lee Y, Kim T, Jung H. The relationships between food literacy, health promotion literacy and healthy eating habits among young adults in South Korea. Foods. 2022; 11(16):2467. https://doi.org/10.3390/foods11162467
  • Orhan ÖÖ, Saatçı E. Health Anxiety Levels and Healthy Lifestyle Behaviors of Çukurova University Medical Faculty Students [in Turkish]. Turkish Journal of Family Practice. 2021; 25(3):84-90. https://doi.org/10.5222/tahd.2021.69775
  • Köseler Beyaz E, Duman S, Kötek S. Determining the effect of health-related anxiety levels on eating attitude behaviors of academic staff [in Turkish]. International Peer-Reviewed Journal of Nutrition Research. 2019; 15:110-128. https://doi.org/10.17362/dbhad.2019.15.6
  • HLS-EU Consortium (2012). Comparative Report of Health Literacy in Eight EU Member States. The European Health Literacy Survey HLS-EU. [Internet]: Online publication: http://www.health-lıteracy.eu. Date of access: 18.03.2023.
  • Okyay P, Abacıgil F. Report on Reliability and validity of Turkish Health Literacy Scales, T.C. Ministry of Health. 1025: Ankara; 2016.
  • Demir GT, Cicioğlu Hİ. Attitude Scale for Healthy Nutrition (ASHN): Validity and Reliability Study [in Turkish]. Gaziantep University Journal of Sport Science. 2019; 4(2):256-274. https://doi.org/10.31680/gaunjss.559462
  • Aydemir Ö, Kırpınar I, Satı T, Uykur B, Cengisiz C. Reliability and Validity of the Turkish Version of the Health Anxiety Inventory [in Turkish]. Archives of Neuropsychiatry. 2013; 50(4):325-331. https://doi.org/10.4274%2Fnpa.y6383
  • Tabachnick BG, Fidell LS. Using Multivariate Statistics. Sixth ed. Pearson: Boston; 2013.
  • Güven YD, Bulut H, Öztürk S. Examining the Health Literacy Levels of Health Sciences Faculty Students [inTurkish]. Journal of History Culture and Art Research, 2018;7(2):400-409. https://doi.org/10.38079/igusabder.976692
  • Ergün S. Health Literacy in School of Health Students [in Turkish]. Kocaeli Medical Journal. 2017; 6(3):1-6.
  • Okur E, Evcimen H, Şentürk AY. Examination of health literacy levels of students of health services school [in Turkish]. Journal of Contınuing Medical Education, 2021;30(1):18-24. https://doi.org/10.17942/sted.629676
  • Soykan H, Şengül H. The Relationship of Health Literacy with Healthy Lifestyle Behaviors [in Turkish]. Gümüşhane University Journal of Health Sciences. 2021; 10(4):691-704. https://doi.org/10.37989/gumussagbil.905512
  • Yılmaz G, Şengür E, Turasan İ. (2022). Examination of healthy eating attitude scores of students studying at the faculty of sports sciences [in Turkish]. J Türk Sport Sci, 2022;5(2):64-70. https://doi.org/10.46385/tsbd.1111714
  • Topaktaş B, Çetin M. The Effect of Social Media Addiction Levels on Nutrition Habits in Midwifery and Nursing Students [in Turkish]. Hitit Medical Journal. 2023;5(1):19-24. https://doi.org/10.52827/hititmedj.1161788
  • Göral K, Yıldırım D. Investigation of attitudes of the sports sciences faculty students towards healthy eating according to branch differences [in Turkish]. CBU Journal of Physical Education and Sport Sciences. 2022;17(1):58-69. https://doi.org/10.33459/cbubesbd.1114833
  • Kılınçarslan G, Bayrakdar A, Avcı P. Investigation of the healthy nutrition attitudes of students in the field of physical education and medicine [in Turkish]. International Journal of Contemporary Educational Studies (IntJCES). 2022; 8(1):44-56.
  • Bull ER, Dombrowski SU, McCleary N, Johnston M. Are interventions for low-income groups effective in changing healthy eating, physical activity and smoking behaviours? A systematic review and meta-analysis. BMJ Open. 2014; 4:e006046. https://doi:10.1136/bmjopen-2014-006046
  • Batı AH, Mandiracioglu A, Govsa F, Çam O. Health anxiety and cyberchondria among Ege University health science students. Nurse Education Today. 2018; 71:169-173. https://doi.org/10.1016/j.nedt.2018.09.029
  • Karaoğlu N, Karaoğlu KB, Yardımcı H. Comparison of health perception and health anxiety levels of sociology and medical students [in Turkish]. Ankara Med J. 2020;(3):615-628. http://doi.org/10.5505/amj.2020.43660
  • Madalı B, Dikmen D, Piyal B. Is health literacy adequate in assessing nutrition knowledge level? [in Turkish]. Journal of Nutrition and Dietetics. 2017; 45(2):153-160.
  • Davis TC, Williams MV, Marin E, Parker RM, Glass J. Health literacy and cancer communication. CA: A Cancer Journal for Clinicians. 2002; 52(3):134-149. https://doi.org/10.3322/canjclin.52.3.134
  • Yılmaz M, Yaşar Fırat Y, Gül FH, Atuk Kahraman T. The effect of health literacy on diet quality [in Turkish]. Journal of Nutrition and Dietetics. 2021; 49(2):28-37. https://doi.org/10.33076/2021.BDD.1477
  • Anastasiou K, Miller M, Dickinson K. The relationship between food label use and dietary intake in adults: A systematic review. Appetite. 2019; 138:280-291. https://doi.org/10.1016/j.appet.2019.03.025
  • Arslan E, Özlü T, Garipoğlu G. Investigation of Reading Food Label Behaviour in University Students [in Turkish]. Journal of Health Sciences. 2022; 31(1):71-78. https://doi.org/10.34108/eujhs.915320
  • Smith SG, Curtis LM, Wardle J, von Wagner C, Wolf MS. Skill set or mind set? Associations between health literacy, patient activation and health. PloS One. 2013; 8(9):e74373. https://doi.org/10.2174/1874312902115010001
  • Oğulluk ZA, Arslan İ. The investigation of effect of sociodemografic characteristics and level of health literacy on health anxiety. (Specialization Thesis in Medicine). 2019. University of Health Sciences, Ankara, Türkiye.
  • Koven NS, Abry AW. The clinical basis of orthorexia nervosa: emerging perspectives. Neuropsychiatr Dis Treat. 2015;11:385-394. https://doi.org/10.2147/ndt.s61665
  • Yeşildemir Ö. Acar Tek N. Assessment of nutritional status, obsessive eating habits and eating disorders in exercising individuals. (Master's thesis). 2019. Gazi University Institute Of Health Sciences, Ankara, Türkiye.