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Journals / Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi / 2026 / Cilt: 27 Sayı: 2

Comparing Health Literacy among Students at a High School for the Hearing Impaired and at an Anatolian School

İşitme Engelliler Lisesi ve Anadolu Lisesi Öğrencilerinde Sağlık Okuryazarlığının Karşılaştırılması

Esra Aydın(GAZİ ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ ENSTİTÜSÜ)0000-0002-0220-4934
Hakan Tüzün(GAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-6376-8979
Pages
259–270
Publication Date
2026-06-01
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The curricula of schools for the hearing impaired should place increased emphasis on health-related courses to address this imbalance.

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: Students with disabilities are at risk of having limited health literacy (HL).
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Key Findings & Data:The Turkey Health Literacy Scale-32 (TSOY-32) was used.
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Conclusion & Impact:The curricula of schools for the hearing impaired should place increased emphasis on health-related courses to address this imbalance.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:İşitme engelli öğrenciler · sağlık okuryazarlığı · okul sağlığı

Abstract

Introduction: Students with disabilities are at risk of having limited health literacy (HL). This study aimed to compare the HL levels of students at a high school for the hearing impaired with those of students attending an anatolian high school. Methods: The observation-based response technique was used to administer the surveys. The Turkey Health Literacy Scale-32 (TSOY-32) was used. Participants marked the relevant options on the written questionnaire form that was given to them. 40 students (75.5%) from a hearing impaired high school and 456 students (70.8%) from an Anatolian high school participated. Results: In terms of socioeconomic factors such as the parents’ education level and father’s employment status, students at the high school for the hearing impaired were significantly more disadvantaged (p < .05). Among these students, 92.5% and 7.5% had inadequate and problematic HL, respectively, whereas among the students in the anatolian high school, 22.4% and 38.2% had inadequate and problematic HL, respectively (p < .001). No statistically significant differences were found in TSOY-32 index scores based on gender, perceived health status, or physical activity among students at the high school for the hearing impaired (p > .05); however, significant differences were observed for the students at the anatolian high school (p < .05). No significant differences were found in the TSOY-32 index scores based on cause of hearing loss, severity of hearing impairment, the use of hearing aids (p > .05). Discussion: Students with hearing impairments face significant disadvantages in terms of HL compared with their peers without hearing impairments. The relationship between HL and health outcomes such as perceived health status and physical activity may differ for students with and without hearing impairments. The curricula of schools for the hearing impaired should place increased emphasis on health-related courses to address this imbalance.

Özet

Giriş: Engelli öğrenciler, sınırlı sağlık okuryazarlığı (SO) açısından risk altındadır. Bu çalışma, bir işitme engelliler lisesinde öğrenim gören öğrencilerin SO düzeylerini, bir anadolu lisesine devam eden öğrencilerin SO düzeyleriyle karşılaştırmayı amaçlamıştır. Yöntem: Anketlerin uygulanmasında gözlem altında anket uygulama tekniği kullanılmıştır. Türkiye Sağlık Okuryazarlığı Ölçeği-32 (TSOY-32) uygulanmıştır. Katılımcılar, kendilerine verilen yazılı anket formunda ilgili seçenekleri işaretlemiştir. İşitme engelliler lisesinden 40 öğrenci (%75.5) ve anadolu lisesinden 456 öğrenci (%70.8) çalışmaya katılmıştır. Bulgular: Ebeveynlerin eğitim düzeyi ve babanın çalışma durumu gibi sosyoekonomik faktörler açısından, işitme engelliler lisesindeki öğrenciler daha dezavantajlıdır (p < .05). İşitme engelliler lisesindeki öğrencilerin %92.5’i yetersiz, %7.5’i ise sorunlu SO düzeyine sahipken; anadolu lisesi öğrencilerinde bu oranlar sırasıyla %22.4 yetersiz ve %38.2 sorunludur (p < .001). İşitme engelliler lisesi öğrencilerinde cinsiyet, algılanan sağlık durumu ve fiziksel aktivite değişkenlerine göre TSOY-32 indeks puanlarında anlamlı bir fark görülmezken (p > .05), anadolu lisesi öğrencilerinde bu değişkenlere göre anlamlı farklar saptandı (p < .05). İşitme engelliler lisesindeki öğrencilerde işitme kaybının nedeni, işitme kaybının şiddeti ve işitme cihazı kullanımı değişkenlerine göre TSOY-32 indeks puanlarında ise anlamlı bir fark bulunmadı (p > .05). Tartışma: İşitme engeli olan öğrenciler, işitme engeli olmayan akranlarına kıyasla SO açısından belirgin dezavantajlarla karşılaşmaktadır. Algılanan sağlık durumu ve fiziksel aktivite gibi sağlık sonuçlarıyla SO arasındaki ilişki, işitme engeli olan ve olmayan öğrencilerde farklılık gösterebilir. Bu eşitsizliği gidermek için işitme engelliler liselerinin öğretim programlarında sağlıkla ilgili derslere daha fazla ağırlık verilmesi gerekmektedir.

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Cite This Article

Aydın, E., Tüzün, H. (2026). Comparing Health Literacy among Students at a High School for the Hearing Impaired and at an Anatolian School. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, Cilt: 27 Sayı: 2, 259–270. https://ajindex.com/articles/1121205

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References (41)

  1. Aaby, A., Friis, K., Christensen, B., Rowlands, G., & Maindal, H. T. (2017). Health literacy is associated with health behaviour and self-reported health: A large population-based study in individuals with cardiovascular disease. European Journal of Preventive Cardiology, 24(17), 1880-1888. https://doi.org/10.1177/2047487317729538
  2. Abacıgil, F., Beşer, E., Baran Deniz, E., Erata, M., Harlak, H., Karakaya, K., Evci Kiraz, E., Okyay, P., Saruhan, G., & Tontuş, H. (2016). Türkiye sağlık okuryazarlığı ölçekleri güvenilirlik ve geçerlilik çalışması. T.C. Sağlık Bakanlığı Yayınlar
  3. Barnett, S., McKee, M., Smith, S. R., & Pearson, T. A. (2011). Deaf sign language users, health inequities, and public health: opportunity for social justice. Preventing Chronic Disease, 8(2), A45. https://pmc.ncbi.nlm.nih.gov/articles/PMC3073438/
  4. Bouclaous, C., Rachid, M., Echtay, L., Abdallah, R., Abdelrazzak, A., & Chakas, L. (2025). A qualitative study on deaf individuals' access to health knowledge and services in Lebanon. Public Health, 246(105830), 1-8. https://doi.org/10.1016/j.puhe.2025.105830
  5. Çelik, F. (2021). İşitme engelli adölesanlara yönelik çevrim içi sağlık eğitiminin sağlığı geliştirmeye etkisi (Tez Numarası: 680857) [Yüksek lisans tezi, Pamukkale Üniversitesi] Yükseköğretim Kurulu Ulusal Tez Merkezi.].
  6. Daşdemir, A. C. (2019). Sivas lise öğrencilerinde sağlık okuryazarlığı düzeyi ve ilişkili faktörlerin araştırılması (Tez Numarası: 579266) [Yüksek lisans tezi, Sivas Cumhuriyet Üniversitesi] Yükseköğretim Kurulu Ulusal Tez Merkezi
  7. Deafness and hearing loss. (2025, March 1). World Health Organisation. https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
  8. DeLuca, Z. W., & Rupp, K. (2022). Physical activity, sports participation, and psychosocial health in adolescents with hearing loss. Journal of Adolescent Health, 71(5), 635-641. https://doi.org/10.1016/j.jadohealth.2022.05.011
  9. Downs, J., Keeley, J., Skoss, R., Mills, J., Nevill, T., Schippers, A., Lindly, O., & Thompson, S. (2024). Perspectives on the essential skills of healthcare decision making in children and adolescents with intellectual disability. International Journal for Equity in Health, 23(1), 119. https://doi.org/10.1186/s12939-024-02204-5
  10. Fleary, S. A., & Joseph, P. L. (2024). Health literacy and health behaviors in parent-adolescent dyads: An actor-partner interdependence model approach. Psychol Health, 39(6), 803-822. https://doi.org/10.1080/08870446.2022.2117809
  11. Gur, K., Dolaner, G., & Turan, S. R. (2020). Health literacy of hearing-impaired adolescents, barriers and misunderstandings they encounter, and their expectations. Disability and Health Journal, 13(4), https://doi.org/100929. 0.1016/j.dhjo.2020.100929
  12. 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. https://doi.org/10.1016/j.amjmed.2005.01.010
  13. Jabeen, R., Rehman, M. U., Masood, S., Mahmood, H., & Mashhadi, S. F. (2018). Assessment of functional health literacy among adolescents of model schools of Islamabad. Pakistan Armed Forces Medical Journal 68(3), 545-549. https://www.pafmj.org/PAFMJ/article/view/374
  14. Jovic-Vranes, A., Bjegovic-Mikanovic, V., Marinkovic, J., & Kocev, N. (2011). Health literacy in a population of primary health-care patients in Belgrade, Serbia. International Journal of Public Health, 56(2), 201-207. https://doi.org/10.1007/s00038-010-0181-0
  15. Kickbusch, I., Pelikan, J. M., Apfel, F. & Tsouros, A. (2013). Health literacy. WHO Regional Office for Europe. https://iris.who.int/handle/10665/128703
  16. Kushalnagar, P., Ryan, C., Smith, S., & Kushalnagar, R. (2018). Critical health literacy in American deaf college students. Health Promotion International, 33(5), 827-833. https://doi.org/10.1093/heapro/dax022
  17. Leonardi, M., Bickenbach, J., Ustun, T. B., Kostanjsek, N., & Chatterji, S. (2006). The definition of disability: What is in a name? The Lancet, 368(9543), 1219-1221. https://doi.org/10.1016/S0140-6736(06)69498-1
  18. Lier, F. B. (2013). Mental health in deaf and hearing impaired children and adolescents (Unpublished master’s thesis). University of Oslo, Norway.
  19. Marschark, M., Paivio, A., Spencer, L. J., Durkin, A., Borgna, G., Convertino, C., & Machmer, E. (2017). Don't assume deaf students are visual learners. Journal of Developmental and Physical Disabilities, 29(1), 153-171. https://doi.org/10.1007/s10882-016-9494-0
  20. McKay, C., Hoch, J. M., Hoch, M. C., & Dlugonski, D. (2023). Sports specialization, physical literacy, and physical activity levels in young adults. Journal of Sport Rehabilitation, 32(2), 190-195. https://doi.org/10.1123/jsr.2022-0057
  21. McKee, M. M., Paasche-Orlow, M. K., Winters, P. C., Fiscella, K., Zazove, P., Sen, A., & Pearson, T. (2015). Assessing health literacy in deaf American sign language users. Journal of Health Communication, 20(sup2), 92-100. https://doi.org/10.1080/10810730.2015.1066468
  22. Mitra, S., Posarac, A., & Vick, B. (2013). Disability and poverty in developing countries: A multidimensional study. World Development, 41, 1-18. https://doi.org/10.1016/j.worlddev.2012.05.024
  23. Nielsen-Bohlman, L., Panzer, A. M., & Kindig, D. A. (2004). Health literacy: A prescription to end confusion. National Academies Press.
  24. Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. https://doi.org/10.1093/heapro/15.3.259
  25. Özkan, S., Dikmen, A. U., Aksakal, N. B., Çalışkan, D., Tüzün, H., Taşçı, Ö., & Ünal, S. C. (2018). Türkiye sağlık okuryazarlığı düzeyi ve ilişkili faktörleri araştırması. T.C. Sağlık Bakanlığı Yayınları
  26. Piao, Z., Lee, H., Mun, Y., Lee, H., & Han, E. (2023). Exploring the health literacy status of people with hearing impairment: A systematic review. Archives of Public Health, 81(206), 1-22. https://doi.org/10.1186/s13690-023-01216-x
  27. Raingruber, B. (2014). Contemporary health promotion in nursing practice. Jones & Bartlett Publishers
  28. Rodríguez-Correa, P. A., Valencia-Arias, A., Patiño-Toro, O. N., Oblitas Díaz, Y., & Teodori De la Puente, R. (2023). Benefits and development of assistive technologies for Deaf people's communication: A systematic review. Frontiers in Education, 8(1121597), 1-10. https://doi.org/10.3389/feduc.2023.1121597
  29. Rowland, R., Bailey, J., Thomson, C., & Woodside, J. V. (2025). Delivering public health advice to sign language users: A qualitative study with key stakeholders. BMJ Open, 15(9), e098040. https://doi.org/10.1136/bmjopen-2024-098040
  30. Safeer, R. S., & Keenan, J. (2005). Health literacy: the gap between physicians and patients. Am Fam Physician, 72(3), 463-468. https://www.aafp.org/pubs/afp/issues/2005/0801/p463.html
  31. Sezer, A. (2012). Sağlık okuryazarlığının sağlıklı yaşam biçimi davranışları ile ilişkisi (Tez Numarası: 314618) [Yüksek lisans tezi, Marmara Üniversitesi] Yükseköğretim Kurulu Ulusal Tez Merkezi
  32. Smith, S. R., Kushalnagar, P., & Hauser, P. C. (2015). Deaf adolescents’ learning of cardiovascular health information: sources and access challenges. Journal Of Deaf Studies and Deaf Education, 20(4), 408-418. https://doi.org/10.1093/deafed/env021
  33. Smith, S. R., & Samar, V. J. (2016). Dimensions of deaf/hard-of-hearing and hearing adolescents’ health literacy and health knowledge. Journal of Health Communication, 21(sup2), 141-154. https://doi.org/10.1080/10810730.2016.1179368
  34. Sørensen, K., Pelikan, J. M., Röthlin, F., Ganahl, K., Slonska, Z., Doyle, G., Fullam, J., Kondilis, B., Agrafiotis, D., & Uiters, E. (2013). European health literacy survey. European Journal of Public Health, 25(6), 1053-1058. https://doi.org/10.1093/eurpub/ckv043
  35. Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., Brand, H., & European, C. H. L. P. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(80), 1-13. https://doi.org/10.1186/1471-2458-12-80
  36. Svendsen, M. T., Bak, C. K., Sørensen, K., Pelikan, J., Riddersholm, S. J., Skals, R. K., Mortensen, R. N., Maindal, H. T., Bøggild, H., Nielsen, G., & Torp-Pedersen, C. (2020). Associations of health literacy with socioeconomic position, health risk behavior, and health status: A large national population-based survey among Danish adults. BMC Public Health, 20(565), 1-12. https://doi.org/10.1186/s12889-020-08498-8
  37. Şantaş, G. (2021). Türkiye'de sağlık okuryazarlığı araştırmaları: Lisansüstü tezlere yönelik bir içerik analizi. Turkish Journal of Science and Health, 2(2), 54-60. https://doi.org/10.51972/tfsd.887032
  38. Tanrıöver, M. D., Yıldırım, H. H., Ready, F. N. D., Çakır, B., & Akalın, H. E. (2014). Sağlık okuryazarlığı araştırması. Sağlık-Sen Yayınları, 6, 42-47.
  39. Tüzün, H., Özkan, S., Dikmen, A. U., Aksakal, N. B., Çalışkan, D., Taşçı, Ö., & Ünal, S. C. (2023). How health literacy associates with healthcare utilization and health promotion behaviours in Turkey? Contributions to discussions concerning the Anderson model and ecological models. The International Journal of Health Planning and Management, 38(4), 986-998. https://doi.org/10.1002/hpm.3640
  40. Williamson, S. S., & Chopak-Foss, J. (2015). Differences in health literacy knowledge and experiences among senior nursing students. Journal of the Georgia Public Health Association, 5(2), 184-190. https://digitalcommons.georgiasouthern.edu/commhealth-facpubs/126/
  41. Yılmazel, G., & Çetinkaya, F. (2016). Sağlık okuryazarlığının toplum sağlığı açısından önemi. TAF Preventive Medicine Bulletin, 15(1), 69-74. https://doi.org/10.5455/pmb.1-1448870518