Investigate the Relationship Between Health Literacy and Health Promoting Behavior in Students

Document Type : Original Article

Authors

1 Dept. of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran

2 B.S Student of Public Health,Dept. of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran

3 Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran

Abstract

Background and Objective: Health literacy and health promoting behaviors are among the most important characters of health and their utilization can increase health behaviors, improve access to health care and they are essential for preserve and control the health. Hence, this study was done to determine the relationship between health literacy and health promoting behaviors among students of Hamadan University of Medical Sciences.
Materials and Methods: This study was done by descriptive-analytic method, on 382 students of Hamadan University of Medical Sciences using multi-stage stratified random sampling. Data were collected by use of iraniana dult Health literacy questionnaire (HELIA) and Health Promoting Behaviors (HPLP-ll).
Results: The total mean score of students’ health literacy was 126.13 (19.28). 67% (n = 260) of them, had excellent and desirable health literacy and total score of health promoting behaviors and the total score of health promoting behaviors was evaluated undesirable, with 51.1% of achievable score. Also according to the findings, there was a positive and significant correlation between health promoting behaviors and dimensions of health literacy included: accessibility (r = 0.404), reading (r = 0.324), perception and understanding (r = 0.354), evaluation (r = 0.410), decision making and use of health information (r = 0.552) (P <0.01). Also, there was a positive and significant correlation between health promoting behaviors and all dimensions of health literacy (P <0.01).
Conclusion: According to the results of the present study, students’ health literacy behaviors increased with increasing health literacy. Therefore, the use of design and performance of educational interventions is suggested to empower students in the field of health literacy.

Keywords


1. Motlagh Z, Mazloomy-Mahmoodabad S, Momayyezi M. Study of Health-promotion behaviors among university of medical science students. Zahedan Journal of Research in Medical Sciences. 2011;13(4):29-34.
 
2. Tehrani H, Rahmani M, Jafari A. Health literacy and Its relationship with general health of women referring to health care centers. Journal of Health Literacy. 2018;3(3):191-8.
 
3. Baji z, Tehrani, amp, lrm, M, Shakerinejad G, et al. Health Literacy Level and its Related Demographic Factors among Employees of Iranian ‎Academic Center for Education, Culture &amp; Research (ACECR) - Khuzestan Branch. Journal of Health Literacy. 2019;3(4):46-54.
 
4. Nutbeam D, Kickbusch I. Advancing health literacy: a global challenge for the 21st century. Oxford University Press; 2000.
https://doi.org/10.1093/heapro/15.3.183
 
5. Rezaee Esfahrood z, Haerian ardekani A, Rahmanian M, Ghaffari Targhi M. A Survey on Health Literacy of Referred Diabetic Patients to Yazd Diabetes Research Center. Tolooebehdasht. 2016;15(3):176-86.
 
6. Ramezankhani A, Ghafari M, Rakhshani F, Ghanbari S, Azimi S. Comparison of health literacy between medical and non-medical students in Shahid Beheshti Universities in the academic year 92-93. Pajoohandeh Journal. 2015;20(2):78-85.
 
7. Kanj M, Mitic W, editors. Health literacy and health promotion. 7th Global Conference on Health Promotion; 2010.
 
8. Williams MV, Parker RM, Baker DW, Parikh NS, Pitkin K, Coates WC, et al. Inadequate functional health literacy among patients at two public hospitals. Jama. 1995;274(21):1677-82.
https://doi.org/10.1001/jama.274.21.1677
PMid:7474271
 
 
9. Pirzadeh A, Nodooshan T, Nasirian M. Association Between Maternal Health Literacy Level and Prenatal Care in Iran. Journal of Health Literacy. 2024;4(1):60-7.
 
.  
10. Paasche‐Orlow MK, Parker RM, Gazmararian JA, Nielsen‐Bohlman LT, Rudd RR. The prevalence of limited health literacy. Journal of general internal medicine. 2005;20(2):175-84.
https://doi.org/10.1111/j.1525-1497.2005.40245.x
PMid:15836552 PMCid:PMC1490053
 
11. Mahdizadeh f, Mahdizadeh F, Tatari M, Eshaghzadeh namghi SM, Sheykhotayefeh M. Study of Health Literacy and Its Related Factors in Torbat Heydarieh Students of Medical Sciences in 2019. Journal of Health Literacy. 2019;4(2):44-8.
 
12. Mohammadi Farah S, Asr S, Hasan M, Kavivani Manesh A, Barati M, Afshari M, et al. 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):11-7.
https://doi.org/10.21859/jech.4.2.11
 
13. Mohammadi Farah S, Saati Asr MH, 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. Journal of Education and Community Health. 2017;4(2):11-7.
https://doi.org/10.21859/jech.4.2.11
 
14. Ziaee S. Predictors of Health Promotion Behavior of female Students of Azad Islamic University, Kazerun Branch: Role of Social Support and Health Literacy. Journal of Health Literacy. 2018;2(4):223-36.
https://doi.org/10.29252/jhl.2.4.2
 
15. Hosseini M, Yaghmaei F, Hosseinzadeh S, Alavie Majd H, Sarbakhsh P, Tavousi M. Psychometric "health promotion lifestyle profile 2" The Urban Health Center. Payesh Journal. 2013;11(6):849-56.
 
16. Ali Montazeri, Mahmoud Tavousi, Fateme Rakhshani, Seyed Ali Azin, Katayoun Jahangiri, Mahdi Ebadi, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Health Monitor Journal of the Iranian Institute for Health Sciences Research. 2014;13(5):589-99.
 
17. Ramezankhani A, Rakhshani F, Ghaffari M, Ghanbari S, Azimi S. Comparison of health promoting behaviors in the first and fourth year students of Shahid Beheshti University of Medical and non-Medical Sciences in the academic year 92-93. Jorjani Biomedicine Journal. 2014;2(1):55-47.
 
18. Panahi R, Ramezankhani A, Tavousi M, Osmani F, Ghazanfari E, Niknami S. Evaluation of Health Literacy and its influencing factors on dormitory students of Shahid Beheshti University of Medical Sciences in Tehran. Journal of Education and Community Health. 2016;3(3):30-6.
https://doi.org/10.21859/jech-03035
 
19. Rahimi A, Ahmadian Majin N. Investigating health literacy Level and Relation to demographic factors of Nurses in Teaching Hospitals of at West Cities of Iran: 2016. Journal of Health Literacy. 2017;2(1):54-61.
https://doi.org/10.18869/acadpub.jhl.2.1.54
 
20. Ziapoor A, Kianipoor N. Predicting health literacy of students in Kermanshah University of Medical Sciences in 2016: The role of demographic variables. Journal of Health Literacy. 2016;1(3):182-90.
 
21. Sharif Moghadam H, shakiba E, Salami M. The study of health literacy among medical and science students in university of science in Rafsanjan: 2016. Journal of Health Literacy. 2017;2(2):73-80.
https://doi.org/10.18869/acadpub.jhl.2.2.73
 
22. Banihashemi S-AT, Amirkhani MA. Health literacy and the influencing factors: a study in five provinces of Iran. Strides Dev Med Educ. 2008;4(e58326).
 
23. Ozdemir H, Alper Z, Uncu Y, Bilgel N. Health literacy among adults: a study from Turkey. Health education research. 2010;25(3):464-77.
https://doi.org/10.1093/her/cyp068
PMid:20080808
 
24. Fransen M, Van Schaik T, Twickler T, Essink-Bot M. Applicability of internationally available health literacy measures in the Netherlands. Journal of Health Communication. 2011;16(sup3):134-49.
https://doi.org/10.1080/10810730.2011.604383
PMid:21951248
 
25. nilsaz m, tavasoli e, mazaheri m, sohrabi f, khezeli m, ghazanfari z. Study of Health-promotion behaviors and Life Style among students of Dezful universities. scientific journal of ilam university of medical sciences. 2013;20(5):168-75.
 
26. Bagheri F ea. The Relationship between Perceived Social Support and Health Promoting Lifestyle in Hamadan University of Medical Sciences Students. 2019.
 
27. Cho H, Lee SJ, Cui R-S. Comparison of health promotion lifestyles and self-esteem of Korean and Chinese nursing students. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2010;19(1):22-33.
https://doi.org/10.12934/jkpmhn.2010.19.1.22
 
28. Arnold CL, Davis TC, Berkel HJ, Jackson RH, Nandy I, London S. Smoking status, reading level, and knowledge of tobacco effects among low-income pregnant women. Preventive medicine. 2001;32(4):313-20.
https://doi.org/10.1006/pmed.2000.0815
PMid:11304092
 
29. Arabzade S, Jalili Z, Tavakoli R. Survey of health literacy level and its relationship with preventive behaviors of smoking in adolescents 15-18 years of prophylactic Bushehr Provinc [Master dissertation]. Science and Research Branch, Islamic Azad University. 2016.
 
30. Panahi R, Ramezankhani A, Tavousi M. Health literacy and preventive behaviors. J Res Health. 2018;8(2):93-4.
https://doi.org/10.29252/jrh.8.2.93
 
31. Chisolm DJ, Manganello JA, Kelleher KJ, Marshal MP. Health literacy, alcohol expectancies, and alcohol use behaviors in teens. Patient education and counseling. 2014;97(2):291-6.
https://doi.org/10.1016/j.pec.2014.07.019
PMid:25085549 PMCid:PMC4252970
 
32. 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.
https://doi.org/10.20286/jech-02036
 
33. Aghamolaei T, Hosseini Z, Hosseini F, Ghanbarne Jad A. The Relationship between Health Literacy and Health Promoting Behaviors in Students. Journal of Preventive Medicine. 2016;3(2):36-43.
 
34. Mahboubeh Soleimanpouromran MS, arabi h. The relationship between health literacy with health promoting lifestyle and environmental behavior. socio-cultural Development Studies. 2018;6(4):191-216.
 
35. Peyman N. Health Literacy and Health-promoting Lifestyle among Health Volunteers in Neyshabour. scientific journal of ilam university of medical sciences. 2018;26(3):7-15.
https://doi.org/10.29252/sjimu.26.3.7