@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(1):29-36
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(1):29-36
Prediction of the Quality of Life of Menopausal Women Based on Health Literacy and Self-Efficacy
ARTICLE INFO
Article Type
Original ResearchAuthors
Jafari Giv S. (1)Peyman N. (*2)
Esmaeili H. (3)
Tajfard M. (2)
(*2) “Social Determinants of Health Research Center” and “Health Education & Health Promotion Department, Health Faculty”, Mashhad University of Medical Sciences, Mashhad, Iran
(1) “Social Determinants of Health Research Center” and “Student Research Committee”, Mashhad University of Medical Sciences, Mashhad, Iran
(2) “Social Determinants of Health Research Center” and “Health Education & Health Promotion Department, Health Faculty”, , Mashhad University of Medical Sciences, Mashhad, Iran
(3) “Social Determinants of Health Research Center” and “Epidemiology & Biostatistics Department, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
Correspondence
Address: Public Health Faculty, Mashhad University of Medical Sciences, Daneshgah Street, Mashhad, Khorasan Razavi, IranPhone: +98 (51) 31892201
Fax: +98 (51) 38713638
peymann@mums.ac.ir
Article History
Received: June 19, 2019Accepted: August 17, 2019
ePublished: March 18, 2020
ABSTRACT
Aims
Menopause is one of the most critical periods in women's lives that although it is a physiological event, but it is accompanied by complications that affect women's quality of life. The aim of this study was to determine the prediction of the quality of life of menopausal women based on health literacy and self-efficacy.
Materials & Methods This cross-sectional descriptive-analytical study was conducted on 400 postmenopausal women referred to comprehensive health centers in Mashhad in 2018 who were selected by random cluster sampling method. The research tool was a 4-part questionnaire including demographic characteristics, test of functional health literacy in adults (TOFLA), Sherer general self-efficacy and quality of life in menopause. Data were analyzed by SPSS 22 software using Kruskal-Wallis, Mann-Whitney, Spearman’s correlation, and linear regression model.
Findings There was a significant correlation between health literacy (r=-0.352) and self-efficacy (r=-0.338) with quality of life (p<0.001). Self-efficacy, health literacy, marriage age, type of delivery, vitamin D consumption, dairy consumption, and fruit were predictors of quality of life in menopausal women (p<0.05). Self-efficacy and health literacy predicted 18% and the other variables predicted 31% of variance in quality of life.
Conclusion Health literacy and self-efficacy are two factors affecting the quality of life of postmenopausal women.
Materials & Methods This cross-sectional descriptive-analytical study was conducted on 400 postmenopausal women referred to comprehensive health centers in Mashhad in 2018 who were selected by random cluster sampling method. The research tool was a 4-part questionnaire including demographic characteristics, test of functional health literacy in adults (TOFLA), Sherer general self-efficacy and quality of life in menopause. Data were analyzed by SPSS 22 software using Kruskal-Wallis, Mann-Whitney, Spearman’s correlation, and linear regression model.
Findings There was a significant correlation between health literacy (r=-0.352) and self-efficacy (r=-0.338) with quality of life (p<0.001). Self-efficacy, health literacy, marriage age, type of delivery, vitamin D consumption, dairy consumption, and fruit were predictors of quality of life in menopausal women (p<0.05). Self-efficacy and health literacy predicted 18% and the other variables predicted 31% of variance in quality of life.
Conclusion Health literacy and self-efficacy are two factors affecting the quality of life of postmenopausal women.
CITATION LINKS
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[19]Moshki M, Mirzania M, Kharazmi A. The relationship of health literacy to quality of life and demographic factors in pregnant women: a cross-sectional study. J Health Literacy. 2018;2(4):203-15. [Persian]
[20]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]
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[22]Bennett JS, Boyle PA, James BD, Bennett DA. Correlates of health and financial literacy in older adults without dementia. BMC Geriatr. 2012;12(1):30.
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[24] Dominick GM, Dunsiger SI, Pekmezi DW, Marcus BH. Health literacy predicts change in physical activity self-efficacy among sedentary Latinas. J Immigr Minor Health. 2013;15(3):533-9.
[25]Couture ÉM, Chouinard MC, Fortin M, Hudon C. The relationship between health literacy and quality of life among frequent users of health care services: a cross-sectional study. Health Qual Life Outcomes. 2017;15(1):137.
[26] Kersnik J, Scvab I, Vegnuti M. Frequent attenders in general practice: quality of life, patient satisfaction, use of medical services and GP characteristics. Scand J Prim Health Care. 2001;19(3):174-7.
[27] Shaabani J, Rahgoi A, Nourozi K, Rahgozar M, Shaabani M. The relationship between self-efficacy and quality of life among elderly people. Iran J Ageing. 2017;11(4):518-27. [Persian]
[28] Lee H, Cho SH, Kim JH, Kim YK, Choo HI. Influence of self-efficacy, social support and sense of community on health-related quality of life for middle-aged and elderly residents living in a rural community. J Korean Acad Nurs. 2014;44(6):608-16. [Korean]
[29] Lee SJ, Lawrence R, Bryce S, Ponsford J, Tan EJ, Rossell SL. Emotional discomfort mediates the relationship between self-efficacy and subjective quality of life in people with schizophrenia. J Ment Health. 2019:1-7.
[30] Akin S, Kas Guner C. Investigation of the relationship among fatigue, self‐efficacy and quality of life during chemotherapy in patients with breast, lung or gastrointestinal cancer. Eur J Cancer Care. 2019;28(1):e12898.
[31] Amelia R, Ariga RA, Sari MI, Savira M. Self-efficacy in type 2 diabetes mellitus patients and the relationship with the quality of life in Medan city. J Phys Conf Ser. 2018;1116(5):1-6.
[32]Jafari F, Farahbakhsh K, Shafiabadi A, Delavar A. Quality of life and menopause: developing a theoretical model based on meaning in life, self-efficacy beliefs, and body image. Aging Ment Health. 2011;15(5):630-7.
[33] von Wagner C, Semmler C, Good A, Wardle J. Health literacy and self-efficacy for participating in colorectal cancer screening: the role of information processing. Patient Educ Couns. 2009;75(3):352-7.
[34]Fong HF, Rothman EF, Garner A, Ghazarian SR, Morley DS, Singerman A, et al. Association between health literacy and parental self-efficacy among parents of newborn children. J Pediatr. 2018;202:265-71. e3.
[35]Guntzviller LM, King AJ, Jensen JD, Davis LA. Self-efficacy, health literacy, and nutrition and exercise behaviors in a low-income, Hispanic population. J Immigr Minor Health. 2017;19(2):489-93.
[36] Behnam Moghadam M, Behnam Moghadam A, Yarian S, Hosseini SM, Mohammad Hosseini S. Predicting the quality of life based on public health, social support and self-efficacy in cardiovascular patients. Armaghane Danesh. 2014;19(7):633-42. [Persian]
[37]Mohebi S, Azadbakht L, Feizi A, Sharifirad G, Kargar M. Structural role of perceived benefits and barriers to self-care in patients with diabetes. J Educ Health Promot. 2013;2;37.
[38]Ravati S, Farid M. The health literacy of adults in Alborz province in Iran. J Community Health Res. 2018;7(4):222-30. [Persian]
[39]Aghamolaei T, Hosseini Z, Hosseini F, Ghanbarnejad A. The relationship between health literacy and health promoting behaviors in students. J Prev Med. 2016;3(2):36-43. [Persian]
[40] Samnieng P, Ueno M, Shinada K, Zaitsu T, Wright FAC, Kawaguchi Y. Oral health status and chewing ability is related to mini-nutritional assessment results in an older adult population in Thailand. J Nutr Gerontol Geriatr. 2011;30(3):291-304.
[41]Banerjee R, Chahande J, Banerjee S, Radke U. Evaluation of relationship between nutritional status and oral health related quality of life in complete denture wearers. Indian J Dent Res. 2018;29(5):562-7.
[42]Monshipour SM, Mokhtari Lakeh N, Rafat F, Kazemnejad Leili E. Related factors to menopausal women’s quality of life in Rasht. J Holist Nurs Midwifery. 2016;25(79):80-8. [Persian]
[43]Sadat Z, Saberi F, Taebi M, Abedzadeh M. Relationship between women’s quality of life and type of delivery. J Gorgan Univ Med Sci. 2011;13(1):101-8. [Persian]
[44]Taheri-Kalani F, Mami S, Direkvand-Moghadam A, Kaikhavani S, Delpisheh A. Comparison of the effect of delivery type on the quality of life in women attending to health centers of Ilam and Aivan during 2013. J Shahrekord Univ Med Sci. 2014;16(2):90-6. [Persian]
[45]Moradinia M, Majlesi F, Garmaroodi GR, Hasanzadeh A. Quality of life and related factors in post-menopausal women in Isfahan in 2010. In: Proceedings of the First Regional Student Conference on Innovation in Nursing and Midwifery; 2012 May 23-24; Islamic Azad University of Isfahan Branch, Isfahan, Iran. Civilica: 2012. [Persian]
[2]Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, et al. Executive summary of the stages of reproductive aging workshop+ 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab. 2012;97(4):1159-68.
[3] Hilditch JR, Lewis J, Peter A, van Maris B, Ross A, Franssen E, et al. A menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas. 1996;24(3):161-75.
[4] Poomalar G, Arounassalame B. The quality of life during and after menopause among rural women. J Clin Diagn Res. 2013;7(1):135-9.
[5]Habibi A, Nikpour S, Seiedoshohadaei M, Haghani H. Quality of life and status of physical functioning among elderly people in west region of Tehran: a cross-sectional survey. Iran J Nurs. 2008;21(53):29-39. [Persian]
[6] Robinson‐Smith G, Pizzi ER. Maximizing stroke recovery using patient self‐care self‐efficacy. Rehabil Nurs. 2003;28(2):48-51.
[7] Vafadar Z, Reazei R, Navidian A. Effectiveness of motivational interviewing on the weight self-efficacy life style in overweight and obese teenager boys. Int J Behav Sci. 2014;8(2):185-93. [Persian]
[8]Tsay SL. Self‐efficacy training for patients with end‐stage renal disease. J Adv Nurs. 2003;43(4):370-5.
[9] Nielsen-Bohlman L, Panzer AM, Kindig DA, editors. Health literacy: a prescription to end confusion. Washington D.C: The National Academies Press; 2004.
[10]Karimi S, Keyvanara M, Hosseini M, Jafarian M, Khorasani E. Health literacy, health status, health services utilization and their relationships in adults in Isfahan. Health Inf Manage. 2014;10(6):862-75.
[11]Khodabakhshi Koolaei A, Bahari M, Falsafinejad MR, Shahdadi H. The relationship of quality of life with health literacy in male patients with type II diabetes: a cross-sectional study in Harsin city, 2015. J Diabetes Nurs. 2016;4(4):10-20. [Persian]
[12]Kilfoyle KA, Vitko M, O'Conor R, Bailey SC. Health literacy and Women's reproductive health: a systematic review. J Womens Health. 2016;25(12):1237-55.
[13] Barsell DJ, Everhart RS, Miadich SA, Trujillo MA. Examining health behaviors, health literacy, and self-efficacy in college students with chronic conditions. Am J Health Educ. 2018;49(5):305-11.
[14]Mohammadi Zeidi E, Pakpour A, Mohammadi Zeidi B. The impact of educational interventions based on individual empowerment model on knowledge, attitude, self-efficacy, self-esteem and quality of life of postmenopausal women. Iran J Nurs. 2013;26(81):21-31. [Persian]
[15]Tehrani Banihashemi SA, Amirkhani MA, Haghdoost AA, Alavian SM, Asgharifard H, Baradaran H, et al. Health literacy and the influencing factors: a study in five provinces of Iran. Strides Dev Med Educ. 2007;4(1):1-9. [Persian]
[16]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 Med. 2012;19(6):1-12. [Persian]
[17]Barati Bakhtiari S. A simple and multiple relationship between self-efficacy, self-esteem, and self-efficacy with academic performance in third grade male high school students [Dissertation]. Ahvaz: Shahid Chamran University of Ahvaz; 1995. [Persian]
[18]Rostami A. The effect of education on quality of life of menopausal women [Dissertation]. Tehran: Tarbiat Modares University; 2001. [Persian]
[19]Moshki M, Mirzania M, Kharazmi A. The relationship of health literacy to quality of life and demographic factors in pregnant women: a cross-sectional study. J Health Literacy. 2018;2(4):203-15. [Persian]
[20]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]
[21] Wang C, Kane RL, Xu D, Meng Q. Health literacy as a moderator of health-related quality of life responses to chronic disease among Chinese rural women. BMC Womens Health. 2015;15(1):34.
[22]Bennett JS, Boyle PA, James BD, Bennett DA. Correlates of health and financial literacy in older adults without dementia. BMC Geriatr. 2012;12(1):30.
[23]Saha S. Improving literacy as a means to reducing health disparities. J Gen Intern Med. 2006;21(8):893-5.
[24] Dominick GM, Dunsiger SI, Pekmezi DW, Marcus BH. Health literacy predicts change in physical activity self-efficacy among sedentary Latinas. J Immigr Minor Health. 2013;15(3):533-9.
[25]Couture ÉM, Chouinard MC, Fortin M, Hudon C. The relationship between health literacy and quality of life among frequent users of health care services: a cross-sectional study. Health Qual Life Outcomes. 2017;15(1):137.
[26] Kersnik J, Scvab I, Vegnuti M. Frequent attenders in general practice: quality of life, patient satisfaction, use of medical services and GP characteristics. Scand J Prim Health Care. 2001;19(3):174-7.
[27] Shaabani J, Rahgoi A, Nourozi K, Rahgozar M, Shaabani M. The relationship between self-efficacy and quality of life among elderly people. Iran J Ageing. 2017;11(4):518-27. [Persian]
[28] Lee H, Cho SH, Kim JH, Kim YK, Choo HI. Influence of self-efficacy, social support and sense of community on health-related quality of life for middle-aged and elderly residents living in a rural community. J Korean Acad Nurs. 2014;44(6):608-16. [Korean]
[29] Lee SJ, Lawrence R, Bryce S, Ponsford J, Tan EJ, Rossell SL. Emotional discomfort mediates the relationship between self-efficacy and subjective quality of life in people with schizophrenia. J Ment Health. 2019:1-7.
[30] Akin S, Kas Guner C. Investigation of the relationship among fatigue, self‐efficacy and quality of life during chemotherapy in patients with breast, lung or gastrointestinal cancer. Eur J Cancer Care. 2019;28(1):e12898.
[31] Amelia R, Ariga RA, Sari MI, Savira M. Self-efficacy in type 2 diabetes mellitus patients and the relationship with the quality of life in Medan city. J Phys Conf Ser. 2018;1116(5):1-6.
[32]Jafari F, Farahbakhsh K, Shafiabadi A, Delavar A. Quality of life and menopause: developing a theoretical model based on meaning in life, self-efficacy beliefs, and body image. Aging Ment Health. 2011;15(5):630-7.
[33] von Wagner C, Semmler C, Good A, Wardle J. Health literacy and self-efficacy for participating in colorectal cancer screening: the role of information processing. Patient Educ Couns. 2009;75(3):352-7.
[34]Fong HF, Rothman EF, Garner A, Ghazarian SR, Morley DS, Singerman A, et al. Association between health literacy and parental self-efficacy among parents of newborn children. J Pediatr. 2018;202:265-71. e3.
[35]Guntzviller LM, King AJ, Jensen JD, Davis LA. Self-efficacy, health literacy, and nutrition and exercise behaviors in a low-income, Hispanic population. J Immigr Minor Health. 2017;19(2):489-93.
[36] Behnam Moghadam M, Behnam Moghadam A, Yarian S, Hosseini SM, Mohammad Hosseini S. Predicting the quality of life based on public health, social support and self-efficacy in cardiovascular patients. Armaghane Danesh. 2014;19(7):633-42. [Persian]
[37]Mohebi S, Azadbakht L, Feizi A, Sharifirad G, Kargar M. Structural role of perceived benefits and barriers to self-care in patients with diabetes. J Educ Health Promot. 2013;2;37.
[38]Ravati S, Farid M. The health literacy of adults in Alborz province in Iran. J Community Health Res. 2018;7(4):222-30. [Persian]
[39]Aghamolaei T, Hosseini Z, Hosseini F, Ghanbarnejad A. The relationship between health literacy and health promoting behaviors in students. J Prev Med. 2016;3(2):36-43. [Persian]
[40] Samnieng P, Ueno M, Shinada K, Zaitsu T, Wright FAC, Kawaguchi Y. Oral health status and chewing ability is related to mini-nutritional assessment results in an older adult population in Thailand. J Nutr Gerontol Geriatr. 2011;30(3):291-304.
[41]Banerjee R, Chahande J, Banerjee S, Radke U. Evaluation of relationship between nutritional status and oral health related quality of life in complete denture wearers. Indian J Dent Res. 2018;29(5):562-7.
[42]Monshipour SM, Mokhtari Lakeh N, Rafat F, Kazemnejad Leili E. Related factors to menopausal women’s quality of life in Rasht. J Holist Nurs Midwifery. 2016;25(79):80-8. [Persian]
[43]Sadat Z, Saberi F, Taebi M, Abedzadeh M. Relationship between women’s quality of life and type of delivery. J Gorgan Univ Med Sci. 2011;13(1):101-8. [Persian]
[44]Taheri-Kalani F, Mami S, Direkvand-Moghadam A, Kaikhavani S, Delpisheh A. Comparison of the effect of delivery type on the quality of life in women attending to health centers of Ilam and Aivan during 2013. J Shahrekord Univ Med Sci. 2014;16(2):90-6. [Persian]
[45]Moradinia M, Majlesi F, Garmaroodi GR, Hasanzadeh A. Quality of life and related factors in post-menopausal women in Isfahan in 2010. In: Proceedings of the First Regional Student Conference on Innovation in Nursing and Midwifery; 2012 May 23-24; Islamic Azad University of Isfahan Branch, Isfahan, Iran. Civilica: 2012. [Persian]