Health Literacy among Rural Communities: A Large Cross-Sectional Study

Vafaee-Najar, Ali; Gholian-Aval, Mahdi; Jamali, Jamshid

doi:10.22038/jhl.2022.67980.1356

	Health Literacy among Rural Communities: A Large Cross-Sectional Study
Journal of Health Literacy
مقاله 7، دوره 8، شماره 1 - شماره پیاپی 29، تیر 2023، صفحه 74-83 اصل مقاله (338.24 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22038/jhl.2022.67980.1356
نویسندگان
Ali Vafaee-Najar¹^{، 2}؛ Mahdi Gholian-Aval³^{، 4}؛ Jamshid Jamali^* ⁴^{، 5}
¹National Center for Health Insurance Research, Iran Health Insurance Organization, Tehran, Iran.
²Department of Health Management and Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
³Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
⁴Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
⁵Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده
Background and Objective: A good picture of the Health literacy (HL) state in rural communities is essential to prevent and reduce the cost of treatment. The aim of this study is to estimate the HL of Iranian rural communities and identify related factors. Materials and Methods: This cross-sectional study was conducted with multi-stage cluster sampling on about 5700 insured people living in rural areas of Iran in 2021. HL for Iranian Adults (HELIA) questionnaire and demographic information checklist were used to collect information. Bivariate and multivariable regression analyses were conducted to examine the factors associated with HL. Results: Out of 5675 participants in the study, 35.9% were male, 18.6% had university education levels, and 24.1% were single. The overall average score of the HL Questionnaire was 59.64 ± 22.85. Age, marital status, education level, number of insurance years, and annual visits were associated with HL (p<0.05). Conclusion: The level of HL in the rural communities of Iran was inadequate. Education level was the most critical factor related to HL. Due to the low literacy level, the production of simple, understandable, cheap, and available media and educational materials appropriate to the cultural, economic, and social characteristics of Iranian rural communities is recommended.
کلیدواژه‌ها
Health literacy؛ Rural؛ HELIA questionnaire؛ Iran

مراجع
1. Chen W, Ren H, Wang N, Xiong Y, Xu F. The relationship between socioeconomic position and health literacy among urban and rural adults in regional China. BMC Public Health. 2021;21(1):527. https://doi.org/10.1186/s12889-021-10600-7 PMid:33731069 PMCid:PMC7972343

2. Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42(1):159-73. https://doi.org/10.1146/annurev-publhealth-090419-102529 PMid:33035427

3. Tehrani H, Vali M, Nejatian M, Moshki M, Charoghchian Khorasani E, Jafari A. The status of depression literacy and its relationship with quality of life among Iranian public population: a cross sectional study. BMC psychiatry. 2022;22(1):1-9. https://doi.org/10.1186/s12888-022-04251-0 PMid:36100889 PMCid:PMC9472397

4. Stormacq C, Van den Broucke S, Wosinski J. Does health literacy mediate the relationship between socioeconomic status and health disparities? Integrative review. Health promotion international. 2019;34(5):e1-e17. https://doi.org/10.1093/heapro/day062 PMid:30107564

5. Dameworth JL, Weinberg JA, Goslar PW, Stout DJ, Israr S, Jacobs JV, et al. Health literacy and quality of physician-trauma patient communication: opportunity for improvement. Journal of Trauma and Acute Care Surgery. 2018;85(1):193-7. https://doi.org/10.1097/TA.0000000000001934 PMid:29664890

6. Kripalani S, Jacobson TA, Mugalla IC, Cawthon CR, Niesner KJ, Vaccarino V. Health literacy and the quality of physician‐patient communication during hospitalization. Journal of hospital medicine. 2010;5(5):269-75. https://doi.org/10.1002/jhm.667 PMid:20533572 PMCid:PMC3468649

7. Farin E, Ullrich A, Nagl M. Health education literacy in patients with chronic musculoskeletal diseases: development of a new questionnaire and sociodemographic predictors. Health education research. 2013;28(6):1080-91. https://doi.org/10.1093/her/cyt095 PMid:24113084

8. Karamali M, Yaghoubi M, Parandeh A. Scientific Mapping of Papers Related to Health Literacy Using Co-Word Analysis in Medline. Iranian Journal of Health Education and Health Promotion. 2021;9(3):280-95. https://doi.org/10.52547/ijhehp.9.3.280

9. Rajah R, Hassali M, Murugiah M. A systematic review of the prevalence of limited health literacy in Southeast Asian countries. Public Health. 2019;167:8-15. https://doi.org/10.1016/j.puhe.2018.09.028 PMid:30544041

10. Paasche-Orlow MK, Wolf MS. Promoting health literacy research to reduce health disparities. Journal of health communication. 2010;15(S2):34-41. https://doi.org/10.1080/10810730.2010.499994 PMid:20845191

11. Batterham RW, Hawkins M, Collins P, Buchbinder R, Osborne RH. Health literacy: applying current concepts to improve health services and reduce health inequalities. Public health. 2016;132:3-12. https://doi.org/10.1016/j.puhe.2016.01.001 PMid:26872738

12. La Vonne AD, Zun LS. Assessing adult health literacy in urban healthcare settings. Journal of the National Medical Association. 2008;100(11):1304-8. https://doi.org/10.1016/S0027-9684(15)31509-1 PMid:19024227

13. Tavousi M, HAERI MA, RAFIEFAR S, SOLIMANIAN A, SARBANDI F, ARDESTANI M, et al. Health literacy in Iran: findings from a national study. 2016.

14. Tehrani Banihashemi S-A, Haghdoost AA, Amirkhani MA, Haghdoost AA, Alavian S-M, Asgharifard H, et al. Health Literacy and the Influencing Factors: A Study in Five Provinces of Iran. Stride Dev Med Educ. 2007;4(1):1-9.

15. Xie Y, Ma M, Zhang Y, Tan X. Factors associated with health literacy in rural areas of Central China: structural equation model. BMC health services research. 2019;19(1):300. https://doi.org/10.1186/s12913-019-4094-1 PMid:31077197 PMCid:PMC6509858

16. Golboni F, Nadrian H, Najafi S, Shirzadi S, Mahmoodi H. Urban-rural differences in health literacy and its determinants in Iran: A community-based study. The Australian journal of rural health. 2018;26(2):98-105. https://doi.org/10.1111/ajr.12378 PMid:29214687

17. Shayakhmetov SS, Toguzbayeva KK, Ismailova AA, Tabibi R, Derbishalieva ZK, Dzhusupov KO. Health Literacy of Rural Population of Kazakhstan. Iranian journal of public health. 2020;49(7):1269-77. https://doi.org/10.18502/ijph.v49i7.3580 PMid:33083293 PMCid:PMC7548489

18. Wang W, Zhang Y, Lin B, Mei Y, Ping Z, Zhang Z. The Urban-Rural Disparity in the Status and Risk Factors of Health Literacy: A Cross-Sectional Survey in Central China. International journal of environmental research and public health. 2020;17(11). https://doi.org/10.3390/ijerph17113848 PMid:32485790 PMCid:PMC7312746

19. Nezhadhossein MR, Barati LS, Faraj S, Lolo S, Parvin S, Nejad Rasouli MA. Health Literacy of Rural and Urban Communities in Behbahan, Iran. J Health Res Commun. 2018;4(3):1-11.

20. Baraie B, Pashaei T, Kakemam E, Mahmoodi H. Health literacy and its predictors among urban and rural adults in Bijar County. Journal of education and health promotion. 2020;9:181. https://doi.org/10.4103/jehp.jehp_116_20 PMid:32953909 PMCid:PMC7482634

21. Montazeri A, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. 2014.

22. Ali Montazeri, Mahmoud Tavousi, Fateme Rakhshani, Seyed Ali Azin, Katayoun Jahangiri, Mahdi Ebadi, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Health Monitor Journal of the Iranian Institute for Health Sciences Research. 2014;13(5):589-99.

23. Tavousi M, Haeri-Mehrizi A, Rakhshani F, Rafiefar S, Soleymanian A, Sarbandi F, et al. Development and validation of a short and easy-to-use instrument for measuring health literacy: the Health Literacy Instrument for Adults (HELIA). 2020;20(1):656. https://doi.org/10.1186/s12889-020-08787-2 PMid:32397970 PMCid:PMC7216550

24. 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. https://doi.org/10.1186/1471-2458-10-614 PMid:20950479 PMCid:PMC2967535

25. Von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behaviour in a national sample of British adults. Journal of Epidemiology & Community Health. 2007;61(12):1086-90. https://doi.org/10.1136/jech.2006.053967 PMid:18000132 PMCid:PMC2465677

26. Tehrani Banihashemi S-A, Haghdoost AA, Amirkhani MA, 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.

27. Williams MV, Baker DW, Parker RM, Nurss JR. Relationship of functional health literacy to patients' knowledge of their chronic disease: a study of patients with hypertension and diabetes. Archives of internal medicine. 1998;158(2):166-72. https://doi.org/10.1001/archinte.158.2.166 PMid:9448555

28. Schillinger D, Bindman A, Wang F, Stewart A, Piette J. Functional health literacy and the quality of physician-patient communication among diabetes patients. Patient education and counseling. 2004;52(3):315-23. https://doi.org/10.1016/S0738-3991(03)00107-1 PMid:14998602

29. Schwartzberg JG, Cowett A, VanGeest J, Wolf MS. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. American journal of health behavior. 2007;31(1):S96-S104. https://doi.org/10.5993/AJHB.31.s1.12

30. Sudhakar S, Aebi ME, Burant CJ, Wilson B, Wenk J, Briggs FB, et al. Health literacy and education level correlates of participation and outcome in a remotely delivered epilepsy self-management program. Epilepsy & Behavior. 2020;107:107026. https://doi.org/10.1016/j.yebeh.2020.107026 PMid:32249034 PMCid:PMC7242156

31. Jovic-Vranes A, Bjegovic-Mikanovic V. Which women patients have better health literacy in Serbia? Patient education and counseling. 2012;89(1):209-12. https://doi.org/10.1016/j.pec.2012.06.001 PMid:22749876

32. Nekoei-Moghadam M, Parva S, Baneshi M. Health literacy and utilization of health services in Kerman urban area 2011. Tolooebehdasht. 2013;11(4):123-34.

33. Walters R, Leslie SJ, Polson R, Cusack T, Gorely T. Establishing the efficacy of interventions to improve health literacy and health behaviours: a systematic review. BMC public health. 2020;20(1):1-17. https://doi.org/10.1186/s12889-020-08991-0 PMid:32605608 PMCid:PMC7329558

34. Sanders LM, Federico S, Klass P, Abrams MA, Dreyer B. Literacy and child health: a systematic review. Archives of pediatrics & adolescent medicine. 2009;163(2):131-40. https://doi.org/10.1001/archpediatrics.2008.539 PMid:19188645

آمار

تعداد مشاهده مقاله: 386

تعداد دریافت فایل اصل مقاله: 292

سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Health Literacy among Rural Communities: A Large Cross-Sectional Study