Health Literacy and Health-Promoting Behaviors in Southern Iran

Document Type : Original Article

Authors

1 Social factors in health promotion research center, Hormozgan health research center, Hormozgan University of medical sciences, Bandar Abbas, Iran

2 Hormozgan University of medical sciences, Bandar Abbas, Iran

3 Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

4 Biostatistics and epidemiology department, Health faculty, Hormozgan University of medical sciences, Bandar Abbas, Iran

5 Student Research Committee, Faculty of Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

Abstract

Background and Objective: Health-promoting behaviors are fundamental and important activities for the development and maintenance of health in individuals. However, people with inadequate health literacy are in a worse health position. Today, health literacy is considered a main factor involved in healthcare outcomes and costs. The present research aimed to determine the level of health literacy among the 18–64-year-old residents of Hormozgan Province in association with health promotion behaviors.
 
Materials and Methods: This cross-sectional study on 840 subjects aged from 18 to 64 years, who referred to the urban and rural health centers in Hormozgan, Iran. They were selected through a multi-stratified sampling method in 2017. The data collection instrument was a questionnaire comprised of a demographic section, the test of functional health literacy in adults (TOFHLA), and Walkers’ health promoting lifestyle profile (HPLP-II). The data were analyzed by SPSS version 23 based on the descriptive and analytical statistics tests.
 
Results: The mean and standard deviation of the subjects’ age was 30.6±8.2 years. Most of the participants (586, 72.2%) had an adequate level of health literacy and 226 subjects (27.8%) had inadequate health literacy. The mean and standard deviation of the overall health promotion behavior was found to be 142.95±20.11, interpreted as an acceptable level. The highest average value was observed in the subclass of self-actualization (27.7±4.9) and the lowest mean related to the subclass of physical activity (17.4±5.4). Internet (43.1%) and appealing to the healthcare team (36.9%) were 43.1% and 36.9%, respectively.
 
Conclusion: Our findings showed that educational plans are essential based on different domains of health promotion behaviors with a focus on physical activity. It is also necessary to plan for educating different dimensions of health literacy in the virtual world and social health networks.

Keywords


1. Shahbazi M, Mortazavi Z, Nazemi Z, Ezzati- Rastegar K, Mortazavi S-s. The Health Literacy of Employees in Educational-Rehabilitation Centers Affiliated to The Welfare Organization. Journal of Health Literacy. 2021;5(4):48-55.
 
2. Charoghchian Khorasani E, Tavakoly Sany SB, Tehrani H, Doosti H, Peyman N. Review of Organizational Health Literacy Practice at Health Care Centers: Outcomes, Barriers and Facilitators. International journal of environmental research and public health. 2020;17(20):7544.
https://doi.org/10.3390/ijerph17207544  
 
3. Khosravi A, Ahmadzadeh K. Investigating health literacy Level of patients referred to Bushehr hospitals and recognizing its effective factors. Iranian South Medical Journal. 2016;18(6):1245-53.  
 
4. Kickbusch I. Health literacy: an essential skill for the twenty‐first century. Health Education. 2008;108(2):101-104.
https://doi.org/10.1108/09654280810855559  
 
5. Tehrani Banihashemi S-A, Haghdoost AA, Amirkhani MA, Alavian S-M, Asgharifard H, Baradaran H, et al. Health literacy and the influencing factors: a study in five provinces of Iran. Strides in development of medical education. 2007;4(1):1-9.  
 
6. Tavousi M, Ebadi M, Fattahi E, Jahangiry L, Hashemi A, Hashemiparast M, et al. Health literacy measures: A systematic review of the literature. Payesh (Health Monitor). 2015;14(4):485-96.  
 
7. Smith SK, Dixon A, Trevena L, Nutbeam D, McCaffery KJ. Exploring patient involvement in healthcare decision making across different education and functional health literacy groups. Social science & medicine. 2009;69(12):1805-12.
https://doi.org/10.1016/j.socscimed.2009.09.056  
 
8. Khosravi M, Saemi H, Hosseinaei A, Bayani aA. Identifying the Components of a Healthy Lifestyle with Emphasis on Adolescence: A Qualitative Study. Iranian Journal of Health Education and Health Promotion. 2021;9(1):80-93..
https://doi.org/10.52547/ijhehp.9.1.80  
 
9. Baheiraei A, Mirghafourvand M, Charandabi SM-A, Mohammadi E, Nedjat S. Health-promoting behaviors and social support in Iranian women of reproductive age: a sequential explanatory mixed methods study. International journal of public health. 2014;59(3):465-73.
https://doi.org/10.1007/s00038-013-0513-y  
 
10. Myers RE. Promoting healthy behaviors: How do we get the message across? International journal of nursing studies. 2010;47(4):500-12.
https://doi.org/10.1016/j.ijnurstu.2009.11.017  
 
11. Yamamoto K, Okazaki A, Ohmori S. The relationship between psychosocial stress, age, BMI, CRP, lifestyle, and the metabolic syndrome in apparently healthy subjects. Journal of physiological anthropology. 2011;30(1):15-22.
https://doi.org/10.2114/jpa2.30.15  
 
12. Dalvandi A, Maddah SSB, Khankeh H, Parvaneh S, Bahrami F, Hesam Zadeh A, et al. The health-oriented lifestyle in Islamic culture. Journal of Qualitative Research in Health Sciences. 2020;1(4):332-43.  
 
13. Walker S, Hill-Polerecky D. Psychometric evaluation of the health-promoting lifestyle profile II. Unpublished manuscript, University of Nebraska Medical Center. 1996;13:120-6.  
 
14. Karimi N, Saadat-Gharin S, Tol A, Sadeghi R, Yaseri M, Mohebbi B. A problem-based learning health literacy intervention program on improving health-promoting behaviors among girl students. Journal of education and health promotion. 2019;8:251-.  
 
15. Karimi N, Saadat-Gharin S, Tol A, Sadeghi R, Yaseri M, Mohebbi B. A problem-based learning health literacy intervention program on improving health-promoting behaviors among girl students. Journal of education and health promotion. 2019;8.  
 
16. 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.  
 
17. 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. Iranian Journal of Nursing Research. 2016;10(4):43-51.  
 
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. Daneshvar Medicine: Basic and Clinical Research Journal. 2020;19(6):1-12.  
 
19. Safari Morad Abadi A, Agha Molaei T, Ramezankhani A, Dadipoor S. The Health Literacy of Pregnant Women in Bandar Abbas, Iran. Journal of School of Public Health and Institute of Public Health Research. 2017;15(2):121-32.  
 
20. Panahi R, Osmani F, Sahraei M, Ebrahimi S, Shamsizadeh Nehadghashti M, Javanmardi E. Relationship of health literacy and quality of life in adults residing in Karaj, Iran. J Educ Community Health. 2018;4(4):13-9.
https://doi.org/10.21859/jech.4.4.13  
 
21. Tehrani H, Olyani S. The Effect of an Education Intervention on Mental Health Literacy among Middle School Female Students. Journal of Health Literacy. 2021;5(4):41-7.  
 
22. 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. Iranian Journal of Epidemiology. 2017;13(2):136-44.  
 
23. 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.  
 
24. Aghamolaei T, Hosseini Z, Hosseini F, Ghanbarnejad A. The relationship between health literacy and health promoting behaviors in students. Journal of Preventive Medicine. 2016;3(2):0-.  
 
25. Javadzade H. Health literacy among adults of Isfahan, Iran. 2013.  
 
26. Jovic-Vranes A, Bjegovic-Mikanovic V, Marinkovic J. Functional health literacy among primary health-care patients: data from the Belgrade pilot study. Journal of public Health. 2009;31(4):490-5.
https://doi.org/10.1093/pubmed/fdp049  
 
27. Carthery-Goulart MT, Anghinah R, Areza-Fegyveres R, Bahia VS, Brucki SMD, Damin A, et al. Performance of a Brazilian population on the test of functional health literacy in adults. Revista de Saúde Pública. 2009;43(4):631-8.
https://doi.org/10.1590/S0034-89102009005000031  
 
28. motlagh Z, Mazloomy-Mahmoodabad S, momayyezi M. Study of Health-promotion behaviors among university of medical science students. Zahedan J Res Med Sci. 2011;13(4):e93999.  
 
29. Moradi A, Shojaizade D. A Survey on Healthy Lifestyle of Health Care Workers in Andimeshk. Tolooebehdasht. 2016;14(5):38-49.  
 
30. Rastegar M, Zendehtalab H, Yavari M, Mazlom S. Health-promoting lifestyle and its related factors among health volunteers Mashhad in 2015. Journal of Torbat Heydariyeh University of Medical Sciences. 2015;3(3):55-48.  
 
31. Yarahmadi A, Rousta F. Health-promoting lifestyle of women in pragnancing age. J Women Develop and policy. 2014;11(4):543-58.  
 
32. Sanders-Phillips K. Correlates of Health Promotion Behaviors in Low-Income Black Women and Latinas. American Journal of Preventive Medicine. 1996;12(6):450-8.
https://doi.org/10.1016/S0749-3797(18)30267-8  
 
33. Dastani M. E-Health Literacy: A Skill Needed in the Coronavirus Outbreak Crisis. Health Technology Assessment in Action. 2020;4(1).
https://doi.org/10.18502/htaa.v4i1.5861