@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2019;6(3):161-167
ISSN: 2383-2150 Journal of Education and Community Health 2019;6(3):161-167
Health Literacy level of Adults in Neyshabur City: A Cross-Sectional Study
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Jahani Eftekhari M. (*1)Rahimnia M. (1)
Esfahanian H. (1)
Bazoobandi B. (1)
Shams M. (1)
(*1) Health Education & Health Promotion Department, Neyshabur Faculty of Medical Sciences, Neyshabour, Iran
Correspondence
Address: Neyshabur Faculty of Medical Sciences, Moallem Square, Neyshabour, Iran.Phone: +98 (51) 43348141
Fax:
m91.eftekhari@yahoo.com
Article History
Received: February 16, 2019Accepted: July 17, 2019
ePublished: September 21, 2019
ABSTRACT
Aims
Considering that the health literacy is one of the pillars of the health evolution system, measuring the health literacy is essential to improving the health of individuals in the community. The aim of this study was to investigate the health literacy level of adults in Neyshabur city, Iran.
Instrument & Methods This cross-sectional research is a descriptive-analytical study. This research was carried out on 385 people aged 18-65, who referred to the health centers in Neyshabour city in 2016-2017. The subjects were selected using the convenience sampling method. Data were collected by demographic characteristics questionnaire and the questionnaire of health literacy assessment of urban population aged 18-65 (HELIA). Data were analyzed using SPSS 16 software through descriptive statistics and Chi-square test.
Findings The mean score of health literacy in the subjects was 49.99±23.16. The health literacy level in 33.0%, 33.5%, 27.0% and 6.5% of the subjects were inadequate, not adequate, adequate and high, respectively. There was a significant relationship between the health literacy level with age, gender, education, and job status (p<0.05).
Conclusion The health literacy level was inadequate in the adults of Neyshabur city and the health literacy level in most of the subjects was inadequate and not adequate.
Instrument & Methods This cross-sectional research is a descriptive-analytical study. This research was carried out on 385 people aged 18-65, who referred to the health centers in Neyshabour city in 2016-2017. The subjects were selected using the convenience sampling method. Data were collected by demographic characteristics questionnaire and the questionnaire of health literacy assessment of urban population aged 18-65 (HELIA). Data were analyzed using SPSS 16 software through descriptive statistics and Chi-square test.
Findings The mean score of health literacy in the subjects was 49.99±23.16. The health literacy level in 33.0%, 33.5%, 27.0% and 6.5% of the subjects were inadequate, not adequate, adequate and high, respectively. There was a significant relationship between the health literacy level with age, gender, education, and job status (p<0.05).
Conclusion The health literacy level was inadequate in the adults of Neyshabur city and the health literacy level in most of the subjects was inadequate and not adequate.
CITATION LINKS
[1]Downey LV, Zun LS. Assessing adult health literacy in urban healthcare settings. J Natl Med Assoc. 2008;100(11):1304-8.
[2]Sihota S, Lennard L. Health literacy: being able to make the most of health. London: National Consumer Council; 2004.
[3]Vozikis A, Drivas K, Milioris K. Health literacy among university students in Greece: determinants and association with self-perceived health, health behaviors and health risks. Arch Public Health. 2014;72(1):15.
[4]Ministry of Health and Medical Education. Map of health system 1404 of the Islamic Republic of Iran [Internet]. Tehran: behdasht; 2011 [cited 2018 Feb 7]. Available from: http://it.behdasht.gov.ir/uploads/101_1754_Health_Map-IT_1st_Report_v.1.8.pdf. [Persian]
[5]Peerson A, Saunders M. Health literacy revisited: what do we mean and why does it matter? Health Promot Int. 2009;24(3):285-96.
[6]Lee SY, Tsai TI, Tsai YW, Kuo KN. Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC Public Health. 2010;10:614.
[7]Raeisi M, Mostafavi F, Hasanzadeh A, Sharifirad G. The relationship between health literacy, health status and healthy behaviors among elderly in Isfahan. J Health Syst Res. 2011;7(4):469-80. [Persian]
[8]Nutbeam D, Kickbusch I. Advancing health literacy: a global challenge for the 21st century. Health Promot Int. 2000;15(3):183-4.
[9]McLaghlin RA. Association among health literacy levels and Health outcomes in pregnant women with pregestational and gestational diabetes in an urban setting [Dissertation]. Knoxville: University of Tennessee; 2009.
[10]Tsai TI, Lee SY, Tsai YW, Kuo KN. Methodology and validation of health literacy scale development in Taiwan. J Health Commun. 2011;16(1):50-61.
[11]Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, et al. Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. Am J Public Health. 2002;92(8):1278-83.
[12]Wolf MS, Gazmararian JA, Baker DW. Health literacy functional and health status among older adults. Arch Intern Med. 2005;165(17):1946-52.
[13]Afshari M, Khazaei S, Bahrami M, Merati H. Investigating adult health literacy in Tuyserkan city. J Educ Community Health. 2014;1(2):48-55. [Persian]
[14]Kooshyar H, Shoorvazi M, Dalir Z, Hosseini M. Health literacy and its relationship with medical adherence and health-related quality of life in diabetic community-residing elderly. J Mazandaran Univ Med Sci. 2014;23(1):134-43. [Persian]
[15]Motlagh M, Alameh M, Farahani A, Tabatabaie M. Integrated care guidelines for middle aged. Qom: Andisheh Mandegar; 2015. [Persian]
[16]Montazeri A, Tavoosi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Payesh. 2014;13(5):589-99. [Persian]
[17]Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. J Educ Health Promot. 2012;1:31.
[18]Tehrani Banihashemi S, Amirkhani A, Haghdoust AA, Alavian SM, Asgharifard H, Baradaran H. Health literacy and the influencing factors: a study in five provinces of Iran. Strid Dev Med Educ. 2007;4(1):1-9. [Persian]
[19]Von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behavior in a national sample of British adults. J Epidemiol Community Health. 2007;61(12):1086-90.
[20]Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The prevalence of limited health literacy. J Gen Intern Med. 2005;20(2):175-84.
[21]Morris NS, Grant S, Repp A, MacLean C, Littenberg B. Prevalence of limited health literacy and compensatory strategies used by hospitalized patients. Nurs Res. 2011;60(5):361-6.
[22]Van der Heide I, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E. The relationship between health, education, and health literacy: results from the Dutch adult literacy and life skills survey. J Health Commun. 2013;18(1):172-84.
[23]Khoshravesh S, Moeini B, Rezapour Shahkolaei F, Taheri Kharameh Z, Bandehelahi K. Health literacy of employees of Hamadan university of medical sciences and related demographic factors. J Educ Community Health. 2018;5(1):19-26. [Persian]
[24]Tavousi M, Haeri Mehrizi A, Rafieifar S, Soleimanian A, Sarbandi F, Ardestani M, et al. Health literacy in Iran: findings from a national study. Payesh. 2016;15(1):95-102. [Persian]
[25]Cho YI, Lee SY, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Soc Sci Med. 2008;66(8):1809-16.
[26]Ghanbari S, Majlesi F, Ghaffari M, Mahmoodi Majdabadi M. Evaluation of health literacy of pregnant women in urban health centers of Shahid Beheshti Medical University. Daneshvar. 2012;19(97):1-12. [Persian]
[27]Sahrayi M, Panahi R, Kazemi S, Rostami Z, Rezaei H, Jorvand R. The study of Health Literacy of adults in Karaj. J Health Literacy. 2017;1(4):230-8. [Persian]
[28]Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, et al. Association of health literacy with diabetes outcomes. J Am Med Assoc. 2002;288(4):475-82.
[29]Mahmoodi H, Negarandeh R, Javaheri M, Sharifi P, Ghanei R, Aminpour A, et al. Examining the relation of health literacy with outcomes of diabetes among type 2 diabetes patients in Saqez, Western Iran, 2011. J Urmia Nurs Midwifery Fac. 2014;12(1):56-62. [Persian]
[30]Nekoei-Moghadam M, Parva S, Amiresmaili MR, Baneshi MR. Health literacy and utilization of health services in Kerman urban area 2011. Tolo-e Behdasht. 2013Íž11(4):123-34. [Persian]
[31]Mohseni M, Khanjani N, Iranpour A, Tabe R, Borhaninejad VR. The relationship between health literacy and health status among elderly people in Kerman. Salmand Iran J Ageing. 2015;10(2):146-55. [Persian]
[32]Sajjadi H, Hosseinpour N, Sharifian Sani M, Mahmoodi Z. Association between Health Literacy and Life Style in Married Rural Women in Izeh, Iran. J Health. 2016;7(4):479-89. [Persian]
[33]Panahi R, Ramezankhani A, Tavousi M, Osmani F, Ghazanfari E, Niknami S. Evaluation of health literacy and its influencing factors on dormitory students of Shahid Beheshti University of Medical Sciences in Tehran. J Educ Community Health. 2016;3(3):30-6. [Persian]
[2]Sihota S, Lennard L. Health literacy: being able to make the most of health. London: National Consumer Council; 2004.
[3]Vozikis A, Drivas K, Milioris K. Health literacy among university students in Greece: determinants and association with self-perceived health, health behaviors and health risks. Arch Public Health. 2014;72(1):15.
[4]Ministry of Health and Medical Education. Map of health system 1404 of the Islamic Republic of Iran [Internet]. Tehran: behdasht; 2011 [cited 2018 Feb 7]. Available from: http://it.behdasht.gov.ir/uploads/101_1754_Health_Map-IT_1st_Report_v.1.8.pdf. [Persian]
[5]Peerson A, Saunders M. Health literacy revisited: what do we mean and why does it matter? Health Promot Int. 2009;24(3):285-96.
[6]Lee SY, Tsai TI, Tsai YW, Kuo KN. Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC Public Health. 2010;10:614.
[7]Raeisi M, Mostafavi F, Hasanzadeh A, Sharifirad G. The relationship between health literacy, health status and healthy behaviors among elderly in Isfahan. J Health Syst Res. 2011;7(4):469-80. [Persian]
[8]Nutbeam D, Kickbusch I. Advancing health literacy: a global challenge for the 21st century. Health Promot Int. 2000;15(3):183-4.
[9]McLaghlin RA. Association among health literacy levels and Health outcomes in pregnant women with pregestational and gestational diabetes in an urban setting [Dissertation]. Knoxville: University of Tennessee; 2009.
[10]Tsai TI, Lee SY, Tsai YW, Kuo KN. Methodology and validation of health literacy scale development in Taiwan. J Health Commun. 2011;16(1):50-61.
[11]Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, et al. Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. Am J Public Health. 2002;92(8):1278-83.
[12]Wolf MS, Gazmararian JA, Baker DW. Health literacy functional and health status among older adults. Arch Intern Med. 2005;165(17):1946-52.
[13]Afshari M, Khazaei S, Bahrami M, Merati H. Investigating adult health literacy in Tuyserkan city. J Educ Community Health. 2014;1(2):48-55. [Persian]
[14]Kooshyar H, Shoorvazi M, Dalir Z, Hosseini M. Health literacy and its relationship with medical adherence and health-related quality of life in diabetic community-residing elderly. J Mazandaran Univ Med Sci. 2014;23(1):134-43. [Persian]
[15]Motlagh M, Alameh M, Farahani A, Tabatabaie M. Integrated care guidelines for middle aged. Qom: Andisheh Mandegar; 2015. [Persian]
[16]Montazeri A, Tavoosi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Payesh. 2014;13(5):589-99. [Persian]
[17]Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. J Educ Health Promot. 2012;1:31.
[18]Tehrani Banihashemi S, Amirkhani A, Haghdoust AA, Alavian SM, Asgharifard H, Baradaran H. Health literacy and the influencing factors: a study in five provinces of Iran. Strid Dev Med Educ. 2007;4(1):1-9. [Persian]
[19]Von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behavior in a national sample of British adults. J Epidemiol Community Health. 2007;61(12):1086-90.
[20]Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The prevalence of limited health literacy. J Gen Intern Med. 2005;20(2):175-84.
[21]Morris NS, Grant S, Repp A, MacLean C, Littenberg B. Prevalence of limited health literacy and compensatory strategies used by hospitalized patients. Nurs Res. 2011;60(5):361-6.
[22]Van der Heide I, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E. The relationship between health, education, and health literacy: results from the Dutch adult literacy and life skills survey. J Health Commun. 2013;18(1):172-84.
[23]Khoshravesh S, Moeini B, Rezapour Shahkolaei F, Taheri Kharameh Z, Bandehelahi K. Health literacy of employees of Hamadan university of medical sciences and related demographic factors. J Educ Community Health. 2018;5(1):19-26. [Persian]
[24]Tavousi M, Haeri Mehrizi A, Rafieifar S, Soleimanian A, Sarbandi F, Ardestani M, et al. Health literacy in Iran: findings from a national study. Payesh. 2016;15(1):95-102. [Persian]
[25]Cho YI, Lee SY, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Soc Sci Med. 2008;66(8):1809-16.
[26]Ghanbari S, Majlesi F, Ghaffari M, Mahmoodi Majdabadi M. Evaluation of health literacy of pregnant women in urban health centers of Shahid Beheshti Medical University. Daneshvar. 2012;19(97):1-12. [Persian]
[27]Sahrayi M, Panahi R, Kazemi S, Rostami Z, Rezaei H, Jorvand R. The study of Health Literacy of adults in Karaj. J Health Literacy. 2017;1(4):230-8. [Persian]
[28]Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, et al. Association of health literacy with diabetes outcomes. J Am Med Assoc. 2002;288(4):475-82.
[29]Mahmoodi H, Negarandeh R, Javaheri M, Sharifi P, Ghanei R, Aminpour A, et al. Examining the relation of health literacy with outcomes of diabetes among type 2 diabetes patients in Saqez, Western Iran, 2011. J Urmia Nurs Midwifery Fac. 2014;12(1):56-62. [Persian]
[30]Nekoei-Moghadam M, Parva S, Amiresmaili MR, Baneshi MR. Health literacy and utilization of health services in Kerman urban area 2011. Tolo-e Behdasht. 2013Íž11(4):123-34. [Persian]
[31]Mohseni M, Khanjani N, Iranpour A, Tabe R, Borhaninejad VR. The relationship between health literacy and health status among elderly people in Kerman. Salmand Iran J Ageing. 2015;10(2):146-55. [Persian]
[32]Sajjadi H, Hosseinpour N, Sharifian Sani M, Mahmoodi Z. Association between Health Literacy and Life Style in Married Rural Women in Izeh, Iran. J Health. 2016;7(4):479-89. [Persian]
[33]Panahi R, Ramezankhani A, Tavousi M, Osmani F, Ghazanfari E, Niknami S. Evaluation of health literacy and its influencing factors on dormitory students of Shahid Beheshti University of Medical Sciences in Tehran. J Educ Community Health. 2016;3(3):30-6. [Persian]