ARTICLE INFO

Article Type

Original Research

Authors

Barati   M. (1)
Bayat   F. (2)
Asadi   Z. (2)
Afshari-Moshir   F. (2)
Afshari   M. (*3)






(*3) Health Education & Promotion Department, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
(1) Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan , Iran
(2) Students Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran

Correspondence

Address: School of Health, Hamadan University of Medical Sciences, Shahid Fahmideh Avenue, Hamadan, Iran. Postal code: 6517838695
Phone: +98 (81) 34852181
Fax: +98 (81) 38380509
afshari_m20@yahoo.com

Article History

Received:   January  21, 2020
Accepted:   March 17, 2020
ePublished:   June 20, 2020

ABSTRACT

Aims Hypertension is one of the most common health problems with significant consequences. Management of hypertension is mainly related to self-care status. Health literacy is one of the factors in accessing information related to health and better self-care. Therefore, the aim of the present study was to determine the relationship between health literacy and self-care behaviors of hypertensive patients referred to health centers.
Materials & Methods In this descriptive-analytical study, 240 patients with hypertension referred to Hamadan Comprehensive Health Centers in 2019 were selected by multistage random sampling method and entered the study. The data were collected by interview and based on standard questionnaires of Health Literacy for Iranian Adults (HELIA) and self-care questionnaire. Data were analyzed by SPSS 24 software using Pearson correlation tests and linear regression.
Findings 29.2% of patients had inadequate health literacy and 42.1% had moderate self-care. There was a positive significant correlation between all components of health literacy and self-care in patients (p<0.05). The level of education, economic status and self-care had a statistically significant relationship with patients' health literacy (p<0.05). Also, body mass index and health literacy had a statistically significant relationship with self-care (p<0.05).
Conclusion Health literacy is one of the important factors in improving the self-care behaviors of patients with hypertension.

Keywords: Health Literacy , Self-Care , Hypertension,

CITATION LINKS

[1]Babaei-Sis M, Ranjbaran S, Mahmoodi H, Babazadeh T, Moradi F, Mirzaeian K. The effect of educational intervention of life style modification on blood pressure control in patients with hypertension. J Educ Community Health. 2016;3(1):12-9. [Persian]
[2]Mohammadi MA, Dadkhah B, Sazavar H, Mozaffari N. The Effect of Follow up on Blood Pressure Control in Hypertensive Patients. J Ardabil Univ Med Sci. 2006;6(2):156-62. [Persian]
[3]Darvishpour J, Omidi S, Farmanbar R. The relationship between health literacy and hypertension treatment control and follow-up. Caspian J Health Res. 2016;2(1):1-8.
[4]Peyman TS, Pirzadeh A, Hasnzadeh A, Mostafavi F. The Relationship of Self-Care Behaviors and Health Literacy in Patients with Hypertension in Isfahan City, Iran, in 2015-2016. J Health Syst Res. 2017;13(3):381-7. [Persian]
[5]Bairami S, Fathi Y, Mohammadinasab S, Barati M, Mohammadi Y. Relationship between Self-care Behaviors and Quality of Life among Hypertensive Patients Visiting Comprehensive Health Centers in Hamadan, Iran. J Educ Community Health. 2017;4(1):20-7. [Persian]
[6]Moeini B, Haji Maghsodi S, Kangavari M, Afshari M, Zavar Chahar Tagh J. Factors associated with health literacy and self-care behaviors among Iranian diabetic patients: A cross-sectional study. J Commun in Healthcare. 2016;9(4):279-87.
[7]Warren-Findlow J, Hutchison J, Patel P, Dulin M, Tapp H, Kuhn L. Assessing health literacy of hypertensive patients in a primary care setting using a self-administered questionnaire. J Health Care Poor Underserved. 2014;25(4):1833-43.
[8]Aboumatar HJ, Carson KA, Beach MC, Roter DL, Cooper LA. The impact of health literacy on desire for participation in healthcare, medical visit communication, and patient reported outcomes among patients with hypertension. J Gen Intern Med. 2013;28(11):1469-76.
[9]Kim MT, Song HJ, Han HR, Song Y, Nam S, Nguyen TH, et al. Development and validation of the high blood pressure-focused health literacy scale. Patient Educ Couns. 2012;87(2):165-70.
[10]Barati M, Darabi D, Moghimbeigi A, Afsar A. Self-regulation behaviors of hypertension and related factors among hypertensive patients. J Fasa Univ Med Sci. 2011;1(3):116-22. [Persian]
[11]Montazeri A, Tavousi 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]
[12]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.
[13]Khosravi A, Ahmadzadeh K. Investigating health literacy Level of patients referred to Bushehr hospitals and recognizing its effective factors. Iran South Med J. 2016;18(6):1245-53. [Persian]
[14]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]
[15]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]
[16]Ishikawa H, Murasawa A, Nakazono K, Abe A, Otani H, Netsu T, et al. The patient-based outcome of upper-extremity surgeries using the DASH questionnaire and the effect of disease activity of the patients with rheumatoid arthritis. Clin Rheumatol. 2008;27(8):967-73.
[17]Mohammadpour M, Zarifinezhad E, Armand R. A study of correlation between applied health literacy and self-care behaviors in hypertensive patients of Gachsaran city, 2016 (Iran). Qom Univ Med Sci J. 2018;12(10):55-65. [Persian]
[18]Kripalani S, Henderson LE, Chiu EY, Robertson R, Kolm P, Jacobson TA. Predictors of medication self-management skill in a low-literacy population. J Gen Intern Med. 2006;21(8):852-6.
[19]Saatchi M, Panahi M, Ashraf Mozaffari A, Sahebkar M, Azarpakan A, Baigi V, et al. Health literacy and its associated factors: a population-based study, Hormuz Island. Iran J Epidemiol. 2017;13(2):136-44. [Persian]
[20]Peerson A, Saunders M. Health literacy revisited: what do we mean and why does it matter? Health Promot Int. 2009;24(3):285-96.
[21]Afshari M, Teymouri GH, Afshari M, Kouhnavard B, Esmaeilpour H, Kangavari M. Workers' health literacy in Khodro's piece making factory: a cross-sectional study. Iran Occup Health. 2017;14(2):147- 55. [Persian]
[22]Farghadani Z, Taheri-Kharameh Z, Amiri-Mehra A, Ghajari H, Barati M. The relationship between health literacy and self-care behaviors among patients with heart failure . Hayat. 2018;24(2):186-96. [Persian]
[23]Tehrani Banihashemi SA, Amirkhani MA, Haghdoost AA, Alavian SM, Asgharifard H, Baradaran H, et al. Health literacy and the affecting factors: a study in five provinces of Iran. Strid Dev Med Educ. 2007;4(1):1-9. [Persian]
[24]Fallah Taherpazir E, Zeighami Mohammadi S, Fahid S. Perception of patients with cardiovascular disease about barriers and benefits of health promotion behaviors. Cardiovasc Nurs J. 2012;1(2):16-23. [Persian]
[25]Javadzade SH, Sharifirad GH, Reisi M, Tavassoli E, Rajati F. Health literacy among adults of Isfahan, Iran. J Health Syst Res. 2013;9(5):540-9. [Persian]
[26]Rezaei Esfahrood Z, Haerian Ardekani A, Rahmanian M, Ghaffari Targhi M. A Survey On Health Literacy Of Referred Diabetic Patients to Yazd diabetes research center. J Toloo-e Behdasht. 2016;15(3):176-86. [Persian]
[27]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.
[28]Lee SY, Tsai TI, Tsai YW, KN K. Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC Public Health. 2010;10(1):614.