Volume 2, Number 3 (Autumn 2015)                   JECH 2015, 2(3): 43-50 | Back to browse issues page



DOI: 10.20286/jech-02036

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Izadirad H, Zareban I. The Relationship of Health Literacy with Health status, Preventive Behaviors and Health services Utilization in Baluchistan, Iran. JECH. 2015; 2 (3) :43-50
URL: http://jech.umsha.ac.ir/article-1-122-en.html

1- MSc, Department of Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran. , izadi111389@gmail.com
2- Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Abstract:   (3392 Views)

Background and Objectives: Health Literacy has been defined as the cognitive and social skills that determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health. People with inadequate health literacy have poorer health status. Thus, the aim of this study was to determine the status of health literacy and its relationship with general health status, use of health services and preventive behaviors.

Materials and Methods: This descriptive-analytical study was conducted on 400 individuals aged 18to 65 years in Balochestan, Iran. Multi-stage cluster sampling was used. Data were collected using Health Literacy for Iranian Adults (HELIA) questionnaires. Data analyses were conducted using Kruskal-Wallis and Mann-Whitney, using SPSS (version 18).

Results: The mean age of the studied population was 9.29± 28.7years. Only %32 of adults were found to have adequate health literacy. Inadequate health literacy was more common in older people, ones with fewer years of schooling or lower household income, and females. The health literacy level was associated with outpatient visits, screening, and health status. Individuals with higher levels of health literacy had performed screening more than others.
conclusions: Due to the low health literacy level in the target population, educational interventions are needed to develop health literacy skills in the community.

Full-Text [PDF 174 kb]   (1846 Downloads)    
Type of Study: Research Article | Subject: Special
Received: 2015/10/4 | Accepted: 2015/12/15

References
1. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97-107. [DOI] [PubMed]
2. 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. [DOI] [PubMed]
3. World Health Organization. Division of Health Promotion, Education and Communications Health Education and Health Promotion Unit.Health Promotion Glossary. Geneva: World Health Organization; 1998.
4. Carollo S. Low health literacy in older women: the influence of patient-clinician relationships. Geriatr Nurs. 2015;36)2 Suppl):S38-42. [DOI] [PubMed]
5. Nutbeam D. Advancing health literacy: a global challenge for the 21st century. Health Promot Int. 2000;15(3):183-4. [DOI]
6. World Health Organization. Closing the gap in a generation: health equity through action on the social determinants of health: Commission on Social Determinants of Health finalreport. Geneva: World Health Organization; 2008.
7. 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; 31:1. [DOI] [PubMed]
8. 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. [DOI] [PubMed]
9. Williams MV, Parker RM, Baker DW, Parikh NS, Pitkin K, Coates WC, et al. Inadequate functional health literacy among patients at two public hospitals. JAMA. 1995;274(21):1677-82. [PubMed]
10. TehraniBanihashemi S, Amir Khani A, Haghdoust A, Alavian M, AsghariFard H, Baradaran H. [Health literacy in five province and relative effective factors]. Stud Develop Med Edu. 2007;4(1):1-9.
11. Reisi M, Javadzade SH, Heydarabadi AB, Mostafavi F, Tavassoli E, Sharifirad G. The relationship between functional health literacy and health promoting behaviors among older adults. J Educ Health Promot.2014; 119:3. [DOI] [PubMed]
12. 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. [DOI] [PubMed]
13. Davis TC, Wolf MS, Bass PF, 3rd, Middlebrooks M, Kennen E, Baker DW, et al. Low literacy impairs comprehension of prescription drug warning labels. J Gen Intern Med. 2006;21(8):847-51. [PubMed]
14. Lindau ST, Tomori C, Lyons T, Langseth L, Bennett CL, Garcia P. The association of health literacy with cervical cancer prevention knowledge and health behaviors in a multiethnic cohort of women. Am J Obstet Gynecol. 2002;186(5):938-43. [PubMed]
15. Lindau ST, Basu A, Leitsch SA. Health literacy as a predictor of follow-up after an abnormal Pap smear: a prospective study. J Gen Intern Med. 2006;21(8):829-34. [DOI] [PubMed]
16. Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health care use among Medicare enrollees in a managed care organization. Med Care. 2002;40(5):395-404. [PubMed]
17. Bennett CL, Ferreira MR, Davis TC, Kaplan J, Weinberger M, Kuzel T, et al. Relation between literacy, race, and stage of presentation among low-income patients with prostate cancer. J Clin Oncol.1998; 16(9): 3101-4. [PubMed]
18. Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, et al. Association of health literacy with diabetes outcomes. JAMA.2002; 288(4):475-82. [PubMed]
19. von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behaviour in a national sample of British adults. J Epidemiol Community Health. 2007;61(12):1086-90. [DOI] [PubMed]
20. Wolf MS, Gazmararian JA, Baker DW. Health literacy and functional health status among older adults. Arch Intern Med. 2005;165(17):1946-52. [DOI] [PubMed]
21. 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. [PubMed]
22. Weiss BD, Palmer R. Relationship between health care costs and very low literacy skills in a medically needy and indigent Medicaid population. J Am Board Fam Pract. 2004;17(1):44-7. [PubMed]
23. Kickbusch I, Maag D. Navigating Health: the Role of Health Literacy. Int Encyclop Public Health. 2008;3(1):204-11. [DOI]
24. 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(2):589-99.
25. Jafari A, Sadri J, Fathimoghadam GH. [The relationship between performance of family, religion and mental health and comparing them in Girl and boy students]. Counsel Res Develop. 2007;6)22):107-15.
26. Reza BA. [The Relationship Between Personality Types And General Health With Job Satisfaction Of Yazd Health Center Staffs]. Payavard Salamat. 2013;7(1):42-55.
27. Nekoei-Moghadam M, Parva S, Amiresmaili M, Baneshi M. [Health Literacy and Utilization of health Services in Kerman urban Area]. Tolue Behdasht Journal.2012;11(14):123-34.
28. Ghanbari S, Majlessi 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.
29. Reisi M, Javadzade SH, Mostafavi F, Sharifirad G, Radjati F, Hasanzade A .[Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran]. J Edu Health Promot. 2012;1(1):31.
30. Walker J, Pepa C, Gerard PS. Assessing the health literacy levels of patients using selected hospital services. Clin Nurse Spec. 2010;24(1):31-7. [DOI] [PubMed]
31. Arozullah AM, Lee SY, Khan T, Kurup S, Ryan J, Bonner M, et al. The roles of low literacy and social support in predicting the preventability of hospital admission. J Gen Intern Med. 2006;21(2):140-5. [PubMed]
32. Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, et al. Health literacy and use of outpatient physician services by Medicare managed care enrollees. J Gen Intern Med. 2004;19)3):215-20. [PubMed]
33. 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. DOI: 10.1186/1471-2458-10-614 [PubMed]
34. Hardie NA, Kyanko K, Busch S, Losasso AT, Levin RA. Health literacy and health care spending and utilization in a consumer-driven health plan. J Health Commun. 2011;16(3):308-21. [PubMed]
35. Jovic-Vranes A, Bjegovic-Mikanovic V, Marinkovic J. Functional health literacy among primary health-care patients: data from the Belgrade pilot study. J Public Health (Oxf). 2009;31(4):490-5. [DOI] [PubMed]
36. Tokuda Y, Doba N, Butler JP, Paasche-Orlow MK. Health literacy and physical and psychological wellbeing in Japanese adults. Patient Educ Couns. 2009;75(3):411-7. [DOI] [PubMed]
37. Andrus MR, Roth MT. Health literacy: a review. Pharmacotherapy.2002; 22(3):282-302. [PubMed]
38. Downey LV, Zun LS. Assessing adult health literacy in urban healthcare settings. J Natl Med Assoc. 2008;100(11):1304-8. [PubMed]
39. Headley AJ, Harrigan J. Using the Pregnancy Perception of Risk Questionnaire to assess health care literacy gaps in maternal perception of prenatal risk. J Natl Med Assoc. 2009;101(10):1041-5. [PubMed]

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