Abstract：
OBJECTIVE: We aimed to review and synthesize the literature on the association between health literacy (HL) and self-management in middle-aged women aged 35-64 years and examine the definitions and measurements of HL.
METHODS: Eleven electronic databases were used for searching specific terms. Experimental and non-experimental studies in English or Korean were included based on the eligibility criteria. Two authors independently conducted study selection, data extraction, and methodological quality assessment.
RESULTS: One experimental and 13 non-experimental studies were included. Of the 11 studies that defined HL, nine conceptualized it as reflecting multidimensional HL. Four studies measured HL capturing all dimensions of the concept (i.e., accessing, understanding, appraising, and applying) and two studies used context-specific HL measurements. Women with greater HL challenges generally had lower self-management context, process, and outcomes across the health continuum.
CONCLUSIONS: Enhancing HL is a critical strategy for improving self-management in middle-aged women. Future research should investigate the effectiveness of HL interventions on self-management considering multidimensional definitions and measures of HL.
CONCLUSIONS: Health professionals should be alert to middle-aged women\'s HL and implement HL interventions that provide them with opportunities to access, understand, analyze, and utilize health-related information to effectively improve HL and engage in self-management.
METHODS: Eleven electronic databases were used for searching specific terms. Experimental and non-experimental studies in English or Korean were included based on the eligibility criteria. Two authors independently conducted study selection, data extraction, and methodological quality assessment.
RESULTS: One experimental and 13 non-experimental studies were included. Of the 11 studies that defined HL, nine conceptualized it as reflecting multidimensional HL. Four studies measured HL capturing all dimensions of the concept (i.e., accessing, understanding, appraising, and applying) and two studies used context-specific HL measurements. Women with greater HL challenges generally had lower self-management context, process, and outcomes across the health continuum.
CONCLUSIONS: Enhancing HL is a critical strategy for improving self-management in middle-aged women. Future research should investigate the effectiveness of HL interventions on self-management considering multidimensional definitions and measures of HL.
CONCLUSIONS: Health professionals should be alert to middle-aged women\'s HL and implement HL interventions that provide them with opportunities to access, understand, analyze, and utilize health-related information to effectively improve HL and engage in self-management.
摘要：
目的：我们旨在回顾和综合有关35-64岁中年女性健康素养（HL）与自我管理之间关系的文献，并研究HL的定义和测量。
方法：11个电子数据库用于搜索特定术语。根据资格标准，包括英语或韩语的实验和非实验研究。两位作者独立进行了研究选择，数据提取,和方法学质量评估。
结果：包括一项实验和13项非实验研究。在定义HL的11项研究中，9将其概念化为反映多维HL。四项研究测量了HL，捕获了该概念的所有维度(即，访问,理解,评估,和应用)和两项研究使用了特定于环境的HL测量。HL挑战更大的女性通常自我管理环境较低，process,以及整个健康连续体的结果。
结论：增强HL是改善中年女性自我管理的重要策略。未来的研究应考虑HL的多维定义和措施，调查HL干预措施对自我管理的有效性。
结论：卫生专业人员应警惕中年妇女的HL，并实施HL干预措施，为她们提供机会，理解,分析,并利用健康相关信息来有效改善HL并进行自我管理。
方法：11个电子数据库用于搜索特定术语。根据资格标准，包括英语或韩语的实验和非实验研究。两位作者独立进行了研究选择，数据提取,和方法学质量评估。
结果：包括一项实验和13项非实验研究。在定义HL的11项研究中，9将其概念化为反映多维HL。四项研究测量了HL，捕获了该概念的所有维度(即，访问,理解,评估,和应用)和两项研究使用了特定于环境的HL测量。HL挑战更大的女性通常自我管理环境较低，process,以及整个健康连续体的结果。
结论：增强HL是改善中年女性自我管理的重要策略。未来的研究应考虑HL的多维定义和措施，调查HL干预措施对自我管理的有效性。
结论：卫生专业人员应警惕中年妇女的HL，并实施HL干预措施，为她们提供机会，理解,分析,并利用健康相关信息来有效改善HL并进行自我管理。
