ORIGINAL_ARTICLE
Relationship between health literacy and nutrition among middle-aged women
Background and Objective: 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.
Materials and Methods: 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.
Results: 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.
Conclusion: Based on the findings of the study, increasing the level of health literacy can enhance the nutritional behaviors of people.
Paper Type: Research Article
https://literacy.mums.ac.ir/article_12441_495218af3d04b7063d49cb144d7ad130.pdf
2019-02-20
9
15
10.22038/jhl.2019.36772.1019
Health Literacy
Nutrition
Middle-aged women
Dargaz
toktam
ahmadzadeh sani
ahmadzadeht2@mums.ac.ir
1
Department of Health Education and Health Promotion. School of Public Health. Mashhad University of Medical Sciences . Iran
LEAD_AUTHOR
Mohammad
Vahedian-Shahroodi
vahedianm@mums.ac.ir
2
Associate Professor,Social Determinants of Health Research Center, Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Science, Mashhad, Iran
AUTHOR
Hadi
Tehrani
tehranih@mums.ac.ir
3
Management & Social Determinants of Health Research Center, Dept. of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences , Mashhad, Iran
AUTHOR
Habiballah
Esmaily
esmailih@mums.ac.ir
4
Health Sciences Research Center, Department of Biostatistics and Epidemiology, School of Public Health, Mashhad University of Medical Sciences
AUTHOR
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8. Farivar F, Ramin H, Azemati B, Abbaszadeh SH, Keshtkar A, Sheikholeslam R, et al.Comparison of Knowledge, Attitude and Practice of Urban families toward Principles of Applied Nutrition. Iran J Epidemiol 2009; 5(2): 11-18. [Persian]
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17. Hekmatpoue Davood OMA, Shamsi Mohsen. Effectiveness of educational program on smoking cessation consistence based on trans-theoretical model. Daneshvar(medicine) shahed University. 2013;20(104):39-59. [Persian]
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18. Mohammadi Zeidi Aisa PA. Effect of using the transtheoretical model for breakfast and healthy snacks on education for elementary students in Qazvin. Iranian Journal of Nutrition Sciences & Food Technology. 2013;8(2):201-10. [Persian]
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19. Baghaei R, Najarzadeh M, Saei M, Mohamadi N. FUNCTIONAL HEALTH LITERACY IN PREGNANT WOMEN IN HEALTH CENTERS OF URMIA CITY- 2015. The J Urmia Nurs Midwifery Fac.2017;15(5):368-375. [Persian]
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21. Izadirad H, Zareban I. The Relationship of Health Literacy with Health Status, Preventive Behaviors and Health Services Utilization in Baluchistan, Iran. J Educ Community Health. 2016;2(3):43-50. [Persian] DOI: 10.20286/jech-02036
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22. Muir KW, Lee PP. Health literacy and ophthalmic patient education. Surv Ophthalmol 2010; 55(5): 454-9.
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23. Tehrani BaniHashemi SA, Amirkhani MA, Alavian SM, Asgharifard H, Baradaran H, Barghamdi M, et al.Health literacy and the influencing factors: A study in five provinces of Iran. Trides in Development of Medical Education 2007;4(1): 1-9. [Persian]
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24. Javadzade H, Sharifirad Gh, Reisi M, Tavassoli E, Rajati F. [Health Literacy among Adults of Is-fahan, Iran]. Journal of Health System Re-search.2013; 9(5): 540-9. [Persian]
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25. Agah B, Aghamolaei T, Alizadeh A, Rafati S, Hossaini F A. Consumption of Fruits and Vegetables based on Constructs of Transtheoretical Model in Women Referred to Health Centers of Bandar Abbas. 3. 2016; 2 (4) :1-13. [Persian]
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26. Pirasteh A, Davati A, Jouhari Z, Mohamadi L. Prediction physical activity behavior among Iranian medical college students using the transtheoretical model. Daneshvar.2012;19(100)1-11. [Persian]
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27
28. Horwath CC, Nigg CR, Motl RW, Wong KT, Dishman RK. Investigating fruit and vegetable consumption using the transtheoretical model. American Journal of health.
28
ORIGINAL_ARTICLE
Predicting factors influencing prenatal care based on Health Literacy in Balochistan primigravida Women
Background and Objective: 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.
Materials and Methods: 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.
Results: 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.
Conclusion: 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.
Paper Type: Research Article
https://literacy.mums.ac.ir/article_12442_880dade689cbeda2b9944082d837c95d.pdf
2019-02-20
16
24
10.22038/jhl.2019.36964.1023
Health Literacy
prenatal care
Balochistan
Hossien
Izadirad
izadi111389@gmail.com
1
Zahedan University of Medical Sciences
LEAD_AUTHOR
Mahdi
Ali Ahmadi
maliahmadi218@yahoo.com
2
Zahedan University of Medical Sciences
AUTHOR
Shamsoddin
Niknami
niknamis@modares.ac.ir
3
Ph.D. Dept. of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
AUTHOR
1. Roozbeh N, Nahidi F, Hajiyan S. Barriers related to prenatal care utilization among women. Saudi Med J 2016; 37(12): 1319–1327.
1
2. Bostani Khalesi Z, Rafat F, Pakseresht S. Relationship between adequacy of prenatal care utilization index and neonatal outcomes. J Holist Nurs 2015; 25(76): 8-15.
2
3. Centers for Disease Control and Prevention. Core State Preconception Health Indicators Pregnancy Risk Assessment Monitoring System and Behavioral Risk Factor Surveillance System, 2009. Morb Mortal Wkly Rep 2014; 63(3): 1-62.
3
4. Kim J, Chagarlamudi H, Patil S, Bray E. Gestational Weight Gain and Pregnancy Risk Factors among Low Income women. The FASEB Journal 2017; 31(1): 789-97.
4
5. Jabbari-Beyrami H, Alizadeh M, Bakhshian F, Khanlarzadeh E, Heidari F, Khamnian Zh. Adequacy of prenatal care and its association with pregnancy outcomes: A comparison of indices in Tabriz, Iran. J Anal Res Clin MED 2015; 3(1): 12-6.
5
6. Zhianian A, Zareban I, Ansari-Moghaddam A, Rahimi S. Improving Self-care Behaviors in Pregnant Women in Zahedan: Applying Self-efficacy Theory. Caspian J Intern Med 2015; 1(1): 18-26.
6
7. ShamshiriMilani H, Khazaie F, Rassouli M, Ramezankhani A. Explanation of women’s and family health care personnel’s perception of the barriers of pre-pregnancy care coverage: a qualitative study. Journal of Health in the Field 2016; 4(3): 18-27.
7
8. Pandey S, Karki S. Socio-economic and Demographic Determinants of Antenatal Care Services Utilization in Central Nepal. IJMA 2014; 2 ( 2): 212-19.
8
9. Jody RL, Henrietta OD, Carol JB,Tanima B, Richard MK. Improving health literacy through group antenatal care: a prospective cohort study. BMC Pregnancy and Childbirth 2017; 17 (228): 1-9.
9
10. World Health Organization. Health promotion glossary. Geneva [Switzerland]: World Health Organization; 1998. Available at: http://www.who.int/healthpromotion/about/HPG/en/.Accessed May 6, 2016
10
11. Kharazi SS, Peyman N, Esmaily H. An Evaluation of the Validity and Reliability of the Maternal Health Literacy and Pregnancy Outcome Questionnaire. J Health Syst Res 2017; 12(4): 512-9.
11
12. Kharazi SS, Peyman N, Esmaily H. Association between maternal health literacy level with pregnancy care and its outcomes. IJOGI 2016; 19(37): 40-50.
12
13. Mojoyinola JK. Influence of Maternal Health Literacy on Healthy Pregnancy and Pregnancy Outcomes of Women Attending Public Hospitals in Ibadan, Oyo State, Nigeria. AFRREV 2011; 5(3): 28-39.
13
14. Sajjadi H, Hosseinpour N, Sharifian Sani M, Mahmoodi Z. Association between Health Literacy and Life Style in Married Rural Women in Izeh, Iran. Journal of Health 2016; 7(4): 479- 89.
14
15. Safari –Moradabadi A, Aghamolaei T, Ramezankhani A, Dadipoor S. The Health Literacy of Pregnant Women in Bandar Abbas, Iran. J Sch Public Health Inst Public Health Res 2017; 15 (2): 121-32.
15
16. Montazeri A, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): develoment and psychometric properties. Payesh 2014; 13(5): 589-600.
16
17. Zareban I, Izadirad H, Araban M. Psychometric evaluation of health literacy for adults (HELIA) in urban area of Balochistan. Payesh 2016; 15)6): 669-76.
17
18. Izadirad H, Niknami Sh, Zareban I, Hidarnia AR. Investigating Women's Pregnancy Care Behaviors Based on the Health Belief Model and Social Support Patterns in Pregnant Women Referring to Health Centers Covered. PCNM 2017; 7(1): 59-66.
18
19. Izadirad H, Zareban I. The Relationship of Health Literacy with Health status, Preventive Behaviors and Health services Utilization in Baluchistan, Iran. J Educ Community Health 2015; 2(3): 43-50.
19
20. Zareban I, Izadirad H, jadgal K. Evaluation of health literacy, health status and health services utilization in women in Baluchistan region of Iran. Jhl 2016; 1(2): 71-82.
20
21. Amiresmaili M, Nekoei Moghadam M, Saberi anari SH, Sadeghi A, Saber M,Taheri G, et al. Study of health literacy level of women referring to health centers-2010. J North Khorasan Univ Med Sci 2013; 5(3): 1071-8.
21
22. Jacqueline MH, Jessica YL, Kimon D, Diane B, William F, Vann J. Oral health literacy and knowledge among patients who are pregnant for the first time. JADA 2012; 143(9): 972-80.
22
23. Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The preva-lence of limited health literacy. J Gen Intern Med 2005; 20(2): 175-84.
23
24. Afshari M, Khazaei S, Bahrami M, Merati H. Investigating Adult Health Literacy in Tuyserkan City. JECH 2014; 1(2): 48-55.
24
25. Kimberly AK, Michelle VB, Rachel O, Stacy CB. Health Literacy and Women’s Reproductive Health: A Systematic Review. J Womens Health 2016; 25(12): 1237–55.
25
26. Solhi M, Abbasi K, Ebadi Fard Azar F, Hosseini A. Effect of Health Literacy Education on Self-Care in Pregnant Women: A Randomized Controlled Clinical Trial. IJCBNM 2019;7(1):2-12.
26
27. Ashraf-Ganjoei T, Mirzaei F, Anari-Dokht F. Relationship between prenatal care and the outcome of pregnancy in low-risk pregnancies. Open J Obstet Gynecol 2011; 1(3): 109-12.
27
28. Panahi R, Ramezankhani A, Tavousi M, Osmani F, Ghazanfari E, Niknami Sh. Evaluation of Health Literacy and its Influencing Factors on Dormitory Students of Shahid Beheshti University of Medical Sciences in Tehran. JECH 2016; 3(3): 30-6
28
29. Panahi R, Ramezankhani A, Tavousi M, Koosehloo A, Niknami Sh. Relationship of Health Literacy with Knowledge and Attitude toward the Harms of Cigarette Smoking among University Students. J Educ Community Health 2016;3(4): 38-44.
29
ORIGINAL_ARTICLE
The Effectiveness of Group Psychotherapy Based on Acceptance and Commitment on Emotional Expressiveness and Self – Care behaviors in Patients with Type 2 Diabetes
Background and Objective: 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.
Materials and Methods: 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.
Results: 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).
Conclusion: 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.
Paper Type: Research Article
https://literacy.mums.ac.ir/article_12443_8bb1d635377e4cad76ce5874f64ac5af.pdf
2019-02-20
25
35
10.22038/jhl.2019.37203.1024
Psychotherapy
Acceptance and Commitment
Emotional Expressiveness
self-care
Type 2 diabetes
Soroush
Shahbeik
soroushshahbeik@gmail.com
1
Ph.D. student, Department of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran
AUTHOR
Fatemeh
Taghavijurabchi
taghavi1370@yahoo.com
2
MA, Department of Psychology, Tehran University of Science and Research Branch, Islamic Azad University, Tehran, Iran
AUTHOR
Nikoo
Rohani
roohani.psy@gmail.com
3
MA, Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran
LEAD_AUTHOR
Marjan
Mohamadi
m.mohammadi@gmail.com
4
MA, consulting and guidance, Department of consulting and guidance, Rooden Branch, Islamic Azad University, Rodehen, Iran
AUTHOR
Omid
Amani
o.amani69@yahoo.com
5
Ph.D. student of clinical psychology, Department of clinical and Healt Psycology, Shahid Beheshti University, Tehran, Iran
AUTHOR
1. Chew BH, Vos RC, Metzendorf MI, Scholten RJ, Rutten GE. Psychological interventions for diabetes‐related distress in adults with type 2 diabetes mellitus. The Cochrane Library. 2017.
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7. Hackett RA, Steptoe A. Type 2 diabetes mellitus and psychological stress—a modifiable risk factor. Nature Reviews Endocrinology. 2017;13(9):547.
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15. Markowitz J, Laffel L. Transitions in care: support group for young adults with Type 1 diabetes. Diabetic medicine. 2012;29(4):522-5.
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16. Friedman HS, Prince LM, Riggio RE, DiMatteo MR. Understanding and assessing nonverbal expressiveness: The Affective Communication Test. Journal of personality and social psychology. 1980;39(2):333.
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17. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications foraffect, relationships, and well-being. Journal of personality and social psychology. 2003;85(2):348.
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19. Taloyan M, Wajngot A, Johansson S-E, Tovi J, Sundquist J. Poor self-rated health in adult patients with type 2 diabetes in the town of Södertälje: A cross-sectional study. Scandinavian journal of primary health care. 2010;28(4):216-20.
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22. Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. Journal of Diabetes & Metabolic Disorders. 2013;12(1):14.
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23. Trief PM, Morin PC, Izquierdo R, Teresi JA, Eimicke JP, Goland R, et al. Depression and glycemic control in elderly ethnically diverse patients with diabetes: the IDEATel project. Diabetes care. 2006;29(4):830-5.
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24. McCracken LM, Vowles KE. Acceptance and commitmenttherapy and mindfulness for chronic pain: model, process, and progress. American Psychologist. 2014;69(2):178.
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26. Shayeghian Z, Amiri P, Aguilar-Vafaie ME, Besharat MA. Effectiveness of acceptance and commitment group therapy on improvement of glaycated hemoglobin and self-care activities in patients with type II diabetes. Contemporary Psychology. 2016;10(2):41-50.
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27. MAKVAND HS, Rezaee A, Azadi M. Effectiveness of acceptance and commitment group therapy on the self-management of type 2 diabetes patients. 2014.
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28. Darvish Baseri L, DashtBozorgi Z. Effectiveness of Group Therapy Based on Acceptance and Commitment on Cognitive Emotion Regulation and Alexithymia of Patients with Type 2 Diabetes. Journal of Nursing Education. 2017;5(1):7-14.
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43
ORIGINAL_ARTICLE
Investigating Health literacy, knowledge and self-efficacy in patients with type 2 diabetes referring to health centers in shahrekord
Background and Objective: 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.
Materials and Methods: 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.
Results: 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.
Conclusion: 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
Paper Type: Research Article
https://literacy.mums.ac.ir/article_12444_80c44d4fb11e9be1efc00104a25697f6.pdf
2019-02-20
36
45
10.22038/jhl.2019.38005.1031
Knowledge
Health Literacy
Self-efficacy
Diabetes
Masoumeh
Alidosti
malidosti94@gmail.com
1
1. Department of Public Health, Behbahan Faculty of Medical Sciences, Behbahan, Iran
AUTHOR
elahe
tavassoli
tavassoli.eb@gmail.com
2
department of public health, school of health, Shahrekord University of Medical Sciences, Shahrekord, Iran
LEAD_AUTHOR
1. Charoghchian khorasani E, Peyman N, Sahebkar M, Moghzi M. Investigating health literacy in patients with type2 diabets referring to the health houses of Chenaran in 2016. JNKUMS 2017;9:183-191 .
1
2. Hejazi S, Peyman N, Tajfard M, Esmaily H. The Impact of Education Based on Self-efficacy Theory on Health Literacy, Self-efficacy and Self-care Behaviors in Patients with Type 2 Diabetes. Iran J Health Educ Health Promot 2017;5: 296-303.
2
3. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad Gh R. Communicative And Critical Health Literacy And Self-Care Behaviors In Patients With Type 2 Diabetes. ijdld 2016, 14: 199-208.
3
4. Bains SS, Egede LE. Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low income population with type 2 diabetes. Diabetes technology & therapeutics 2011; 13: 335-341.
4
5. Bailey SC, Brega AG, Crutchfield TM, Elasy T, Herr H, Kaphingst K Et Al. Update on health literacy and diabetes. Diabetes Educ 2014; 40: 581-604.
5
6. Friis K, Vind BD, Simmons RK, Maindal HT. The relationship between health literacy and health behaviour in people with diabetes: A Danish population-based study. Journal of diabetes research 2016; 2016.
6
7. Rafiezadeh GS, Tabarsy B, Hassanjani S, Razavi M, Amjady M, Hojjati H. Relationship between the health literacy with self-efficacy of the diabetic patient's type 2 referred to Gorgan city clinic in 2014. Journal Of Diabetes Nursing 2015; 3: 30-42.
7
8. Al Sayah F, Williams B. An integrated model of health literacy using diabetes as an exemplar. CJD 2012; 36: 27-31.
8
9.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. J Educ Community Health 2017; 3: 38-44.
9
10. Seyedoshohadaee M, Barasteh S, Jalalinia F, Eghbali M, Nezami M. The relationship between health literacy and self-care behaviors in patients with type 2 diabetes. IJNR 2016;10: 43-51.[Farsi] http://ijnr.ir
10
11. Peyman N, Abdollahi M. The relationship between health literacy and self-efficacy physical activity in postpartum women. Journal of Health Literacy 2016; 1: 5-12.[Farsi]
11
12. Tahery N, Ghajari H, Shahbazi H. The Association of Health Literacy with Self-Efficacy and Self-Care, in Type 2 Diabetes Patients. IJEM 2018; 20:135-141.
12
13. Tehrani Banihashemi SA, Amirkhani MA, Haghdoost AA, Alavian SM, Asgharifard H, Baradaran H, et al. Health literacy and the affecting factors: A study in five provinces of Iran, strides in development of medical education . JMED 2007; 4:1-9.
13
14.Rahimi Pordanjani S, Ghobari Bonab B. The effect of multiple intelligences training on general self-efficacy of high school deaf students. Researches of Cognitive and Behavioral Science 2011; 1: 73-86 .
14
15. Rafiezadeh GS, Tabarsy B, Hassanjani S, Razavi M, Amjady M, Hojjati H. Relationship between the health literacy with self-efficacy of the diabetic patient's type 2 referred to Gorgan city clinic in 2014. Journal of Diabetes Nursing 2016; 3: 30-42.
15
16. Khosravi A, Ahmadzadeh Kh, Arastoopoor Sh, Tahmasbi R, Health Literacy Levels of Diabetic Patients Referred to Shiraz Health Centers and Its Effective Factors. Health Inf Manage 2015;12: 194-205.
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17.Karimi S, Keyvanara M, Hosseini M, Jafarian M, khorasani E. Health Literacy, general health status, utilization of health services and the relationship between them in Adults. HIMJ 2014; 10: 862- 875.
17
18.Mahmoodi H, Negarandeh R, Javaheri M, Sharifi P, Ghanei R, AminPour A, et al. Examining The Relation of Health Literacy with Outcomes of Diabetes Among Type 2 Diabetes Patients in Saqez,Western Iran, 2011. The Journal of Urmia Nursing and Midwifery Faculty 2014; 12: 56-62.
18
19. Reisi M, Mostafavi F, Javadzade SH, Mahaki B, Sharifirad G. Assessment of some predicting factors of self-efficacy in patients with type 2 diabetes. Iranian Journal of Endocrinology and Metabolism. 2015 ;17: 44-52 .
19
20. Rahimi M, Izadi N, Rezvan Madani F, Eghbalian A. Knowledge and Practice Level of Self-Directed Care among Diabetics in Kermanshah City in 2014: A Short Report. JRUMS 2015; 14 (2) :167-172.
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21. Goudarzi M; Ebrahimzadeh E, Rabi A, Saeedipoor B, Asghari M. The relationship between knowledge, attitude and self-efficacy in patients with type 2 diabetes in Karaj. Iranian Journal of Diabetes and Metabolism. 2012; 11: 269- 281.
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22. Haji-Arabi E, Nobahar M, Ghorbani R. Relationship between depression and knowledge about diabetes with the amount of self-care in patients with type 2 diabetes. Koomesh 2018; 20 (2):210-220.
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23. Amini N, Bayat F, Rahimi M, Bekri G, Taheri G, Shojaeezadeh D. Effect of Education on Knowledge, Attitude and Nutritional Behavior of Patients with Type 2 Diabetes. Health Develop J 2012; 1 (4):306-0.
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24. Rahimi MA, Izadi N, Khashij M, Abdolrezaie M, Aivazi F. Self-Efficacy and some of related factors in diabetic patients. J Shahid Sadoughi Univ Med Sci 2015; 22: 1665-1672.
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25. Mosher HJ, Lund BC, Kripalani S, Kaboli PJ. Association of health literacy with medication knowledge, adherence, and adverse drug events among elderly veterans. J Health Commun. 2012; 17: 241- 251.
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26. Toci E, Burazeri G, Myftiu S, Sorensen K, Brand H. Health literacy in a population-based sample of adult men and women in a South Eastern European country. J Public Health (Oxf). 2015; pii: fdv006.
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27.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. JMUMS 2014; 23: 134-43 .
27
28. Khezerloo S, Feizi A. A Survey of Relationship Between Perceived Self-Efficacy and Self-Care Performance in Dabetic Patients Referring to Urmia Diabetes Center. Journal of Urmia Nursing and Midwifery 2012; 10: 369- 375.
28
29. Borhani F, Abaszadeh A, Taebi M, Kohan S. Relationship of Self efficacy and health beliefs of patients with Type II diabetes. Payesh 2010; 9: 371-383 .
29
30.Dennison CR, McEntee ML, Samuel L, Johnson BJ, Rotman S, Kielty A, et al. Adequate health literacy is associated with higher heart failure knowledge and self-care confidence in hospitalized patients. The Journal of cardiovascular nursing 2011; 26: 359.
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31. McCleary-Jones V. Health literacy and its association with diabetes knowledge, self-efficacy and disease selfmanagement among African Americans with diabetes mellitus. ABNF 2011; 22: 25-32
31
32. Borji M, Tarjoman A, Otaghi M, Salimi E, Naseri A. Health Literacy Level and its Related Factors among the Elderlies in Ilam in 2015. Iran Journal of Nursing 2017; 30: 33-43.
32
33. Chew LD, Bradley KA, Boyko EJ. Brief questions to identify patients with inadequate health literacy. Health (N Y) 2004; 11:12.
33
ORIGINAL_ARTICLE
Health Literacy Level and its Related Demographic Factors among Employees of Iranian Academic Center for Education, Culture & Research (ACECR) - Khuzestan Branch
Background and Objective: 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.
Materials and Methods: 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.
Results: The health literacy score of the research units was 73.13 ± 12.29.The results showed that 2.4%(5 individuals) of participants had low health literacy, 27.3% (57 individuals) had inadequate health literacy, 48.8% (102 individuals) had adequate health literacy, and 21.5% (45 individuals) had high health literacy. The mean of access to health information and reading in women was better than men, and the mean difference between the two groups was statistically significant (P <0.05). Among the different 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).
Conclusion: Overall, the findings of this study indicated that most participants had adequate health literacy. Therefore, appropriate educational planning based on the above mentioned variables seems necessary to maintain and improve the health literacy level of employees.
Paper Type: Research Article
https://literacy.mums.ac.ir/article_12467_8cdd1c17ef7a467ad3dcc41e9ae04cc3.pdf
2019-02-20
46
54
10.22038/jhl.2019.37326.1028
Health Literacy
Demographic variables
Employees
Khuzestan
zahra
baji
zahrabaji65@yahoo.com
1
Health Education Research Department, ACECR, Khuzestan , Ahvaz, Iran ‎
LEAD_AUTHOR
Masoumeh
Tehrani ‎
masoumeh.tehrani@yahoo.com
2
Health Education Research Department, ACECR, Khuzestan , Ahvaz, Iran ‎
AUTHOR
Ghodratollah
Shakerinejad
shakerinejad@yahoo.com
3
Health Education Research Department, ACECR, Khuzestan , Ahvaz, Iran ‎
AUTHOR
Farzaneh
Jarvandi
jarvandif@gmail.com
4
Health Education Research Department, ACECR, Khuzestan , Ahvaz, Iran ‎
AUTHOR
Saeedeh
Hajinajaf
saeedehhajinajaf@yahoo.com
5
Health Education Research Department, ACECR, Khuzestan , Ahvaz, Iran ‎
AUTHOR
1. Ghanbari A, Rahmatpour P, Khalili M, Barari F. The Association between Health Literacy and Health Status among the Staff of Guilan University of Medical Sciences, Iran. J Health Syst Res 2016; 12(3): 381-7.
1
2. Kharazi, S., Peyman, N., Esmaily, H. Association between maternal health literacy level with pregnancy care and its outcomes. The Iranian Journal of Obstetrics, Gynecology and Infertility, 2016; 19(37): 40-50. DOI: 10.22038/ijogi.2016.8187
2
3. Safari Morad Abadi A, Agha Molaei T, Ramezankhani A, Dadipoor S. The Health Literacy of Pregnant Women in Bandar Abbas, Iran. sjsph. 2017; 15 (2) :121-132
3
4. Khoshravesh S, Moeini B, Rezapur-Shahkolai F, TaheriKharameh Z, Bandehelahi K. Health Literacy of Employees of Hamadan University of Medical Sciences and Related Demo-graphic Factors. J Educ Community Health. 2018; 5(1): 19-26. DOI: 10.21859/jech.5.1.19
4
5.Saatchi M, Panahi M, Ashraf Mozafari A, Sahebkar M, Azarpakan A, Baigi V et al . Health Literacy and Its Associated Factors: A Population-Based Study, Hormuz Island. irje. 2017; 13 (2):136-144
5
6. Panahi R, Ramezankhani A, Tavousi M, Osmani F, Ghazanfari E, Niknami Sh. Evaluation of Health Literacy and its Influencing Factors on Dormitory Students of Shahid Beheshti University of Medical Sciences in Tehran. J Educ Community Health. 2016;3(3):30-36. DOI: 10.21859/jech-03035
6
7. Tavakolikia N, Kheiltash A, Shojaeefar E, Montazeri A, Shariati M, Meysamie A. The most well-known health literacy questionnaires: a narrative review. SDH. 2017;3(2):104-13
7
DOI: http://dx.doi.org/10.22037/sdh.v3i2.18334
8
8.Reisi M, Mostafavi F, Hasanzade A, Sharifirad GH. The Relationship between Health Literacy, Health Status and Healthy Behaviors among Elderly in Isfahan, Iran. Health System Research 1390؛ 7(4) : 469-480.
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9. Mozafari M, Borji M. Assessing the health literacy level of parents in School children ilam in 2015. 3 JNE. 2017; 5 (6) :53-61
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10. Lewis KO, Morgan JE, Wang LL, Calderon K, Rammel J, Ozer M. Health literacy practices of physicians and patient care personnel in a hospital setting. J Contemp Med Educ (2014) 2(4):204–12. doi:10.5455/jcme20141122081418
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11. Ansari M, Shahdadneghad E, Khaledian M, Salajegheh M. Survey of Health Literacy of Referred to the Public Libraries of Public Libraries Foundation. Health Inf Manage 2017; 14(5): 224-7
12
12. Tavousi M, Haeri Mehrizi A, Rafiefar Sh, Solimanian A, Sarbandi F, Ardestani M, et al . Health literacy in Iran: findings from a national study. Payesh. 2016;15(1): 95-102
13
13. Pashaeypoor S, Salemi N, Ansari M. The Relationship between Health Literacy and the Use of Social Networking in Administrative Staff of Tehran University of Medical Sciences. IJNR. 2018; 13 (2) :67-73
14
14. Montazeri A, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M et al. Health Literacy for Iranian Adults (HELIA): develoment and psychometric properties. Payesh 2014; 13(5):589-599
15
15. Solhi M, Jormand H. Assessment of health literacy of municipal employees in Shemiranat, Iran. Electron Physician. 2017; 9(12):6072-6077. Published 2017 Dec 25. Doi: 10.19082/6072
16
16. Mashmouli S, Mashouf S, Esmaeilpour Zanjani S. Relationship between Health Literacy and Health-related Quality of Life and Work Life Quality of Employees in Golestan University of Medical Sciences. Jorjani Biomedicine Journal. 2018; 6(2): 95-106. DOI: 10.29252/jorjanibiomedj.6.2.95
17
17. Mohammadi Farah S, Saati Asr M H, Kavivani Manesh A, Barati M, Afshari M, Mohammadi Y. Health Literacy Level and its Related Factors among College Students of Hamadan University of Medical Sciences, Hamadan, Iran. J Educ Community Health. 2017; 4 (2):11-17
18
18. Hosieni, F., Mirzaei, T., Ravari, A., akbary, A. The relationship between health literacy and quality of life in retirement of Rafsanjan University of Medical Sciences. Journal of Health Literacy, 2016; 1(2): 92-99. Doi: 10.22038/jhl.2016.10969
19
19.Maleki S., Rakhshani F., Masoudi G., Ansari-Moghaddam A., Health literacy, knowledge and relevant factors in patients with type 2 diabetes presenting to a diabetes clinic in Zahedan in 2014. Caspian Journal of Health Research 2016; 2 (2): 9-17. DOI: 10.18869/acadpub.cjhr.2.2.9
20
20. Khosravi A, Ahmadzadeh K. Investigating health literacy Level of patients referred to Bushehr hospitals and recognizing its effective factors. Iran South Med J. 2016; 18 (6):1245-1253
21
21.Naghibi A, Chaleshgar M, Kazemi A, Hosseini M. Evaluation of Health Literacy Level among 18-65 Year-Old Adults in Shahriar, Iran. jhc. 2017; 3 (2):17-25
22
22. Mozafari M, Borji M. Assessing the health literacy level of parents in School children ilam in 2015. 3 JNE. 2017; 5 (6):53-61
23
23. Liu YB, Liu L, Li YF, Chen YL. Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese. Int J Environ Res Public Health. 2015; 12(8):9714-25. Published 2015 Aug 18. Doi:10.3390/ijerph120809714
24
24. Zaree F, Karimi F, Mohseni S, Madani S, Dadipour S, Madani AH. Health literacy of pregnant women and some related factors in pregnant women referred to Minab health centers. JPM. 2018; 5(1):40-6.
25
ORIGINAL_ARTICLE
Relationship between Health Literacy and the Socioeconomic Status among primiparous pregnant women referring to comprehensive health services centers in Bushehr
Background and Objective: 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.
Materials and Methods: 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.
Results: 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).
Conclusion: 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.
Paper Type: Research Article
https://literacy.mums.ac.ir/article_12445_e0e47af2ca2165f620992e3229870abb.pdf
2019-02-20
55
65
10.22038/jhl.2019.38513.1036
Health Literacy
Socioeconomic status
Pregnant Women
Zeynab
Mohamadi
zeinabmohamadi1989@gmail.com
1
Department of Health Education and Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran.
AUTHOR
Homamodin
Javadzade
sh.javadzadeh@bpums.ac.ir
2
Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran.
AUTHOR
Maryam
Marzban
marzban_maryam2000@gmail.com
3
Department of Statistics and Epidemiology, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
AUTHOR
Jamile
Kiani
jamileh_kiany@yahoo.com
4
Clinical Research Development Center, “The Gulf Martyrs" Hospital, Bushehr University of Medical Sciences, Bushehr, Iran
AUTHOR
Mahnoush
Reisi
reisi_mr@yahoo.com
5
Department of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran.
LEAD_AUTHOR
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6
7. Zaree F, Karimi F, Mohseni S, Mdani S, Dadipoor S, Mdani AH. Health literacy of pregnant women and some related factors in pregnant women referred to Minab health centers. Journal of Preventive Medicine. 2017;4(2):40-6.
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10. IZadirad H NS, Zareban I, Tavousi M,. Health literacy and prenatal care adequacy index on the outcome of birth weight in pregnant women in balochistan, Iran. Payesh. 2018;17(2):191-8.
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11. Kharazi SS, Peyman N, Esmaily H. Association between maternal health literacy level with pregnancy care and its outcomes. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2016;19(37):40-50.
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12. Cho YI, Lee S-YD, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Social science & medicine. 2008;66(8):1809-16.
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13. Shieh C, Halstead JA. Understanding the impact of health literacy on women's health. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2009;38(5):601-12.
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14. Dadipoor S, Ramezankhani A, Alavi A, Aghamolaei T, Safari-Moradabadi A. Pregnant Women’s Health Literacy in the South of Iran. Journal of Family and Reproductive Health. 2018;11(4):211-8.
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15. Furuya Y, Kondo N, Yamagata Z, Hashimoto H. Health literacy, socioeconomic status and self-rated health in Japan. Health promotion international. 2013;30(3):505-13.
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16. Alseraty WH. Parents' Socioeconomic Status and Health Literacy Domains among Shokrof Preparatory School Students, Shokrof Village, Algarbia Governorate, Egypt. Journal of Education and Practice. 2015;6(11):1-8.
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17. Seyfzadeh A. Investigating the relationship between socio-economic status and health of older adults Case study: Azarshahr. nursing of the vulnerable journal. 2016;3(7):12-23.
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18. 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 %J Daneshvar Medicine. 2012;19(97):1-12.
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19. Marzban M, Hadji M, Gholipour M, Rashidian H, Rezaianzadeh A, Hasanzadeh J, et al. Association of socioeconomic status with consumption of cigarettes, illicit drugs, and alcohol. Journal of ethnicity in substance abuse. 2017:1-10.
19
20. Ishikawa H, Takeuchi T, Yano E. Measuring functional, communicative, and critical health literacy among diabetes patients. Diabetes care. 2008.
20
21. Reisi M, Mostafavi F, Javadzede H, Mahaki B, Sharifirad G, Tavassoli E. The functional, communicative, and critical health literacy (FCCHL) scales: Cross-cultural adaptation and the psychometric properties of the Iranian version. Iranian Red Crescent Medical Journal. 2017;19(1).
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22. Amiresmaili M NmM, Saberi anari SH, Sadeghi A, Saber M,, Taheri G HS, Rezazadeh J. Study of health literacy level of women referring to health centers in 2010. Journal of North Khorasan University of Medical Sciences.5(5):1078-1.
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23. Baghaei R, Mohamadi N, Saei M, Najarzadeh M. Functional health literacy pregnant women in health centers of Urmia city-2015. The J Urmia Nurs Midwifery Fac. 2017;15(5):368-75.
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24. Heijmans M, Waverijn G, Rademakers J, van der Vaart R, Rijken M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Education and Counseling. 2015;98(1):41-8.
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25. Shibuya A, Inoue R, Ohkubo T, Takeda Y, Teshima T, Imai Y, et al. The relation between health literacy, hypertension knowledge, and blood pressure among middle-aged Japanese adults. Blood pressure monitoring. 2011;16(5):224-30.
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26. Lai AY, Ishikawa H, Kiuchi T, Mooppil N, Griva K. Communicative and critical health literacy, and self-management behaviors in end-stage renal disease patients with diabetes on hemodialysis. Patient education and counseling. 2013;91(2):221-7.
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29. Borji M, Tarjoman A, Otaghi M, Salimi E, Naseri A. Health Literacy Level and its Related Factors among the Elderlies in Ilam in 2015. Iran Journal of Nursing. 2017;30(108):33-43.
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30. Khosravi A, Ahmadzadeh K. Investigating health literacy Level of patients referred to Bushehr hospitals and recognizing its effective factors. ISMJ. 2016;18(6):1245-53.
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37
ORIGINAL_ARTICLE
Oral health literacy and health behavior of primary school teachers in Babol
Background and objectives: 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. Materials and Methods: 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. Results: 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. Conclusion: 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. Paper Type: Research Article.
https://literacy.mums.ac.ir/article_12446_a75af6420d6a3861e88c06eb7aff01f5.pdf
2019-02-20
66
74
10.22038/jhl.2019.38472.1035
Teachers
Health Literacy
Oral Health
Primary Schools
Reza
Mirzapour Ermaki
r_mirzapour90@yahoo.com
1
Dental Student, Student Research Committee, Babol University of Medical Sciences, Babol, IR Iran
AUTHOR
Maysam
Mirzaie
maysam2352@gmail.com
2
Assistant Professor, Dental Materials Research Center, Health Research Institute, Department of Orthodontics, Babol University of Medical Sciences, Babol, IR Iran.
AUTHOR
Mohammad Mehdi
Naghibi Sistani
naghibis@razi.tums.ac.ir
3
Oral Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IR Iran
LEAD_AUTHOR
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