title: Gender Differences in Health Literacy Among Korean Adults: Do Women Have a Higher Level of Health Literacy Than Men?
abstract: The role of gender in determining the level of health literacy in Korean adults is unclear. This study aimed to investigate the level of health literacy in Korean adults and identify factors associated with health literacy by gender. This study employed a cross-sectional survey design with a convenient sample of 585 community-dwelling Korean adults age19 years and older. Health literacy was measured by using eight items selected from Chew et al.'s 16-question self-reported health literacy measure. In accordance with Andersen's health behavior model, predisposing, enabling, and need factors were included in the multiple regression model. Women indicated a higher level of health literacy than men in understanding medical forms, directions on medication bottles, and written information offered by health care providers. Additionally, for Korean women, a higher level of health literacy was associated with attaining a higher education level and having a consistent place to receive care. Unmarried men and men who had higher self-rated health reported a higher level of health literacy compared with their counterparts. Lower level of depression and higher monthly income were significantly linked to a higher level of health literacy in both men and women. This study has established the importance of gender differences in health literacy and suggests gender-specific intervention may be warranted to reduce the existing gap in health literacy in both Korean men and women. Future research should replicate this study to confirm whether or not our finding is an international phenomenon.
authors.affiliation: University of Minnesota, St. Paul, MN, USA hylee@umn.edu.
authors.forename: Hee Yun
authors.initials: HY
authors.lastname: Lee
authors.affiliation: University of Minnesota, St. Paul, MN, USA.
authors.forename: Jiwoo
authors.initials: J
authors.lastname: Lee
authors.affiliation: University of Minnesota, St. Paul, MN, USA.
authors.forename: Nam Keol
authors.initials: NK
authors.lastname: Kim
mesh_terms: D044466:Asian People; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D004522:Educational Status; D005260:Female; D057220:Health Literacy; D006801:Humans; D007182:Income; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D056910:Republic of Korea / Q000453:epidemiology; D012494:Sampling Studies; D012737:Sex Factors; D011795:Surveys and Questionnaires
keywords: Korean adults; depression; gender; health behavior model; health equity; health literacy