Is Higher Health Literacy Associated with Better Self-Care in the Elderly?

Rahaei, Zohreh; Mehrjoyan, Nasrin; Barzegr, Fatemeh; Anbari-Nogyni, Zainab

doi:10.22038/jhl.2020.53305.1135

	Is Higher Health Literacy Associated with Better Self-Care in the Elderly?
Journal of Health Literacy
مقاله 3، دوره 5، شماره 3 - شماره پیاپی 19، اسفند 2020، صفحه 26-35 اصل مقاله (326.68 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22038/jhl.2020.53305.1135
نویسندگان
Zohreh Rahaei¹؛ Nasrin Mehrjoyan²؛ Fatemeh Barzegr³؛ Zainab Anbari-Nogyni^* ⁴
¹Assistant Professor in Health Education and Promotion. Elderly Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran bHealth Education, School of Public Health, Shahid Sadoughi
²Health Education, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
³Health Education, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
⁴Department of aging Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
چکیده
Background and Objective:The global increase of the old population has changed into a crisis. The elderly' population low level of health literacy, introduced as a global issue in the 21st century, is considered as a common global problem. Health-promoting self-care behaviors are directly related to the health of the elderly and their quality of life by reducing the mortality and morbidity rates. Therefore, this study aimed to investigate the association between health literacy and self-care among the old population in Yazd, Iran. Materials and Methods: This cross-sectional study was conducted on 300 elderly people in Yazd. The participants were selected using cluster sampling method. The data collection tools included a demographic questionnaire, a researcher-made questionnaire over self-care behaviors, and Health Literacy for Iranian Adults' questionnaire. Data were analyzed by SPSS20 (SPSS, Inc. Chicago, USA) using descriptive and inferential statistical tests. Results: The participants' average age was 66 years. The studied elderly people achieved 79.5% and 65.7% of the maximum attainable levels of the health literacy and self-care scores, respectively. A direct correlation was observed between the health literacy and self-care scores. Conclusion: Regarding the moderate level of self-care in the elderly people and its relationship with health literacy, appropriate educational interventions are required for the elderlies and their families in the field of health literacy. These trainings should be aimed to improve the old people' self-care and responsiveness with regard to various diseases by increasing their health literacy.
کلیدواژه‌ها
Elderly؛ Health Literacy؛ Self-Care

مراجع
1. Marmot M, Friel S, Bell R, Houweling TA, Taylor S, Health CoSDo. Closing the gap in a generation: health equity through action on the social determinants of health. The lancet. 2008;372(9650):1661-9. https://doi.org/10.1016/S0140-6736(08)61690-6

2. Khodamoradi A, Hassanipour S, Daryabeigi Khotbesara R, Ahmadi B. The trend of population aging and planning of health services for the elderly: A review study. Journal of Torbat Heydariyeh University of Medical Sciences. 2018;6(3):81-95.

3. Hosseinpour S, Behpour N, Tadibi V, Ramezankhani A. Effect of Cognitive-motor Exercises on Physical Health and Cognitive Status in Elderly. Iranian Journal of Health Education and Health Promotion. 2017;5(4):336-44. https://doi.org/10.30699/acadpub.ijhehp.5.4.336

4. 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 and Disorders. 2011;38:P:41-52. https://doi.org/10.1044/cicsd_38_S_41

5. Nutbeam D, Kickbusch I. Advancing health literacy: a global challenge for the 21st century. Oxford University Press; 2000,15(3),P:183-4 https://doi.org/10.1093/heapro/15.3.183

6. Saranjit S, Lennard L. Health literacy: being able to make the most of health: National Consumer Council; 2004 pp.46 pp. ref.74.

7. Kalichman SC, Benotsch E, Suarez T, Catz S, Miller J, Rompa D. Health literacy and health-related knowledge among persons living with HIV/AIDS. American journal of preventive medicine. 2000;18(4):325-31. https://doi.org/10.1016/S0749-3797(00)00121-5

8. Kobayashi LC, Wardle J, Wolf MS, Von Wagner C. Aging and functional health literacy: a systematic review and meta-analysis. Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2016;71(3):445-57. https://doi.org/10.1093/geronb/gbu161 PMid:25504637 PMCid:PMC4834761

9. RobatSarpooshi D, Mahdizadeh M, Alizadeh Siuki H, Haddadi M, Robatsarpooshi H, Peyman N. The Relationship Between Health Literacy Level and Self-Care Behaviors in Patients with Diabetes. Patient Relat Outcome Meas. 2020;11:129-35. https://doi.org/10.2147/PROM.S243678 PMid:32440244 PMCid:PMC7211311

14. Dehghankar L, Panahi R, Kekefallah L, Hosseini N, Hasannia E. The study of health literacy and its related factors among female students at high schools in Qazvin. Journal of Health Literacy. 2019;4(2):18-26. https://doi.org/10.22038/jhl.2019.40390.1055

11. Morovatisharifabad M, Ghofranipour F, Heydarnia A, Babaeirochi G. Perceived religious support of health promoting behavior and status doing these behaviors in Aged 65 years and older in Yazd. The Journal of Shahid Sadoughi University of Medical Sciences. 2004;12(1):23-9.

12. Davies N. Promoting healthy ageing: the importance of lifestyle. Nursing Standard (through 2013). 2011;25(19):43. https://doi.org/10.7748/ns.25.19.43.s51 https://doi.org/10.7748/ns2011.01.25.19.43.c8270 PMid:21287926

13. Ghaneh B, Saeed-Banadaky SH, Rahaei Z, Rezaeipandari H, Mohiti Ardakani E. Disability and self-care among elders in Yazd. Elderly Health Journal. 2016;2(1):39-44.

14. Mohammadi Farah S, Saati Asr MH, Kavivani Manesh A, Barati M, Afshari M, Mohammadi Y. Health Literacy Level and its Related Factors among College Students of Hamadan University of Medical Sciences, Hamadan, Iran. Journal of Education and Community Health. 2017;4(2):11-7. https://doi.org/10.21859/jech.4.2.11

15. SangSefidi S, Ghanbari Moghaddam A, Mohamadzadeh M, Karbalaee Z, Mohammadi M. Self-care and its predictive role in the quality of life of the elderly living in the community. Journal of Gerontology. 2018;2(4):64-70. https://doi.org/10.29252/joge.2.4.64

16. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Communicative And Critical Health Literacy And Self-Care Behaviors In Patients With Type 2 Diabetes. Iranian Journal of Diabetes and Lipid Disorders. 2016;14(3):199-208.

17. Ghaneh B S-BS, Rahaei Z, Rezaeipandari H, Mohiti Ardakani E. Disability and self-care among elders in Yazd. Elderly Health Journal. 2016; 2(1): 39-44.

18. Kutner MA GE, Yin J, Paulsen C, White S. The health literacy of America's adults: results from the 2003 National Assessment of Adult Literacy. Washington (DC): United States Department of Education; 2006.

19. . Montazeri A, Tavousi M , Rakhshani F, Azin SA , Jahangiri K, Ebadi M ,et al. Adult Health Literacy Iranians live in cities. Research Institute for Health Sciences Research Center of Health.2015 ;13:589-600. [Persian].

20. Smith SG, O'Conor R, Curtis LM, Waite K, Deary IJ, Paasche-Orlow M, et al. Low health literacy predicts decline in physical function among older adults: findings from the LitCog cohort study. J Epidemiol Community Health. 2015;69(5):474-80. https://doi.org/10.1136/jech-2014-204915 PMid:25573701 PMCid:PMC4413744

21. Oo WM, Soe PP, Lwin KT. Status and determinants of health literacy: a study among adult population in selected areas of Myanmar. Int J Res Med Sci. 2015;2:318-22. https://doi.org/10.18203/2394-6040.ijcmph20150489

22. Słońska ZA, Borowiec AA, Aranowska AE. Health literacy and health among the elderly: status and challenges in the context of the Polish population aging process. AnthropologicAl review. 2015;78(3):297-307. https://doi.org/10.1515/anre-2015-0023

23. Reisi M MF, Hasanzade A, Sharifirad G. The Relationship between Health Literacy, Health Status and Healthy Behaviors among Elderly in Isfahan.journal of Health Research 2013;8(9):1-9.

24. Tehrani Banihashemi SA AKA, Haghdoust A, Alavian M, Asghari Fard H, Baradaran H, Asgharifard H, et al. Health iteracy in five province and relative effective factors. Strides in Development of Medical Education 2007; 4(1): 1-9.

25. Nejati V. Assessing the health status of elderly people in the province of Qom (2007). The Journal of Qazvin University of Medical Sciences. 2009;13(1):67-72.

26. Chenary R, Noroozi A, Noroozi R. Relation between perceived social support and health promotion behaviors in chemical veterans in Ilam province on 2012-13. Iranian Journal of War and Public Health. 2013;6(1):1-10.

27. Akhoundzadeh G PF, Safaei F. The Relationship of Daily Spiritual Experience with Self-Care among the Elderly in Gonbad-e-Kavos City, Iran, in 2017. Journal Of Research In Rehabilitation Sciences. 2020;14(5):289-295. https://doi.org/10.22122/jrrs.v14i5.3279

28. Azadbakht M, Garmaroodi G, Taheri Tanjani P, Sahaf R, Shojaeizade D, Gheisvandi E. Health promoting self-care behaviors and its related factors in elderly: application of health belief model. J Educ Community Health. 2014;1(2):20-9. https://doi.org/10.20286/jech-010220

29. Habibi A NS, Seyedoshohadaei M, Haghani H. Health promoting behaviors and its related factors in elderly. Iran Journal of Nursing. 2006;19(47):35-48.

30. Vosoghi Karkazloo N AG, Farhani B , Mohamad neghad A , Sajadi A. The study of self-care agency in patients with diabetes (Ardabil). Modern Care, Scientific Quarterly of Birjand Nursing and Midwifery Faculty. 2012; 8 (4): 197-204.

31. Peyman TS PA, Hasnzadeh A, Mostafavi F. The Relationship of Self-Care Behaviors and Health Literacy in Patients with Hypertension in Isfahan City, Iran, in 2015-2016. J Health Syst Res 2017; 13(3): 381-7.

32. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Communicative and critical health literacy and self-care behaviors in patients with type 2 diabetes. Iranian journal of Diabetes and Metabolism. 2016;14(3):199-208.

33. Williams MV BD, Honig EG, Lee TM, Nowlan A. Inadequate literacy is a barrier to asthma knowledge and self-care. Chest Journal. 1998;114(4):1008-15. https://doi.org/10.1378/chest.114.4.1008 PMid:9792569

34. Alizadeh Aghdam MB KK, Gholizadeh M. The relationship of Self-care and Health Literacy with Mental Health among Citizens of Tabriz City. Journal of Health Based Research 2017; 2(4): 381-394.

35. Ghaedi M BF, Latifi M, Soleymaninejad M. The Relationship between Health Literacy and Self-care among Patients with Type 2 Diabetes Residing in the City of Bastak. Iranian Journal of Endocrinology abd MetabolismVol 18 No.2 June-July 2016,90-96.

آمار

تعداد مشاهده مقاله: 689

تعداد دریافت فایل اصل مقاله: 384

سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Is Higher Health Literacy Associated with Better Self-Care in the Elderly?