<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>Journal of Health Literacy</title>
			<title_fa>فصلنامه سواد سلامت</title_fa>
			<short_title>J Health Lit</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://literacy.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>-</journal_id_issn>
			<journal_id_issn_online>2476-4728</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2026</year>
				<month>10</month>
				<day>1</day>
			</pubdate>
			<volume>11</volume>
			<number>4</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Health Literacy among Parents of Preschool Children with ADHD: A Cross-Sectional Study in Sanandaj, Iran</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa>مقاله پژوهشی</content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background and Objectives: ADHD is a chronic neurodevelopmental disorder affecting attention, activity levels, and impulse control, with a global prevalence of about 5% in children. In Iran, rates are similar, with the combined subtype being most common. ADHD impacts children&#039;s emotional and social development and places strain on families. Parental health literacy is essential for managing symptoms and improving outcomes; however, research on this topic especially among parents of preschool-aged children in Iran is limited. This study assessed the health literacy of parents whose preschool-aged children were diagnosed with attention-deficit/hyperactivity disorder (ADHD) and examined its association with ADHD in their children during 2022 in Sanandaj. Materials and Methods: This descriptive-analytical study assessed parental health literacy using the “Health Literacy of Parents of Preschool Children” questionnaire, a researcher-developed instrument. Demographic information (including age, gender, education level, and employment status) was collected using a demographic questionnaire reviewed and approved by subject-matter experts. All parents of children diagnosed with ADHD were included through census sampling. Data were analyzed in Stata v.14 using independent t-tests and one-way ANOVA; non-parametric equivalents (Mann–Whitney U and Kruskal–Wallis tests) were applied when normality assumptions were unmet. A significance level of p &lt; 0.05 was considered. Results: Among participants, 67.3% were female and 32.7% male, with a mean age of 34.94 ± 5.07 years. The overall mean parental health literacy score was 19.53 ± 4.07. Nutrition subscale scores were significantly higher among parents of boys (p &lt; 0.05). Having a childcare book at home was significantly associated with both the developmental subscale and total literacy score (p &lt; 0.05). Parental education level showed significant relationships with nutrition, development, and numeracy subscales, as well as total literacy score (p &lt; 0.05). All subscales except development, along with total literacy score, were significantly associated with parental occupation (p &lt; 0.05). Conclusion: Higher socioeconomic status and parental education were linked to increased health literacy. Owning childcare books and seeking accurate health information reflected greater parental responsibility and literacy.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>ADHD, Health Literacy, parents, Attention Deficit Disorder with Hyperactivity, Children</keyword>
				<start_page>9</start_page>
				<end_page>20</end_page>
				<web_url>https://literacy.mums.ac.ir/article_27538.html</web_url>
			<author_list><author>
				<first_name>Nasrin</first_name>
				<middle_name></middle_name>
				<last_name>Abdi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>abdi_nasrin@yahoo.com</email>
				<code>120932</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Community Health Nursing, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Yaser</first_name>
				<middle_name></middle_name>
				<last_name>Ghafouri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>yaserghafouri9186685364@gmail.com</email>
				<code>120933</code>
				<coreauthor>No</coreauthor>
				<affiliation>General practitioner, Razi hospital, Baneh, Kurdistan university of medical Scienes, Sanandaj, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>khaled</first_name>
				<middle_name></middle_name>
				<last_name>Rahmani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>khaledrahmani111@yahoo.com</email>
				<code>120934</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor in Epidemiology, Liver and Digestive Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ghazal</first_name>
				<middle_name></middle_name>
				<last_name>Veisi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>ghazallv98@gmail.com</email>
				<code>120931</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>epartment of Community Health Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Development and Validation of a Tool for Measuring Health-Related Media Literacy (HRML) Among Adolescents and Adults</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa>مقاله پژوهشی</content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background and Objectives: With the proliferation of media platforms as primary sources of health information, evaluating individuals&#039; ability to effectively use these resources is crucial. This study aimed to develop and validate a reliable and valid assessment tool for measuring HRML.Materials and Methods: The study was conducted in 2023, which involved two phases: tool development and validation. An initial draft of the HRML assessment tool was created, encompassing items assessing four key skill domains: Search and Acquire, Understanding, Appraisal, and Applying. Face and content validity were assessed through expert review by 13 health professionals familiar with health and media literacy. Exploratory factor analysis (EFA) was used to examine the interrelationships among the four dimensions and establish item-domain relationships. Confirmatory factor analysis (CFA) evaluated model fit. Reliability was assessed by administering the questionnaire to 203 healthcare service users in Boyer-Ahmad County, and internal consistency was determined using Cronbach&#039;s alpha.  Results: The final questionnaire comprised 28 items across four domains of skills: searching and acquiring, understanding, appraising, and applying. The average content validity ratio (CVR) was 0.889, and the average content validity index (CVI) was 0.991. All four HRML dimensions showed significant positive correlations (p &lt; 0.01). CFA indicated acceptable model fit (CMIN/DF = 1.43, AGFI = 0.830, RMSEA = 0.040, CFI = 0.903, IFI = 0.905). Cronbach&#039;s alpha for the overall scale was 0.820.Conclusion: Effective health communication is crucial for the success of health interventions. This validated HRML assessment tool can identify areas for improvement in individuals&#039; media literacy skills and determine preferred media sources. This information can inform the development of targeted interventions to promote informed health decision-making in individuals and communities. The tool is suitable for use in various settings, including educational institutions, workplaces, service centers, and community spaces.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Development and Validation, Health Literacy, media literacy, Questionnaire</keyword>
				<start_page>21</start_page>
				<end_page>31</end_page>
				<web_url>https://literacy.mums.ac.ir/article_27214.html</web_url>
			<author_list><author>
				<first_name>Kimiya</first_name>
				<middle_name></middle_name>
				<last_name>Izady</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>izadykimiya@gmail.com</email>
				<code>119510</code>
				<coreauthor>No</coreauthor>
				<affiliation>M.Sc. in Health Education and Promotion, School of Health, Yasuj University of Medical Sciences, Yasuj, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Narges</first_name>
				<middle_name></middle_name>
				<last_name>Roustaei</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>rousta.biostatistics@gmail.com</email>
				<code>119511</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Ph.D. in Biostatistics, Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohsen</first_name>
				<middle_name></middle_name>
				<last_name>Shams</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>moshaisf@yahoo.com</email>
				<code>119512</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Professor, Ph.D. in Health Education, Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran|Professor, Ph.D. in Health Education, Department of Health Education and Promotion, School of Health, Yasuj University of Medical Sciences, Yasuj, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Saadat</first_name>
				<middle_name></middle_name>
				<last_name>Parhizkar</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>parhizkar@yahoo.com</email>
				<code>119514</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, Ph.D. in Reproductive Health, School of Health, Yasuj University of Medical Sciences, Yasuj, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mostafa</first_name>
				<middle_name></middle_name>
				<last_name>Maleki</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mostafamaleki24@gmail.com</email>
				<code>119513</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor, Ph.D. in Health Education and promotion, Department of Public Health, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>The Relationship between Sexual Health Literacy, Self-Care, and Sexual Life Quality among Married Women: A Cross-Sectional Study in Zahedan, Iran</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa>مقاله پژوهشی</content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background and Objective: Given the importance of quality of sexual life in individual satisfaction and family health, this study aimed to investigate the relationship between sexual health literacy, sexual self-care, and the quality of sexual life among married women in Zahedan in 2024.Material and Methods: This cross-sectional study was conducted on 460 women who were selected by multi-stage sampling method. Valid and reliable instruments were used to collect data, including the standard questionnaires of sexual health literacy (SHELA), sexual self-care and Simond sexual quality of life. Data were analyzed using chi-square tests, one-way analysis of variance, independent t-test and bivariate correlation in SPSS 22 software. Predictors were also determined using hierarchical linear regression analysis.Results: The mean age was 33±7.2 years. Education, occupation, number of children, and marriage age were significantly associated with SHL and self-care (p=0.001). Hierarchical regression showed demographic factors explained 53% of SQoL variance. Adding SHL increased variance to 60% (ΔR²=0.07), and including self-care brought the total to 82% (ΔR²=0.22). Key predictors were promoting sexual health (β=0.13), cancer prevention (β=0.11), and analysis skills (β=0.10).Conclusion: The findings of this study emphasize the importance of promoting sexual health literacy and sexual self-care education in improving the quality of sexual life of women. It is suggested that educational programs and health interventions in this field be designed and implemented to help improve women&#039;s sexual health and quality of life.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Health Literacy, self care, Sexual health, Women's health, Iran</keyword>
				<start_page>32</start_page>
				<end_page>43</end_page>
				<web_url>https://literacy.mums.ac.ir/article_27091.html</web_url>
			<author_list><author>
				<first_name>Fatemeh</first_name>
				<middle_name></middle_name>
				<last_name>Limoparvar</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>flimouparvar@gmail.com</email>
				<code>118944</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc, Epidemiology, Student Research and Technology Committee, Zahedan University of Medical Sciences, Zahedan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Seraji</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>serajimaryam@gmail.com</email>
				<code>118945</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Associate Professor of Health Education and Promotion, Department of Public Health, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Zahra</first_name>
				<middle_name></middle_name>
				<last_name>Arab Borzu</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>z_arabborzoo@yahoo.com</email>
				<code>118946</code>
				<coreauthor>No</coreauthor>
				<affiliation>Assistant Professor of Biostatistics, Department of Biostatistics and Epidemiology, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Breast Cancer Literacy Assessment Tool (B-CLAT): Psychometric Properties of the Persian Version</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa>مقاله پژوهشی</content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background and Objective: Assessing women’s literacy about breast cancer is essential to identify existing knowledge gaps and design effective interventions. To translate, culturally adapt, and psychometrically evaluate the Breast Cancer Literacy Assessment Tool (B-CLAT) for use among Iranian women.Materials and Methods: This methodological study was conducted in 2024–2025 among 400 women attending comprehensive health service centers in Tehran, Iran, selected through multistage sampling, to translate and validate the B-CLAT, originally developed in the U.S. The translation process followed the standard forward–backward method by two independent translators in each phase. Face validity was assessed by 10 women, and content validity by 10 experts, according to standard methodological practice. content validity ratio and content validity index were calculated. Construct validity was examined using confirmatory factor analysis and the known-groups method, comparing literacy scores by age and education. Reliability was determined through internal consistency (Cronbach’s alpha) and stability (Intra-class Correlation Coefficient) in a sample of 30 participants. Data were analyzed using SPSS 16 and EQS 6.4 software.Results: Most participants were aged 30–39 years (46%), married (82.5%), and had a university degree (69.3%). The cultural adaptation of the Persian version showed satisfactory equivalence. The overall CVI was 0.942, indicating strong content validity. CFA confirmed acceptable model fit indices (RMSEA=0.063, IFI=0.913, CFI=0.903, GFI=0.919, CMIN/DF=2.956, MFI=0.933, AGFI=0.900). Known-groups comparison showed no significant relationship between literacy scores and age (P&gt;0.05), but a significant association with education level (P&lt;0.05), confirming construct validity. Reliability analysis indicated acceptable stability (ICC=0.868) and internal consistency (α=0.722).Conclusion: The Persian version of the Breast Cancer Literacy Assessment Tool (IB-CLAT) demonstrated good validity and reliability. It can effectively assess breast cancer literacy among Iranian women, guide educational interventions, and promote screening and prevention behaviors.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Breast Cancer, Health Literacy, Psychometrics</keyword>
				<start_page>44</start_page>
				<end_page>71</end_page>
				<web_url>https://literacy.mums.ac.ir/article_27323.html</web_url>
			<author_list><author>
				<first_name>Sakineh</first_name>
				<middle_name></middle_name>
				<last_name>Rakhshanderou</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>s_rakhshanderou@sbmu.ac.ir</email>
				<code>119971</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor of Health Education and Health Promotion, Department of Public Health,  School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Nasim</first_name>
				<middle_name></middle_name>
				<last_name>Abdipour</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nassim.abdipoor@gmail.com</email>
				<code>119972</code>
				<coreauthor>No</coreauthor>
				<affiliation>M.Sc. in Aging Health, Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Narguess</first_name>
				<middle_name></middle_name>
				<last_name>Abdipour</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>narguess.abdipour@gmail.com</email>
				<code>119973</code>
				<coreauthor>No</coreauthor>
				<affiliation>PhD Student of Health Education and Health Promotion, Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohtasham</first_name>
				<middle_name></middle_name>
				<last_name>Ghaffari</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mohtashamghaffari@sbmu.ac.ir</email>
				<code>119974</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Professor of Health Education and Health Promotion, Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Examining the Links Between Demographics, Mental Health Literacy and Mental Well-Being: A Correlational Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa>مقاله پژوهشی</content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background and Objectives: When we think of health as a system, mental health is an inseparable part of it, and mental well-being is integrated with it. Mental health literacy and mental well-being are important due to the increasing prevalence of mental illnesses. This study adopts a correlational design to investigate the interplay between mental health literacy and mental well-being. The primary objective is to determine the extent and direction of the relationship between these variables while accounting for demographic differences across two distinct districts of Istanbul.Materials and Methods: This cross-sectional study includes 448 participants. Data were collected using a socio-demographic data form, a mental health literacy scale, and a mental well-being scale. They were analysed using descriptive, correlation, and difference analyses in IBM SPSS 25.Results: No significant difference in mental health literacy levels was found across the general population. However, the mental well-being of individuals residing in Adalar district was significantly higher than that of those living in Esenyurt district. Furthermore, certain demographic factors influenced mental health literacy. A positive correlation was observed between mental well-being and mental health literacy (r=0.181, p&lt;0.01). Conclusion: The findings indicate that enhancing mental health literacy could be a strategic pathway to improving overall mental well-being in urban populations. The results suggest that sociodemographic factors play a significant role in shaping individuals&#039; mental health literacy and well-being in Istanbul. These findings underscore the importance of targeted interventions to address disparities in mental health literacy and well-being.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Mental Health Literacy, Mental Well-being, Population, Sociodemographic factors</keyword>
				<start_page>72</start_page>
				<end_page>87</end_page>
				<web_url>https://literacy.mums.ac.ir/article_27693.html</web_url>
			<author_list><author>
				<first_name>Pınar</first_name>
				<middle_name></middle_name>
				<last_name>ÜNKÜR</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>pinarunkur@gmail.com</email>
				<code>121629</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Research Assistant, Tokat Gaziosmanpaşa University, Faculty of Erbaa Health Sciences, Department of Health Management, Tokat/Türkiye.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Muzaffer</first_name>
				<middle_name></middle_name>
				<last_name>AKDOĞAN</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>muzaffer.akdogan@sbu.edu.tr</email>
				<code>121630</code>
				<coreauthor>No</coreauthor>
				<affiliation>Associate Professor, University of Health Sciences, Faculty of Hamidiye Health Sciences, Department of Health Management, İstanbul/Türkiye.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Health Literacy, Health-Related Behaviors, and Stress Management as Modifiable Factors of Stress among University Students</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa>مقاله پژوهشی</content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background and Objective: Mental health among students in higher education remains a major public health concern, affecting well-being and academic performance. This survey research, conducted between December 2023 and January 2024, aimed to determine the academic stress and its related factors among 415 students in 1st  to 4th study years at Nakhon Si Thammarat Rajabhat University, Thailand.Materials and Methods: Participants were recruited using proportionate convenience sampling across faculties. The data were gathered through a structured questionnaire that consisted of five parts, including health literacy, health-related behaviors, stress management behaviors, and stress tests. Mean differences were compared using independent samples t-tests and one-way analyses of variance. Associations between variables were tested using Pearson correlation analysis. Multiple linear regression and structural equation modeling were used to examine factors associated with stress.  Result: The results revealed that about 70% students showed stress levels above the normal range. Furthermore, 13.73% of the students had stress at the highest severity level. Female students had significantly higher stress than males (p-value&lt;.05), and fourth-year students exhibited significantly higher stress levels than first- and second-year students (p-value&lt;.001). In addition, Science and Technology students experienced significantly less stress than other students (p-value=.004). Health literacy, health-related behavior, and stress management behavior were found to be significantly negatively correlated with stress.  The findings were consistent with a potential mediating role of stress management in the association between health literacy and stress  with health literacy showing significant indirect association with stress through stress management behaviors (p-value&lt;.001).Conclusion: These results revealed the importance of health literacy, health-related behavior, and stress management promotions among academic students to reduce stress. Interventions should be considered for specific student subgroups, including by sex, academic year, and faculty, to address those who might be at greater risk of stress.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Health Literacy, Health-Related Behavior, Stress Management Behavior, stress</keyword>
				<start_page>88</start_page>
				<end_page>104</end_page>
				<web_url>https://literacy.mums.ac.ir/article_27758.html</web_url>
			<author_list><author>
				<first_name>Sittiporn</first_name>
				<middle_name></middle_name>
				<last_name>Pettongkhao</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sittiporn_pet@nstru.ac.th</email>
				<code>122005</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Public Health Program, Faculty of Science and Technology, Nakhon Si Thammarat Rajabhat University</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Kanokwan</first_name>
				<middle_name></middle_name>
				<last_name>Phakdeerat</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>6311436002@nstru.ac.th</email>
				<code>122006</code>
				<coreauthor>No</coreauthor>
				<affiliation>Public Health Program, Faculty of Science and Technology, Nakhon Si Thammarat Rajabhat University</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Piyatida</first_name>
				<middle_name></middle_name>
				<last_name>Yomlaead</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>6311436008@nstru.ac.th</email>
				<code>122007</code>
				<coreauthor>No</coreauthor>
				<affiliation>Public Health Program, Faculty of Science and Technology, Nakhon Si Thammarat Rajabhat University</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Wantip</first_name>
				<middle_name></middle_name>
				<last_name>Bunkuea</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>6311436017@nstru.ac.th</email>
				<code>122008</code>
				<coreauthor>No</coreauthor>
				<affiliation>Public Health Program, Faculty of Science and Technology, Nakhon Si Thammarat Rajabhat University</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Norreenee</first_name>
				<middle_name></middle_name>
				<last_name>Thawa</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>norreenee_tha@nstru.ac.th</email>
				<code>122009</code>
				<coreauthor>No</coreauthor>
				<affiliation>Public Health Program, Faculty of Science and Technology, Nakhon Si Thammarat Rajabhat University</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Khamapa</first_name>
				<middle_name></middle_name>
				<last_name>Chusamer</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>khemapa_chu@nstru.ac.th</email>
				<code>122010</code>
				<coreauthor>No</coreauthor>
				<affiliation>Public Health Program, Faculty of Science and Technology, Nakhon Si Thammarat Rajabhat University</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Health Literacy, Mental Health, and Clinical Factors as Predictors of Medication Adherence in Iranian Adolescents with Type 1 Diabetes: A Cross-Sectional Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa>مقاله پژوهشی</content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background and Objective: Type 1 diabetes (T1D) remains one of the most important global public health burdens, particularly for adolescents. The successful management of T1D is dependent on several factors, one of which is adherence to prescribed medications (in addition to health literacy (HL) and mental health), areas that are significantly underexplored in Iranian adolescents. Material and Methods: This cross-sectional study was conducted from December 2023 to May 2024 in Tehran, Iran. Using convenience sampling, 379 literate adolescents aged 10–18 years with type 1 diabetes (without psychiatric disorders or related medications) were recruited through diabetes associations, pediatric endocrinologists, diabetologists, social media groups, online channels, physician referrals, and diabetes organizations. Data were collected via a web-based questionnaire using validated Persian versions of the following instruments: the 8-item Morisky Medication Adherence Scale (MMAS-8) for medication adherence, the Health Literacy Measure for Adolescents (HELMA) for health literacy, and the 12-item General Health Questionnaire (GHQ-12) for mental health.Results: Adolescents with comorbidities showed higher medication adherence. Higher health literacy was significantly associated with better adherence (B = 0.012, OR = 1.012, P = 0.001). Use of insulin pens (P = 0.001) and experiencing medication side effects (P = 0.014) were also linked to improved adherence. GHQ-12 scores indicated that better mental health (P = 0.012), presence of positive mental health symptoms (P = 0.001), and fewer symptoms of mental disorders (P = 0.002) correlated with higher adherence, although mental health variables did not remain significant in stepwise logistic regression. Demographic factors (age, sex, parental education, income), diabetes duration, and insulin injection frequency showed no association with nonadherence (all P &gt; 0.05).Conclusion: In Iranian adolescents with T1D, higher health literacy and certain clinical factors (comorbidities and insulin pen use) were significantly associated with better medication adherence. These findings highlight the need for targeted interventions, including educational programs to enhance health literacy, routine mental health screening and support, and improved access to user-friendly insulin delivery devices (e.g., pens), which could be integrated into clinical practice and health policy in Iran.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Type 1 diabetes, Medication Adherence, Health Literacy, Mental health, Adolescents, Iran</keyword>
				<start_page>105</start_page>
				<end_page>124</end_page>
				<web_url>https://literacy.mums.ac.ir/article_27728.html</web_url>
			<author_list><author>
				<first_name>Zeinab Sadat</first_name>
				<middle_name></middle_name>
				<last_name>Mortazavi Veshnaveh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>zsmortazavi.v@gmail.com</email>
				<code>121851</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pharmacoeconomics and Pharmaceutical Management, TeMS.C., Islamic Azad University, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Peivand</first_name>
				<middle_name></middle_name>
				<last_name>Ghasemzadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>peivand.ghasemzadeh@gmail.com</email>
				<code>121852</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Pharmacoeconomics and Pharmaceutical Management, TeMS.C., Islamic Azad University, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ramin</first_name>
				<middle_name></middle_name>
				<last_name>Asgharian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>ramin3205a@gmail.com</email>
				<code>121853</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pharmacoeconomics and Pharmaceutical Management, TeMS.C., Islamic Azad University, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sogand</first_name>
				<middle_name></middle_name>
				<last_name>Ghasemzadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sogand.ghasemzadeh@gmail.com</email>
				<code>121854</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Psychology and Education of Exceptional Children, Faculty of Psychology and Education, University of Tehran, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sanaz</first_name>
				<middle_name></middle_name>
				<last_name>Omidi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>omidi.san@gmail.com</email>
				<code>121855</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pharmacoeconomics and Pharmaceutical Management, TeMS.C., Islamic Azad University, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Health Literacy as a Key Determinant of Patient Safety among Nurses in Pakistan</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa>مقاله پژوهشی</content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background and objective: Patient safety remains a critical concern in low- and middle-income countries such as Pakistan. Nurses’ health literacy may contribute to improved patient safety through better clinical decision-making; however, factors such as heavy workload and limited training may compromise both health literacy and safety practices. This study aimed to examine the relationship between health literacy and patient safety culture among nurses in a single hospital in Pakistan.Materials and Methods: This cross-sectional study was conducted in 2026 in one hospital in Pakistan. A total of 150 nurses participated. Data were collected using the Health Literacy Questionnaire (HLQ) and the Hospital Survey on Patient Safety Culture (HSOPSC).Results: Participants demonstrated moderate levels of health literacy (mean = 3.13) and patient safety culture (mean = 3.27). A moderate positive correlation was observed between health literacy and patient safety culture (r = 0.42, p &lt; 0.01). However, these findings should be interpreted cautiously due to the cross-sectional design, which limits causal inference, and the single-center sampling, which restricts generalizability. Therefore, the results should be considered preliminary.Conclusion: This study provides preliminary evidence of an association between nurses’ health literacy and patient safety culture in a limited hospital setting. However, the observed relationship cannot be interpreted causally. Further large-scale, multi-center, and longitudinal studies are required to confirm these findings and explore additional contextual and organizational factors influencing patient safety.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Health Literacy, Patient safety, Nurses</keyword>
				<start_page>125</start_page>
				<end_page>136</end_page>
				<web_url>https://literacy.mums.ac.ir/article_27787.html</web_url>
			<author_list><author>
				<first_name>Shima Sadat</first_name>
				<middle_name></middle_name>
				<last_name>Aghahosseini</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>shimaaghahosseini@yahoo.com</email>
				<code>122162</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lahore School of Nursing, The University of Lahore, Lahore, Pakistan.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Arifa</first_name>
				<middle_name></middle_name>
				<last_name>Iran</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>arifaran@yahoo.com</email>
				<code>122164</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lahore School of Nursing, The University of Lahore, Lahore, Pakistan.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Irum</first_name>
				<middle_name></middle_name>
				<last_name>Zubair</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>irumubair@yahoo.com</email>
				<code>122165</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lahore School of Nursing, The University of Lahore, Lahore, Pakistan.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Asim</first_name>
				<middle_name></middle_name>
				<last_name>Khan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>waseebbas@yahoo.com</email>
				<code>122166</code>
				<coreauthor>No</coreauthor>
				<affiliation>Lahore School of Nursing, The University of Lahore, Lahore, Pakistan.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Afshan</first_name>
				<middle_name></middle_name>
				<last_name>Ali</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>afshanazad12008@gmail.com</email>
				<code>122163</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Lahore School of Nursing, The University of Lahore, Lahore, Pakistan.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>