Is there a relationship between health literacy and lifestyle in infertile males and females in City Zahedan?

Document Type : Original Article

Authors

1 Student Research Committee, Zahedan University of Medical Sciences, Zahedan, Iran

2 School of Health, Zahedan University of Medical Sciences, Zahedan, Iran

3 Pregnancy Health Research Center, Department of Obstetrics and Gynecology, Zahedan University of Medical Sciences, Zahedan, Iran

4 Department of Health Education and Health Promotion, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

Abstract

Background and Objectives: Reproductive health is gentlydecreasing because of  multiples exogenous and endogenous factors, such as diet, behavior and environmental contaminants.Since nutritional behaviors are a required part of a healthy lifestyle, therefore, this study aimed to find out the relationship between health literacy, lifestyle in infertile males and females in Zahedan, Iran.

Materials and methods: The present descriptive cross-sectional study was conducted on 86 men and 181 women who referred to Infertility center(Ali Ibn Abi Talibmolod Hospital)  in Zahedan through random selection method. To collect data Health literacy standard questionnaires (HELIA), Miller-Smith lifestyle assessment inventory(LSI)were used. Collected data were analyzed by SPSS v.22 software.

Results: There was Statistically significant relationshipbetween health literacyand Lifestyle (r = 0.326 p<0.001)as well as both of them withsome nutritional behaviors(p ≤ 0.05).People with higher levels of health literacy had better lifestyle and healthy nutritional behaviors.

Conclusion: The results showed that health literacy had a significant association withLifestyle.It is necessary to design and implement appropriate educational interventions to improve nutrition knowledge and promote healthy fertility as one of the important priorities of the society.

Keywords


Acknowledgments: The authors would like to appreciateparticipants and Zahedan Infertility Center staff. Financial support was provided by the student research committee of Zahedan University of Medical Sciences.


Availability of data and materials: Data will beavailable upon request from the corresponding
author.


Conflicts of interests: There is no conflict of interest has been declared by the authors. 


Consent for publication: Not applicable.


Ethical approval and consent to participate: The study adhered to the principles of the Helsinki Declaration. This study was approved bystudent research committee of Zahedan University of Medical Sciences with the code of ethics 10690- (IR.ZAUMS.REC.1401.152). After explaining the purpose of the study, participants were ensured voluntarily.


Funding: Zahedan University of Medical Sciences.


Author Contributions:  Design and implementation of the project MS and FGk, Scientific monitoring of the project MS, Analysis of data: MKH, Involvement in implementation of project: FGk and MGh, Participation in writing article: MS and FGk.


1- Zhu L, Zhou B, Zhu X, Cheng F, Pan Y, Zhou Y, et al. association between body mass index and female infertility in the United States: data from national health and nutrition examination survey 2013-2018. International journal of general medicine. 2022:1821-31.
https://doi.org/10.2147/IJGM.S349874
PMid:35221716 PMCid:PMC8865871
 
2- Sharma R, Biedenharn KR, Fedor JM, Agarwal A. Lifestyle factors and reproductive health: taking control of your fertility. Reproductive biology and endocrinology. 2013;11(1):1-15.
https://doi.org/10.1186/1477-7827-11-66
PMid:23870423 PMCid:PMC3717046    
 
3- Ricci S. Essentials of maternity, newborn, and women's health: Lippincott Williams & Wilkins; 2020.    
 
4- Kharazi SS, Peyman N, Esmaily H. The relationship between maternal health literacy and nutritional dietary self-efficacy with pregnancy outcome. Journal of Midwifery and Reproductive Health. 2020;8(1):2058-68.    
 
5- Carbone ET, Zoellner JM. Nutrition and health literacy: a systematic review to inform nutrition research and practice. Journal of the Academy of Nutrition and Dietetics. 2012;112(2):254-65.
https://doi.org/10.1016/j.jada.2011.08.042
PMid:22732460    
 
6- Kilfoyle KA, Vitko M, O'Conor R, Bailey SC. Health literacy and women's reproductive health: a systematic review. Journal of women's health. 2016;25(12):1237-55.
https://doi.org/10.1089/jwh.2016.5810
PMid:27564780 PMCid:PMC5175428    
 
7- azizi n ns, habibnezhad s, khezerloo z, Ghasem zadeh n, hosseinzadeghan f. The comparative study of life style items between infertile and fertile couples at Urmia. Nursing And Midwifery Journal. 2019;17(6):463-72.    
 
8- Ayaz‐Alkaya S, Kulakçı‐Altıntaş H. Nutrition‐exercise behaviors, health literacy level, and related factors in adolescents in Turkey. Journal of School Health. 2021;91(8):625-31.
https://doi.org/10.1111/josh.13057
PMid:34159591    
 
9- Chang LC. Health literacy, self‐reported status and health promoting behaviours for adolescents in Taiwan. Journal of clinical nursing. 2011;20(1‐2):190-6.
https://doi.org/10.1111/j.1365-2702.2009.03181.x
PMid:20629822    
 
10- Buja A, Rabensteiner A, Sperotto M, Grotto G, Bertoncello C, Cocchio S, et al. Health literacy and physical activity: a systematic review. Journal of Physical Activity and Health. 2020;17(12):1259-74.
https://doi.org/10.1123/jpah.2020-0161
PMid:33129198    
 
11- ROUHAFZA H, Akochakian S, Sadeghi M, FARDMOUSAVI A, KHEYRABADI GR, GHASEMI T. Investigating the relation between lifestyle and chronic obstructive pulmonary disease. 2006.    
 
12- Montazeri A, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Payesh (Health Monitor). 2014;13(5):589-99.    
 
13- Roohafza H, Akochakian S, Sadeghi M, Fardmoosavi A, Khairabadi G, Ghasemi H. Investigating the relation between lifestyle and chronic obstructive pulmonary disease. Journal of Guilan University of Medical Sciences. 2006;15(59):32-7.    
 
14- Emokpae MA, Brown SI. Effects of lifestyle factors on fertility: practical recommendations for modification. Reproduction & Fertility. 2021;2(1):R13.
https://doi.org/10.1530/RAF-20-0046
PMid:35128442 PMCid:PMC8812443    
 
15- M Omar Masoud A, Mohamed Ahmed Madkour A, Yahya Abdelrhman M, Gaber Zaghloul M, Mostafa Abd Elzaher O, Ahmed Abdelhafez A. Effect of Maternity-Led Pro-Fertility Lifestyle Intervention on Health-Promoting Behaviors of Women undergoing Infertility Treatment. Egyptian Journal of Health Care. 2023;14(1):1042-56.
https://doi.org/10.21608/ejhc.2023.293041
 
16- Nayeri SD, Alahverdi F, Nayeri SD, Shahbaztabari N. A Review of the Effects of Lifestyle and Nutrition on Infertility in Couples. International Journal of Health Sciences. (I):310-23.
https://doi.org/10.53730/ijhs.v6nS1.4757
 
17- Balanian S, Eftekhar M, Forghani H, Rahaei Z. Relationship Food Consuming Oxidative Stress and Antioxidant with Female Infertility: A Case-Control Study "Food Oxidative Stress and Antioxidant Stress and Infertility". Medical Research. 2019;1(1):1-6.
https://doi.org/10.35702/mrj.10002
 
18- Cong J, Li P, Zheng L, Tan J. Prevalence and risk factors of infertility at a rural site of Northern China. PloS one. 2016;11(5):e0155563.
https://doi.org/10.1371/journal.pone.0155563
PMid:27177147 PMCid:PMC4866679    
 
19- Mutsaerts MA, Van Oers AM, Groen H, Burggraaff JM, Kuchenbecker WK, Perquin DA, et al. Randomized trial of a lifestyle program in obese infertile women. N Engl J Med. 2016;374:1942-53.
https://doi.org/10.1056/NEJMoa1505297
PMid:27192672    
 
20- Klinker CD, Aaby A, Ringgaard LW, Hjort AV, Hawkins M, Maindal HT. Health literacy is associated with health behaviors in students from vocational education and training schools: a Danish population-based survey. Int J Environ Res Public Health. 2020;17(2):671.
https://doi.org/10.3390/ijerph17020671
PMid:31968667 PMCid:PMC7014204    
 
21- Park A, Eckert TL, Zaso MJ, Scott‐Sheldon LA, Vanable PA, Carey KB, et al. Associations between health literacy and health behaviors among urban high school students. Journal of School Health. 2017;87(12):885-93.
https://doi.org/10.1111/josh.12567
PMid:29096408 PMCid:PMC5669371    
 
22- Shawe J, Patel D, Joy M, Howden B, Barrett G, Stephenson J. Preparation for fatherhood: A survey of men's preconception health knowledge and behaviour in England. PLoS One. 2019;14(3):e0213897.
https://doi.org/10.1371/journal.pone.0213897
PMid:30893380 PMCid:PMC6426231    
 
23- Bold J, Swinburne D. Pre-conceptual guidelines for men: a review of male infertility experience, including nutrition and lifestyle factors. Dietetics. 2022;1(3):164-81.
https://doi.org/10.3390/dietetics1030016
 
24- Michou M, Panagiotakos DB, Costarelli V. Low health literacy and excess body weight: a systematic review. Central European journal of public health. 2018 Sep;26(3):234-41. PubMed PMID: 30419628. Epub 2018/11/13. eng.
https://doi.org/10.21101/cejph.a5172
PMid:30419628    
 
25- Lam LT, Yang L. Is low health literacy associated with overweight and obesity in adolescents: an epidemiology study in a 12-16 years old population, Nanning, China, 2012. Archives of public health = Archives belges de sante publique. 2014 Apr 1;72(1):11. PubMed PMID: 24685203. Pubmed Central PMCID: PMC3994214. Epub 2014/04/02. eng.
https://doi.org/10.1186/2049-3258-72-11
PMid:24685203 PMCid:PMC3994214    
 
26- Michou M, Panagiotakos DB, Costarelli V. Low health literacy and excess body weight: A systematic review. Central European journal of public health. 2018;26(3):234-41.
https://doi.org/10.21101/cejph.a5172
PMid:30419628    
 
27- Jafari A, Tavassoli E. The relationship between health literacy and general health of staff of Isfahan University of Medical Sciences. Journal of Health Literacy. 2020;5(1):23-31.    
 
28- Wang C, Kane RL, Xu D, Meng Q. Health literacy as a moderator of health-related quality of life responses to chronic disease among Chinese rural women. BMC women's health. 2015;15(1):1-8.
https://doi.org/10.1186/s12905-015-0190-5
PMid:25887361 PMCid:PMC4399716    
 
29- Kooshyar H, Shoorvazi M, Dalir Z, Hosseini M. Health literacy and its relationship with medical adherence and health-related quality of life in diabetic community-residing elderly. Journal of Mazandaran University of Medical Sciences. 2013;22(1):134-43.