Celalettin Cevik

Bu araştırma, sanayi sektöründe çalışan bireylerin sosyodemografik özellikleri ile COVID-19 bilgi, tutum ve davranışları arasındaki ilişkiyi incelemek ve sağlık okuryazarlığının bu yapı üzerindeki etkisini yapısal eşitlik modellemesi ile değerlendirmek amacıyla yapılmıştır. Kesitsel tipteki çalışma Manisa ve Eskişehir’deki iki sanayi kuruluşunda çalışan 543 kişi ile yüz yüze görüşülerek yürütülmüştür. Araştırmada veri toplama aracı olarak “Kişisel Bilgi Formu”, “Türkiye Sağlık Okuryazarlığı Ölçeği (TSOY-32)” ve “COVID-19 Bilgi, Tutum ve Davranış Ölçeği (CBTDÖ)” kullanılmıştır. Verilerin analizinde Mann-Whitney U testi, Kruskal-Wallis testi, Spearman korelasyon analizi, ordinal lojistik regresyon ve yapısal eşitlik modellemesi kullanılmıştır. Yapısal eşitlik modellemesi sonuçlarına göre sağlık okuryazarlığının COVID-19 bilgi, tutum ve davranışları üzerinde anlamlı ve pozitif bir etkisi olduğu belirlenmiştir (β = 0.26, p < 0.01). Korelasyon analizlerinde sağlık okuryazarlığı ile COVID-19’a ilişkin bilgi ve davranış boyutları arasında zayıf ancak anlamlı ilişkiler saptanmıştır. Ayrıca sağlık durumunu iyi olarak algılayan ve çocuk sahibi bireylerin sağlık okuryazarlığı düzeylerinin daha yüksek olduğu bulunmuştur. Bu bulgular, sağlık okuryazarlığının bireylerin COVID-19’a ilişkin bilgi, tutum ve davranışlarını şekillendiren önemli bir belirleyici olduğunu göstermektedir. Bununla birlikte, etki büyüklüklerinin sınırlı olması sağlık davranışlarının yalnızca bilişsel faktörlerle değil, aynı zamanda sosyal ve çevresel etmenlerle de ilişkili olduğunu düşündürmektedir. Sonuç olarak, sanayi çalışanlarına yönelik sağlık okuryazarlığını geliştirmeye yönelik eğitim programlarının planlanması, sade ve görsel temelli sağlık iletişimi materyallerinin kullanılması ve sağlık okuryazarlığının iş sağlığı politikalarına entegre edilmesi önerilmektedir.

Background: Occupational safety climate, a key predictor of workplace safety performance and employee well-being, requires culturally adapted and psychometrically robust measurement tools such as the NOSACQ-50 to effectively assess safety perceptions across different industries and populations. Objective: This study aimed to conduct the cross-cultural adaptation of the interview-administered Turkish version of the Nordic Occupational Safety Climate Questionnaire (NOSACQ-50) and to assess its psychometric properties in the metal industry. Methods: A methodological study was conducted among 387 employees working in a metal industry enterprise in Balikesir BEST Transformer. Internal consistency was assessed using Cronbach's α, construct validity was examined through confirmatory factor analysis (CFA) and known-groups comparisons, and discriminant validity was evaluated via correlation analyses with related scales. Statistical analyses were performed using SPSS 27.0 and Jamovi 2.3.28. Results: The Turkish version of NOSACQ-50 comprises seven subscales, with Cronbach's α coefficients ranging from 0.85 to 0.92. Person reliability values from Rasch analysis ranged between 0.81 and 0.87. CFA demonstrated acceptable model fit indices for all subscales. Significant correlations were observed between NOSACQ-50 subscales and the peer support, supervisor support, sense of community, trust, job satisfaction, and burnout subscales of the KOPSOR-TR. Furthermore, NOSACQ-50 subscales showed significant associations with the subscales of the Safety Climate Scale, supporting convergent validity. Conclusions: The Turkish version of NOSACQ-50 demonstrates satisfactory reliability and validity, and it can be used as a standardized tool for assessing occupational safety climate among employees in Turkey.

Effective disaster preparedness is essential for public health. This study examined how sociodemographic factors and cognitive flexibility relate to disaster preparedness among urban community residents. A cross-sectional study was conducted with 552 participants in Balikesir. The General Disaster Preparedness Scale (GDPS) was used as the dependent variable, and linear regression analysis explored its predictors. The mean GDPS score was 160.63 ± 19.17, indicating a moderate level of preparedness. Higher preparedness was associated with higher education, prior disaster preparation, knowledge of home valve operations, following disaster-related news, awareness of emergency assembly locations, and higher cognitive flexibility. Cognitive flexibility was a significant independent predictor of disaster preparedness (β = 0.163, p < 0.001). The model explained 25% of the variance in preparedness (Adjusted R² = 0.25). Disaster preparedness was not optimal despite moderate levels. Both practical preparedness behaviors and cognitive flexibility significantly contributed to preparedness. As a modifiable psychological resource, cognitive flexibility represents a promising target for community-based public health interventions aimed at enhancing disaster resilience.

This study aimed to evaluate the validity and reliability of the Turkish version of the Health Protection Behavior Scale (HPBS). The study was conducted using a two‐stage cross‐cultural research design in accordance with STROBE guidelines. Data were analyzed using descriptive statistics and exploratory factor analysis (EFA), without performing confirmatory factor analysis (CFA) to avoid the use of the same dataset for model derivation and validation. The overall Cronbach's alpha for the scale was 0.851, indicating high internal consistency. In terms of construct validity, the Healthy Lifestyle Behaviors Scale II and the WHOQOL‐BREF showed strong and moderate positive correlations, respectively ( p < 0.05). The psychometric properties of the Turkish version of the HPBS are generally good and acceptable.

Aims: The aim of this study was to examine the relationship between health literacy, health protective behaviour, quality of life and social health in older adults living in the community. Design: A cross‐sectional study. Method: This observational study was carried out by interviewing 600 older adult people living in a province in the South Marmara region of Turkey using a multi‐stage cluster sampling method. The dependent variable of the study was social health perception, and multivariate linear regression analysis was used in the analyses. Reporting of the study followed the STROBE checklist. Results: The social health of the participants is at a medium level. As a result of linear regression analysis, the social health score was found in those who have high school education or higher, those who live with their children and those who live alone to be significantly lower in those with poor general health perception. As age increases, health literacy increases, and quality of life decreases, the social health score decreases ( p < 0.05). Conclusion: In this context, steps should be taken to increase social harmony and social support for the older adult; the perceived environment should be improved, and environments that facilitate the lives of the older adult should be created. Relevance to Clinical Practice: Determining the level of social health of the older adult and identifying the related factors is important in terms of improving the quality of services to be provided for the older adult. In this context, it is important for health professionals to take initiatives to improve the lifestyle, health literacy and quality of life of the older adult.

Objective: This study aims to determine the relationship between cyberchondria and health anxiety in society and COVID-19 information, attitudes, and behaviors. Method: A community-based cross-sectional study was conducted by face-to-face interviews with 600 subjects. The dependent variable of the study was the COVID-19 Knowledge, Attitude and Behaviour Scale (CKABS). For univariate analyses, the t-test, ANOVA, and linear regression analysis were used for further analyses. Results: The mean CKABS score was 80.67±13.14, Cyberchondria Severity Scale score was 39.55±08.30, and Health Anxiety Scale score was 12.79±11.96. According to the linear regression analysis performed with the Backward method, the CKABS score of individuals in the lower class who had poor general health perception, did not take precautions against COVID-19, did not pay attention to hygiene during the COVID-19 process, had not received both types of COVID-19 vaccine, had COVID-19 vaccine hesitancy, and did not want to receive COVID-19 vaccine for religious reasons were significantly lower. In addition, as the number of children increases, health concerns increase, and the COVID-19 vaccination rate decreases, the COVID-19 knowledge, attitude, and behaviour score decreases (p<0.05). Conclusion: In the study, health anxiety and cyberchondria levels were found to be low, and CKABS score was found to be high. Priority should be given to vulnerable groups within society to increase their knowledge, attitudes, and behavior regarding COVID-19, and to reduce vaccine hesitancy and health anxiety.