Sains Malaysiana
49(5)(2020): 1021-1036
http://dx.doi.org/10.17576/jsm-2020-4905-07
Health Literacy Research in Malaysia: A Scoping Review
(Penyelidikan Literasi Kesihatan di Malaysia: Suatu
Ulasan Penskopan)
ADINA ABDULLAH1, LIEW SU MAY1*, HANI SYAHIDA SALIM2, NG CHIRK JENN1 & KARUTHAN CHINNA3
1Department of Primary Care Medicine, University Malaya
Primary Care Research Group (UMPCRG), Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Federal Territory, Malaysia
2Department of Family Medicine, Faculty of Medicine and Health Science, Universiti Putra
Malaysia, 43400 UPM Serdang,
Selangor Darul Ehsan, Malaysia
3School of Medicine, Faculty of Health and Medical Sciences, Taylor’s
University, Kuala Lumpur, Federal Territory, Malaysia
Diserahkan: 5 April
2019/Diterima: 15 Januari 2020
ABSTRACT
Research on health literacy is expanding worldwide. Health literacy has
been recognised as a critical determinant of health at the 2016 Shanghai
Declaration. Little is known about health literacy research in Malaysia. This
scoping review aims to identify and summarise published studies on health
literacy in Malaysia. PubMed, Scopus and the Malaysian Medical Repository
(MyMedR) databases were searched for published work by Malaysian researchers.
Searches were conducted up to November 2019. The search terms used are related
to ‘health literacy’ and ‘Malaysia’. Studies included were those involving
Malaysian citizens and reporting on various aspects of health literacy. Studies
were reviewed by two independent reviewers to determine their eligibility. Data
extraction for the year of publication, name of authors, geographical location,
research focus, and summary of findings from the full-text articles was carried
out independently and any disagreement was resolved by consensus. A total of 29
articles were included with the earliest article published in 1985. Fifteen of
the articles are on general health literacy, four on medication literacy, five
on mental health literacy, three on media and e-health literacy and four on
oral health literacy. Four articles are qualitative studies and the rest are
quantitative studies. A few of the studies used validated health literacy tools
such as Newest Vital Signs and HLS-EU-Q47. Therefore, we can conclude that there
are only a limited number of articles
published in the field of health literacy in Malaysia. Future work using
validated international tools to allow comparison of the findings should be
considered.
Keywords: Health literacy;
Malaysia; medication literacy; mental health literacy
ABSTRAK
Penyelidikan
literasi kesihatan semakin mendapat perhatian di seluruh dunia. Literasi
kesihatan telah diiktiraf sebagai penentu kesihatan yang kritikal pada
Deklarasi Shanghai 2016. Amat sedikit yang diketahui tentang penyelidikan
literasi kesihatan di Malaysia. Kajian ini bertujuan untuk mengenal pasti dan
meringkaskan terbitan kajian tentang literasi kesihatan di Malaysia. Pangkalan
data PubMed, Scopus dan Malaysian Medical
Repository (MyMedR) digunakan sebagai
sumber untuk kajian yang diterbitkan oleh penyelidik Malaysia. Carian telah
dijalankan sehingga November 2019. Terma carian yang digunakan berkaitan adalah
‘literasi kesihatan’ dan ‘Malaysia’. Kajian yang terlibat adalah dalam kalangan
rakyat Malaysia tentang pelbagai aspek literasi kesihatan. Kajian dikaji semula
oleh dua pengulas bebas untuk menentukan kelayakan mereka. Pengekstrakan data
melibatkan tahun penerbitan, nama pengarang, lokasi geografi, fokus
penyelidikan dan ringkasan penemuan daripada artikel teks penuh dijalankan
secara bebas dan sebarang perselisihan diselesaikan melalui persetujuan.
Sebanyak 29 artikel disertakan dengan artikel terawal yang diterbitkan pada
tahun 1985. Lima belas artikel itu adalah tentang literasi kesihatan umum
dengan empat literasi perubatan, lima literasi kesihatan mental, tiga di media
dan literasi e-kesihatan dan empat literasi kesihatan mulut. Empat artikel
adalah kajian kualitatif dan selebihnya adalah kajian kuantitatif. Beberapa
kajian menggunakan alat literasi kesihatan yang disahkan seperti Newest Vital Signs
dan HLS-EU-Q47. Oleh itu, secara kesimpulan, terdapat hanya sedikit artikel
yang diterbitkan dalam bidang literasi kesihatan di Malaysia. Pada masa hadapan
penggunaan alat antarabangsa yang disahkan untuk membolehkan perbandingan
penemuan harus dipertimbangkan.
Kata kunci: Celik
kesihatan mental; literasi kesihatan; literasi perubatan; Malaysia
RUJUKAN
Azreena,
E., Suriani, I., Juni, M.H. & Fuziah, P. 2016. Factors associated with
health literacy among Type 2 diabetes mellitus patients attending a government
health clinic. International Journal of Public Health and Clinical Sciences 3(6): 50-64.
Baker, D.W., Gazmararian, J.A., Williams,
M.V., Scott, T., Parker, R.M., Green,
D., Ren, J. & Peel, J. 2002. Functional health literacy and the risk of
hospital admission among medicare managed care enrollees. American Journal
of Public Health 92(8): 1278-1283.
Baker, D.W., Parker, R.M., Williams, M.V.
& Clark, W.S. 1998. Health literacy and the risk of hospital admission. Journal
of General Internal Medicine 13: 791-798.
Bee, Y.S. 1985. Health literacy and food
beliefs among Ibans, Sarawak. The Medical Journal of Malaysia 40(4):
294-300.
Bennett, C.L., Ferreira, M.R., Davis,
T.C., Kaplan, J., Weinberger, M., Kuzel, T., Seday, M.A. & Sartor, O. 1998.
Relation between literacy, race, and stage of presentation among low-income
patients with prostate cancer. Journal of Clinical Oncology: Official
Journal of the American Society of Clinical Oncology 16(9): 3101-3104.
Chan, H.K., Hassali, M.A., Lim, C.J. &
Saleem, F. 2015. Exploring health literacy and difficulty in comprehending
pediatric medication labels among caregivers in Malaysia: A pilot study. Journal
of Pharmaceutical Health Services Research 6(3): 165-168.
Cheah, Y.K. & Su, T.T. 2012. The
determinants of consumer health information on chronic non-communicable
disease: An exploratory study in Penang, Malaysia. Journal of the University
of Malaya Medical Centre 15(2): 1-7.
Cheong Siew Man, Noor Safiza Mohamad Nor,
Mohamad Hasnan Ahmad, Mala Manickam, Rashidah Ambak, Siti Nurbaya Shahrir.
& Tahir Aris. 2018. Improvement of health literacy and intervention
measurements among low socio-economic status women: Findings from the
MyBFF@home study. BMC Women’s Health 18(1): 99.
Chuen, E.M.,
Michael, E. & Teh, B.T. 2016. The role of media
socialization agents in increasing obesity health literacy among Malaysian youth. Jurnal Komunikasi: Malaysian
Journal of Communication 32(2): 691-714.
Duong,
T.V., Aringazina, A., Kayupova, G., Nurjanah, Pham, T.V., Pham, K.M., Truong,
T.Q., Nguyen, K.T., Oo, W.M., Su, T.T., Hazreen Abdul Majid, Sørensen, K., Lin,
I.F., Chang, Y., Yang, S-H. & Chang, P.W.S. 2019. Development and
validation of a new short-form Health Literacy Instrument (HLS-SF12) for the
general public in six Asian countries. Health Literacy Research and Practice 3(2): e91-e102.
Duong,
T.V., Aringazina, A., Baisunova, G., Nurjanah, Pham, T.V., Pham, K.M., Truong,
T.Q., Nguyen, K.T., Oo, W.M., Emma Mohamad, Su, T.T., Huang, H-L., Sørensen,
K., Pelikan, J.M., Van den Broucke, S. & Chang, P.W.S. 2017.
Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in
six Asian countries. Journal of Epidemiology 27(2): 80-86.
Fabillah, N.S.A., Mustapa, N., Rohani,
M.M. & Esa, R. 2015. Oral health literacy among carers of special needs
children in Kuala Terengganu, Malaysia. Annals of Dentistry 22(1):
15-20.
Froze, S.,
Arif, M.T. & Saimon, R. 2019. Determinants of health literacy and
healthy lifestyle against metabolic syndrome among major ethnic groups of
Sarawak, Malaysia: A multi-group path analysis. Open Public Health Journal 12(1): 172-183.
https://doi.org/10.2174/1874944501912010172.
Gordon, M.M., Hampson, R., Capell, H.A.
& Madhok, R. 2002. Illiteracy in rheumatoid arthritis patients as
determined by the Rapid Estimate of Adult Literacy in Medicine (REALM) Score. Rheumatology 41(7): 750-754.
Hagger, M.S., Hardcastle, S.J., Hu, M., Kwok, S., Lin, J., Nawawi, H.M., Pang, J., Santos, R.D., Soran, H., Su, T-C., Tomlinson, B. & Watts, G.F. 2018. Health
Literacy in familial hypercholesterolemia:
A cross-national study. European Journal of Preventive
Cardiology 25(9): 936-943.
https://doi.org/10.1177/2047487318766954.
Hamzah, M.R., Mohamad, E. & Abdullah, M.Y. 2016. Influence of health literacy on health information seeking behavior
among students in public university. Jurnal
Komunikasi: Malaysian Journal of Communication 32(2): 405-424.
Hamzah, S.R., Ismail, M. & Mohd Nor, Z. 2018. Does attachment to parents and peers influence health literacy among
adolescents in Malaysia? Kontakt 20(4): e348-e355.
https://doi.org/10.1016/j.kontakt.2018.10.006.
Heijmans, M., Uiters, E., Rose, T., ter
Hofstede, J., Devillé, W., van der Heide, I., Boshuizen, H.C. & Rademakers,
J. 2014. Study on sound evidence for a better understanding of health literacy
in the European Union: Final Report. Luxembourg.
https://doi.org/10.2818/150402.
Howard, D.H., Gazmararian, J. &
Parker, R.M. 2005. The impact of low health literacy on the medical costs of
medicare managed care enrollees. The American Journal of Medicine 118(4): 371-377.
Ibrahim, N., Amit, N., Shahar, S., Wee,
L.H., Ismail, R., Khairuddin, R., Siau, C.S. & Mohd Safien, A. 2019. Do
depression literacy, mental illness beliefs and stigma influence mental health
help-seeking attitude? A cross-sectional study of secondary school and
university students from B40 households in Malaysia. BMC Public Health 19(4): 544.
Institute for Public Health (IPH). 2015.
National Health and Morbidity Survey 2015 (NHMS 2015). Volume II:
Non-Communicable Diseases, Risk Factors & Other Health Problems.
Ismail, A.F., Ardini, Y.D., Mohamad, N.
& Bakar, H.A. 2018. Association between parental oral health literacy and
children’s oral health status. Revista Latinoamericana de Hipertension 13(3): 305-309.
Jorm, A.F., Korten, A.E., Jacomb, P.A.,
Christensen, H., Rodgers, B. & Pollitt, P. 1997. Mental health literacy’: A
survey of the public’s ability to recognise mental disorders and their beliefs
about the effectiveness of treatment. The Medical Journal of Australia 166(4): 182-186.
Kalichman, S.C., Benotsch, E., Suarez, T.,
Catz, S., Miller, J. & Rompa, D. 2000. Health literacy and health-related
knowledge among persons living with HIV/AIDS. American Journal of Preventive
Medicine 18(4): 325-331.
Kalichman, S.C. & Rompa, D. 2000.
Functional health literacy is associated with health status and health-related
knowledge in people living with HIV-AIDS. Journal of Acquired Immune
Deficiency Syndromes 25(4): 337-344.
Khan, T.M., Sulaiman, S.A. & Hassali,
M.A. 2010. Mental health literacy towards depression among non-medical students
at a Malaysian University. Mental Health in Family Medicine 7(1): 27-35.
Kondilis, B.K., Kiriaze, I.J.,
Athanasoulia, A.P. & Falagas, M.E. 2008. Mapping health literacy research
in the European Union: A bibliometric analysis. PLoS ONE 3(6): e2519.
Loo, P.W., Wong, S. & Furnham, A.
2012. Mental health literacy: A cross-cultural study from Britain, Hong Kong
and Malaysia. Asia-Pacific Psychiatry 4(2): 113-125.
Mohamad, E., Haniff, N.A.M., Salleh, S.M.,
Ahmad, A.L. & Hashim, H. 2015. Health and media literacy: The choice of
milk amongst mothers for the growth of children. Jurnal Komunikasi:
Malaysian Journal of Communication 31(2): 83-97.
Mohamad, S., Zabidah, P., Fauziah, I.
& Sarnon, N. 2012. Mental health literacy among family caregivers of
schizophrenia patients. Asian Social Science 8(9): 74-82.
Muhd Noor, N., Rani, H., Zakaria, A.S.I.,
Yahya, N.A. & Sockalingam, S.N. 2019. Sociodemography, oral health status
and behaviours related to oral health literacy. Pesquisa Brasileira Em
Odontopediatria e Clinica Integrada 19(1):
https://doi.org/10.4034/PBOCI.2019.191.120.
Nazatul Yusrina Mohamad Yusof, Nor Afiah
Mohd Zulkefli, Suriani Ismail. & Mohammad Faid Abd Rashid. 2017. Inadequate
health literacy on childhood immunization and its predictors among antenatal
mothers. Malaysian Journal of Medicine and Health Sciences 13(3): 51-59.
Nielsen-bohlman, L., Panzer, A.M. &
Kindig, D.A. 2004. Health Literacy: A Prescription to End Confusion.
Washington: The National Academic Press.
Norrafizah, J., Nor Asiah, M., Suraiya,
S.M., Zawaha, H.I. & Normawati, A. 2016. Assessment of health literacy
among people in a rural area in Malaysia using newest vital signs assessment. Journal
of Education, Society and Behavioural Science 16(2): 1-7.
Pouliot, A. & Vaillancourt, R. 2016.
Medication literacy: Why pharmacists should pay attention. Canadian Journal
of Hospital Pharmacy 69(4): 335-336.
Rani, H., Su, M.Y.H., Ding, A.D.A., Yahya,
N.A. & Jaafar, A. 2019. Comparison of visual oral health literacy level pre
and post oral health education among adolescents. Journal of International
Dental and Medical Research 12(2): 640-644.
Schillinger, D., Piette, J., Grumbach, K.,
Wang, F., Wilson, C., Daher, C., Leong-grotz, K., Castro, C. & Bindman,
A.B. 2003. Closing the loop: Physician communication with diabetic patients who
have low health literacy. Archives of Internal Medicine 163(13): 83-90.
Schillinger, D., Grumbach, K., Piette, J.
& Al, E. 2002. Association of health literacy with diabetes outcomes. JAMA:
The Journal of the American Medical Association 288(4): 475-482.
Scott, T.L., Gazmararian, J.A., Williams,
M.V. & Baker, D.W. 2002. Health literacy and preventive health care use
among medicare enrollees in a managed care organization. Medical Care 40(5): 395-404.
Sebastian, A., Mohamed Ali Alzain, Asweto,
C.O., Mahara, G., Guo, X.H., Song, M., Wang, Y.X. & Wang, W. 2016. The
Malaysian health care system: Ecology, plans, and reforms. Family Medicine
and Community Health 4(3): 19-29.
Shahrir, S.N., Shamsuddin, K., Mohamad
Nor, N.S., Man, C.S., Omar, M.A., Ahmad, M.H. & Ambak, R. 2018. Limited
health literacy and its associated factors among overweight and obese
housewives living in Klang Valley low cost flats: Findings from the my body is
fit and fabulous at home (Mybff@Home) study. Malaysian Journal of Public
Health Medicine 18(1): 19-27.
Shaw, S.J., Huebner, C., Armin, J.,
Orzech, K. & Vivian, J. 2009. The role of culture in health literacy and
chronic disease screening and management. J. Immigrant Minority Health 11(6): 460-467.
Skau, J.K.H., Awatef, A.N., Cheah, J.C.H., Roslinah, A., Ramli, Z., Tahir, A.,
Zainudin M.A., Priya, M., Regien, B., Aagaard-Hansen, J., Hanson, M.A. & Norries,
S.A. 2016.
A complex behavioural change intervention to reduce the risk of diabetes and
prediabetes in the pre-conception period in Malaysia: Study protocol for a
randomised controlled trial. Trials 17: 215.
https://doi.org/10.1186/s13063-016-1345-x.
Siti Fatimah Kader Maideen, Sherina
Mohd-Sidik, Lekhraj Rampal, Firdaus Mukhtar, Normala Ibrahim, Cheng-Kar Phang.,
Kit-Aun Tan. & Rozali Ahmad. 2016. A web-based psychoeducational
intervention program for depression and anxiety in an adult community in Selangor, Malaysia:
Protocol of a randomized controlled trial. JMIR Research Protocols 5(2):
e112.
Tan, S.F., Chong, C.P. & Chooi, W.T. 2015. An evaluation of practices, perceptions and
understanding about use of acetaminophen (paracetamol) among Malaysian consumers: A qualitative study. Malaysian Journal of
Pharmaceutical Science 13(1): 25-41.
http://mymedr.afpm.org.my/publications/46167.
Tseng, H-M., Liao, S-F., Wen, Y.P. &
Chuang, Y.J. 2018. Adaptation and validation of a measure of health literacy in
Taiwan: The newest vital sign. Biomedical Journal 41(4): 273-278.
Williams, M.V., Baker, D.W., Honig, E.G.,
Lee, T.M. & Nowlan, A. 1998a. Inadequate literacy is a barrier to asthma
knowledge and self-care. CHEST 114(4): 1008-1015.
Williams, M.V., Baker, D.W., Parker, R.M.
& Nurss, J.R. 1998b. Relationship of functional health literacy to
patients’ knowledge of their chronic disease: A study of patients with
hypertension and diabetes. Archives of Internal Medicine 158(2):
166-172.
World Health Organization. 2017. Shanghai
declaration on promoting health in the 2030 agenda for sustainable development.
Yilma, T.M., Inthiran, A., Reidpath, D.D.
& Orimaye, S.O. 2019. Context-based interactive health information
searching. Information Research 24(2): 1-22.
Zalma, A.R., Safiah, M.Y., Ajau, D. &
Khairil Anuar, M.I. 2015. Reliability and validity of television food
advertising questionnaire in Malaysia. Health Promotion International 30(3): 523-530.
Zulkifli, N.W., Aziz, N.A., Hassan, Y.,
Hassali, M.A. & Bahrin, N.L.Z. 2016. Do current awareness and educational
program towards unregistered drugs effective for public? Pharmacists’
perceptive. International Journal of Pharmacy and Pharmaceutical Sciences 8(7): 81-85.
*Pengarang untuk surat-menyurat; email: su_mayliew@um.edu.my
|