[[alternative]]The Relationship Between Health Literacy and Health Condition of the Elderlies from the Compassionate Community

[[abstract]]背景：臺灣即將在2025年進入超高齡化社會，隨之而來的人口高齡化與其健康問題是不可忽視的重要議題，而政府積極改變社區健康營造等策略，希望運用社區的量能形成互助關懷的力量，亦讓民眾能主動關心自身健康，並以促進老人健康及延緩失能為最終目標。目的：本研究旨在探討慈悲關懷社區中之老人對於其健康識能與健康狀況的評估概況，藉此進一步了解該目標族群之健康識能及健康狀況的相關性以及影響。方法：本研究採次級資料分析法，資料來源取自2017年11月1日至2019年10月31日，以實際參與臺北市慈悲關懷社區活動之老人為研究對象，並應用描述性統計、卡方檢定，羅吉斯迴歸分析健康識能與健康狀況之影響。結果：本研究對象共計113人。此族群以女性為多數(61.95%)、年齡多分布在65-86歲之間(51.33%)、教育程度以國小或以下居多(38.94%)、婚姻狀況多為已婚/同居(75.22%)、居住狀況非獨居者較多(92.04%)，約有90%的慈悲關懷社區老人有參加過社區健康活動。經卡方檢定結果發現健康識能僅對年齡與社區健康活動中的衛教講座有影響。則在羅吉斯迴歸分析結果發現，相對於健康識能較低的慈悲關懷社區老人，健康識能較高的並未受到自覺健康狀況不好、身體活動功能受限及有多重慢性疾病的影響。結論：本研究結果慈悲關懷社區老人健康識能與健康狀況皆未有無顯著關係，但根據本研究發現參加過社區健康活動的慈悲關懷社區老人比例高，健康識能高低對於參加社區健康活動衛教宣導有影響，建議未來在推展慈悲關懷社區與相關研究時可納入參考。[[abstract]]Background: Taiwan is about to becoming a super-aging society by 2025. The resulting population aging and health problems are important issues not to be overlooked. With the government active strategies for bringing about change in community health building, the community momentum is expected to be utilized to draw strength for mutual care and enable the general public to care about their own health, with promoting elderly health and delaying disability as the ultimate goals. Purpose: The purpose of this study is to explore an assessment on the health literacy and health condition of the elderlies in compassionate communities, thereby further gaining an insight into the correlation between the target group’s health literacy and health condition, as well as their impacts.Method: The secondary data analysis method was adopted in this study. The data sources were collected from November 1st 2017 to October 31st, 2019, with elderly persons who had taken part in activities held in compassionate communities in Taipei City as research participants. Descriptive statistics, chi-square test, and logistic regression were applied to analyze the impacts of health literacy and health condition.Result: The research participants totaled 113 persons, with women comprising the majority in this group (61.95%), mostly under the age of 65-86 (51.33%), the educational attainment of below elementary school (38.94%), the marital status of married/live together (75.22%), the residential situation of living with family(92.04%). About 90% of the elderly persons in compassionate communities attended community health activities. The Chi-square test results show that health literacy only had impacts on age and health educational seminars under community health activities. The logistic regression analysis results show that compared to compassionate community elderly persons with relatively lower health literacy, those with higher health literacy were not subject to the impacts of poor self-perceived poor health condition, restricted physical activity and function, and multiple chronic diseases.Conclusion: Based on the research results, it was found that there was a high proportion of elderly persons in the compassionate communities who attended community activities, and health literacy had an impact on community health activities and health education propagandas. It is recommended that the results be included as references when promoting compassionate communities and related research