The Role of Parents and Health Literacy in Healthy Child Follow-up

Ulusoy, Erdo�an; Y�lmaz, Tar�k Eren; �ifci, Atilla; Y�lmaz, Tu�ba; Kas�m, �smail; �zkara, Adem

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The Role of Parents and Health Literacy in Healthy Child Follow-up [Ankara Med J]

Ankara Med J. 2020; 20(3): 588-604 | DOI: 10.5505/amj.2020.59320

The Role of Parents and Health Literacy in Healthy Child Follow-up

Erdo�an Ulusoy¹, Tar�k Eren Y�lmaz¹, Atilla �ifci², Tu�ba Y�lmaz³, �smail Kas�m¹, Adem �zkara¹
¹Ankara City Hospital, Department of Family Medicine, Health Science University, Ankara, Turkey
²Ankara Y�ld�r�m Beyaz�t University, Department of Pediatrics, Ankara, Turkey
³Ankara Provincial Health Directorate, Department of Family Medicine, Ankara, Turkey

INTRODUCTION: Healthy child follow-up is mostly carried out by family physicians working in primary care and their parents.The aim of our study is to draw attention to the responsibilities of families in healthy child follow-up, to raise awareness and to determine their relationship with health literacy situations.
METHODS: The study was planned as an observational and cross-sectional survey.It was carried out on parents with children between the ages of 0-5 years followed up in a family health center in Ankara.648 families were invited to study.We developed a structured questionnaire and used Turkey Health Literacy Scale(TSOY-32) in order to measure the parents' health literacy.After obtaining the necessary permissions, the questionnaire was filled through the face-to-face questionnaire application method.
RESULTS: 269 families agreed to participate in the study.The median score of total TSOY-32 was calculated as 32.3 and it was included in the �limited-problematic� health literacy group.It was determined that the TSOY-32 scores were significantly higher in high education and good income levels and among working parents.It was determined that the parents who �regularly make their children�s follow-ups by themselves� have higher health literacy total and component scores than the parents who �follow-up by their doctor�s calling�.
DISCUSSION AND CONCLUSION: Health literacy knowledge level scores of the families were lower than expected.Health literacy is an important factor in raising awareness of health-related responsibilities for building a healthy society.This study has made awareness among families in terms of what to do about child follow-up,and contributed to the literature on a more careful,healthy and conscious follow-up on the identified issues.

Keywords: Child Health, Health Literacy, Parents, Family Medicine, Primary Health Care

Sa�lam �ocuk Takibinde Ebeveynlerin Rol� ve Sa�l�k Okuryazarl��

Erdo�an Ulusoy¹, Tar�k Eren Y�lmaz¹, Atilla �ifci², Tu�ba Y�lmaz³, �smail Kas�m¹, Adem �zkara¹
¹Sa�l�k Bilimleri �niversitesi, Ankara �ehir Hastanesi, Aile Hekimli�i Klini�i, Ankara
²Ankara Y�ld�r�m Beyaz�t �niversitesi T�p Fak�ltesi, �ocuk Sa�l�� ve Hastal�klar� Anabilim Dal�, Ankara, T�rkiye
³Ankara �l Sa�l�k M�d�rl��, Aile Hekimli�i Birimi, Ankara, T�rkiye

G�R�� ve AMA�: Sa�lam �ocuk takibi �lkemizde daha �ok birinci basamakta g�rev yapan aile hekimleri ile bu �ocuklar�n ebeveynleri taraf�ndan y�r�t�lmektedir. �al��mam�z�n amac� ailelerin sa�lam �ocuk takibi konusundaki sorumluluklar�na dikkat �ekmek, fark�ndal�� artt�rmak ve sa�l�k okuryazarl�k durumlar�yla ili�kisini tespit etmektir.
Y�NTEM ve GERE�LER: Ara�t�rma, kesitsel tan�mlay�c� ve g�zlemsel bir anket �al��mas�d�r. Ankara ilindeki bir Aile Sa�l�� Merkezinde(ASM), sa�lam �ocuk takibinin en s�k olarak yap�ld�� 0-5 ya� aras� �ocu�u olan ebeveynler �zerinde bu �al��ma yap�lm��t�r. �al��mam�z�n evrenini olu�turan 648 aile �al��maya davet edilmi�tir.Veri toplama arac� olarak �al��maya �zg�n yap�land�r�lm�� bir anket formuyla ebeveynlerin sa�l�k okuryazarl��n� �l�mek amac�yla T�rkiye Sa�l�k Okur Yazarl�k �l�e�i(TSOY-32) kullan�lm��t�r. Gerekli izinler al�nd�ktan sonra anket formu y�z y�ze anket uygulama y�ntemiyle doldurulmu�tur.
BULGULAR: Ara�t�rmaya kat�lmay� kabul eden 269 aileden birer ebeveyn �al��maya d�hil edildi.T�m kat�l�mc�lar�n TSOY-32 toplam puan� ortancas� 32,3 olarak hesapland� ve �s�n�rl�-sorunlu� sa�l�k okuryazarl�k grubuna d�hil oldu�u g�r�ld�. Sa�l�k okuryazarl�k puanlar�n�n e�itim d�zeyi y�ksek, gelir d�zeyi iyi ve �al��an ebeveynlerde anlaml� derecede daha fazla oldu�u saptand�. �ocu�unun takip ve izlemlerini �d�zenli olarak kendi yapt�ran� ebeveynlerin, "doktor �a��r�nca izlemlerini yapt�ran� ebeveynlerden daha y�ksek sa�l�k okuryazarl�k toplam ve bile�en puanlar�na sahip oldu�u tespit edildi.
TARTI�MA ve SONU�: Ailelerin sa�l�k okuryazarl�k bilgi d�zey puanlar� beklenenden d��k saptand�. Bu �al��ma sa�l�kl� bir toplum in�as� i�in sa�l�k okuryazarl��n�n sa�l�k ile ilgili sorumluluk bilinci ile ili�kili bir fakt�r oldu�unu g�sterdi. Ayr�ca ASM�lerde sa�lam �ocuk takibi konusunda yap�lmas� gerekenler a��s�ndan ailelerde fark�ndal�k olu�turmu� olup tespit edilen eksik konularda daha dikkatli, sa�l�kl� ve bilin�li bir takip yap�lmas�na dair literat�re katk� sunmu�tur.

Anahtar Kelimeler: �ocuk Sa�l��, Sa�l�k Okuryazarl��, Ebeveynler, Aile Hekimli�i, Temel Sa�l�k Hizmetleri

Erdo�an Ulusoy, Tar�k Eren Y�lmaz, Atilla �ifci, Tu�ba Y�lmaz, �smail Kas�m, Adem �zkara. The Role of Parents and Health Literacy in Healthy Child Follow-up. Ankara Med J. 2020; 20(3): 588-604

Corresponding Author: Tar�k Eren Y�lmaz, T�rkiye
Manuscript Language: Turkish

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The Role of Parents and Health Literacy in Healthy Child Follow-up

Sa�lam �ocuk Takibinde Ebeveynlerin Rol� ve Sa�l�k Okuryazarl���

Sa�lam �ocuk Takibinde Ebeveynlerin Rol� ve Sa�l�k Okuryazarl��