ARTICLE INFO

Article Type

Descriptive & Survey Study

Authors

Khodabakhshi-koolaee   Anahita (1)
Falsafinejad   Mohammad Reza (2)
Mayeli Khezerloo   Zahra (3)
Mohamadi   Farima (4*)






(1) Psychology & Education Science Department, Human Science Faculty, Khatam University, Tehran, Iran
(2) Measurement Department, Psychology & Education Faculty, Allameh Tabataba’i University, Tehran, Iran
(3) Counseling Department, Humanities & Social Sciences Faculty, Science & Research Branch, Islamic Azad University, Tehran, Iran
(4*) Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Correspondence

Address: Social Determinants of Health Research Center, NO.9, Hadiyeh Alley, Dr. Shariati Street, Tehran, Iran. Postal Code: 1546817613
Phone: 02122220980
Fax: 02126411317
fa.mohamadi@sbmu.ac.ir

Article History

Received:  January  13, 2018
Accepted:  November 17, 2018
ePublished:  December 20, 2018

BRIEF TEXT


... [1, 2]. Several people in the community are born with disabilities due to different causes, or they will be disabled due to multiple acquired factors, such as injuries caused by sports activities. … [3].

... [4-6]. Following the advent of societies, sports and activities have also been used as a factor in helping to treat, rehab, and improve the status of disabled people. Physical activity and its impact on people with disabilities can be seriously examined. These people are inactive, due to physical and environmental problems [7]. ... [8-10]. Health literacy is the capacity for obtaining, processing and understanding basic information and services needed for appropriate health decision making [11]. Making decisions leading to desirable health outcomes are not feasible for people without adequate understanding of health information [12]. Studies have shown that health literacy can affect the levels of sports participation [13]. ... [16-14]. ... [17, 18]. Quality of life is considered as an important health issue and also as an important issue for healthcare of the disabled people. Quality of Life has been defined as a multidimensional concept, which includes health areas such as physical activity, mental health, social functioning, satisfaction with treatment, anxiety about the future and sense of well-being [19].

This study aimed at determining the correlation between health literacy and quality of life in athletic disabled women in Tehran.

This research is a cross-sectional descriptive study.

This study was conducted on all athletic disabled women who were the members of the Iran Sports Federation for Disabled in Tehran in 2017.

The sample size due to the registered and active members of the Iran Sports Federation for Disabled (300 members) and also using Morgan table was estimated 169 subjects. They were selected by random digits table via simple random sampling. The inclusion criteria includes at least two years of membership at the Iran Sports Federation for Disabled, no psychological or personality disorder checked by the Federation psychiatrist, at least a diploma degree to independently understand and answer the questionnaires. Unwillingness to participate in the study was considered as the exclusion criterion.

Data was collected using health literacy (HELIA) and Quality of life (SF-36) questionnaires: 1- Health Literacy for Iranian Adults (HELIA) questionnaire: This questionnaire was developed and validated by Montazeri et al. consisting of two parts; the first part measures demographic characteristics including 6 items and the second part contains of 33 items in 5 domains, including access (6 items), reading (4 items), comprehension (7 items), assessment (4 items) and decision making (12 items). HELIA is scored on a five-point Likert Scale. Scores are ranged from 1 to 165, and a higher score represents more health literacy [20]. 2- Quality of life (SF-36) questionnaire: it is a 36-item scale with 8 subscales measuring 4 physical health constructs and 4 mental health constructs. Each subscale consists of 2 to 4 constructs, including physical health, bodily pain, physical functioning, general understanding of general health, vitality, social functioning emotional role, and mental health. Moreover, two subscales of physical health and mental health are obtained by the combination of the subscales. SF-36 is scored on a Likert Scale from zero to 100 [21]. Zero represents the lowest level of quality of life and 100 represents the maximum or highest level of quality of life. Montazeri et al. showed that the Farsi version of the SF-36 tool has the appropriate reliability and validity to measure the quality of life associated with health [20]. Its reliability was also obtained 0.72 in the disabled population of Qom city [22]. The study was first approved by the research deputy of the Islamic Azad University, Science and Research Branch, Tehran (ID: 940122565). Tuesdays and Wednesdays were considered to attend the federation, at which the questionnaires were distributed and collected. The written informed consent was received from all participants and the data was collected using a questionnaire without mentioning the subjects’ name to observe ethics in the research. The questionnaires were completed independently by the participants through three months. Data was collected by SPSS 20 and analyzed using descriptive statistics, Pearson correlation and linear regression analysis. The Kolmogorov-Smirnov test was used to ensure the normal distribution of the data, by which normal distribution of variables was confirmed.

The mean age of participants was 12.26 ± 4.60 years. 156 subjects (92.3%) were single and 13 subjects (7.7%) were married. 110 participants (65.1%) had diploma, 55 subjects (32.5%) had associate degree and bachelor degree, and 4 participants (2.4%) had master's degree. The total mean score of health literacy 101.29±28.79 and the total mean score quality of life was 53.02±21.94. There was a direct and significant correlation between the physical and mental health of the quality of life with all aspects of health literacy (p<0.01; Table 1). In addition, access explained 42.7% of the variance of quality of life, reading 41.6%, comprehension 40.9%, assessment 36.2%, decision making 19.4% (p<0.05; Table 2).

Song et al. examined the relationship between health literacy and quality of life in patients with prostate cancer and concluded that the level of adequate health literacy was significantly associated with an increase in the scores of the physical and mental dimensions of the quality of life in the subjects [23]. Yehle et al. found a statistically significant relationship between health literacy and quality of life in patients with heart failure, which was consistent with the present study, as patients with a high level of health literacy had higher quality of life [24]. González-Chica et al. showed that health literacy and quality of life in cardiovascular patients are interacted, which means that by an increase in one variable the other variable will improve [25]. Hahn et al. studied the health literacy of patients with physical rehab. The results of this study showed that health literacy is effective in physical rehabilitation; it means that, by an increase in the individual's score of health literacy, the level of physical health can also be increased [26]. Rahimianpour study showed that the male disabled athletes had higher quality of life in comparison with their non-athlete subjects in all physical and mental dimensions [22]. Moreover, Dominick et al. found that higher health literacy scores is a predictor of the increases in physical activity self-efficacy six months after intervention [27]. Osborn et al. also showed that there is a significant relationship between health literacy, self-efficacy and physical activity [28]. ... [29, 30].

It is suggested that in the future research, the role of psychological health literacy, as an important factor in assessing the mental and objective quality of life of disabled athletes to be considered.

The small sample size limited to the athletic disabled women enrolled in the Iran Sports Federation for Disabled was the one of the limitations of this study.

Having fair health literacy can improve the quality of life of.

None declared.

None declared.

The study was first approved by the Islamic Azad University, Science and Research Branch, Tehran (ID: 940122565).

This study is based on a thesis without any financial resources.

TABLES and CHARTS

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CITIATION LINKS

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