Understanding health literacy and digital healthy diet literacy in rural women in Türkiye: a cross-sectional study on social media use and Mediterranean diet adherence

BackgroundHealth literacy (HL) is the ability to search for, acquire, understand, interpret, and act upon basic information, concepts, and services about health to make correct and informed health decisions about. In terms of public health, low HL can lead to negative health outcomes, increased heal...

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Main Authors: Zehra Batu, Sefer Kalaman, Mikail Batu, Zülfiye Acar Şentürk, Handan Güler İplikçi, Nazmi Ekin Vural, İlkay Burak Taşkıran
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1559159/full
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author Zehra Batu
Sefer Kalaman
Mikail Batu
Zülfiye Acar Şentürk
Handan Güler İplikçi
Nazmi Ekin Vural
İlkay Burak Taşkıran
author_facet Zehra Batu
Sefer Kalaman
Mikail Batu
Zülfiye Acar Şentürk
Handan Güler İplikçi
Nazmi Ekin Vural
İlkay Burak Taşkıran
author_sort Zehra Batu
collection DOAJ
description BackgroundHealth literacy (HL) is the ability to search for, acquire, understand, interpret, and act upon basic information, concepts, and services about health to make correct and informed health decisions about. In terms of public health, low HL can lead to negative health outcomes, increased healthcare costs, increased medical and medication errors, disruption of the treatment process, and increased mortality.MethodsThis study investigated factors associated with HL and digital healthy diet literacy (DDL), focusing on rural women using social media. This cross-sectional study included women aged 18–65 years living in rural areas in Türkiye between 01/12/2023 and 29/02/2024. The variables examined regarding HL and DDL are duration and purpose of use of the internet and social media, compliance with the Mediterranean diet, and sociodemographic characteristics. HL and DDL were evaluated using the Turkish version of HLS-SF12 and DDL scale.ResultsThe maximum score that can be obtained from the HLS-SF12 and DDL scale is 50 and the average index values of the participants were determined as 26.70 and 21.99, respectively. HL and DDL index scores were affected by the purpose and duration of internet/social media use. HL and DDL index scores were found to be higher in those who had a diet history under dietitian counseling, university graduates, those who adhered to the Mediterranean diet, and those with higher household income. In addition, it was determined that DDL index and HL index correlated with Mediterranean Diet Adherence Screener (MEDAS) score and Body Mass Index (BMI).ConclusionHL index and DDL index scores differ depending on the duration and purpose of internet use, age, presence of chronic disease, education level, and income level. It is recommended to conduct further studies evaluating the use of social media as a tool to promote HL, DDL, and healthy eating behaviors in different populations.
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spelling doaj-art-c71426f3af384ee799393a0e6aaa66492025-08-20T02:00:59ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15591591559159Understanding health literacy and digital healthy diet literacy in rural women in Türkiye: a cross-sectional study on social media use and Mediterranean diet adherenceZehra Batu0Sefer Kalaman1Mikail Batu2Zülfiye Acar Şentürk3Handan Güler İplikçi4Nazmi Ekin Vural5İlkay Burak Taşkıran6Department of Nutrition and Dietetics, Nezahat Kelesoglu Faculty of Health Sciences, Necmettin Erbakan University, Konya, TürkiyeFaculty of Communication, Department of New Media and Communication, Ankara Yıldırım Beyazıt University, Ankara, TürkiyeFaculty of Social and Human Sciences, Department of Public Relations and Advertising, Necmettin Erbakan University, Konya, TürkiyeFaculty of Communication, Department of Public Relations and Advertising, Yozgat Bozok University, Yozgat, TürkiyeFaculty of Communication, Department of Public Relations and Promotion, Manisa Celal Bayar University, Manisa, TürkiyeFaculty of Communication, Department of New Media and Communication, Yozgat Bozok University, Yozgat, TürkiyeFaculty of Communication, Department of Public Relations and Advertising, İstanbul Yeni Yüzyıl University, Istanbul, TürkiyeBackgroundHealth literacy (HL) is the ability to search for, acquire, understand, interpret, and act upon basic information, concepts, and services about health to make correct and informed health decisions about. In terms of public health, low HL can lead to negative health outcomes, increased healthcare costs, increased medical and medication errors, disruption of the treatment process, and increased mortality.MethodsThis study investigated factors associated with HL and digital healthy diet literacy (DDL), focusing on rural women using social media. This cross-sectional study included women aged 18–65 years living in rural areas in Türkiye between 01/12/2023 and 29/02/2024. The variables examined regarding HL and DDL are duration and purpose of use of the internet and social media, compliance with the Mediterranean diet, and sociodemographic characteristics. HL and DDL were evaluated using the Turkish version of HLS-SF12 and DDL scale.ResultsThe maximum score that can be obtained from the HLS-SF12 and DDL scale is 50 and the average index values of the participants were determined as 26.70 and 21.99, respectively. HL and DDL index scores were affected by the purpose and duration of internet/social media use. HL and DDL index scores were found to be higher in those who had a diet history under dietitian counseling, university graduates, those who adhered to the Mediterranean diet, and those with higher household income. In addition, it was determined that DDL index and HL index correlated with Mediterranean Diet Adherence Screener (MEDAS) score and Body Mass Index (BMI).ConclusionHL index and DDL index scores differ depending on the duration and purpose of internet use, age, presence of chronic disease, education level, and income level. It is recommended to conduct further studies evaluating the use of social media as a tool to promote HL, DDL, and healthy eating behaviors in different populations.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1559159/fullhealth literacydigital healthy diet literacysocial mediawomenMediterranean diet
spellingShingle Zehra Batu
Sefer Kalaman
Mikail Batu
Zülfiye Acar Şentürk
Handan Güler İplikçi
Nazmi Ekin Vural
İlkay Burak Taşkıran
Understanding health literacy and digital healthy diet literacy in rural women in Türkiye: a cross-sectional study on social media use and Mediterranean diet adherence
Frontiers in Public Health
health literacy
digital healthy diet literacy
social media
women
Mediterranean diet
title Understanding health literacy and digital healthy diet literacy in rural women in Türkiye: a cross-sectional study on social media use and Mediterranean diet adherence
title_full Understanding health literacy and digital healthy diet literacy in rural women in Türkiye: a cross-sectional study on social media use and Mediterranean diet adherence
title_fullStr Understanding health literacy and digital healthy diet literacy in rural women in Türkiye: a cross-sectional study on social media use and Mediterranean diet adherence
title_full_unstemmed Understanding health literacy and digital healthy diet literacy in rural women in Türkiye: a cross-sectional study on social media use and Mediterranean diet adherence
title_short Understanding health literacy and digital healthy diet literacy in rural women in Türkiye: a cross-sectional study on social media use and Mediterranean diet adherence
title_sort understanding health literacy and digital healthy diet literacy in rural women in turkiye a cross sectional study on social media use and mediterranean diet adherence
topic health literacy
digital healthy diet literacy
social media
women
Mediterranean diet
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1559159/full
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