Family Health Centers Research Articles

The Effects of a Smartphone App-Supported Nursing Care Program on the Disease Self-Management of Hypertensive Patients: A Randomized Controlled Study.

Hypertension is one of the most common chronic diseases worldwide. Therefore, it is essential to improve patients' adherence to treatment in order to control their blood pressure. The present study aims to examine the effect of a smartphone application-supported nursing care program provided by a nurse on medication adherence and achievement of normal systolic and diastolic blood pressure levels among patients diagnosed with primary hypertension and registered at the Family Health Center within the context of patients' self-management behaviors. A randomized controlled experimental study design. CONSORT flow chart was used in the study. The study sample consisted of 41 hypertensive patients in the intervention group and 41 hypertensive patients in the control group. The intervention group was supported with a smartphone application named "HiperDostum" based on the health belief model, whereas the control group continued to receive standard healthcare services provided by the Family Health Center, to which they were affiliated. Data were collected using the "Patient Information Form," "Blood Pressure Monitoring Form," and the "Medication Adherence Self-Efficacy Scale-Short Form." It was observed that the intervention group participants had higher medication adherence self-efficacy scale scores when compared to the control group participants. Comparing the blood pressure values by group, time, and group*time interaction, it was determined that there were statistically significant differences in systolic blood pressure values by time and group*time interaction. Considering the widespread use of smartphones and smartphone application-supported nursing care can be successfully used to enhance self-management and improve treatment adherence among hypertensive patients in primary healthcare institutions. Registration number: NCT0532140; NAME OF TRIAL REGISTRY: The Effect of Smart Phone Application Supported Nursing Care Program on the Self-Management of Hypertensive Patients.

The Role of Spirituality, Marital Satisfaction and Socio-Economic Status on Attitudes Toward Childbearing Among Married Women Without the Intention and History of Pregnancy: A Cross-Sectional Study

Background: Iran has experienced a sharp decline in childbearing rates over the past three decades, and the extent to which attitudes toward childbearing are influenced by marital satisfaction, socio-economic status, and spiritual health remains unclear. Additionally, past research has largely focused on women who already have children. This study, however, examines all women who, after five years of marriage, have not yet decided to have children. Objectives: This study aimed to determine the role of spirituality, marital satisfaction, and socio-economic status in shaping attitudes toward childbearing among married women in Semnan City in 2023, specifically those without a history of pregnancy or intention to conceive. Methods: This cross-sectional study included 235 married women who had neither the intention nor history of pregnancy, with a minimum marriage duration of five years. Participants were purposefully selected during visits to the family health center in Semnan City in 2023. Data were collected using the Childbearing Attitudes Questionnaire, the Spiritual Health Questionnaire, the Marital Satisfaction Questionnaire, and the Socio-Economic Status Questionnaire. Statistical analysis was conducted using multiple linear regression tests in SPSS software version 24. Results: The largest proportion of participants belonged to the age group of 26-32 years (31.35%). A majority (137 individuals, 58.3%) had either an associate or bachelor’s degree, and most participants (58.3%) were employed. The results demonstrated that spirituality (41%), socio-economic status (56%), and marital satisfaction (65%) were significant predictors of attitudes toward childbearing (P < 0.01). Conclusions: As marital satisfaction emerged as the strongest predictor of attitudes toward childbearing, it is recommended that health centers offer courses to improve and enhance marital satisfaction among women.

Spatial-Temporal Distribution of 12-Year Periodontal Disease Prevalence in a Large Population Using Geographical Information Systems: A Longitudinal Study.

Periodontal diseases, commonly linked to dental biofilm and affecting adults, were studied using Geographic Information Systems (GIS) and Kernel Analyses with epidemiological data. This paper presents a hybrid method for use in epidemiological studies by evaluating the spatiotemporal distribution of disease prevalence. This study analy ed 47,757 patients from the Department of Periodontology out of 662,351 visitors to University Faculty of Dentistry (2012 to July 2023). The central districts of Kayseri in Turkey were selected as the study areas. Periodontitis prevalence was assessed through radiographic evidence and clinical examination. Point-based location data, including gender, age, and disease type, matched household data, creating building-based spatial data. Kernel Density (KD) and Average Nearest Neighbor (ANN) analyses examined patient concentration and disease types in specific regions. Accordingly, standard deviation ellipses were prepared by year to assess the spatial changes in the regions where patients resided. The study found higher periodontitis prevalence in males, increasing with age, while gingivitis decreased. After 2017, periodontitis prevalence notably declined. Location-based data exhibited clustering in patient distribution. KD maps showed similar patient distributions over the years, with more applications from areas closer to the Faculty of Dentistry. The spatial distribution of the patients applying has remained consistent over the last 5 years. Through GIS, KD maps reveal the spatial-temporal distribution of periodontitis patients. This aids in identifying high-prevalence regions and guiding strategic healthcare facility placement. Implementing preventive programs in high-demand areas, particularly in family health centers (local health facilities), can reduce community-wide periodontal disease prevalence.

Anaphylactic Reaction With The Measles-Mumps-Rubella Vaccine In A Patient With Cow's Milk Allergy

The most common food allergy in children worldwide is cow's milk allergy. The most known allergens from cow's milk proteins are casein, alpha-lactalbumin, and beta-lactoglobulin. Lactalbumin hydrolysate is used as a stabilizer in the measles mumps rubella (MMR) vaccine originating in India. Different commercial forms of the MMR vaccine are available. While neomycin stabilizes, lactalbumin hydrolysate is used in the other form. We present a patient who was followed up for cow's milk allergy and developed anaphylaxis after the MMR vaccine originating from India. A 4-year-old girl with a history of anaphylaxis with cow's milk whose vaccinations were applied by the routine vaccination schedule in the family health center. Sneezing and urticaria started 1 minute after immunization. The patient presented to the emergency department (within 10 minutes after vaccination) with severe respiratory distress and intercostal retractions. The patient was administered three doses of intramuscular adrenaline, 5 minutes apart, intravenous pheniramine and methylprednisolone, and a nebulizer short-acting beta agonist. Symptoms regressed approximately 40 minutes after hospitalization. In our patient with a history of cow's milk anaphylaxis and lactalbumin-specific immunoglobulin E value of 61.3 kU/L, anaphylactic reaction with MMR vaccine seems to be related to the lactalbumin contained in the vaccine. Families and physicians should be meticulous about reading labels in the follow-up of patients with known food allergies.

The Effects of Body Awareness on Fall-Related Behaviors and Fall Risk in Geriatric Individuals

Aims Aging is an inevitable stage in which in addition to physiological and mental changes, perception and awareness decline, and memory functions gradually deteriorate. The aim of this study was to examine the effects of body awareness on fall-related behaviors and fall risk in geriatric individuals. Methods This cross-sectional study was conducted with 176 individuals over 65 years of age who presented to family health centers. Body awareness (BAQ), fall-related behaviors (FaB) and fall risk (Morse) were examined. Statistical significance was accepted as p < 0.05 in the analyzes. Results There was a moderate, negative, and statistically significant relationship between the Morse and BAQ scores of the participants (r=-0.576) (p < 0.05). There was a moderate, positive, and statistically significant relationship between the BAQ and FaB scores of the participants (r = 0.235) (p < 0.05). Conclusions The results showed a significant relationship between body awareness levels and fall-related behaviors and fall risk in geriatric individuals.

THE EFFECT OF FEAR OF COVID-19 DISEASE ON SMOKING BEHAVIOR

This study aimed to examine the effects of fear of COVID-19 disease on individuals' smoking behavior. Between April and July 2021, 384 patients who applied to family health centers in Kayseri Melikgazi district were administered a questionnaire, the fear of COVID-19 Scale (FCV-19S), and the Fagerström Nicotine Dependence Test (FNDT). Mann-Whitney U and Kruskal Wallis tests were used to compare the groups, Spearman correlation analysis was used to evaluate the correlation of numerical data, chi-square tests were used to analyze categorical data. The median FCV-19S score of the group was 16.0 (min:7-max:35). During the pandemic, 79.1% of the participants had no change in their smoking status. The proportion of smokers who reduced the amount of cigarettes they smoked was higher in those who reported deaths in their circle of friends and relatives due to COVID-19 and in those with lower FNDT scores (p

DOES HEALTH LITERACY AND LIFE SATISFACTION PROMOTE HEALTHY EATING AMONG MARRIED WOMEN IN TURKEY?

Healthy nutrition is very important in preventing chronic diseases and promoting overall health. This study aimed to assess the influence of health literacy (HL) and life satisfaction on healthy eating habits among married women aged 18-64. The present cross-sectional study was conducted from 2022 to 2023. Data were collected through face-to-face interviews with women attending family health centers in the central district of Yozgat province. Data collection instruments included a sociodemographic questionnaire, the Healthy Eating Attitudes Scale (HEAS), the Adult Life Satisfaction Scale (ALSS), and the European Health Literacy Survey Questionnaire-Short Form (EHLS-TR-16). A total of 303 women participated in the study. It was found that 59.4% of the women in the research group exhibited high levels of dietary attitudes, with 26.1% achieving an ideal high level. Women's dietary attitudes were influenced by increased life satisfaction (β=0.359), receiving nutritional information from healthcare professionals (β=0.124), and higher health literacy (β=0.113). No significant relationships were observed between healthy eating attitudes and factors such as age, body mass index, family income level, education level, household size, profession and spouse's profession, and education level. Women with higher life satisfaction, those who receive nutritional information from healthcare professionals, and those with higher health literacy have more positive attitudes toward healthy eating. It is recommended that women receive education on both health literacy and healthy eating.

EXAMINING THE INSTITUTIONS PREFERRED BY UNIVERSITY STUDENTS WHILE RECEIVING HEALTH SERVICES

In the provision of health services, preventive, curative, rehabilitative and health promotion services are provided within the scope of primary, secondary and tertiary treatment services in the public and private sectors. It is thought that the health institutions that individuals who want to receive health services apply to vary due to issues such as their social security, economic situation, time of receiving the service, desire to be protected from diseases, desire to heal from the disease, and distance to reach the institution. This study was conducted to determine which institution students studying in the field of health prefer when receiving health services and for what reasons, and to determine what influences the preferences of individuals who will work in this sector in the future. Within the scope of the research, a survey consisting of 21 questions included in the specialization thesis published by Aksoy (2018) was applied to associate degree students studying at the health services vocational school of a private university in Istanbul. The survey was shared via Google forms and filled out by 410 students. Classification scale was used within the framework of quantitative research method and the findings were organized using descriptive analysis and Chi Square analysis in SPSS 25 program. As a result of the analysis, it was determined that the most preferred institution was ‘State Hospital (56.3%)’, the reason for preference was ‘Because It is Close/Easy to Access (39.2%)’, the institution they would not prefer was ‘Family Health Center (29%)’ and the reason was ‘Not being able to have every analysis done (24%)’. Within the scope of the findings, it is of great importance to conduct studies on making other health institutions attractive in order to alleviate the high demand for state hospitals.

Knowledge, Attitudes and Behaviors of Healthcare Workers Working in Malatya Towards COVID-19 Vaccines

Abstract Background The rapid production of vaccines and the introduction of new vaccine technologies have raised concerns among some individuals regarding anti-vaccination, while others have expressed worries about vaccines. Given that healthcare professionals’ recommendations significantly influence people’s vaccination decisions, this study aimed to examine the knowledge, attitudes, and behaviors of healthcare professionals working in family health centers towards COVID-19 vaccines. Methods Questionnaires for this descriptive cross-sectional study were administered between February and April 2022. The population comprised 408 health workers employed in family health centers in Malatya, with 292 individuals completing the study. The questionnaire included questions about sociodemographic, COVID-19, COVID-19 vaccines and the COVID-19 Fear Scale. Results Although 97.3% of the research group reported having received the COVID-19 vaccination, 47.9% expressed concerns about these vaccines. The median score of the COVID-19 Fear Scale was 15 (7.00-35.00). 86.6% of the participants indicated that they recommended COVID-19 vaccines. 16.4% of the participants agreed with the statement ‘there are no studies proving the safety of vaccines,’ and 49% agreed that ‘vaccines pass through clinical trials quickly and are put on the market’. Those who did not recommend COVID-19 vaccines, those who agreed with the statement ‘there are no studies proving the safety of vaccines’ and those who agreed with the statement ‘vaccines pass through clinical trials quickly and are put on the market’ were concerned about COVID-19 vaccines with their level of concern significantly higher (p &amp;lt; 0.05). Conclusions Almost all members of the research group had received the COVID-19 vaccine, yet almost half of them expressed concerns about vaccines. Those who do not recommend vaccines, those who believe they are released quickly, and those who have safety concerns are more likely to be concerned. Key messages • Identify the reasons for health workers’ concerns about vaccines and provide remedial interventions for concerns that may arise regarding other vaccines. • It should be ensured that healthcare professionals, who are expected to be role models for society in terms of immunization, possess scientific and up-to-date knowledge on vaccines.

Adult Individuals Applicable to the Family Health Center Knowledge and Awareness About Osteoporosis

Abstract Background The aim of this study is to determine the knowledge and awareness of adult individuals applying to the Family Health Center (FHC) about osteoporosis. Methods A descriptive design study was conducted at a FHC in Turkey/Istanbul between January and May 2022. The sample of the research consisted of 320 adults selected by purposeful sampling method. Ethical approval and necessary permissions were obtained from the the conduct of the study. Data were collected through a socio-demographic characteristics form, a 20-item single-subscale Osteoporosis Knowledge Assessment Questionnaire (OKAQ), and a 27-item Osteoporosis Awareness Scale (OAS). Descriptive statistics, normality tests, analysis of variance, Kruskal-Wallis analysis of variance, t-test, and Mann-Whitney U test were used for data analysis. Statistical significance was accepted at p &amp;lt; 0.05. Results T The average age of adults is 60.47±13.17 and 55.9% are female and 44.1% are male. 34.7% had completed middle school. Participants’ highest correct response rate in the osteoporosis knowledge assessment questionnaire was for the item ‘Osteoporosis increases the risk of bone fracture’ (81.6%), while the lowest correct response rate was for the item ‘Osteoporosis generally causes symptoms (such as pain) before fractures occur’ (26.3%). According to the Osteoporosis Awareness Scale, adults’ awareness levels were above average. They scored the highest in the preventive behaviors subscale and the lowest in the risk factors subscale. Adults with university-level education scored significantly higher in all subscales of the OAS compared to other education levels (p &amp;lt; 0.05). Individuals with knowledge about osteoporosis and those who consumed milk regularly scored significantly higher in all subscales of the OAS (p &amp;lt; 0.05). Conclusions Although adults’ awareness of osteoporosis is above average, their correct knowledge about osteoporosis is inadequate. Key messages • An individual’s education level affects osteoporosis knowledge and awareness. • It is recommended to plan educational initiatives to increase osteoporosis knowledge and awareness.

Pertussis seroprevalence and related factors in 15-49 years old women in Mersin, Turkey

Abstract Background Pertussis is an acute, contagious respiratory disease with high mortality and morbidity, especially in early infancy. If the mother is immune to pertussis, infants too young to be vaccinated are protected against pertussis infection after birth by maternal immunity. This study aimed to investigate pertussis seroprevalence and associated factors in women aged 15-49 years. Methods The cross-sectional study was conducted on women aged 15-49 years in Mersin city between December 2023 and February 2024. A total of 352 women from family health centres in four central districts of Mersin were included in the study. In this study, anti PT-IgG levels in blood samples were investigated by enzyme-linked immunosorbent assay ELISA method. In the analysis of the data, descriptive statistics, chi-square analysis, and binary logistic regression analysis were used. The results were presented at a 95% confidence interval, at a significance level of p &amp;lt; 0.05. Results Anti-PT IgG seropositivity was detected in 150 (%42.6) of the women. In seven (2%) of women, the anti-PT IgG value was greater than 100, indicating an acute infection. Individuals who did not receive or could not recall having received school vaccinations were found to be 2.18 times more likely to be seropositive than those who had received vaccinations at school. Individuals residing in the same household with a healthcare professional were found to be 1.78 times more likely to be seropositive than those who did not. Conclusions Half of our region’s newborns lack protection from whooping cough. Maternal immunization with pertussis-containing vaccines is crucial. Many countries have safely used such vaccines for years. Replacing Td with Tdap in Turkey’s pregnancy immunization can better shield mothers and newborns from pertussis. Key messages • Maternal immunization is crucial for protecting newborns from pertussis, reducing mortality and morbidity. • Addressing vaccination disparities is vital to ensure community-wide protection against pertussis, saving lives.

The relationship between sleep quality, depression, and smartphone addiction in pregnant women: a mediation analysis

ABSTRACT In recent years, the prevalence of smartphone addiction has significantly increased. This situation has raised concerns about its potential impact on health aspects, such as sleep quality and mental health, particularly among vulnerable populations like pregnant women. This study aimed to identify the factors that determine sleep quality in pregnant women and examine the relationship between smartphone addiction, depression, and sleep quality. This descriptive correlational study included 257 pregnant women in their second and third trimesters who were registered at six family health centers between September 2022 and March 2023. Data were collected using a sociodemographic questionnaire, the Smartphone Addiction Scale Short Form, Edinburgh Postnatal Depression Scale, and Pittsburgh Sleep Quality Index. Regression and mediation analyses were performed for the data. Of the participants, 44.4 percent had poor sleep quality. Depression and third trimester were significant determinants of sleep quality. The bootstrapping results revealed that smartphone addiction led to an increase in the level of depression (β = 0.145; p < .001). Depression worsened sleep quality (β = 0.262; p < .001). The smartphone addiction did not significantly affect sleep quality (β = 0.020; p = .279). Depression mediates the relationship between sleep quality and smartphone addiction (β = 0.038; 95 percent CI [0.018: 0.062]). The study highlights that while smartphone addiction does not directly impact sleep quality in pregnant women, it is associated with increased depression levels, which subsequently worsen sleep quality. It is recommended that healthcare providers monitor smartphone usage and mental health in pregnant women to mitigate the risk of sleep disturbances and improve overall well-being.

An Analysis of the Time Required for the Diagnosis of ASD and the Factors Influencing Its Duration in a Sample of the Pediatric Population from Poland.

Background/Objectives: Early diagnosis of autism spectrum disorder (ASD) is a very important factor for improving the quality of life of people on the spectrum, but it still remains a major problem in Europe, especially concerning girls. In this study, we tried to answer the question of what factors affect the age of diagnosis in Poland. Additionally, we tried to establish the time between the first visit to the mental health center (MHC) and the diagnosis in this population, and what factors affect its length. Methods: 77 children were randomly recruited among the patients who came to local MHC at the Child and Family Health Centre in Sosnowiec. All participants were tested using the ADOS-2 protocol. In addition, the study used the TAS-20 test and BDI. Results: The mean age of the first enrollment in the MHC was 9.09 years for girls and 6.42 for the boys. The time needed to obtain a diagnosis from the first visit was consecutively 2.90 years and 4.29 years, but the difference was not statistically significant (p > 0.05). Obtaining a different psychiatric diagnosis did not affect the average time to diagnosis and the age of diagnosis. Conclusions: The results of the study indicate that the diagnosis of ASD is still a significant problem both in Poland and in the world. Obtaining an accurate diagnosis requires significant time, and it frequently involves consulting multiple specialists. The diagnostic process should be flexible, and the specialist should always take into account the axial symptoms but remain aware that the "overdiagnosis" of ASD can also have harmful consequences for the child.

Prostate cancer screening with Prostate-Specific Antigen (PSA) testing: A retrospective study.

To evaluate the results of the prostate-specific antigen (PSA) test used in prostate cancer screening. This retrospective study was conducted on a total of 1106 male individuals, including 615 people (55.6%) aged 40-54, 379 people (34.3%) aged 55-69, and 112 individuals (10.1%) aged 70 and over. In the study, prostate-specific antigen (PSA) blood test results were performed on a total of 1106 male individuals aged 40 and over registered in the Uludag University Family Health Center, Bursa, Turkey during the 5-years between June 1, 2018, and May 31, 2023, were taken from the database and analyzed. Relationships with sociodemographic characteristics, comorbidities, and risk factors were examined. Data was analyzed using SPSS 25. About 15.5% of the participants were married, 78.4% were single, and 6% were separated from their spouses or widows. The PSA values of the patients referred to the urologist were found to be significantly different between the ages of 55 and 69. It was determined that the PSA levels of the patients with benign prostatic hypertrophy and prostate cancer were higher than the patients without any finding, and the mean was 6.81±4.39 (p=0.01). In our study, it is important to diagnose benign prostatic hypertrophy or prostate cancer in patients aged 55-69 years, whose mean PSA levels were 6.81±4.39, and referred to a urologist. As a contribution to the discussions in the literature, we recommend that the patient with symptoms be referred to the urologist after the test request and the joint decision with the family physician.

Barriers to Insulin Therapy Initiation by Adult Type 2 Diabetics at Family Health Centers in Sudan

Type Two Diabetes Mellitus is a progressive disease by nature so most patients will inevitably require insulin therapy to maintain adequate glycaemic control. Insulin use is delayed in many patients who would benefit from such treatment. Patient’s beliefs and perceptions regarding insulin therapy create barriers contributing to the delay in its initiation. Aimed to study the barriers to insulin initiation from a patient’s perspective, by performing a Cross-sectional study in the East Nile locality Khartoum; between February 2019 to May 2020. A questionnaire included demographic features, the status of insulin initiation, barriers to insulin initiation and knowledge about insulin therapy for Type 2 diabetes were administered during face-to-face interviews, which resulted in the majority of 307 participants being females aged 45 – 56, (57.7%) of them had HbA1c higher than 7. The commonest barrier to insulin use was found to be fear of hypoglycemia (72.0%), followed by insulin should be a final option and when started should not be stopped (64.5%) 60% thought that insulin leads to weight gain and (59.9%) of them had needle phobia. The conclusion is that Patients' concerns and beliefs regarding insulin use are multiple. a major factor behind diabetes patients' refusal of initiation of this therapy appears to be a lack of adequate information and misconceptions relating to insulin use, such as benefits and side effects.

Evaluation of the effect of the father's support on the mother's breastfeeding motivation.

One of the factors affecting mothers' breastfeeding success is the father's support and the other is the mother's breastfeeding motivation. This study was conducted to determine the effect of partner breastfeeding support perceived by mothers and reported by fathers on mothers' breastfeeding motivation. The research was conducted using the face-to-face interview method with couples presenting to Family Health Centers in a city in Türkiye. The sample consisted of 114 breastfeeding women in 6 weeks to 6 months postpartum and their partners. Data were collected with a 'Personal Information Form', the 'Breastfeeding Support Scale (BSS)', the 'Breastfeeding Motivation Scale (BMS)', and the 'Partner Breastfeeding Influence Scale (PBIS)'. Participants' mean score was 119.19 ± 23.97 on the PBIS and 11.51 ± 2.94 on the BSS. A moderate-level, significant positive relationship was found between the BSS and PBIS scores of primiparous and multiparous mothers (r = 0.647; r = 0.567). A one-unit increase in fathers' breastfeeding support scores increased integrative regulation motivation scores by 0.548 units in primiparas and 0.458 units in multiparous mothers and by 0.309 units in intrinsic motivation scores and 0.351 units in external regulation-baby health motivation scores in multiparous mothers. It was found that father support affected the autonomous motivation of both primiparous and multiparous mothers at a moderate level. Perceived partner breastfeeding support affected only the autonomous motivation of multiparous mothers at a moderate level, and the types of controlled motivation, namely infant health and social approval, at a weak level.

Perceptions of adults in selected family health centers in Samsun Çarşamba District towards breast milk: A regional study

Objective: This study was carried out to determine the educational needs of not only the mothers but also the whole society about breast milk and breastfeeding. Methods: The study was conducted in three family health centers at similar socio-economic levels between March and June 2015. The sample of the study consist of 1750 adult individuals. The research data were collected by a questionnaire and a 5-point Likert scale titled “Perception Scale of Adults About Breast Milk” prepared by the researchers in line with the literature. Kruskal - Wallis H Test and Mann - Whitney U Test was used in the evaluation. Results: It was determined that the total score average of the adults participating in the study was 120.94 ± 16.74. According to the results of the total score averages obtained from the "Perception Scale of Adults About Breast Milk" and the age variable; The scores in the 33-39 age group were significantly higher than the scores in the 19-25, 26-32 and 47-53 age groups. Conclusions: It was concluded that the scores obtained by the participants from scale were above the average, but their perceptions about breast milk should be improved.

Successful Aging and Self-Neglect Among Community-Dwelling Older People.

It was aimed to explore the relationship between successful aging and self-neglect and factors affecting successful aging among community-dwelling older people. This cross-sectional study was conducted with 316 participants aged 60 years and older in a Family Health Center (FHC). The data were collected by using the questionnaire form, Successful Aging Scale and Self-Neglect Scale. The questionnaire form includes sociodemographic characteristics, independence (Katz Daily Life Activities Scale) and well-being status (WHO-5 Well-Being Index), psychosocial support (Multidimensional Perceived Social Support Scale), and depressive symptoms (two questions-complaints such as feeling depressed or hopeless and loss of interest and inability to enjoy life). Participants had a mean age of 67.5 (SD: 6.5) years, 55.4% were female. A strong positive correlation was determined between successful aging score and self-neglect score (r = 0.741, p < 0.001). Factors affecting successful aging were age, working status, education level, body mass index, physical activity, subjective health perception, health screening status, self-neglect level, depressive symptoms, independence in activities, well-being status, and psychosocial support. Gender, income status, chronic disease presence, cigarette and alcohol use, living alone, and family type did not affect it. According to multivariate linear regression, the factors affecting successful aging were age, psychosocial support presence, and self-neglect level (p < 0.05). Older people have low successful aging and self-neglect scores. Successful aging is better at a young age, in the presence of psychosocial support and a low level of self-neglect. It is recommended to increase the existence of psychosocial support for them and to plan interventions to reduce self-neglect.

Adaptation of the health literacy survey19-Europe-Q12 into Turkish culture: A psychometric study.

Misinformation can lead to adverse outcomes on the health beliefs and behaviors of individuals. Therefore, health literacy skills are needed as a central competency to recognize the trustfulness of health-related knowledge in any resources. To ensure this, a time-efficient, skill-oriented psychometric tools are needed to measure the comprehensive general health literacy level of communities. This research was conducted to evaluate the psychometric properties of the 12-item Health Literacy Survey-Europe (HLS19-Q12) regarding Turkish culture. A methodological design was adopted. The population consisted of adult individuals registered to two family health centers in Ankara. The sample was determined based on 5-10 times the number of scale items rule (ntotal = 192). A questionnaire and Health Literacy Survey-Europe-Q12 were used to collect data. Language, content and construct validities and internal consistency reliability tests were performed through IBM-SPSS 25.0 and AMOS 24.0 programs. The content validity was determined via the Davis technique. The construct validity was examined by exploratory (EFA) (n1 = 120) and confirmatory factor analysis (CFA) (n2 = 72). Internal consistency was evaluated using Cronbach's alpha coefficient. Time invariance was evaluated by test-retest method (nretest = 32) 4 weeks later. The mean age was 30.17 ± 10.37 (min. 18-max. 61). The Kaiser-Meyer Olkin test result was 0.898, and the Bartlett's Test of Sphericity result was 604.889 (p < 0.001). The model-fit indices showed good fit. The difference between the first and the second measurements was statistically insignificant (t = -1.659, p = 0.107). The Cronbach's alpha was 0.88. The HLS19-Q12-TR was a valid and reliable measurement tool in determining the health literacy level of the Turkish adult population. As one of the social determinants of health, easy measurement and generating a general health literacy map of the population is considered a necessity.

Mental Health Care at the Expanded Family Health and Primary Care Center from the Perspective of its Professionals, Managers, and Users

Mental Health Care at the Expanded Family Health and Primary Care Center from the Perspective of its Professionals, Managers, and Users