Investigating the status of health literacy among health providers of rural area

Document Type : Original Article

Authors

1 Associate Professor of Health Education and Promotion, Health Sciences Research center, Department of Health Education and Promotion, school of health, Mashhad University of Medical, Iran

2 MSc student in Health Education & Health Promotion, School of Health, Mashhad University of Medical Science, Mashhad, Iran

Abstract

Background and objective: The health literacy is known as a critical indicator of the results and the cost of health care. Having adequate health literacy is required for health care system. Health literacy in health care can be an important factor in decision-making and how they function in the health system to improve public health should be considered. This study aimed to assess health literacy, among health providers of rural area under health centers support in khaf.
Methods: 43 health providers of rural area were studied by a cross sectional study. To collect data, demographic and health literacy assessment (TOFHLA) questionnaire were used. The validity and reliability of internal and external studies determined. The collected data were analyzed using SPSS version 16.
Results: the mean age of the study subject was 40/32 years,69/8% female and 30/2%male. Average health literacy score in health providers was 86/54. Pearson correlation coefficient between the components of health literacy in the study sample showed high correlation (p<0/001).In this study, there wasn’t a statistically significant association between the educational level, age, gender and health literacy status.
Conclusion: According to the study, the average level of health literacy and related components among health providers was inadequate. Though, It is necessary to pay more attention to health literacy through health promotion programs.
Paper Type: Research Article.

Keywords


1-  Norris SL, Chowdhury FM, Van Le K, Horsley T, Brownstein JN, Zhang X, et al. Effectiveness of community health workers in the care of persons with diabetes. Diabetic Medicine. 2006;23(5):544-56.
2- Tehrani H, Taghdisi MH. Community Action: A Strategy for Health Promotion. Iranian Journal of Health Education and Health Promotion. 2015;2(4):255-9.
3- Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. Journal of Education and Health Promotion. 2012;1:31
4- Tol A, Pourreza A, Tavasoli E, Rahimi Foroshani A. Determination of knowledge and health literacy among women with type 2 diabetes in teaching hospitals of TUMS. Hospital. 2012;11(3):45-52.
5-  Javadzade SH,  Sharifirad GH,  Reisi M, Tavassoli E,  Rajati F. Health Literacy among Adults in Isfahan, Iran.Health System Reserch.2013:9(5): 540-549.
6- Baker DW. The meaning and the measure of health literacy. Journal of general internal medicine. 2006;21(8):878-83.
7- McCray AT. Promoting health literacy. Journal of the American Medical Informatics Association. 2005;12(2):152-63.
8- Nekoei-Moghadam M, Parva S, Amiresmaili M, Baneshi M. Health Literacy and Utilization of health Services in Kerman urban Area 2011. Tolue Behdasht Journal. 2012;11(14):123-34.
9- Chew LD, Bradley KA, Boyko EJ. Brief questions to identify patients with inadequate health literacy. health. 2004;11(12): 588-594.
10- Safeer RS, Keenan J. Health literacy: the gap between physicians and patients. Am Fam Physician. 2005;72(3):463-8.
11- Kuncaitis J, Welch S. Evaluation of health literacy screening questions for use in the acute care setting. 2012.
12- behzad f, peyman n. promoting level of health literacy&self efficacy of chronic patients referred to health centers through educating health literacy for the staffs of health centers in mashhad: School of Health, Mashhad University of Medical Science, Mashhad, Iran; 2013.
13- Schillinger D, Bindman A, Wang F, Stewart A, Piette J. Functional health literacy and the quality of physician–patient communication among diabetes patients. Patient education and counseling. 2004;52(3):315-23.
14- Julie M, Cooper B, Marguerite R. Health literacy in practice program, evaluation report. western Michigan University. School of social work: Educare of southwest Michigan2011.1-156.
15- Kripalani S, Jacobson TA, Mugalla IC, Cawthon CR, Niesner KJ, Vaccarino V. Health literacy and the quality of physician‐patient communication during hospitalization. Journal of Hospital Medicine. 2010;5(5):269-75.
16- Neeman N, Isaac T, Leveille S, Dimonda C, Shin JY, Aronson MD, et al. Improving doctor–patient communication in the outpatient setting using a facilitation tool: a preliminary study. International Journal for Quality in Health Care. 2011:mzr081.
17- Schwartzberg JG, Cowett A, VanGeest J, Wolf MS. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. American journal of health behavior. 2007;31(Supplement 1):S96-S104.
18-Williams MV, Baker DW, Parker RM, Nurss JR. Relationship of functional health literacy to patients' knowledge of their chronic disease: a study of patients with hypertension and diabetes. Archives of internal medicine. 1998;158(2):166-72.
19-Wallace LS, Lennon ES. American Academy of Family Physicians patient education materials: can patients read them? Family medicine. 2004;36(8):571-4.
20-Parker R. Health literacy: a challenge for American patients and their health care providers. Health Promotion International. 2000;15(4):277-83.
21- Jacobson TA, Thomas DM, Morton FJ, Offutt G, Shevlin J, Ray S. Use of a low-literacy patient education tool to enhance pneumococcal vaccination rates: a randomized controlled trial. JAMA. 1999;282(7):646-50.
22- Houts PS, Witmer JT, Egeth HE, Loscalzo MJ, Zabora JR. Using pictographs to enhance recall of spoken medical instructions II. Patient education and counseling. 2001;43(3):231-42.