Health literacy and mammography screening behaviors among women living in a rural area of Turkey.

INTRODUCTION: Breast cancer is the most common cause of cancer-related deaths. and early diagnosis could reduce breast cancer deaths. Therefore, health literacy is one of the most important determinants of participation in cancer screening for early diagnosis. This study aimed to determine the relationship between women's mammography screening behaviors and health literacy levels. METHODS: The cross-sectional study included 312 women aged 40-69 years living in a rural area. Data were collected through face-to-face interviews using a personal information form and the Turkish Health Literacy Scale (THLS-32). RESULTS: Of the women, 28.5% had mammography in the last 2 years. Of concern was the low health literacy levels. In addition, there were significant differences in the THLS-32 subgroup scores, including the THLS-32 total score, among the mammography screening groups. CONCLUSION: Health literacy levels of women were related to mammography screening rates. For this reason, effective intervention studies aiming to increase society's health literacy levels may contribute to an increase in breast cancer screenings.

Elder abuse, depression, anxiety, and stress in community-dwelling older adults.

BACKGROUND: Elder abuse as an important public health issue is associated in the literature with various physical and psychological symptoms. The aim of the study is to determine the relationship between elder abuse and depression, anxiety, and stress in the elderly living in the community. METHOD: The cross-sectional study was completed with 729 older people. Data were collected through a face-to-face interview and a survey form. The Geriatric Mistreatment Scale (GMS) was used to evaluate elder abuse and the Depression Anxiety Stress Scale-21 (DASS-21) was used to evaluate depression, anxiety, and stress. Multivariate regression analysis was performed to determine the relationship between elder abuse and depression, anxiety, and stress. RESULTS: Of the participants, 20.9% were exposed to at least one type of abuse, 9.2% experienced physical abuse, 18.2% experienced psychological abuse, 4.4% experienced neglect, and 7.0% had financial abuse. The general prevalence of moderate to very severe depression, anxiety, and stress among the elderly was respectively 17.1%, 16%, and 10%. As a result of multivariate analysis it was determined that neglect (t = 6245; ß = 4952) and economic abuse (t = 3865; ß = 3350) had statistically significant effects on depression; psychological abuse (t = 2924; ß = 0,992), economic abuse (t = 3127; ß = 3517) and neglect (t = 5913; ß = 4810) had statistically significant effects on anxiety, while psychological (t = 5023; ß = 1756) and economic abuse (t = 5719; ß = 5238) had statistically significant effects on stress (P < 0.05). CONCLUSION: As a result of the study, it was seen that the prevalence of abuse and depression, anxiety, and stress was high in the elderly. There was also a strong relationship between types of elder abuse and depression, anxiety, and stress. It is recommended that health professionals working with older people to screen them for types of abuse and mental symptoms with the help of appropriate screening tools.

Nursing students' attitudes toward reporting child abuse and neglect: A cross-sectional study in Turkey.

TOPIC: Nurses are uniquely positioned to provide early diagnoses and interventions for abused, neglected, or at-risk children. They are also required, by law, to report suspected child abuse. However, little is known about the attitudes of student and registered nurses in reporting cases of abuse. PURPOSE: This study aimed to identify nursing students' attitudes and related factors toward reporting child abuse and neglect in Turkey. SOURCES: This cross-sectional study was carried out with the online participation of 1170 nursing students. The scale for determining the attitudes of health professionals in reporting child abuse (ACAS) was administered together with questions on demographic information. CONCLUSIONS: ACAS scores of nursing students toward reporting child abuse were average. Younger age, poor perceived academic success, suspecting of a child abuse and neglect case during clinical practice, and male sex were independently associated with higher ACAS scores. Therefore, education programs for nursing students should focus on improving their attitudes toward reporting child abuse and neglect.

Does Health Literacy Affect Colorectal Cancer Screening Rates?

This study aims to determine the relationship between adult colorectal cancer screening behaviors and health literacy levels. This cross-sectional study aims to determine the relationship between adult colorectal cancer screening behaviors and health literacy levels. Of the participants, only a small proportion had undergone this screening (9.3%). Having an intestinal disease (OR = 23) and having a relative with colorectal cancer (OR = 8) had the highest effect on colorectal screening. There were significant differences between the colorectal screening groups concerning most THLS-32 subgroup scores, including the THLS-32 total score. Health literacy affects colorectal cancer screening rates. Primary care workers, especially community health nurses, are in an ideal position to increase health literacy and thereby increase cancer screening rates.

Vaccination coverage and related factors among the elderly: A cross-sectional study from Turkey.

OBJECTIVE: The study was conducted to determine the vaccination rates and related factors among the elderly. DESIGN: Cross-sectional study. SAMPLE: This study was conducted with 984 elderly people living in a province in western Turkey. MEASUREMENTS: The single-stage cluster sampling method was used in the sample selection. The descriptive statistics, the chi-square analysis, the Mann-Whitney U test and the logistic regression analysis for the multivariate analysis were used to evaluate the data. RESULTS: It was determined that 45.6% of the elderly were vaccinated after the age of 65 and the most frequently administered vaccines were influenza (41.3%), pneumococcal (10.9%), and tetanus (5.5%) vaccines. Higher vaccination rates were determined in the following demographics, namely by 1.8-fold (95% CI, 1.4-2.4) in those living in urban areas, by 2.6-fold (95% CI, 1.8-3.9) in those with high school or higher education, by 1.5-fold (95% CI, 1.0-2.5) in those who did not work, by 1.7-fold (95% CI, 1.3-2.3) in those with chronic diseases and by 2-fold (95% CI, 1.1-3.4) in those who fulfilled their physical own needs themselves. CONCLUSION: This study showed that more than half of the elderly did not receive any vaccinations in old age. The vaccination rates of the elderly were associated with many factors.

Evaluation of Violence Against Elderly People of Different Cultures by Using The "Purnell Model for Cultural Competence".

AIM: This study aimed to evaluate the violence against the elderly from different cultures by using "The Purnell Model for Cultural Competence." METHOD: The study population comprised of elderly people residing in a city in the Eastern Anatolia, the Southeastern Anatolia, and the Marmara Region. This is a qualitative study employing a purposeful sampling method. Data were gathered using questions to identify the sociodemographic characteristics, a semi-structured interview form prepared in accordance with "The Purnell Model for Cultural Competence," and the question form consisting of questions to determine the violence against the elderly. Data were collected through in-depth interviews and by means of recording, as well as recordkeeping. Permissions were obtained from the ethics committee, and written and verbal consents were obtained from the elderly to be interviewed before the study. Data were evaluated using the descriptive data analysis methods. RESULTS: The study revealed that the elderly people were commonly exposed to psychological violence, whereas there was an elderly person subjected to physical violence. Seven elderly persons in the Southeastern Anatolia and three elderly persons in the Marmara Region expressed that they were exposed to psychological violence. Nonetheless, no indications were observed of economic and sexual violence among the elderly in both groups. CONCLUSION: The study findings suggest that nurses should not ignore the cultural characteristics in the fight against violence against the elderly.