Investigating the Health Literacy of Addicts Referring to Addiction Treatment Centers in Qom City and Its Relationship with Demographic Variables

Document Type : Original Article

Authors

1 Deputy of Research and Technology, Qom University of Medical Sciences, Qom Iran

2 Student Research Committee, School of Dentistry, Qom University of Medical Sciences, Qom, Iran.

3 Deputy of Research and Technology, Qom University of Medical Sciences, Qom, Iran

Abstract

Background and Objective: People's ability to acquire, analyze, and understand basic health information and services needed to make decisions about health and health issues is called health literacy. The purpose of this study was to investigate the health literacy of addicts referring to addiction treatment centers in Qom city and its relationship with demographic variables, 2019.

Materials and Methods: This analytical cross-sectional study was performed on 304 subjects. Samples were obtained through regular random sampling from clients of several addiction treatment centers in Qom city, 2019. Data were collected using Health Literacy for Iranian Adults (HELIA) questionnaire. The data were analyzed using ANOVA, T test, and Pearson and P
Results: The results showed that about 27.3% of subjects had inadequate, 26.6% borderline, 23.7% adequate and 3.6% excellent health literacy. The mean age of the samples was 42.51±11.17 years. 33.9% used health network and health related programs. There was a significant relationship between health literacy a4nd source for Obtaining Health Information (p = 0.015). In this study, there was a significant relationship between health literacy and its dimensions with education (p = 0.000) and job (p = 0.04). Results of correlation test showed that health literacy had a significant negative relationship with age (r = -289 = p = 0.000).

Conclusion: Since health literacy can be effective in promoting preventive behaviors and due to the low level of health of the samples studied in this study, more attention should be paid to this issue. Also, because the target population of addicts is low health literacy, there is a lack of awareness about the dangers of addiction, which leads to greater involvement in addiction and its consequences. . By carefully planning and designing effective training programs in this field can be an effective step in improving the health literacy of addicts. The poor use of samples from health-related television programs requires authorities to cultivate health literacy through the use of accessible media, virtual networks, and training classes in addiction treatment centers.

Keywords


1. Jafary Nodoushan Z, Alipour Nodoushan K, Ahmari Tehran H, Mohammad Salehi N, Shojaei S, Asgaryan A, et al. Search for Health-Related Information in Internet by People Referred to Clinics of Training-Treatment Centers in Qom City, Iran, 2015. Qom Univ Med Sci J. 2016;10(9):61-9.
 
2. Mahmoudi H, Taheri A. Relation between Information Literacy and Health Literacy of Students in Ferdowsi University of Mashhad. Human Information Interaction. 2015;2(2):31-41.
 
3. Helitzer D, Hollis C, Cotner J, Oestreicher N. Health literacy demands of written health information materials: an assessment of cervical cancer prevention materials. Cancer control: journal of the Moffitt Cancer Center. 2009;16(1):70-8.
https://doi.org/10.1177/107327480901600111
PMid:19078933
 
4. Khosravi A, Ahmadzadeh K. Investigating health literacy Level of patients referred to Bushehr hospitals and recognizing its effective factors. Iranian South Medical Journal. 2016;18(6):1245-53.
5. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). European journal of public health. 2015;25(6):1053-8.
https://doi.org/10.1093/eurpub/ckv043
PMid:25843827 PMCid:PMC4668324
 
6. Miri A, Ghanbari MA, Najafi A. The relationship between health literacy and the recovery rate of cardiovascular patients after bypass surgery. Journal of Health Literacy. 2016;1(2):83-91.
 
7. Ghorbani M, Asayesh H, Jahangir F, Badeleh MT, RezaPour A, Soleimani MA, et al. Substance Abuse and Correlation between of Route of Administration and Age Factors in Substance Abuser. Journal of Research Development in Nursing and Midwifery. 2013;9(2):82-9.
 
8. Karimi M, Jalili Z, Mahmoodi M. Relationship between Health Literacy and Addiction among Women of Reproductive Age Referring to Addiction Treatment Centers in Tehran, Iran. Journal of Education and Community Health. 2018;5(1):36-41.
https://doi.org/10.21859/jech.5.1.36
 
9. Lincoln A, Paasche-Orlow MK, Cheng DM, Lloyd-Travaglini C, Caruso C, Saitz R, et al. Impact of health literacy on depressive symptoms and mental health-related: quality of life among adults with addiction. Journal of general internal medicine. 2006;21(8):818-22.
https://doi.org/10.1111/j.1525-1497.2006.00533.x
PMid:16881940 PMCid:PMC1831585
 
10. Chisolm DJ, Manganello JA, Kelleher KJ, Marshal MP. Health literacy, alcohol expectancies, and alcohol use behaviors in teens. Patient Education and Counseling. 2014;97(2):291-6.
https://doi.org/10.1016/j.pec.2014.07.019
PMid:25085549 PMCid:PMC4252970
 
11. Mirzakhani F, Khodadadi Sangdeh J. Psychological Factors Predisposing Women to Addiction: A Qualitative Study. Journal of Mazandaran University of Medical Sciences. 2017;26(145):332-44.
 
12. Kohan S, Mohammadi F, Yazdi M, Dadkhah A. Evaluation of relationship between reproductive health literacy and demographic factors in women. Journal of Health Literacy. 2018;3(1):20-9.
 
13. Javadzade SH, Sharifirad G, Reisi M, Tavassoli E, Rajati F. Health Literacy among Adults in Isfahan, Iran. J Health Syst Res. 2013;9(5):540-9.
 
14. Mollakhalili H, Papi A, Zare-Farashbandi F, Sharifirad G, HasanZadeh A. A survey on health literacy of inpatient's educational hospitals of Isfahan University of Medical Sciences in 2012. Journal of Education and Health Promotion. 2014;3(1):86-82.
PMID: 25077159 PMCID: PMC4113979
 
15. Mackert M, Mabry-Flynn A, Champlin S, Donovan EE, Pounders K. Health Literacy and Health Information Technology Adoption: The Potential for a New Digital Divide. 2016;18(10):e264.
https://doi.org/10.2196/jmir.6349
PMid:27702738 PMCid:PMC5069402
 
16. Jordan S, Hoebel J. [Health literacy of adults in Germany: Findings from the German Health Update (GEDA) study]. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz. 2015;58(9):942-50.
https://doi.org/10.1007/s00103-015-2200-z
PMid:26227894
 
17. Ali Montazeri, Mahmoud Tavousi, Fateme Rakhshani, Seyed Ali Azin, Katayoun Jahangiri, Mahdi Ebadi, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Health Monitor Journal of the Iranian Institute for Health Sciences Research. 2014;13(5):589-99.
 
18. Izadirad H, Zareban I. The Relationship of Health Literacy with Health status, Preventive Behaviors and Health services Utilization in Baluchistan, Iran. Journal of Education and Community Health. 2015;2(3):43-50.
https://doi.org/10.20286/jech-02036
 
19. Nekoei-Moghadam M, Parva S, Amiresmaili, Baneshi M. Health Literacy and Utilization of health Services in Kerman urban Area 2011. Tolooebehdasht. 2013;11(4):123-34.
 
20. Stewart DW, Adams CE, Cano MA, Correa-Fernández V, Li Y, Waters AJ, et al. Associations between health literacy and established predictors of smoking cessation. American journal of public health. 2013;103(7):e43-e9.
https://doi.org/10.2105/AJPH.2012.301062
PMid:23678912 PMCid:PMC3682601
 
21. Farhikhteh F, Mostafapour S, Mohammadi A. Evaluation of Kermanshah University of Medical Sciences Students' Use of Media and Social Networks in Health. The first conference on information technology and health promotion; Iran: Information Technology and Health Promotion Association; 2018.
 
22. Askarian-Tavandari P, Hashemian M, Joveini H, Solimanian A, Rastaghi S. A Survey on the Level of Health Literacy among the Women in Bardaskan City, Iran, in Year 2016: A Cross-Sectional Study. J Health Syst Res. 2018.4;14(1):35-40
 
23. Sheikh Sharafi H, Seyed amini B. Assessment of health literacy and self-care in heart failure patients. Journal of Health Literacy. 2017;1(4):203-219.s
 
24. Zhila Mahdavi, Ali Ramezani, Shahla Ghanbari, Leila Khodakarim. Relationship between health literacy and female cancers preventive behaviors. Health Monitor Journal of the Iranian Institute for Health Sciences Research. 2017;16(5):613-25.
 
25. Schmidt A, Ernstmann N, Wesselmann S, Pfaff H, Wirtz M, Kowalski C. After initial treatment for primary breast cancer: information needs, health literacy, and the role of health care workers. Supportive care in cancer. official journal of the Multinational Association of Supportive Care in Cancer. 2016;24(2):563-71.
https://doi.org/10.1007/s00520-015-2814-6
PMid:26108171