Volume 3, Issue 4 (Winter 2017)                   JECH 2017, 3(4): 38-44 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Panahi R, Ramezankhani A, Tavousi M, Koosehloo A, Niknami S. Relationship of Health Literacy with Knowledge and Attitude toward the Harms of Cigarette Smoking among University Students. JECH. 2017; 3 (4) :38-44
URL: http://jech.umsha.ac.ir/article-1-243-en.html
1- MSc, Department of Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2- Professor, Department of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3- Associate Professor, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran.
4- MSc, Department of Biostatistic, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
5- Associate Professor, Department of Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran. , niknami6@yahoo.com
Abstract:   (2275 Views)

Background and Objectives: Health literacy is associated with smoking status. Given the growing prevalence of smoking and the role model of the medical students in Iran, this study aimed to determine the relationship of health literacy with knowledge and attitudes about the harms of cigarette smoking.
Materials and Methods: This cross-sectional and correlational study was conducted on 340 dormitory students of Shahid Beheshti University of Medical Sciences, Tehran, Iran, in 2016. The study population was selected through single-stage cluster sampling method. The data were collected using the Heath Literacy for Iranian Adults (HELIA) questionnaire for urban population aged between 18-65 years and a researcher-made questionnaire measuring the knowledge and attitudes about the harms of smoking. Data analysis was performed through SPSS version 16, using descriptive statistics, Chi-square test, and Pearson correlation coefficient.
Results: According to the results, the mean scores of health literacy, knowledge, and attitude were 70.52±14.12, 16.65±1.62, and 53.03±10.33, respectively (out of 100). There was a significant direct relationship between the knowledge and attitudes about smoking hazards (P<0.001). Similarly, health literacy was directly correlated with knowledge and attitudes about smoking harms (P<0.001).
Conclusions: Regarding the relationship of health literacy with knowledge and attitudes about smoking hazards, future studies are recommended to investigate the effect of different levels of health literacy on smoking.

Full-Text [PDF 418 kb]   (467 Downloads)    
Type of Study: Research Article | Subject: Special
Received: 2017/01/8 | Accepted: 2017/03/6

References
1. 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. [DOI] [PubMed]
2. Keleher H, Hagger V. Health literacy in primary health care. Aust J Prim Health. 2007;13(2):24-30.
3. Wharf Higgins J, Begoray D, MacDonald M. A social ecological conceptual framework for understanding adolescent health literacy in the health education classroom. Am J Community Psychol. 2009;44(3-4):350-62. [DOI] [PubMed]
4. 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]
5. Baker DW. The meaning and the measure of health literacy. J Gen Intern Med. 2006;21(8):878-83. [DOI] [PubMed]
6. Smith SK, Dixon A, Trevena L, Nutbeam D, McCaffery KJ. Exploring patient involvement in healthcare decision making across different education and functional health literacy groups. Soc Sci Med. 2009;69(12):1805-12. [DOI] [PubMed]
7. 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 Educ Health Prom. 2012;7(4):31. [DOI]
8. Ghanbari S, Majlessi F, Ghaffari M, Mahmoodi Majdabadi M. Evaluation of health literacy of pregnant woman in urban health centers of Shahid Beheshti Medical University. Daneshvar. 2012;19(97):1-12. [Persian]
9. Ramezankhani A, Ghaffari M, Rakhshani F, Ghanbari S, Azimi S. Comparison of health literacy between medical and non-medical students in Shahid Beheshti Universities in the academic year 92-93. Pajoohandeh J. 2015;20(2):78-85. [Persian]
10. Tavousi M, Haeri MA , Rafiefar S, Solimanian A, Sarbandi F, Ardestani M, et al. Health literacy in Iran: findings from a national study. Payesh. 2016;15(1):95-102. [Persian]
11. Manganello JA. Health literacy and adolescents: a framework and agenda for future research. Health Educ Res. 2008;23(5):840-7. [DOI] [PubMed]
12. Rahnavard Z, Mohammadi M, Rajabi F, Zolfaghari M. An educational intervention using health belief model on smoking preventive behavior among female teenagers. Hayat. 2011;17(3):15-26. [Persian]
13. Virelli LJ. Permissible burden or constitutional violation--a first amendment analysis ofcongress' proposed removal of tax deductibility from tobacco advertisements. J Const L. 1999;2(2):529.
14. Siegel AJ, Sholar MB, Mendelson JH, Lukas SE, Kaufman MJ, Renshaw PF, et al. Cocaine-induced erythrocytosis and increase in von Willebrand factor: evidence for drugrelatedblood doping and prothrombotic effects. Arch Intern Med. 1999;159(16):1925-9. [PubMed]
15. Griesbach D, Amos A, Currie C. Adolescent smoking and familystructure in Europe. Soc Sci Med. 2003;56(1):41-52. [PubMed]
16. Fleming CB, Kim H, Harachi TW, Catalanno RF. Family process for children in early elementary school as predictor of smoking initiation. J Adolesc Health. 2002;30(3):184-9. [PubMed]
17. Kodjo CM, Klein JD. Prevention and risk factor of adolescent substance abuse. The role of adolescents, families, and communities. Pediatric Clin North Am. 2002;49(2):257-68. [PubMed]
18. Ghodsi H, Mokhtari Lake N, Asiri S, Kazem Nezhad Leili E. Prevalence and correlates of cigarette smoking among male students of Guilan University of Medical Sciences. J Holist Nurs Midwifery. 2012;22(67):38-43. [Persian]
19. RezaKhani Mogaddam H, Shojaezadah D, Sadeghi R, Pahlevanzadah B, Shakouri Moghaddam R. Survey of prevalence and causes of the trend of hookah smoking in Tehran university students of medical sciences 2010-2011. Tollo-e-Behdasht. 2012;11(4):103-13. [Persian]
20. Shojaa M, Juybari L, Ghorbani M, Sanakoo A, Shojaei H, Kiakajuri Z, et al. Prevalence and cause of smoking in students living in dormitories Golestan University of Medical Sciences. Pajoohandeh J. 2010;15(3):1-6. [Persian]
21. Divsalar K, Nakhaei N. Prevalence and correlates of cigarette smoking among students of two universities in Kerman, Iran. J Babol Univ Med Sci. 2008;10(4):78-83. [Persian]
22. Abedini S, Kamal ZH, Sadeghi FE, Shahraki VA. Cigarette smoking among students of Bandar Abbas medical sciences university, 2007. Med J Hormozgan Univ. 20078;11(4): 297-302. [Persian]
23. Shah VN, Verma PB, Tripathi CB. Knowledge, attitude and practice regarding tobacco consumption among the college students of Bhavnagar city (Gujarat).‎ Indian J Community Med. 2005;30(1):96-101.
24. Fayaz-Bakhsh A, Shokoohi M, Jarrahi L. Assessment of tobacco use knowledge, attitude and practice of “Tehran university of medical sciences” students. J Isfahan Univ Med Sch. 2010;27(103):823-31. [Persian]
25. Arnold CL, Davis TC, Berkel HJ, Jackson RH, Nandy I, London S. Smoking status, reading level, and knowledge of tobacco effects among low-income pregnant women. Prev Med. 2001;32(4):313–20. [DOI] [PubMed]
26. Arabzade S. A survey of health literacy level and its relationship with preventive behaviors of smoking in adolescents 15-18 years of prophylactic Bushehr Province. [Master Dissertation]. Science and Research Branch, Islamic Azad University, Bushehr, Iran; 2016.
27. Shieh C, Halstead JA. Understanding the impact of health literacy on women’s health. J Obstet Gynecol Neonatal Nurs. 2009;8(5):601-10. [DOI] [PubMed]
28. Haerian Ardakani A, Morowatisharifabad MA, Rezapour Y, Pourghayumi Ardakani A. Investigation of the relationship of oral health lteracy and oral hygiene self-efficacy with self-reported oral and dental health in students. Tollo-e-Behdasht. 2014;13(5):125-40. [Persian]
29. Montazeri A, Tavousi M, Rakhshani F, Azin S A, Jahangiri K, Ebadi M. Health literacy for Iranian adults (HELIA): development and psychometric properties. Payesh. 2014;13:589-99. [Persian]
30. Rakhshani F, Abdolatif E, Charkazi A, Haftsavar M, Shahnazi H, Jan EA. Effect of education on smoking prevention in students of Zahedan. Health Syst Res. 2010;6(2):267-75. [Persian]
31. Zhang Q, Cui G. Investigation and analysis of Xi’an college students’ health literacy. Jilin, China: Human Health and Biomedical Engineering (HHBE); 2011. P. 994-7.
32. Mahmoudi H, Taheri A. Relation between information literacy and health literacy of students in Ferdowsi university of Mashhad. Hum Inform Int. 2015;2(2):31-41. [Persian]
33. Mohmmadzade B, Hasanloo H, Zarei F, Khazaeipul M. Survey of knowledge, attitude and practice of students of Medical Sciences University about smoking. Seventh National Congress on health education and health promotion, Tehran, Iran; 2016.
34. Hessami Z, Ramezankhani A, Sharif Kashani B, Falahtafti S, Heydari GR. Evaluation of knowledge, attitude and prevalence of smoking among sportsmen of national teams of Iran, 2008. Hakim Res J. 2010;13(2):115-20. [Persian]
35. Namakin K, Sharifizade G, Miri M. Prevalence of cigarette smoking and evaluation of attitude and knowledge in its high school boys in Birjand, 2005. J Birjand Univ Med Sci. 2008;15(1):66-71. [Persian]
36. Heydari GR, Hosseini M, Yousefifard M, Masjedi M. Evaluation of knowledge, attitude and practice about smoking among male teachers in Tehran, Iran. Payesh. 2010;9(4):355-61. [Persian]
37. Bahrami F, Bahrami SH. Survey of knowledge, attitude and practice of university students of Kurdistan to smoking. The Second Congress of National Development and Promotion of Education and Psychology, Sociology and Social Sciences in Iran, Tehran, Iran; 2015.
38. Stewart DW, Adams CE, Cano MA, Correa-Fernández V, Li Y, Waters AJ, et al. Association between health literacy and established predictors of smoking cessation. Am J Public Health. 2013;103(7):e43-9. [DOI]
39. El-Amin Sel-T, Nwaru BI, Ginawi I, Pisani P, Hakama M. The role of parents, friends and teachers in adolescents' cigarette smoking and tombak dipping in Sudan. Tob Control. 2011;20(2):94-9. [DOI] [PubMed]

Add your comments about this article : Your username or Email:
Write the security code in the box

Send email to the article author


© 2015 All Rights Reserved | J Educ Community Health

Designed & Developed by : Yektaweb