1. Social Media as a Tool to Improve Health Literacy on High School Students in Semarang, Indonesia
Nurjanah, Sri Soenaryati, Enny Rachmani, Debby Aprilanawati,
Maria Magdalena Dolorosa Bili, Serliati Dappa Ole
Faculty of Health Sciences Dian Nuswantoro University

2. Faculty of Health Sciences Dian Nuswantoro University
Presentation Outline
Background
Methods
Results
Conclusion
Faculty of Health Sciences Dian Nuswantoro University

3. Faculty of Health Sciences Dian Nuswantoro University
BACKGROUND
An ability of people to
gain access, understand,
appraise and use information to promote and maintain good health.
Health
Literacy
Health
Literacy
Faculty of Health Sciences Dian Nuswantoro University

4. Semarang Health Literacy Survey, 2014, n=1029
BACKGROUND
Semarang Health Literacy Survey, 2014, n=1029
Faculty of Health Sciences Dian Nuswantoro University

5. Faculty of Health Sciences Dian Nuswantoro University
BACKGROUND
Age – General HL, 2014 (n= 1029)
Faculty of Health Sciences Dian Nuswantoro University

6. Health Literacy on Health Students, online, 2014, n=69
BACKGROUND
Health Literacy on Health Students, online, 2014, n=69
Fakultas Kesehatan Universitas Dian Nuswantoro
Faculty of Health Sciences Dian Nuswantoro University

7. Faculty of Health Sciences Dian Nuswantoro University
BACKGROUND
Health Literacy on Health Students, 2015, n=82
Fakultas Kesehatan Universitas Dian Nuswantoro
Faculty of Health Sciences Dian Nuswantoro University

8. Information: Confusing

9. BACKGROUND
Research on adolescent health literacy is very important considering health literacy will help them maintain their health and get a good quality of life in the future.

10. Faculty of Health Sciences Dian Nuswantoro University
Health literacy conceptual framework
Upsize the font
(Sørensen et al., 2012)
Faculty of Health Sciences Dian Nuswantoro University

11. Faculty of Health Sciences Dian Nuswantoro University
Purpose
This study aims to determine the media, especially social media mostly used by adolescent and to formulate health messages most frequently discussed and needed by adolescents.
Faculty of Health Sciences Dian Nuswantoro University

12. Faculty of Health Sciences Dian Nuswantoro University
METHODS
The two Public High School and Islamic High School in Semarang were selected to participate in the study.
Firstly, the students were invited to fill the questionnaire voluntary, and there were 140 respondents participated in the survey.
The the main instrument in the survey was HLS-16 added with eHEALS, media use behaviors and demographics variables.
Secondly, two focused group discussions (FGDs) were conducted in each high school with 15 subjects to know the media using behavior, and the health information that students needed.
Thereafter the researcher arranged the health massages and sent to students regularly by LINE.
After received all messages, the students will invite to fill out the questionnaire again to measure the improvement of their health literacy  Only 46 respondents’ response
The correlations between variables were analyzed by spearman rank test and comparison between pre and post test will be analyzed by related samples wilcoxon signed rank test
Faculty of Health Sciences Dian Nuswantoro University

13. Faculty of Health Sciences Dian Nuswantoro University
Methods
The questionnaire consisted of HLS-EU-16 (Health Literacy Survey-Europe-16 Questions) and e-HEALS (e-Health Literacy Scale).
Health literacy levels were measured by Likert scale 1-4.
1=very difficult
2=moderately difficult
3=fairly easy
4=very easy
the answer is the dichotomous categorization, which is “very difficult” and “moderate difficult” answers were 0 score and the “fairly easy” and “very easy” were 1 score.
All score were summarized and categorized:
Inadequate HL (0-8)
Problematic HL (9-12)
Sufficient HL (13-16).
Data analysis : Spearman Rank and Chi Square
Faculty of Health Sciences Dian Nuswantoro University

14. Faculty of Health Sciences Dian Nuswantoro University
Results
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15. Faculty of Health Sciences Dian Nuswantoro University
Activities
Faculty of Health Sciences Dian Nuswantoro University

16. Media to Access Health Information
Faculty of Health Sciences Dian Nuswantoro University

17. eHEALS (e-Health Literacy Scale)
Variable
Category f %
Internet help to make health decision
Not useful at all
0.0
Not Useful 1
0.7
Not sure 19
13.6
Useful 87
62.1
Very useful 33
23.6
Importance of accessing health information via internet
Not important at all
Not important 9
64.3
Important 90
Very important 39
27.9
Faculty of Health Sciences Dian Nuswantoro University

18. eHEALS (e-Health Literacy Scale)
Variable
Category f %
Have skill to evaluate health information on internet
Very not agree 1
0.7
Not agree 13
9.3
Not sure 46
32.9
Agree 68
48.6
Very agree 12
8.6
Able to differentiate the quality of information on internet 2
1.4 16
11.4 56
40.0 53
37.9
Faculty of Health Sciences Dian Nuswantoro University

19. eHEALS (e-Health Literacy Scale)
Variable
Category f %
Sure to use health information on internet to make decision
Very not agree 2
1.4
Not agree 27
19.3
Not sure 48
34.3
Agree 52
37.1
Very agree 11
7.9
Faculty of Health Sciences Dian Nuswantoro University

20. Result - Category of Health Literacy
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21. Statistics test results
Variable
p-value
Correlation coefficient
Sex
0.398
Age
0.395
-0.073
Concentration
0.129
Attending Extracurricula
0.043*
Discussing health in extracurricula
0.061
Medical/health training in the family
0.001**
Access health information from television
0,415
0.069
Access health information from radio
0.794
-0.022
Access health information from internet
0.008*
0.224
Access health information from mobile phone
0.012**
0.213
Access health information from health training
0.399
0.072
Access health information from social media
0.000**
eHEALS
0,421
Faculty of Health Sciences Dian Nuswantoro University

22. Faculty of Health Sciences Dian Nuswantoro University
FGD Results
All students use LINE
Students need information about:
Gastrointestinal diseases
Reproductive health
Quit smoking
Beauty treatment
Diet
Alcohol and drug
Mental health particularly for facing stress
Faculty of Health Sciences Dian Nuswantoro University

23. Faculty of Health Sciences Dian Nuswantoro University
Sending massages
32 messages send to Line group and indidually
Some group discussions.... and chats...
Faculty of Health Sciences Dian Nuswantoro University

24. Health Literacy category
Compare Pre-Post; N=46
Health Literacy category
Pre Test
Post Test f %
Inadequate
0.0
Problematic 12
26.1 5
10.9
Sufficient 34
73.9 41
89.1
Total 46
100.0
mean

25. Faculty of Health Sciences Dian Nuswantoro University
CONCLUSION
Low health literacy problems still happened on the students (29.3%)
Factors associated with health literacy on student were frequency of access to health information through internet, mobile phone and social media and eHEALS.
Students very easy to access online health information but had difficulties to evaluate the right and trusted health information among so many information that available in the internet.
Broadcast health messages through social media is considered effective.
Faculty of Health Sciences Dian Nuswantoro University

26. Faculty of Health Sciences Dian Nuswantoro University
Thank you
Faculty of Health Sciences Dian Nuswantoro University