Document Type : Original Article

Authors

1 1. Professor of Health Education & Health Promotion, Environmental and Occupational Hazards Control Research Center, School of Public Health & Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 2. Assistant Professor of Health Education & Health Promotion, Environmental and Occupational Hazards Control Research Center, School of Public Health & Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 MPH Graduate, Faculty of Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 3. Assistant Professor of Department of Health Information Technology and Management, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Introduction: Health literacy can be understood as the ability to read, understand, and act on the basis of health and self-care recommendations, to follow a healthy lifestyle to prevent diseases. Health literacy is considered as one of the important components of self-care. The aim of this study was the relationship between of health literacy on self-care and preventive behaviors.
Materials and Methods: This descriptive-analytical study was performed on 359 people living in the margin of Sabzevar city. Data were collected by questionnaires. Collected data was analyzed using SPSS16 software (descriptive and analytical statistics) using  Correlation Coefficients andT -test and ANOVA.
Results: Most of the subjects had enough health literacy with 54.9%, and only 7.5% had inadequate health literacy level. In addition, 37.6% of people had a borderline health literacy level. The mean of health literacy in men was 84.49 ± 13.66 and the mean of health literacy in women was 86.67 ± 14.02, and also there was no significant difference in health literacy between the two sexes.Of the 359 people surveyed, the highest scores of 206 (57.4%) were moderate and the remaining 153 (42.6%) were poor and none of the subjects scored Have not gotten strong.here was no significant relationship between total health literacy and self-care, but there was a significant relationship between total health literacy with dimensions of self-care including mobility / fatigue, happiness, social functioning and pain.
Also, self-care alone had a meaningful relationship with dimensions of health literacy only with the skill dimension of activity, and with other aspects of it there was no meaningful relationship.
Conclusion: On the other hand, due to attention It was suggested that only half of the people had adequate health literacy, and none of them had proper self-care status. Therefore, effective measures are needed to increase the level of health literacy and consequently self-care promotion.

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Main Subjects

[1]. Bohlman LN, Panzer AM, Kindig DA. Health literacy: a prescription to end confusion. Washington (DC):National Academies Press; 2004.
[2]. Sihota S, Lennard L. Health literacy: being able to make the most of health. London: National Consumer Council; 2004.
[3]. Nutbeam D, Kickbusch I. Advancing health literacy: A global challenge for the 21st century. Health Promot 2000; 15(3): 183-4.
[4]. WHO. Closing the gap in a generation: health equity through action on the social determinants of health: Commission on Social Determinants of Health final report. Geneva: World Health Organization; 2008.
[5]. Kichbush IS. Internal journal of health promotion and healthy lifestyle. Trans. Sarmast H, Moosavian MK.Tehran: Publication of the Ministry of Health; 2006.
[6]. Williams, M. V. The impact of inadequate functional health literacy on patients understanding of diagnosis, prescribed medications, and compliance.‏ 2016.
[7]. Peterson, F. L., Cooper, R. J., & Laird, J. A. Enhancing teacher health literacy in school health promotion a vision for the new millennium. Journal of school health, 2001;71(4), 138-144.‏
[8]. Banihashemi S A, Amirkhani M A, Haghdoost A A,Alavian S M, Asgharifard H, Baradaran H, et al. [Health literacy and the affecting factors: a study in five provinces of Iran]. Journal of Medical Education Development Center. 2007;4(1):1-9.(Persian)
[9]. Borhaninejad, Vahidreza, et al. "The relationship between diabetic knowledge and self-care among the Elderly with diabetes Type 2 in Kerman-2016." Journal of Gerontology, 2017; 1.3: 1-10.‏
[10].    Mitchell,S.E., Sadikova,E., Jack,B.W. and Pasche-ORLOW,M.K. Health Literacy and 30-day postdischarge hospital utilization.Journal of health communication 2012,17:suppl3:325-338.
[11].    Ghanbari S.Majlessi F.et al. Evaluation of health literacy of  pregnant women in urban health centers of ShahidBeheshti Medical University. Daneshvar, 2012;19(97):43-51
[12].    Anbari St. et al. Self-care and its related factors in diabetic patients in Khorramabad, Scientific Research Quarterly, Lorestan University of Medical Sciences, 2012;14(4), 57-49.
[13].   . Farghadani, Zahra, et al. "The relationship between health literacy and self-care behaviors among patients with heart failure." Journal of hayat, 2018; 24(2): 186-196.
[14].     Afshari Maryam et al., A survey of adult health literacy in Tuyserkan, Journal of Education and Community Health, 2014;1(2): 55-48.
[15].     jaadzade H. Sarifirad GH . Resi M.ATavassoliE . Rajati F . Health Litercy among Adults of Isfahan. Iran . Jornal of health system Research, 2013; 9 (5): 540 – 9.