Volume 16, Issue 1 (1-2019)
J Res Dev Nurs Midw 2019, 16(1): 69-80 |
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1- Department of Community Health Nursing, Social Determinants of Health Research Center
2- MSc student in nursing, School of Nursing and Midwifery
3- Department of Nursing Education (psychiatrics)
4- . Department of Bio-Statistics, Social Determinants of Health Research Center (SDHRC)
2- MSc student in nursing, School of Nursing and Midwifery
3- Department of Nursing Education (psychiatrics)
4- . Department of Bio-Statistics, Social Determinants of Health Research Center (SDHRC)
Abstract: (4522 Views)
Background and objectives: Lower levels of health literacy have been associated with adverse health outcomes, especially for elderly.
Methods: This cross-sectional study was conducted on 290 retired elder from the Retirement Centers in Rasht city by Convenient sampling during the year 2017. Data collection tools included, Test of Functional Health Literacy in Adults(TOFHLA) and general health standard questionnaire (GHQ-28). The data were analyzed using descriptive and inferential statistics in SPSS.
Results: More than half of the participants (54.8%) had adequate health literacy. The highest mean of the health literacy was in the domain of reading comprehension (36.30±7.90) and then in the domain of numeracy (36.11±11.60). There was a significant relationship between the level of health literacy and the level of education, the level of education of the spouse and the history of cancer(P<0.05), the mean of the general health of the subjects was 20.67±8.27. by adjusting the effects of demographic variables, there was a significant relationship between the health literacy and the general health (P=0.04), such that by improving each level in the health literacy status, the chance of a favorable general health status, increases by 1.4 times (Odds Ratio=1.4).The findings, show a 0.95 confidence interval for variables related to general health.
Conclusion: This study approved that the level of education was the most important determinant of health literacy and general health, identifying elderly with poor health literacy and providing them with appropriate education can play a major role in promoting community health.
Methods: This cross-sectional study was conducted on 290 retired elder from the Retirement Centers in Rasht city by Convenient sampling during the year 2017. Data collection tools included, Test of Functional Health Literacy in Adults(TOFHLA) and general health standard questionnaire (GHQ-28). The data were analyzed using descriptive and inferential statistics in SPSS.
Results: More than half of the participants (54.8%) had adequate health literacy. The highest mean of the health literacy was in the domain of reading comprehension (36.30±7.90) and then in the domain of numeracy (36.11±11.60). There was a significant relationship between the level of health literacy and the level of education, the level of education of the spouse and the history of cancer(P<0.05), the mean of the general health of the subjects was 20.67±8.27. by adjusting the effects of demographic variables, there was a significant relationship between the health literacy and the general health (P=0.04), such that by improving each level in the health literacy status, the chance of a favorable general health status, increases by 1.4 times (Odds Ratio=1.4).The findings, show a 0.95 confidence interval for variables related to general health.
Conclusion: This study approved that the level of education was the most important determinant of health literacy and general health, identifying elderly with poor health literacy and providing them with appropriate education can play a major role in promoting community health.
Type of Study: Original Article |
References
1. Geboers B, de Winter AF, Spoorenberg SLW, Wynia K, Reijneveld SA. The association between health literacy and self-management abilities in adults aged 75 and older, and its moderators. Qual Life Res. 2016;25(11):2869-77. [View at paplisher] [DOI] [Google Scholar]
2. Schulz PJ, Nakamoto K. Health literacy and patient empowerment in health communication: The importance of separating conjoined twins. Patient Education and Counseling.2013;90(1):4-11. [View at paplisher] [DOI] [Google Scholar]
3. Heijmans M, Waverijn G, Rademakers J, van der Vaart R, Rijken M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Education and Counseling.2015;98(1):41-8. [View at paplisher] [DOI] [Google Scholar]
4. Taggart J, Williams A, Dennis S, Newall A, Shortus T, Zwar N, et al. A systematic review of interventions in primary care to improve health literacy for chronic disease behavioral risk factors. BMC Fam Pract. 2012;13(1):1-12. [View at paplisher] [DOI:10.1186/1471-2296-13-49] [Google Scholar]
5. Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12(1):1-13. [View at paplisher] [DOI:10.1186/1471-2458-12-80] [Google Scholar]
6. Kaur N, kandelman D, Nimmon L, Potvin L. Oral Health Literacy: Findings of a Scoping Review. EC Dental Science. 2015;2(3): 293-306 . [Google Scholar]
7. Altin SV, Finke I, Kautz-Freimuth S, Stock S. The evolution of health literacy assessment tools: a systematic review. BMC Public Health. 2014;14(1):1-13. [View at paplisher] [DOI] [Google Scholar]
8. Osborne RH, Batterham RW, Elsworth GR, Hawkins M, Buchbinder R. The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). BMC Public Health. 2013;13(1):1-17. [View at paplisher] [DOI] [Google Scholar]
9. Haun JN, Patel NR, French DD, Campbell RR, Bradham DD, Lapcevic WA. Association between health literacy and medical care costs in an integrated healthcare system: a regional population based study. BMC Health Serv Res. 2015;15(1):1-11. [View at paplisher] [DOI] [Google Scholar]
10. Mohseni M, Khanjani N, Iranpour A, Tabe R, Borhaninejad VR. The Relationship Between Health Literacy and Health Status Among Elderly People in Kerman. Iranian Journal of Ageing. 2015;10(2):146-55. [Persian] [View at paplisher] [Google Scholar]
11. Reisi M,Mostafavi F,Hasanzade A,Sharifirad GR.The realationship between health literacy ,health status and healthy behaviors among elderly in Isfahan, Iran. J Health Syst Res. 2012;7 (4):469-480. [Persian] [View at paplisher] [Google Scholar]
12. Tavousi M, Haeri MA, Rafiefar S, SolimanianA, Sarbandi F, Ardwstani M, et al. Health Literacy in IRAN: Findings From a National study. J Payesh. 2016;15(1):95-102. [Persian] [View at paplisher] [Google Scholar]
13. Wengryn MI, Hester EJ. Pragmatic Skills Used by Older Adults in Social Communication and Health Care Contexts: Precursors to Health Literacy. Contemporary Issues in Communication Science & Disorders. 2011;38.41-52 [Google Scholar]
14. Bennett IM, Chen J, Soroui JS, White S. The Contribution of Health Literacy to Disparities in Self-Rated Health Status and Preventive Health Behaviors in Older Adults. Annals of Family Medicine. 2009;7(3):204-11. [DOI:10.1370/afm.940] [Google Scholar]
15. Chesser AK, Keene Woods N, Smothers K, Rogers N. Health Literacy and Older Adults: A Systematic Review. Gerontology and Geriatric Medicine. 2016;2:1-13. [View at paplisher] [DOI] [Google Scholar]
16. Manafo E, Wong S. Health literacy programs for older adults: a systematic literature review. Health education research. 2012;27(6):947-60. [View at paplisher] [DOI:10.1093/her/cys067] [Google Scholar]
17. Rezaei S, Asgari Mobarake K, Saberi A, Keshavarz P, Kazemnejad Leili E. Prevalence of Post-Ischemic Stroke Dementia (PISD) and its Association with Demographic Parameters: A Retrospective Cohort Study. Journal of Guilan University of Medical Sciences. 2016;25(98):24-36. [Persian] [View at paplisher] [Google Scholar]
18. Malakouti SK, Fatollahi P, Mirabzadeh A, Zandi T. Reliability, validity and factor structure of the GHQ-28 used among elderly Iranians. International Psychogeriatrics. 2007;19(4):623-34. [Persian] [View at paplisher] [DOI:10.1017/S1041610206004522] [Google Scholar]
19. Tehrani Banihashemi S-A, Amirkhani MA, Haghdoost AA, 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. [Persian] [View at paplisher] [Google Scholar]
20. Ghanbari A, Rahmatpour P, Khalili M,Barari F. The association between Health Literacy and Health Status among Staffs of Guilan University Medical Sciences. Health Syst Res. 2016;12(3):381-7. [Persian] [View at paplisher] [Google Scholar]
21. Lee S-YD, Tsai T-I, Tsai Y-W, Kuo KN. Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC public health. 2010;10(1): 1-8. [View at paplisher] [DOI] [Google Scholar]
22. Mollakhalili H, Papi A, Zare-Farashbandi F, Sharifirad G, HasanZadeh A. A survey on health literacy of inpatient's educational hospitals of Isfahan University of Medical Sciences in 2012. J Educ Health Promot. 2014;3(66):464-73. (Persian) [View at paplisher] [Google Scholar]
23. Borji M, Tarjoman A, Otaghi M, Khodarahmi Z, Sharifi A. The relationship between health literacy and general health status of patients with type II diabetes. Bioscience Biotechnology Research Communications. 2017;10(2):138-42 . [View at paplisher] [DOI] [Google Scholar]
24. Liu YB, Liu L, Li YF, Chen YL. Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese. Int J Environ Res Public Health. 2015;12(8):9714-25. [View at paplisher] [DOI:10.3390/ijerph120809714] [Google Scholar]
25. Ansari H, Almasi Z, Ansari-Moghaddam A, Mohammadi M, Peyvand M, Hajmohammadi M, et al. Health Literacy in Older Adults and Its Related Factors: A Cross-Sectional Study in Southeast Iran. Health Scope. 2016;5(4).1-6. [View at paplisher] [DOI] [Google Scholar]
26. Amalraj S, Starkweather C, Nguyen C. Health literacy, communication, and treatment decision-making in older cancer patients. Oncology. 2009;23(4):1-9. [View at paplisher] [Google Scholar]
27. Song L, Mishel M, Bensen JT, Chen RC, Knafl GJ, Blackard B, et al. How does health literacy affect quality of life among men with newly diagnosed clinically localized prostate cancer? Cancer. 2012;118(15):3842-51 [View at paplisher] [DOI] [Google Scholar]
28. Simon MA, Li Y, Dong X. Levels of health literacy in a community-dwelling population of Chinese older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. Journals of Gerontology: MEDICAL SCIENCES. 2014;69(Suppl 2):S54-S60. [View at paplisher] [DOI] [Google Scholar]
29. Rezaeipandari H, Morowatisharifabad MA, Bahrevar V, Rahaei Z, Hakimzadeh A. Relationship between Abuse Experience and General Health among Older Adults in Yazd City-Iran. Elderly Health Journal. 2016;2(1):21-6. (Persian) [View at paplisher] [Google Scholar]
30. Van der Heide I, Rademakers J, Schipper M, Droomers M, Sørensen K, Uiters E. Health literacy of Dutch adults: a cross sectional survey. BMC Public Health. 2013;13(1):179. [View at paplisher] [DOI] [Google Scholar]
31. Zhang W, McCubbin H, McCubbin L, Chen Q, Foley S, Strom I, et al. Education and self-rated health: an individual and neighborhood level analysis of Asian Americans, Hawaiians, and Caucasians in Hawaii. Social science & medicine. 2010;70(4):561-9. [View at paplisher] [DOI] [Google Scholar]
32. Westaway MS. The impact of chronic diseases on the health and well-being of South Africans in early and later old age. Archives of Gerontology and Geriatrics. 2010;50(2):213-21. [View at paplisher] [DOI:10.1016/j.archger.2009.03.012] [Google Scholar]
33. Karimi S, Keyvanara M, Hosseini M, Jafarian M, Khorasani E. Health literacy, health status, health services utilization and their relationships in adults in Isfahan. Health Inf Manage. 2014;10(6):862-75. (Persian) [Google Scholar]
34. Cho YI, Lee S-YD, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Social science & medicine. 2008;66(8):1809-16. [View at paplisher] [DOI] [Google Scholar]
35. Seyedoshohadaee M, Kaghanizade M, Nezami M, Hamedani B, Barasteh S. The Relationship Between Health Literacy And General Health In Patients With Type 2 Diabetes. Iranian Journal of Diabetes and Metabolism. 2016;15(5):312-19. [View at paplisher] [Google Scholar]
36. Howard DH, Sentell T, Gazmararian JA. Impact of Health Literacy on Socioeconomic and Racial Differences in Health in an Elderly Population. J Gen Intern Med. 2006;21(8):857-61. [View at paplisher] [DOI] [Google Scholar]
37. Guerra CE, Shea JA. Health literacy and perceived health status in Latinos and African Americans. Ethnicity and Disease. 2007;17(2):305-12. [Google Scholar]
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