Disclosure The authors report no conflict of interest or relevant financial relationships.
Health Literacy and Health-Promoting Behaviors among Multiethnic Groups of Women in Taiwan
Article first published online: 19 DEC 2013
© 2013 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 43, Issue 1, pages 117–129, January/February 2014
How to Cite
Tsai, H.-M., Cheng, C.-Y., Chang, S.-C., Yang, Y.-M. and Wang, H.-H. (2014), Health Literacy and Health-Promoting Behaviors among Multiethnic Groups of Women in Taiwan. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 43: 117–129. doi: 10.1111/1552-6909.12269
- Issue published online: 15 JAN 2014
- Article first published online: 19 DEC 2013
- Manuscript Accepted: AUG 2013
- health literacy;
- health-promoting behaviors;
- multiethnic women;
To understand the current status of health literacy and the relationship between health literacy and health-promoting behaviors among multiethnic groups of women in Taiwan.
Convenience and snowball sampling methods were used to recruit study participants. Data were collected using a cross-sectional questionnaire survey.
We recruited community female adults who lived in greater Taipei or Taoyuan areas (northern Taiwan) from January 1, 2010 through June 30, 2011.
A total of 378 female participants were contacted, of which 351 consented to participate and 347 completed valid questionnaires for analysis.
Health literacy was measured with the Taiwan Health Literacy Scale, and health-promoting behaviors were measured by the Chinese version of the Health-Promoting Lifestyle Profile.
Participants had a moderate level of health literacy, and one third of them had inadequate health literacy. Participants with inadequate health literacy were more likely to be younger, not a high school graduate, and Vietnamese; to have a low monthly family income and no diagnosed diseases; to use a second language; and to regard TV/radio as the most useful source of health information. Health literacy alone could significantly predict health-promoting behaviors among the participants.
Our findings confirmed that low health literacy is prevalent among underprivileged women in Taiwan. Health-related programs that are literacy sensitive and culturally appropriate are needed to teach and encourage health-promoting behaviors.