scholarly journals Determining Health Literacy Level and Its Related Factors Among Pregnant Women Referred to Medical and Health Centers of Tehran in 2019: A Cross-sectional Study

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Safoura Taheri ◽  
Mahmoud Tavousi ◽  
Zohre Momenimovahed ◽  
Ashraf Direkvand-Moghadam ◽  
Nazanin Rezaei ◽  
...  
Keyword(s):  
Health Literacy ◽  
Pregnant Women ◽  
Health Information ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Related Factors ◽  
Cross Sectional ◽  
Limited Health Literacy ◽  
The Mean ◽  
Limited Health

Background: The ability to acquire, process, and understand health information to make informed decisions about health is defined as health literacy. A low level of health literacy disrupts women’s ability to understand and use health information in order to take appropriate and timely measures during pregnancy. Objectives: Due to the importance of health literacy during pregnancy and its direct impact on fetal health, this study was conducted to determine the level of health literacy and its related items among the pregnant women referred to medical and health centers in Tehran. Methods: This descriptive-analytical study was conducted on 270 pregnant women referred to the medical and health centers of Tehran in 2019. The participants in this study were selected by the mixed sampling method (cluster and random methods to select health centers and the convenience method to select participants). Data collection tools included a questionnaire for demographic and midwifery characteristics and a specialized questionnaire for maternal health literacy in pregnancy (MHELIP). Data analysis was performed by SPSS-19 software. Results: The mean age of the participants was 28.16 ± 5.70 years, and the mean gestational age was 24.50 ± 9.25 weeks. The mean score of health literacy among pregnant women was 63.14 ± 9.63, and 48.9% of them had limited (inadequate and insufficient) health literacy. The results showed positive correlations between the total score of health literacy and the demographic variables of age (P = 0.025), education (P = 0.003), and income (0.008), but no significant relationship was found between the mean total score of health literacy and employment status (P = 0.614) or parity (P = 0.614). Conclusions: It was found that limited health literacy had a high prevalence among pregnant women. Given the importance of pregnancy, it seems necessary for healthcare policymakers to design programs to promote women’s health literacy during pregnancy.

scholarly journals Health literacy index in relation to drug information received from pharmacists

2021 ◽  
Vol 41 ◽  
pp. 03001
Author(s):  
Niken Nur Widyakusuma ◽  
Chairun Wiedyaningsih ◽  
Bella Hazana ◽  
Shirrin Shafira Azzahra ◽  
Triyani Dinityaswati ◽  
...  
Keyword(s):  
Health Literacy ◽  
Drug Information ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Potential Health ◽  
Limited Health Literacy ◽  
Literacy Survey ◽  
Limited Health ◽  
Yogyakarta City

Despite the significance of health literacy to health outcomes, there remains limited data on it in Indonesia, or whether drug information services provided by pharmacists can improve patients’ health literacy. This study aimed to measure the health literacy indices of health care visitors in Yogyakarta, Indonesia, and to identify whether the amount of drug information received from pharmacists, among other factors, is a determinant of health literacy. The research was a cross-sectional study using the Health Literacy Survey-Europe-Asia-Questionnaire (HLS-EU-Asia-Q) that was distributed to 400 respondents in pharmacies, hospitals, and primary health centres in Yogyakarta City. The relationships between respondents’ characteristics, including the amount of drug information received from pharmacists, and their health literacy index were analysed using Chi Square. Results: As many as 67.3 % of respondents had limited health literacy index scores. There was evidence that the scores were relative to the amount of drug information they had received from pharmacists (p ≤ 0.05). This study complements health literacy index data in Yogyakarta City, Indonesia, and provides evidence of potential health literacy determinants.

scholarly journals Prevalence of limited health literacy and its associated factors in patients with type 2 diabetes mellitus in Perak, Malaysia: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e039864
Author(s):  
Adina Abdullah ◽  
Chirk Jenn Ng ◽  
Su May Liew ◽  
Subashini Ambigapathy ◽  
Paranthaman V ◽  
...  
Keyword(s):  
Social Support ◽  
Health Literacy ◽  
Perceived Social Support ◽  
Diabetes Education ◽  
Cross Sectional Study ◽  
Diabetes Knowledge ◽  
Language Fluency ◽  
Cross Sectional ◽  
Limited Health Literacy ◽  
Limited Health

ObjectiveLimited health literacy in patients with type 2 diabetes mellitus (T2DM) led to poorer diabetes knowledge, less medication adherence and increased healthcare cost. The purpose of this paper was to report the prevalence of limited health literacy in patients with T2DM and to identify factors that are associated with it.DesignA cross-sectional study was conducted from January to March 2018; data on patients’ sociodemographic characteristics, diabetes knowledge, perceived social support and health literacy level were collected. Health literacy level was measured using the European Health Literacy Survey Questionnaire (HLS-EU-Q47).SettingPatients were recruited from four primary care clinics in Perak, Malaysia.ParticipantsAdult patients diagnosed with T2DM who attended the study clinics during the study period.Primary outcome variablePatients with HLS-EU-Q47 General Index of ≤33 points were classified as having limited health literacy.ResultsThe prevalence of limited health literacy was 65.3% (n=279). In bivariate analysis, patients’ ethnicity (p=0.04), highest education level (p<0.001), monthly income (p=0.003), having health insurance (p=0.007), English language fluency (p<0.001), Malay language fluency (p=0.021), attending diabetes education sessions (p<0.001), perceived social support (p<0.001) and diabetes knowledge (p=0.019) were factors associated with limited health literacy. In logistic regression, not being fluent in English was associated with limited health literacy (OR=2.36, 95% CI 1.30 to 4.30) whereas having high perceived social support (OR=0.52, 95% CI 0.40 to 0.69) and having attended diabetes education sessions (OR=0.42, 95% CI 0.27 to 0.68) were associated with adequate health literacy.ConclusionThe prevalence of limited health literacy is high among patients with T2DM in Perak, Malaysia. Strategies to improve health literacy in these patients must consider the influences of English fluency, attendance at diabetes education sessions and social support, and may need to adopt a universal approach to addressing limited health literacy.

scholarly journals Limited health literacy increases the risk of orthorexia nervosa among urban schoolteachers

2020 ◽  
Vol 39 (3) ◽  
pp. 162
Author(s):  
Gulay Yilmazel ◽  
Serpil Bozdogan
Keyword(s):  
Health Literacy ◽  
School Health ◽  
Binary Logistic Regression ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Orthorexia Nervosa ◽  
Cross Sectional ◽  
Black Sea Region ◽  
Limited Health Literacy ◽  
Limited Health

Background <br />Orthorexia nervosa (ON) describes a pathological obsession with proper nutrition that is characterized by a restrictive diet, ritualized patterns of eating, and rigid avoidance of foods believed to be unhealthy or impure. Limited health literacy may play a role in the onset and progression of orthorexia. The aim of this study was to determine the relationship between health literacy and ON among urban schoolteachers.<br /><br />Methods<br />This cross-sectional study was conducted in central Black Sea region of Turkey with 420 primary and secondary schoolteachers aged between 18 and 51 years. A questionnaire form including socio-demographic characteristics was used. The Orthorexia Nervosa Questionnaire (ORTO-15) was used to assess orthorexia nervosa behavior and the Turkey Health Literacy Scale (TSOY-32) to assess health literacy. Simple binary and multiple binary logistic regression analyses were carried out to verify the associations between the variables.<br /><br />Results<br />Of the study group 46.4% were in the 40-49 year age group, 53.8% were male, 78.6% had ON and 93.6% had limited health literacy. Nearly all of the orthorexics (96.4%) had limited health literacy. Female gender, Instagram use and limited health literacy was significantly associated with ON. Limited health literacy increases the risk of ON 4.85 times among teachers (aOR=4.85;95% C.I. : 2.15-10.94;p=0.000).<br /><br />Conclusion<br />The current findings suggest that limited health literacy is the strongest risk factor for ON among urban schoolteachers. School health literacy and social media literacy programs can open a new window into revealing ON.

scholarly journals Assessment of Written Patient Information Pertaining to Cirrhosis and Its Complications: A Pilot Study

2019 ◽  
Vol 7 (4) ◽  
pp. 499-506
Author(s):  
Lea Ladegaard Grønkjær ◽  
Kirsten Berg ◽  
Rikke Søndergaard ◽  
Majbritt Møller
Keyword(s):  
Health Literacy ◽  
Patient Information ◽  
Information Quality ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Mixed Methods Design ◽  
Cross Sectional ◽  
Limited Health Literacy ◽  
Limited Health ◽  
Made In

Background: Written patient information may play an important role in the compliance of the cirrhosis disease, but little is known on the quality and patients’ understanding of them. Objectives: To assess the written patient information leaflet pertaining to cirrhosis and its complications. Methods: The Baker Able Leaflet Design (BALD) criteria and the Ensuring Quality Information for Patients (EQIP) questionnaire were applied to assess design, layout characteristics, and information quality. Readability was calculated using the Læsbarhedsindex (LIX) and the Simple Measure of Gobbledygook (SMOG). A cross-sectional study with a mixed methods design was carried out, using a questionnaire consisting of closed- and open-ended questions. Results: The BALD score was 24 and the EQIP score 70%. The LIX score was 46 and the SMOG score 15.8. Sixteen phrases from the leaflet were selected to explore patients’ understanding. Four phrases were understood by 100% of the patients, 6 phrases by more than 50% of the patients, and 6 phrases were understood by less than 50% of the patients. The meaning condensation showed that knowledge and understanding of cirrhosis and its complications were not enhanced by the availability of the leaflet. Conclusion: The leaflet had a good design, layout, and information quality but was difficult to read. Patients appeared to relate poorly to the leaflet and demonstrated limited health literacy. These results suggest that an assessment of written patient information ought to be made in an effort to improve readability. Further studies on intervention to improve patients’ health literacy are recommended.

scholarly journals Evaluation of Spiritual Health Level in Pregnant Women Referred to Hospitals Affiliated to Shiraz University of Medical Sciences

2021 ◽  
Vol 8 (7) ◽  
pp. 54
Author(s):  
Hanieh Dehestani ◽  
Naeimeh Tayebi ◽  
Fatemeh Ahmadinezhad
Keyword(s):  
Pregnant Women ◽  
Statistical Tests ◽  
Cross Sectional Study ◽  
Spiritual Health ◽  
Health Centers ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Women's Lives ◽  
The Mean ◽  
Psychological Dimensions

Pregnancy and motherhood are considered as enjoyable and evolutionary events in women's lives. In Iran, a study that measured the spiritual health of pregnant women has been conducted very limited. The aim of this study was to evaluate the mean score of spiritual health in pregnant women referred to hospitals affiliated to Shiraz University of Medical Sciences. This descriptive cross-sectional study was performed in 2016 on 200 pregnant women referring to health centers in Shiraz. Sampling was performed by available sampling method and information was collected by Palutzin and Ellison spiritual health tools and personal and demographic information by self-performed method. Data were analyzed by SPSS software (version 22) and descriptive statistical tests. The mean age was 28.92 with a gestational age of 37-41 weeks. 17 (8.5%) of the sample were less than 20 years old, 28 (14%) were 36-40 years old and 7 (3.5%) were over 40 years old. The mean age of spiritual health was 102.68(14.61) and 63 people (31.5%) had moderate spiritual health. And 137 people (68.5%) had high spiritual health. Most of the mothers participating in this study had high spiritual health. Therefore, more attention to the spiritual and psychological dimensions of pregnant women along with other dimensions of health is recommended.

scholarly journals Does Depression and Anxiety Mediate the Relation between Limited Health Literacy and Diet Non-Adherence?

2020 ◽  
Vol 17 (21) ◽  
pp. 7913
Author(s):  
Ivana Skoumalova ◽  
Andrea Madarasova Geckova ◽  
Jaroslav Rosenberger ◽  
Maria Majernikova ◽  
Peter Kolarcik ◽  
...  
Keyword(s):  
Health Literacy ◽  
Hierarchical Cluster ◽  
Cross Sectional Study ◽  
Self Management ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Limited Health Literacy ◽  
Gender And Education ◽  
Limited Health

Limited health literacy (HL), depression and anxiety are common in dialyzed patients and affect health outcomes and self-management. We explored whether depression and anxiety mediate the association of HL with diet non-adherence (DN-A) in dialyzed patients. We performed a cross-sectional study in 20 dialysis clinics in Slovakia (n = 452; mean age: 63.6 years; males: 60.7%). Hierarchical cluster analysis was performed to create three HL groups. Logistic regression adjusted for age, gender and education was used to explore whether depression and anxiety mediate the association of HL with DN-A. Patients in the moderate HL group were more likely to be non-adherent to diet (OR (Odds Ratio)/95% CI: 2.19/1.21–3.99) than patients in the high HL group. Patients in the low HL and moderate HL group more likely reported depression or anxiety. Patients reporting depression (OR/95% CI: 1.94/1.26–2.98) or anxiety (OR/95% CI: 1.81/1.22–2.69) were more likely to be non-adherent with diet. Adjustment for depression reduced the association between moderate HL and DN-A by 19.5%. Adjustment for anxiety reduced the association between moderate HL and DN-A by 11.8%. Anxiety and depression partly mediated the association of HL with DN-A. More attention should be paid to treating patients’ psychological distress to ensure adequate adherence with recommended diet.

scholarly journals Adherence and Related Factors in Pregnant Women With Gestational Diabetes

2021 ◽  
Author(s):  
Shiva Borzouei ◽  
Mohammad Eslahchi ◽  
Farzaneh Esna-Ashari ◽  
Azar Pirdehghan
Keyword(s):  
Medication Adherence ◽  
Health Literacy ◽  
Gestational Diabetes ◽  
Pregnant Women ◽  
Significant Relationship ◽  
College Education ◽  
Cross Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Significance Level

Gestational diabetes is a metabolic disease that can have multiple maternal and fetal complications. Therapeutic adherence can help controlling blood sugar and reducing its complications. This study investigates the medication adherence among pregnant women and the effective factors on it. This cross-sectional study was conducted on 104 pregnant women with gestational diabetes who were referred to the endocrinology clinic of Shahid Beheshti hospital in Hamadan, Iran, in 2018. Input criteria were those over 18 years of age, and output criteria included heart, kidney, and thyroid disorders. Medication adherence was evaluated using Morisky's 6-question questionnaire (MMAS-6). Analyzes were conducted using SPSS version 21 at the significance level of less than 0.05. Based on the results, 77.9% of the women lived in the city, 65.4% had a college education, and 73.1% were housewives. 58.7% of them had good medication adherence. There was a significant relationship between adherence and glycemic control. Address and level of education had a significant relationship with medication adherence. People with higher levels of health literacy had significantly higher medication adherence. Low education level, rural residence, and low health literacy level are determinants of poor medication adherence in pregnant women with gestational diabetes, which indicates the need for more training for these people.

scholarly journals Health literacy levels and its determinants among people with asthma in Malaysian primary healthcare settings: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
H. Salim ◽  
S. Shariff Ghazali ◽  
P. Y. Lee ◽  
A. T. Cheong ◽  
N. H. Harrun ◽  
...  
Keyword(s):  
Health Literacy ◽  
Action Plan ◽  
Cross Sectional Study ◽  
Self Management ◽  
Cross Sectional ◽  
Limited Health Literacy ◽  
Healthcare Settings ◽  
History Of ◽  
Limited Health ◽  
Asthma Action Plan

Abstract Background Limited health literacy among people with asthma is associated with poor adherence to self-management activities, thus poor clinical outcomes. This study aimed to determine the prevalence of health literacy level and its determinants among people with asthma in the Malaysian primary healthcare settings. Method A cross-sectional study was conducted among participants aged > 18 years with asthma who attended five primary health clinics in Malaysia. Systematic random sampling was employed with a final sample of 550 participants. The questionnaires included the validated Malay version of Health Literacy Scale (HLS) and asthma control questionnaire (ACQ). Statistical analysis was done using SPSS version 25. Multiple logistic regression was performed to determine the determinants for limited health literacy. Results The participants mean age of the participants was 48 (SD15.4) years. Most of the participants were women (64%) and of Malay ethnicity (51.1%). Nearly half had a secondary level of education, n = 112, (45.8%). Mean duration of asthma diagnosis is 20.6 (SD 15.9) years. More than half (62.5%) had a family history of asthma. About half (50.9%) had uncontrolled asthma, with 87.3% self-rated themselves as having controlled asthma. About a third (29.1%) received education on of asthma action plan, but only 7.1% of these owned a written version an asthma action plan. Limited health literacy accounts for 60.5% of the participants. The significant determinants for limited health literacy included lower educational attainment (p < 0.001), family history of asthma (p = 0.034), < 20 years duration of asthma diagnosis (p = 0.031) and not receiving asthma action plan education (p < 0.001). Conclusion In this study population, more than half of the people living with asthma were found to have limited health literacy, which was associated with not having received self-management education supported by an asthma action plan. Future interventions should include strategies that ensure they meet the needs of people with limited health literacy.

scholarly journals Health literacy level in a various nephrology population from Québec: predialysis clinic, in-centre hemodialysis and home dialysis; a transversal monocentric observational study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Annabel Boyer ◽  
Yannick Begin ◽  
Julie Dupont ◽  
Mathieu Rousseau-Gagnon ◽  
Nicolas Fernandez ◽  
...  
Keyword(s):  
Health Literacy ◽  
Observational Study ◽  
Health Information ◽  
Healthcare Providers ◽  
Significant Proportion ◽  
Good Health ◽  
Sufficient Information ◽  
Home Dialysis ◽  
Limited Health Literacy ◽  
Limited Health

Abstract Background Health literacy refers to the ability of individuals to gain access to, use, and understand health information and services in order to maintain a good health. It is especially important in nephrology due to the complexity of chronic kidney disease (CKD). The present study sought to define health literacy levels in patients followed in predialysis clinic, in-center dialysis (ICHD), peritoneal dialysis (PD) and home hemodialysis (HHD). Methods This transversal monocentric observational study analysed 363 patients between October 2016 and April 2017. The Brief Health Literacy Screen (BHLS) and the Health Literacy Questionnaire (HLQ) were used to measure health literacy. Multivariate linear regressions were used to compare the mean scores on the BHLS and HLQ, across the four groups. Results Patients on PD had a significantly higher BHLS’score than patients on ICHD (p = 0.04). HLQ’s scores differed across the groups: patients on HHD (p = 0.01) and PD (p = 0.002) were more likely to feel understood by their healthcare providers. Compared to ICHD, patients on HHD were more likely to have sufficient information to manage their health (p = 0.02), and patients in the predialysis clinic were more likely to report high abilities for health information appraisal (p < 0.001). Conclusion In a monocentric study, there is a significant proportion of CKD patients, especially in predialysis clinic and in-centre hemodialysis, with limited health literacy. Patients on home dialysis (HHD and PD) had a higher level of health literacy compared to the other groups.

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