Health Literacy among Parents of Referral Children to Hamadan Hospital, Iran: A Cross-Sectional Study

Document Type : Original Article

Authors

1 PhD student of Speech Therapy, Tehran University of Medical Sciences, Tehran, Iran

2 Hamadan University of Medical Sciences, Besat Hospital. Hamadan, Iran

3 Hamadan University of Medical Sciences, Nahavand Hospital. Hamadan, Iran.

4 MSc Epidemiology, Department of Epidemiology, School of Public Health, Hamadan University of Medical

5 PhD Candidate, Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran - - - s.mortazavi.ot@gmail.com ORCID: 0000-0001-6023-8780

Abstract

Background and Objective: Parent health literacy plays a critical role in the health of the pediatric patients. Awareness about the level of health literacy of parents is essential. This study is aimed to investigate the health literacy among parents of referral children to Besat hospital, Hamadan, Iran.

Materials and Methods:  This cross-sectional study was conducted on 100 parents (87 mothers and 13 fathers), who their children were referred to Besat Hospital, in fall 2021. Samples were randomly selected. Demographic and TOFHLA questionnaire were used to collect data.  SPSS 21 was used to analyze data by independent t-test, chi-square test, ANOVA at a significance level of 0.05.

Results: The average leve of fathers' and mothers’ health literacy was 32.64± 10.23 and 64.96 ±22.75, respectively. A total of 85 (85%) of the participants were married and lived with spouses. The education level of 51.72% of mothers and 53.84% of fathers were under diploma. Parents' health literacy was significantly changed based on the parent’s education level (p = 0.05), the parent’s job (p= <0.001), and the place of residency (p=0.001). Effect of marital status (p=0.486) and  parents' gender  (p = 0.984) on parents' health literacy were not significant 

Conclusion: Half of the parents' health literacy was inadequate, and the level of health literacy was higher in parents that lived in urban and especial work with higher academic education

Keywords


1. Morrison AK, Glick A, Yin HS. Health literacy: implications for child health. Pediatrics in review. 2019;40(6):263-77.
https://doi.org/10.1542/pir.2018-0027
PMid:31152099
 
2. Karamali M, Yaghoubi M, Parandeh A. Scientific Mapping of Papers Related to Health Literacy Using Co-Word Analysis in Medline. Iranian Journal of Health Education and Health Promotion. 2021;9(3):280-95
https://doi.org/10.52547/ijhehp.9.3.280
 
3. Yin HS, Johnson M, Mendelsohn AL, Abrams MA, Sanders LM, Dreyer BP. The health literacy of parents in the United States: a nationally representative study. Pediatrics. 2009;124(Supplement_3):S289-S98.
https://doi.org/10.1542/peds.2009-1162E
PMid:19861483
 
4. Olyani S, Tehrani H, Esmaily H, Rezaii MM, Vahedian-Shahroodi M. Assessment of health literacy with the Newest Vital Sign and its correlation with body mass index in female adolescent students. International journal of adolescent medicine and health. 2020;32(2).
 
5. Sanders LM, Federico S, Klass P, Abrams MA, Dreyer B. Literacy and child health: a systematic review. Archives of pediatrics & adolescent medicine. 2009;163(2):131-40.
https://doi.org/10.1001/archpediatrics.2008.539
PMid:19188645
 
6. Paschal AM, Mitchell QP, Wilroy JD, Hawley SR, Mitchell JB. Parent health literacy and adherence-related outcomes in children with epilepsy. Epilepsy & Behavior. 2016;56:73-82.
https://doi.org/10.1016/j.yebeh.2015.12.036
PMid:26851644
 
7. Krishnan S, Rohman A, Welter J, Dozor AJ. Relationship between health literacy in parents and asthma control in their children: a prospective study in a diverse suburban population. Pediatric Allergy, Immunology, and Pulmonology. 2018;31(4):221-5.
https://doi.org/10.1089/ped.2018.0929
 
8. Howe CJ, Cipher DJ, LeFlore J, Lipman TH. Parent health literacy and communication with diabetes educators in a pediatric diabetes clinic: a mixed methods approach. Journal of health communication. 2015;20(sup2):50-9.
https://doi.org/10.1080/10810730.2015.1083636
PMid:26513031
 
9. DeWalt DA, Hink A. Health literacy and child health outcomes: a systematic review of the literature. Pediatrics. 2009;124(Supplement 3):S265-S74.
https://doi.org/10.1542/peds.2009-1162B
PMid:19861480
 
10. Lokker N, Sanders L, Perrin EM, Kumar D, Finkle J, Franco V, et al. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics. 2009;123(6):1464-71.
https://doi.org/10.1542/peds.2008-0854
PMid:19482755 PMCid:PMC2911576
 
11. Yin HS, Mendelsohn AL, Wolf MS, Parker RM, Fierman A, Van Schaick L, et al. Parents' medication administration errors: role of dosing instruments and health literacy. Archives of pediatrics & adolescent medicine. 2010;164(2):181-6.
https://doi.org/10.1001/archpediatrics.2009.269
PMid:20124148
 
12. Yin HS, Johnson M, Mendelsohn AL, Abrams MA, Sanders LM, Dreyer BP. The health literacy of parents in the United States: a nationally representative study. Pediatrics. 2009;124(Supplement 3):S289-S98.
https://doi.org/10.1542/peds.2009-1162E
PMid:19861483
 
13. Afshari M, Khazaei S, Bahrami M, Merati H. Investigating adult health literacy in Tuyserkan city. J Educ Community Health. 2014;1(2):48-55.
https://doi.org/10.20286/jech-010248
 
14. Eisapareh K, Nazari M, Kaveh MH, Ghahremani L. The relationship between job stress and health literacy with the quality of work life among Iranian industrial workers: The moderating role of social support. Current Psychology. 2020:1-9.
https://doi.org/10.1007/s12144-020-00782-5
 
15. Alami A, Erfanpoor S, Lael- Monfared E, Ramezani A, Jafari A. The prevalence of dental caries and related factors in children aged 7 and 8 years: A cross-sectional study. Iranian Journal of Health Education and Health Promotion. 2021;9(3):258-68.
https://doi.org/10.52547/ijhehp.9.3.258
 
16. Kampouroglou G, Velonaki V-S, Pavlopoulou I, Drakou E, Kosmopoulos M, Kouvas N, et al. Parental anxiety in pediatric surgery consultations: The role of health literacy and need for information. Journal of pediatric surgery. 2020;55(4):590-6.
https://doi.org/10.1016/j.jpedsurg.2019.07.016
PMid:31431293
 
17. DeWalt DA, Callahan LF, Hawk VH, Broucksou KA, Hink A, Rudd R, et al. Health literacy universal precautions toolkit. Rockville, MD: Agency for Healthcare Research and Quality. 2010:1-227.
 
18. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Annals of internal medicine. 2011;155(2):97-107.
https://doi.org/10.7326/0003-4819-155-2-201107190-00005
PMid:21768583
 
19. Nielsen-Bohlman L, Panzer A, Kindig D. Committee on Health Literacy, Board on Neuroscience and Behavioral Health, Institute of Medicine. Health literacy: A prescription to end confusion. 2004.
https://doi.org/10.17226/10883
PMid:25009856
 
20. Mackley A, Winter M, Guillen U, Paul DA, Locke R. Health literacy among parents of newborn infants. Advances in neonatal care: official journal of the National Association of Neonatal Nurses. 2016;16(4):283.
https://doi.org/10.1097/ANC.0000000000000295
PMid:27391562 PMCid:PMC4955655
 
21. Jaffee EG, Arora VM, Matthiesen MI, Meltzer DO, Press VG. Health literacy and hospital length of stay: an inpatient cohort study. Journal of hospital medicine. 2017;12(12):969-73.
https://doi.org/10.12788/jhm.2848
PMid:29236095
 
22. Leach MJ, Nichols S, Trenholm S, Jones M. Health Literacy of Parents and Carers in a Regional Community: A Cross-Sectional Study. International Quarterly of Community Health Education. 2021:0272684X211022572.
https://doi.org/10.1177/0272684X211022572
PMid:34096382
 
23. Jafari A, Peyman N, Gholian-Aval M, Mahdizadeh M, Tehrani H. Design and evaluation of psychometric properties of cigarette smoking tendency questionnaire for female adolescents (CTQFA). BMC Public Health. 2021;21(1):1-10.
https://doi.org/10.1186/s12889-021-11784-8
 
 
24. 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.
 
25. Haerian AA, Morowati SMA, Rezapour Y, Pourghayumi AA. Investigation of the relationship of oral health literacy and oral hygiene self-efficacy with DMFT and Gingival index in students of Ardakan University. 2015.
 
26. Apolinario D, Braga RdCOP, Magaldi RM, Busse AL, Campora F, Brucki S, et al. Short assessment of health literacy for Portuguese-speaking adults. Revista de saúde pública. 2012;46:702-11.
https://doi.org/10.1590/S0034-89102012000400015
https://doi.org/10.1590/S0034-89102012005000047
PMid:22782124
 
27. Cole Mattson CM. Health Literacy and Health Numeracy's Effects on Inhaler Technique and Physical Outcomes in Patients with Chronic Obstructive Pulmonary Disease: Kent State University; 2015.
 
28. 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
 
29. Reisi M, Javadzade SH, Mostafavi F, Sharifirad G, Radjati F, 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(1):31.
https://doi.org/10.4103/2277-9531.100160
PMid:23555134 PMCid:PMC3577376
 
30. Dunn-Navarra A-M, Stockwell MS, Meyer D, Larson E. Parental health literacy, knowledge and beliefs regarding upper respiratory infections (URI) in an urban Latino immigrant population. Journal of urban health. 2012;89(5):848-60.
https://doi.org/10.1007/s11524-012-9692-8
PMid:22707307 PMCid:PMC3462826
 
31. Tran TP, Robinson LM, Keebler JR, Walker RA, Wadman MC. Health literacy among parents of pediatric patients. Western journal of emergency medicine. 2008;9(3):130.
 
32. Tavakoly Sany SB, Doosti H, Mahdizadeh M, Orooji A, Peyman N. The Health Literacy Status and Its Role in Interventions in Iran: A Systematic and Meta-Analysis. International journal of environmental research and public health. 2021;18(8):4260.
https://doi.org/10.3390/ijerph18084260
PMid:33920508 PMCid:PMC8073744
 
33. DeWalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP. Literacy and health outcomes. Journal of general internal medicine. 2004;19(12):1228-39.
https://doi.org/10.1111/j.1525-1497.2004.40153.x
PMid:15610334 PMCid:PMC1492599
 
34. Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, et al. Health literacy and use of outpatient physician services by Medicare managed care enrollees. Journal of general internal medicine. 2004;19(3):215-20.
https://doi.org/10.1111/j.1525-1497.2004.21130.x
PMid:15009775 PMCid:PMC1492157
 
35. Davis TC, Wolf MS. Health literacy: implications for family medicine. FAMILY MEDICINE-KANSAS CITY-. 2004;36(8):595-8.
 
36. Morrison AK, Myrvik MP, Brousseau DC, Hoffmann RG, Stanley RM. The relationship between parent health literacy and pediatric emergency department utilization: a systematic review. Academic pediatrics. 2013;13(5):421-9.
https://doi.org/10.1016/j.acap.2013.03.001
PMid:23680294 PMCid:PMC3808118
 
37. Williams MV, Davis T, Parker RM, Weiss BD. The role of health literacy in patient-physician communication. FAMILY MEDICINE-KANSAS CITY-. 2002;34(5):383-9.
 
38. Sentell T, Braun KL. Low health literacy, limited English proficiency, and health status in Asians, Latinos, and other racial/ethnic groups in California. Journal of health communication. 2012;17(sup3):82-99.
https://doi.org/10.1080/10810730.2012.712621
PMid:23030563 PMCid:PMC3552496
 
39. Amoah PA. Social participation, health literacy, and health and well-being: A cross-sectional study in Ghana. SSM-population health. 2018;4:263-70.
https://doi.org/10.1016/j.ssmph.2018.02.005
PMid:29854910 PMCid:PMC5976832
 
40. Golboni F, Nadrian H, Najafi S, Shirzadi S, Mahmoodi H. Urban-rural differences in health literacy and its determinants in Iran: A community‐based study. Australian Journal of Rural Health. 2018;26(2):98-105.
https://doi.org/10.1111/ajr.12378
PMid:29214687
 
41. Wood FG. Health literacy in a rural clinic. Online Journal of Rural Nursing and Health Care. 2005;5(1):9-18.
https://doi.org/10.14574/ojrnhc.v5i1.187
 
42. Jafari Y, Tehrani H, Esmaily H, Shariati M, Vahedian‐shahroodi M. Family‐centred empowerment program for health literacy and self‐efficacy in family caregivers of patients with multiple sclerosis. Scandinavian journal of caring sciences. 2020;34(4):956-63.
https://doi.org/10.1111/scs.12803
PMid:31985862
 
43. Glymour MM, Avendano M, Kawachi I. Socioeconomic status and health. Social epidemiology. 2014;2:17-63.
https://doi.org/10.1093/med/9780195377903.003.0002
 
44. Witter S, Govender V, Ravindran TS, Yates R. Minding the gaps: health financing, universal health coverage and gender. Health policy and planning. 2017;32(suppl_5):v4-v12.
https://doi.org/10.1093/heapol/czx063
PMid:28973503 PMCid:PMC5886176
 
45. Khezerloo S, Feizi A. A Survey Of Relationship Between Perceived Self-Efficacy and Self-Care Performance in Diabetic Patients Referring to Urmia Diabetes Center. Nursing and Midwifery Journal. 2012;10(3):0-.