Mashhad University of Medical Sciences.
Iranian Association of Health Education and Health PromotionJournal of Health Literacy-3420190220Relationship between health literacy and nutrition among middle-aged womenبررسی رابطه سواد سلامت با تغذیه زنان میانسال9151244110.22038/jhl.2019.36772.1019ENToktam Ahmadzadeh SaniDepartment of Health Education and Health Promotion. School of Public Health. Mashhad University of Medical Sciences . Iran00000000000000000000Mohammad Vahedian-ShahroodiAssociate Professor,Social Determinants of Health Research Center, Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Science, Mashhad, Iran0000-0001-6302-3021Hadi TehraniManagement &amp; Social Determinants of Health Research Center, Dept. of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences , Mashhad, Iran0000-0001-8747-8717Habiballah EsmailyHealth Sciences Research Center, Department of Biostatistics and Epidemiology, School of Public Health, Mashhad University of Medical SciencesJournal Article20181209<strong>Background and Objective</strong>: Health literacy refers to the individual's capacity to gain, interpret, understanding basic information and health services for the proper decision-making process. Nutrition behaviors are also health related issues, which are multi-factorial including important health implications. The aim of this study is to determine the relationship between health literacy and nutrition among middle-aged women.
<strong>Materials and Methods</strong>: This descriptive-analytical study was performed on 600 middle-aged women referring to comprehensive health centers in Dargaz in 2017. The available sampling method and a multi-faceted researcher-made questionnaire were used. Finally, after collecting the questionnaires, the data were analyzed and reported using SPSS-23 software, descriptive and analytical tests and linear regression tests.
<strong>Results</strong>: The mean and standard deviation of health literacy score was 67.46 ± 16.07. In this study, 16.7%, 27.8% and 55.5% of the subjects had inadequate, border line and adequate health literacy, respectively. According to one-way ANOVA test, there was a significant relationship between health literacy and educational level. The results showed that there was a positive and significant relationship between health literacy and nutrition behaviors.
<strong>Conclusion</strong>: Based on the findings of the study, increasing the level of health literacy can enhance the nutritional behaviors of people.
<strong>Paper Type</strong>: Research ArticleMashhad University of Medical Sciences.
Iranian Association of Health Education and Health PromotionJournal of Health Literacy-3420190220Predicting factors influencing prenatal care based on Health Literacy in Balochistan primigravida Womenپیش بینی کننده های مراقبتهای دوران بارداری بر اساس سواد سلامت در زنان باردار شکم اول در بلوچستان در سال 139516241244210.22038/jhl.2019.36964.1023ENHossien IzadiradZahedan University of Medical Sciences0000-0002-9067-8661Mahdi Ali AhmadiZahedan University of Medical Sciences0000-0002-8661-1501Shamsoddin NiknamiPh.D. Dept. of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran0000-0003-1344-5300Journal Article20181218<strong>Background and Objective</strong>: Maternal health literacy is a key and important factor in ensuring prenatal care, prenatal health, and the successful outcomes of this period. The aim of this study was to determine the predicting factors of prenatal care based on health and demographic factors in Balochistan pregnant women.
<strong>Materials and Methods</strong>: This analytical cross-sectional study was performed on 430 primigravida womenreferring to Balochistan urban health centers in Iran, who were selected by multi-stage cluster sampling, between June and September of 2017. The data collection tool was Health Literacy for Iranian Adults (HELIA) questionnaire, and a researcher-made questionnaire for measuring prenatal care. Data analysis was performed using descriptive statistics and binomial logistic regression analysis.
<strong>Results</strong>: The mean (standard deviation) of prenatal care behaviors and health literacy were 13.11 (2.18) of 22 and 65.97 (17.49) of 100, respectively. In this study, 17.3% (75 people) of pregnant women had low health literacy, 30.6% (132 people) had inadequate health literacy, 35.5% (153 persons) had adequate health literacy and 16.27% (70 people) had high health literacy. Among variables, only health literacy was predicting of prenatal care behaviors (P = 0.004, OR = 027/1), indicating that with 1 unit increase in this variable, prenatal care behaviors were 1.027 times higher.
<strong>Conclusion</strong>: Regarding the predictability of health literacy on prenatal care behaviors, it is essential to develop education program using health literacy strategies for improving prenatal care.
<strong>Paper Type</strong>: Research ArticleMashhad University of Medical Sciences.
Iranian Association of Health Education and Health PromotionJournal of Health Literacy-3420190220The Effectiveness of Group Psychotherapy Based on Acceptance and Commitment on Emotional Expressiveness and Self – Care behaviors in Patients with Type 2 Diabetesاثربخشی رواندرمانی گروهی مبتنی بر پذیرش و تعهد بر ابرازگری هیجانی و رفتارهای خود مراقبتی بیماران مبتلا به دیابت نوع دو25351244310.22038/jhl.2019.37203.1024ENSoroush ShahbeikPh.D. student, Department of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran0000-0002-9688-4001Fatemeh TaghavijurabchiMA, Department of Psychology, Tehran University of Science and Research Branch, Islamic Azad University, Tehran, IranNikoo RohaniMA, Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran0000000245494246Marjan MohamadiMA, consulting and guidance, Department of consulting and guidance, Rooden Branch, Islamic Azad University, Rodehen, IranOmid AmaniPh.D. student of clinical psychology, Department of clinical and Healt Psycology, Shahid Beheshti University, Tehran, Iran00000000254075214Journal Article20181227<strong>Background and Objective: </strong>In line withincreasing urbanization and lifestyle changes, diabetes has become a common disease, which puts many problems on the lives of infected people. The aim of this study was to evaluate the effectiveness of group psychotherapy based on acceptance and commitment on emotional expressiveness and self-care behaviors in patients with type 2 diabetes.
<strong>Materials and Methods</strong>: This quasi-experimental study was a post-test pre-test with control group. The statistical population of the study consisted of 36 women with type 2 diabetes referring to health centers under the Diabetes Association of Tehran in 2017-2018. The eligible participants were divided into experimental (18 people) and control (18 people) groups. The experimental group received 8 sessions of intervention using group psychotherapybased on acceptance and commitment, and the control group was placed on the waiting list. Data were collected in pre-test and post-test stages using emotional expressivenessquestionnaire (Emmons & king) and Tober & Glasgow self-care behaviors questionnaire, and analyzed by MANCOVA analysis with SPSS v.23 software.
<strong>Results</strong>: Data analysis showed that there was a significant difference between the mean of emotional expressiveness and self-care of the experimental and control groups in the post-test stage. In other words, group psychotherapy based on acceptance and commitment significantly increased emotional expressiveness and self-care behaviors in patients with type 2 diabetes (P<0/001).
<strong>Conclusion</strong>: Considering the effect of group psychotherapy based on the acceptance and commitment on emotional expressiveness and self – care behaviors, it is recommended that psychiatrists, clinical psychologists and mental health professionals use this method to increase on emotional expressiveness and self – care behaviors in patients with type 2 diabetes.
<strong>Paper Type</strong>: Research ArticleMashhad University of Medical Sciences.
Iranian Association of Health Education and Health PromotionJournal of Health Literacy-3420190220Investigating Health literacy, knowledge and self-efficacy in patients with type 2 diabetes referring to health centers in shahrekordبررسی سواد سلامت، آگاهی و خودکارآمدی بیماران دیابتی مراجعه کننده به مراکز بهداشتی درمانی شهرکرد36451244410.22038/jhl.2019.38005.1031ENMasoumeh Alidosti1. Department of Public Health, Behbahan Faculty of Medical Sciences, Behbahan, Iran0000000166821782Elahe Tavassolidepartment of public health, school of health, Shahrekord University of Medical Sciences, Shahrekord, Iran0000000208392040Journal Article20190127<strong>Background and Objective</strong>: Type 2 diabetes is one of the most important public health problems. Health literacy, self-efficacy and knowledge are important factors influencing self-care behaviors in diabetic patients. The aim of this study was to determine the health literacy, knowledge and self-efficacy of diabetic patients referring to health centers in Shahrekord.
<strong>Materials and Methods</strong>: This cross-sectional descriptive study was performed on 138 diabetic patients referring to Shahrekord health centers in 2017. Patients were selected via convenience random sampling from five health centers and entered the study. The data were collected using demographic variables, health literacy questionnaire (TOHFLA), knowledge and self-efficacy. In this study, SPSS 18 and descriptive and inferential statistical tests (linear regression analysis and Pearson and analysis of variance) was used to analyze data.
<strong>Results</strong>: The results showed that 52.9% of the patients had inadequate health literacy. The mean score of health literacy in diabetic patients was 45.23 ± 21.43, the mean score of knowledge was 66.39±23.37 and the mean score of self-efficacy was obtained 31.09±34.21. There were significant relationships between health literacy, self-efficacy and knowledge (P = 0.001); the results of multiple regression analysis indicated that knowledge is the main predictors of health literacy.
<strong>Conclusion</strong>: Regarding the low level of health literacy and self-efficacy of diabetic patients, it is necessary to implement interventions using health education models to enhance their health literacy and self-efficacy for improving quality of their lives
<strong>Paper Type</strong>: Research ArticleMashhad University of Medical Sciences.
Iranian Association of Health Education and Health PromotionJournal of Health Literacy-3420190220Health Literacy Level and its Related Demographic Factors among Employees of Iranian Academic Center for Education, Culture & Research (ACECR) - Khuzestan Branchبررسی وضعیت سواد سلامت و عوامل مرتبط با آن در کارکنان سازمان جهاد دانشگاهی خوزستان 46541246710.22038/jhl.2019.37326.1028ENZahra BajiHealth Education Research Department, ACECR, Khuzestan , Ahvaz, Iran ‎0000-0002-9786-6462Masoumeh Tehrani ‎Health Education Research Department, ACECR, Khuzestan , Ahvaz, Iran ‎0000-0002-9786-6462Ghodratollah ShakerinejadHealth Education Research Department, ACECR, Khuzestan , Ahvaz, Iran ‎0000-0002-9786-6462Farzaneh JarvandiHealth Education Research Department, ACECR, Khuzestan , Ahvaz, Iran ‎0000-0002-9786-6462Saeedeh HajinajafHealth Education Research Department, ACECR, Khuzestan , Ahvaz, Iran ‎0000-0002-9786-6462Journal Article20190106<strong>Background and </strong><strong>Objective</strong>: Health literacy of individuals have the capacity to obtain, process, and understand basic health information and services needed to make proper health decisions. Considering the importance of health literacy in all strata of society, this study aimed to assess the level of health literacy in employees of Khuzestan-ACECR.
<strong>Materials and Methods</strong>: This analytical cross-sectional study was performed on 209 employees of Khuzestan-ACECR. Samples were selected and examined randomly. Data collection questionnaire consisted of demographic information and Iranian Health Literacy Questionnaire (HELIA). The collected Data were analyzed using descriptive and inferential statistics including independent t-test and one-way ANOVA in SPSS version 23 software.
<strong>Results</strong>: The health literacy score of the research units was 73.13 ± 12.29.The results showed <strong></strong>that 2.4%(5 individuals) of participants had low health literacy, 27.3% (57 individuals) had inadequate health literacy, <strong></strong>48.8% (102 individuals) had adequate health literacy, and 21.5% (45 individuals) had high health literacy. The mean of access to <strong></strong>health information and reading in women was better than men, and the mean difference <strong></strong>between the two groups was statistically significant (P <0.05). Among the different <strong></strong>dimensions of health literacy, only mean score of decision making and understanding health information showed a significant relationship with age (P = 0.008), type of insurance status (P = 0.006) and employees work experience (P = 0.005).
<strong> </strong>
<strong>Conclusion</strong>: Overall, the findings of this study indicated that most participants <strong></strong>had adequate health literacy. Therefore, appropriate educational planning based on the <strong></strong>above mentioned variables seems necessary to maintain and improve the health <strong></strong>literacy level of employees.<strong></strong>
<strong>Paper Type</strong>: Research ArticleMashhad University of Medical Sciences.
Iranian Association of Health Education and Health PromotionJournal of Health Literacy-3420190220Relationship between Health Literacy and the Socioeconomic Status among primiparous pregnant women referring to comprehensive health services centers in Bushehrارتباط سواد سلامت با وضعیت اقتصادی اجتماعی زنان نخست باردار مراجعه کننده به مراکز خدمات جامع سلامت شهر بوشهر55651244510.22038/jhl.2019.38513.1036ENZeynab MohamadiDepartment of Health Education and Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran.Homamodin JavadzadeDepartment of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran.000-0001-6083-4806Maryam MarzbanDepartment of Statistics and Epidemiology, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, IranJamile KianiClinical Research Development Center, “The Gulf Martyrs" Hospital, Bushehr University of Medical Sciences, Bushehr, IranMahnoush ReisiDepartment of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran.0000-0001-9677-6396Journal Article20190217<strong>Background and Objective:</strong> Health literacy is an important element in the ability of a woman to engage in activities that promote their health, family, or children's health. The health literacy of pregnant mothers can affect the pregnancy health and also the health of the baby by improving the quality of prenatal care. Understanding the most important factors affecting the health literacy of pregnant women is very important. Therefore, the present study aimed to determine the relationship between health literacy level and socioeconomic status among primigravida womenin Bushehr, Iran.
<strong>Materials and Methods</strong>: In this descriptive cross-sectional study, 100 primigravida women referring to the comprehensive health centers of Bushehr were randomly selected. Health literacy standard questionnaires (FCCHL) and socioeconomic status questionnaire (SES) were used to collect data. Data were analyzed by SPSS v.22 software.
<strong>Results</strong>: The mean age of participants was 26.96 ± 4.84. The highest score of health literacy was in the functional and the lowest score was in the critical domain. Employed pregnant women had better communicational (p=0.002, z= -3.12) and critical health literacy (p=0.006, z=-2.938). There was a direct and significant relationship between socioeconomic status and critical health literacy; participants with higher levels of socioeconomic status had a higher level of critical health literacy (p = 0.04, r = 0.206).
<strong>Conclusion</strong>: It is necessary to pay attention to women with low socioeconomic status in order to improve their health literacy level and provide health services and appropriate education.
<strong>Paper Type</strong>: Research ArticleMashhad University of Medical Sciences.
Iranian Association of Health Education and Health PromotionJournal of Health Literacy-3420190220Oral health literacy and health behavior of primary school teachers in Babolبررسی سواد سلامت و رفتارهای مرتبط با سلامت دهان معلمان مدارس ابتدایی شهر بابل66741244610.22038/jhl.2019.38472.1035ENReza Mirzapour ErmakiDental Student, Student Research Committee, Babol University of Medical Sciences, Babol, IR IranMaysam MirzaieAssistant Professor, Dental Materials Research Center, Health Research Institute, Department of Orthodontics, Babol University of Medical Sciences, Babol, IR Iran.Mohammad Mehdi Naghibi SistaniOral Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IR Iran0000-0002-4698-5517Journal Article20190216<strong>Background and objectives</strong><strong>:</strong> The school is a good place to teach the basics of life skills, including health skills. Therefore, one of the ways to improve the oral health of children is to increase the oral health literacy (OHL) of teachers. Thus, this study aimed to evaluate the OHL of primary school teachers in Babol, Iran. <br /><strong>Materials and Methods</strong>: This cross-sectional study was conducted out on a convenience sample of 410 primary school teachers in Babol during two academic years from 2017-2018. Data were collected using adult oral health literacy questionnaire (OHL-AQ). The oral health literacy score of teachers was divided into three groups: inadequate (0-9), borderline (10-11) and adequate (17-12). T-test, ANOVA and Pearson correlation were used to analyze the data. <br /><strong>Results</strong>: 78.8% of the teachers had adequate oral health literacy. The mean oral health literacy score of teachers was 13.98 ± 2.86 with a range of 2-17. Oral health literacy was higher in female teachers and teachers with higher education (P <0.001). There was a significant negative correlation between oral health literacy and age of teachers (r = -0.19; p <0.001). Teachers who assessed their oral health status as good and teachers who brushed at least once a day had higher oral health literacy. <br /><strong>Conclusion</strong>: Oral health literacy level of more than two-thirds of primary school teachers in Babol was adequate. Female teachers, those with higher educational level, and those with well oral health behavior had higher OHL scores. <br /><strong>Paper Type</strong>: Research Article.