Relationship between Minor Psychiatric Disorders and Health Literacy among Students: A Latent Class Regression | |
Journal of Health Literacy | |
دوره 5، شماره 2 - شماره پیاپی 18، آذر 2020، صفحه 11-20 اصل مقاله (192.15 K) | |
نوع مقاله: Original Article | |
شناسه دیجیتال (DOI): 10.22038/jhl.2020.49782.1118 | |
نویسندگان | |
Nasrin Talkhi1؛ Vahid Ghavami2؛ Mohammad Reza Jamali3؛ Hajar Jamali4؛ Jamshid Jamali* 5 | |
1Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, IR Iran. | |
2Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. | |
3National Center for Health Insurance Research, Iran Health Insurance Organization, Tehran, Iran | |
4Amin Police University, Tehran, Iran. | |
5Assistant Professor, Department of Biostatistics , School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. | |
چکیده | |
Background and Objective: Minor Psychiatric Disorders (MPDs) are the most common mental disorders including depression, stress, and anxiety. In this study, we aimed to investigate association between health literacy status and MPDs. Materials and Methods: This descriptive-analytical cross-sectional study was conducted on 250 students who were studying at Mashhad University of Medical Sciences, Iran, in 2018. The Probability Proportional to Size sampling were used to selected eligible students. Data were collected using a demographic checklist, 12-item General Health Questionnaire (GHQ-12), and Health Literacy for Iranian Adults (HELIA) Questionnaire. The data obtained were analyzed using latent class regression in Latent Gold, version 4.5. Results: Most of the students (51.6%) were male and 16.8% were married; the dominant education level (43.2%) was PhD. The mean scores of GHQ-12 and HELIA were 13.38±6.13 (out of 36) and 59.84 ±12.87 (out of 100), respectively. The result showed that 21.6% (n = 54) of students had an inadequate level of health literacy, 43.2% (n = 108) were in margin level and 35.2% (n = 88) had an adequate level of health literacy. A total of 26.13% had low levels of MPDs and 56.76% had moderated MPDs. Seventeen percent scored in the high range. Health literacy was significantly and negatively associated with MPD. Conclusion: Health literacy status among students was at a low and moderate level, which is not satisfactory. The findings of this study confirmed the influential role of health literacy on MPDs. Therefore, it is suggested that lack the health literacy skills needed to interventional function in the student’s population. Health professionals need to provide educational interventions on PMDs based health literacy issues to ensure that students can understand their health and make informed decisions. The main step in controlling and reducing PMD is to implement trainings program and health literacy strategies to improve the health literacy abilities of the student population. | |
کلیدواژهها | |
Mental Disorders؛ Health Literacy؛ Regression Analysis؛ Latent Class Regression؛ General Health Questionnaire | |
مراجع | |
1. Bayat M, Bayat M. Quality of life for women in Mashhad. 3rd National conference of strategic thinking woman's family; Tehran: Secretariat of strategic thinking 2010. p. 575-87.
|
|
|
|
2. Kaboudi M, Kianipour N, Ziapour A, Dehghan F. A study of health literacy components and their relationships with health-promoting behaviors in students at Kermanshah University of medical sciences. International Journal of Pediatrics. 2017;5(12):6721-9.
|
|
|
|
3. Abbasimoghadam MA, Dabiran S, Safdari R, Djafarian K. Quality of life and its relation to sociodemographic factors among elderly people living in Tehran. Geriatrics & gerontology international. 2009;9(3):270-5. https://doi.org/10.1111/j.1447-0594.2009.00532.x PMid:19702937 |
|
|
|
4. Olfson M, Marcus SC, Druss B, Elinson L, Tanielian T, Pincus HA. National trends in the outpatient treatment of depression. Jama. 2002;287(2):203-9. https://doi.org/10.1001/jama.287.2.203 PMid:11779262 |
|
|
|
5. Hassanshahi MM, Goodarzi MA, Mirjafari S, Farnam R. Prevalence of Psychiatric Disorders in the city of Arsanjan. The Quarterly Journal of Fundamentals of Mental Health. 2003;19-20(6):67-83.
|
|
|
|
6. Roustaei N, Ayatollahi SMT, Jamali J. Relationship between Minor Psychiatric Disorders and Job Stability among Southern Iranian Nurses: Using Latent Class Regression Model. Hayat. 2015;20(4):51-61. https://doi.org/10.17795/nmsjournal28017 PMid:26339670 PMCid:PMC4557411 |
|
|
|
7. Sayarifard A, Ghadirian L, Mohit A, Eftekhar M, Badpa M, Rajabi F. Assessing mental health literacy: What medical sciences students' know about depression. Med J Islam Repub Iran. 2015;29:161.
|
|
|
|
8. Panahi R, Ramezankhani A, Tavousi M, Osmani F, Ghazanfari E, Niknami S. Evaluation of Health Literacy and its influencing factors on dormitory students of Shahid Beheshti University of Medical Sciences in Tehran. Journal of Education and Community Health. 2016;3(3):30-6. https://doi.org/10.21859/jech-03035 |
|
|
|
9. Bianco A, Pomara F, Thomas E, Paoli A, Battaglia G, Petrucci M, et al. Type 2 diabetes family histories, body composition and fasting glucose levels: a cross-section analysis in healthy sedentary male and female. Iranian journal of public health. 2013;42(7):681-90.
|
|
|
|
10. Sorensen 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;12:80. https://doi.org/10.1186/1471-2458-12-80 PMid:22276600 PMCid:PMC3292515 |
|
|
|
11. Roustaei N, Jafari P, Sadeghi E, Jamali J. Evaluation of the Relationship between Social Desirability and Minor Psychiatric Disorders among Nurses in Southern Iran: A Robust Regression Approach. International journal of community based nursing and midwifery. 2015;3(4):301-8.
|
|
|
|
12. Montazeri A, Harirchi AM, Shariati M, Garmaroudi G, Ebadi M, Fateh A. The 12-item General Health Questionnaire (GHQ-12): translation and validation study of the Iranian version. Health and quality of life outcomes. 2003;1:66. https://doi.org/10.1186/1477-7525-1-19 https://doi.org/10.1186/1477-7525-1-66 https://doi.org/10.1186/1477-7525-1-14 |
|
|
|
13. Haeri MA, Tavousi M, Rafieifar S, Soleimanian A, Sarbandi F, Ardestani MS, et al. Health literacy for Iranian adults (Helia): The confirmatory factor analysis. Payesh. 2016;3:251-7.
|
|
|
|
14. 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. 2014;13(5):589-99.
|
|
|
|
15. Iraj Z, Hossien I, Marzieh A. Psychometric evaluation of health literacy for adults (HELIA) in urban area of Balochistan. Payesh. 2016;15(6):669.
|
|
|
|
16. Chajaee F, Pirzadeh A, Hasanzadeh A, Mostafavi F. Relationship between health literacy and knowledge among patients with hypertension in Isfahan province, Iran. Electronic physician. 2018;10(3):6470-7. https://doi.org/10.19082/6470 PMid:29765571 PMCid:PMC5942567 |
|
|
|
17. Bandeen-roche K, Miglioretti DL, Zeger SL, Rathouz PJ. Latent Variable Regression for Multiple Discrete Outcomes. Journal of the American Statistical Association. 1997;92(440):1375-86. https://doi.org/10.1080/01621459.1997.10473658 |
|
|
|
18. Lanza ST, Rhoades BL. Latent class analysis: an alternative perspective on subgroup analysis in prevention and treatment. Prevention science : the official journal of the Society for Prevention Research. 2013;14(2):157-68. https://doi.org/10.1007/s11121-011-0201-1 PMid:21318625 PMCid:PMC3173585 |
|
|
|
19. Roustaei N, Taghi Ayatollahi SM, Jamali J. Relationship between minor psychiatric disorders and job stability among southern Iranian nurses: Using latent class regression model. HAYAT. 2015;20(4):51-61. https://doi.org/10.17795/nmsjournal28017 PMid:26339670 PMCid:PMC4557411 |
|
|
|
20. Ebadi M, Harirchi AM, Shariati M, Garmaroudi G, Fateh A, Montazeri A. Translation, reliability and validity of the 12-item general health questionnaire among young people in Iran. Payesh, Journal of The Iranian Institute For Health Sciences Research. 1381;1(3):8.
|
|
|
|
21. Farrell TW. Review of a Geriatric Health Literacy Workshop for Medical Students and Residents. Journal of the American Geriatrics Society. 2011;59(12):2347-9. https://doi.org/10.1111/j.1532-5415.2011.03720.x PMid:22092069 |
|
|
|
22. Edwards D, Burnard P, Coyle D, Fothergill A, Hannigan B. Stressors, moderators and stress outcomes: findings from the All-Wales Community Mental Health Nurse Study. Journal of psychiatric and mental health nursing. 2000;7(6):529-37. https://doi.org/10.1046/j.1365-2850.2000.00359.x PMid:11933511 |
|
|
|
23. Lasebikan VO, Oyetunde MO. Burnout among Nurses in a Nigerian General Hospital: Prevalence and Associated Factors. ISRN nursing. 2012;2012:402157. https://doi.org/10.5402/2012/402157 PMid:22619733 PMCid:PMC3350958 |
|
|
|
24. Fagin L, Brown D, Bartlett H, Leary J, Carson J. The Claybury Community Psychiatric Nurse Stress Study: is it more stressful to work in hospital or the community? Journal of advanced nursing. 1995;22(2):347-58. https://doi.org/10.1046/j.1365-2648.1995.22020347.x PMid:7593957 |
|
|
|
25. Hadavi M, Yazdani M, Khodadadi A, Hashemi Z, Aminzadeh F. Comparison of the Mental Health Status of First- and last-year students of Nursing, Midwifery and Paramedical Faculty of Rafsanjan based on SCL90 in 2012. Journal of Rafsanjan University of Medical Sciences. 2014;13(6):549-60.
|
|
|
|
26. Sadeghian E, Heidarian Pour A. Stressors and Mental Health Status among Students of Hamadan University of Medical Sciences. Hayat. 2009;15(1):71-80.
|
|
|
|
27. Ramezankhani A, Ghafari M, Rakhshani F, Ghanbari S, Azimi S. Comparison of health literacy between medical and non-medical students in Shahid Beheshti Universities in the academic year 92-93. Pajoohande. 2015;20(2):78-85.
|
|
|
|
28. Mahmoudi H, Taheri A. Relation between Information Literacy and Health Literacy of Students in Ferdowsi University of Mashhad. Human Information Interaction. 2015;2(2):31-41.
|
|
|
|
29. Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The prevalence of limited health literacy. Journal of general internal medicine. 2005;20(2):175-84. https://doi.org/10.1111/j.1525-1497.2005.40245.x PMid:15836552 PMCid:PMC1490053 |
|
|
|
30. Zhang Q, Cui G, editors. Investigation and analysis of Xi'an college students' health literacy. Proceedings 2011 International Conference on Human Health and Biomedical Engineering; 2011: IEEE. https://doi.org/10.1109/HHBE.2011.6028991 |
|
|
|
31. Mahnoosh R, Firouzeh M, Akbar H, Gholamreza S. The Relationship between Health Literacy, Health status and Healthy behaviors among Elderly in Isfahan. Journal of Health System Research. 2012;7(4):469.
|
|
|
|
32. Hayedeh A, Ali M, Sajedeh N, Azadeh A. The Relationship Between Health Literacy and General Health in Patients with Type II Diabetes Referring to Diabetes Clinic of Zabol in 2016. Journal of Diabetes Nursing. 2017;5(1):29-39.
|
|
|
|
33. Clausen W, Watanabe-Galloway S, Baerentzen M, Britigan D. Health Literacy Among People with Serious Mental Illness. Community mental health journal. 2015;52. https://doi.org/10.1007/s10597-015-9951-8 PMid:26443671 |
|
|
|
34. Zhang S-C, Yang R, Li D-L, Wan Y-H, Tao F-B, Fang J. Association of health literacy and sleep problems with mental health of Chinese students in combined junior and senior high school. PloS one. 2019;14(6):e0217685-e. https://doi.org/10.1371/journal.pone.0217685 PMid:31173621 PMCid:PMC6555521 |
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