Health Literacy and Its Association with Knowledge and Antibiotics Self-inflected Use among Women in Zahedan: A Cross-Sectional Study

Izadirad, Hosein; Rashki Ghaleno, Hossein; Ateshpanjeh, Alireza; Rafati, Hananeh; Nadimi, Elnaz

doi:10.22038/jhl.2023.71526.1407

Health Literacy and Its Association with Knowledge and Antibiotics Self-inflected Use among Women in Zahedan: A Cross-Sectional Study

Journal of Health Literacy

مقاله 5، دوره 8، شماره 3 - شماره پیاپی 31، آذر 2023، صفحه 55-68 اصل مقاله (590.04 K)

نوع مقاله: Original Article

شناسه دیجیتال (DOI): 10.22038/jhl.2023.71526.1407

نویسندگان

Hosein Izadirad^* ¹؛ Hossein Rashki Ghaleno²؛ Alireza Ateshpanjeh³؛ Hananeh Rafati⁴؛ Elnaz Nadimi⁴

¹Dpartment of Health Education and Health Promotion, Zahedan University Medical Sciences, Zahedan, Iran

²Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran

³Clinical Immunology Research Center, ELT Department, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran

⁴Khash Health High Education Complex, Zahedan University of Medical Sciences, Zahedan, Iran

چکیده

Background and Objectives: Antibiotics self-medication is a global concern, and more common especially in low-income countries, and cause problems such as antibiotic resistance and drug toxicity. This study examined the levels of health literacy (HL) and their association with the knowledge of antibiotics and its self-inflected use among women in Zahedan.

Materials and Methods: The present study was an analytic –descriptive study conducted on 400 women living in Zahedan from October 1 to November 25, 2021. The data collection method was self-explanatory. Antibiotics self-medication and the Health Literacy for Iranian Adults (HELIA) questionnaires were used to collect data. Chi-square and two-variable logistic regression test were applied using SPSS software version 19, (p= 0.05).

Results: Education had a higher correlation with the correct antibiotics consumption compared to the only knowledge (OR=2.812), and the higher levels of health literacy were related to correct antibiotics consumption (OR=0.480). Education level also had a significant relationship with the knowledge level regarding correct antibiotics consumption (OR=6.845). Furthermore, the domains of understanding (OR=1.035) and evaluation (OR=1.022) had a significant relationship with having a good knowledge.

Conclusion: The findings showed that at all levels of health literacy, the optimal level of knowledge and correct antibiotics consumption were low, and the level of health literacy supports proper knowledge about the correct antibiotics consumption, so it is suggested that the level of health literacy and knowledge be improved to increase the rational use of antibiotics presenting understandable content in educational programs of the national media.

کلیدواژه‌ها

Antibiotic resistance؛ Health Literacy؛ Knowledge؛ Public health؛ Self-medication

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مراجع

1.Sakai T, Morimoto Y. The History of Infectious Diseases and Medicine. Pathogens. 2022; 11(10):1147. https://doi.org/10.3390/pathogens11101147 PMid:36297204 PMCid:PMC9609744

2. Jain S, Thakur A, Peepre K, Kaushal S, Kasar P. Prevalence of self-medication practices among the residents of urban slums located near govt. medical college, Jabalpur. Int J Community Med Public Health. 2018;5 (2):811-817. https://doi.org/10.18203/2394-6040.ijcmph20180274

3.Janssen J, Afari-Asiedu S, Monnier A, Ali Abdulai M, Tawiah T, Wertheim H, et al. Exploring the economic impact of inappropriate antibiotic use: the case of upper respiratory tract infections in Ghana. Antimicrob Resist Infect Control. 2022;53(11):2-8. https://doi.org/10.1186/s13756-022-01096-w PMid:35365210 PMCid:PMC8973739

4. Simegn W, Getachew M. Antibiotics Self-Medication Practice and Associated Factors Among Residents in Dessie City, Northeast Ethiopia: Community-Based Cross-Sectional Study. Patient Prefer Adherence. 2022; 16: 2159-2170. https://doi.org/10.2147/PPA.S370925 PMid:35999841 PMCid:PMC9393019

5. Hosseinzadeh K, Azimian J. Iranians' Self-Report Knowledge and Practice about Arbitrary Use of Antibiotics. J Clin Diagn Res. 2017;11(8):6-9. https://doi.org/10.7860/JCDR/2017/25368.10495 PMid:28969151 PMCid:PMC5620792

6. Rahimisadegh R, Sharifi N, Jahromi VK, Zahedi R, Rostayee Z, Asadi R. Self-medication practices and their characteristics among Iranian university students. BMC Pharmacol Toxicol. 2022;23(60): 1-15. https://doi.org/10.1186/s40360-022-00602-5 PMid:35941706 PMCid:PMC9358361

7. Shokrzadeh M, Hoseinpoor R, Jafari D, Jalilian J, Shayeste Y. Self-Medication Practice and Associated Factors among Adults in Gorgan, North of Iran. Iran J Health Sci. 2019; 7 (2) :29-38. https://doi.org/10.18502/jhs.v7i2.1062

8. Office of National Statistics. Causes of death over 100 years. 2017. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/causesofdeathover100years/2017-09-18. Accessed 1/5/2023.

9. Browne A, Chipeta M, Haines-Woodhouse G, PA Kumaran E, Kashef Hamadani BH, Zarra S, et al. Global antibiotic consumption and usage in humans, 200-18: a sptial modeling study. Planetary Health. 2021;5(12): 893-904. https://doi.org/10.1016/S2542-5196(21)00280-1 PMid:34774223

10.Torres NF, Chibi B, Middleton LE, Solomon VP, Mashamba-Thomoson TP. Evidence of factors influencing self-medication with antibiotic in low and middle-income countries. public health. 2019; 168(1): 92-101. https://doi.org/10.1016/j.puhe.2018.11.018 PMid:30716570

11. Baracaldo-Santamaria D, Trujillo-Moreno MJ, Perez-Acosta AM, Feliciano-Alfonso JE, Calderon-Ospina CA, Soler F. Definition of self-medication: a scoping review. Ther Adv Drug Saf. 2022;5(13):1-14. https://doi.org/10.1177/20420986221127501 PMid:36211626 PMCid:PMC9537481

12. Wang Z, Zhang H, Han J, Xing H, Wu M, Yang T. Deadly sins of Antibiotic Abuse in China. Infect Control Hosp Epidemiol.2017; 6(38): 758-59. https://doi.org/10.1017/ice.2017.60 PMid:28397628

13. Aghakhani N, Hazrati A, Khademvatan K, Torabi M, Shams Ghoraisi T, Mesgarzadeh M. An Investigation of Arbitrary Use of Drugs in Patients with Congestive Heart Failure Hospitalized in Educational and Treatment Centers of Urmia University of Medical Sciences. Sadra Medical Journal. 2021; 9(1): 1-10. https://doi.org/10.29252/edcj.10.26.1

14. Karimy M, Rezaee Momtaz M, Tavousi M, Montazeri A, Araban M. Risk factors associated with self-medication among women in Iran. BMC Public Health. 2019;19(1):1-7. https://doi.org/10.1186/s12889-019-7302-3 PMid:31370891 PMCid:PMC6676788

15. Top 10 Countries Consuming the Most Antibiotics.[updated Nov. 14, 2018]. Available from: https://www.usnews.com/news/best-countries/slideshows/top-10-countries-consuming-the-most-antibiotics?slide=10#

16. Vahedi S, Jalali FS, Bayati M, Delavari S. Predictors of Self-medication in Iran: A Notional Survey Study. Iran J Pharm Res. 2021;20(1):348-358..

17. Dehvan F, Ghorbani M, GhaneiGheshlagh R, Dalvand S, Moradi B, Faramarzi P, et al. Evaluation of Self-medication and Related Factors in Elderly Population of Sanandaj. S J Nursing, Midwifery and Paramedical Faculty.2019; 4(4): 46-57.

18. Mark C, Stella K, Kofi A, Eric K, Emmanuel K, Tabitha K, et al. Social-technical interventions to reduce antimicrobial resistance in agriculture: evidence from poultry Farmer Field Schools in Ghana and Kenya. JAC-antimicrobial resistance. 2022:4:1-9. https://doi.org/10.1093/jacamr/dlab193 PMid:35156026 PMCid:PMC8826779

19. Shaamekhi HR, Asghari Jafarabadi M, Alizadeh M. Demographic determinants of self-medication in the population covered by health centers in Tabriz. Health Promot Perspect. 2019 6;9(3):181-190. https://doi.org/10.15171/hpp.2019.26 PMid:31508338 PMCid:PMC6717925

20. Akbari Somar N, Mohebbi B, Sadeghi R, Tol A, Yaseri M. The effect of educational Intervention Based on Social Cognitive Theory on Self-care and Self-management in Rational Use of Antibiotics. JNE.2018; 1(7):38-46.

21 .Ravati S, Farid M. The Health Literacy of Adults in Alborz Province in Iran. J Community Health Res.2018; 7(4): 1-6. https://doi.org/10.18502/jchr.v7i4.268

22. Panahi R. Health Literacy :An effective component to overcome perceived barriers to adoption of preventive behaviors in the health belief model. J Educ Community Health. 2018;3(19): 1-3. https://doi.org/10.21859/jech.5.3.1

23. Eslami V, Sany SBT, Tehrani H, Ghavami V, Peyman N. Examining health literacy and self-efficacy levels and their association with preventive behaviors of urinary tract infection in Iranian pregnant women: across sectional study. BMC Women's Health. 2023;23(1):258. https://doi.org/10.1186/s12905-023-02359-3 PMid:37173682 PMCid:PMC10180610

24. Shahid R, Shoker M, Chu LM, Frehlick R, Ward H, Pahwa P. Impact of low health literacy on patients' health outcomes: a multicenter cohort study. BMC Health Serv Res. 2022; 22(1): 1-10. https://doi.org/10.1186/s12913-022-08527-9 PMid:36096793 PMCid:PMC9465902

25.Delavar F. health literacy index: A new tool for health literacy assessment. journal of Hayat. 2018; 1(24): 1-6.

26.Sharghi A, Salehi Kousalari F. Relationship Between Cognitive Factors and Social Indicators in Designing the Healing Spaces for Old-Age People. Iran J Ageing. 2017; 12 (3) :346-359. https://doi.org/10.21859/sija.12.3.346

27. Niriayo YL, Mohammed K, Asgedom SW, Demoz GT, Wahdey S, Gidey K. Self-medication practice and contributing factors among pregnant women. PLoS ONE. 2021; 16(5): 1-10. https://doi.org/10.1371/journal.pone.0251725 PMid:34014975 PMCid:PMC8136661

28. Ahmadi S. Sociological analysis of gender differeces in arbitary drug use in Yasuj. women and society. 2017;8(3): 35-50.

29.Pakseresht S, Khalili Sherehjini A, Rezaei S, Ehsan Kazem Nezhad Leilie E. Self-medication and its related Factors in Pregnant Women: A Cross-sectional Study. J midwifery reproductive health. 2020; 8(3): 2359-2367.

30. Ershadpour R, Marzouni H, Kalani N. Review survey of the reasons of the prevalence of self-medication among the people of Iran. Navid No Journal. 2015;18(6):16-23.

31. Aidah A, Eddieson P, Reynita S, Dolores C, Ferdinand G, Sameer A, et al. Relationship between the Health Literacy and Self- Medication Behavior of Primary Health Care Clientele in the Hail Region, Saudi Arabia: Implications for Public Health. Eur j investig health psychol educ. 2023; 13: 1043-1057. https://doi.org/10.3390/ejihpe13060080 PMid:37366784 PMCid:PMC10297701

32. 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):589-599.

33 . Zareban I, Izadirad H, Araban M. Psychometric evaluation of health literacy for adults (HELIA) in urban area of Balochistan. Payesh.2016;15(6):669-676.

34. Gras M, Gras-Champel V, Moragny J, Delaunay P, Laugier D, Masmoudi K, et al. Impact of the COVID-19 outbreakon the reporting of adverse drug reactions associated with self-medication. Ann Pharm Fr. 2021; 79: 522-529. https://doi.org/10.1016/j.pharma.2021.02.003 PMid:33631179 PMCid:PMC7899020

35. Sadio A, Gbeasor-Komlanvi F, Konu R, Bakoubayi AW, Tchankoni MK, Bitty-Anderson AM, et al. Assessment of self-medication practices in the context of the COVID-19 outbreak in Togo. BMC Public Health. 2021; 21(58): 1-9. https://doi.org/10.1186/s12889-020-10145-1 PMid:33407321 PMCid:PMC7787400

36. Quispe-Canari JF, Fidel-Rosales E, Manrique D, Mascaro-Zan J, Huaman-Castillon KM, Chamorro-Espinoza SE, et al. Self-medication practices during the COVID-19pandemic among the adult population in Peru: A cross-sectional survey. Saudi Pharm J. 2021; 29: 1-11. https://doi.org/10.1016/j.jsps.2020.12.001 PMid:33519270 PMCid:PMC7832015

37. Langford BJ, So M, Raybardhan S, Leung V, Soucy JR, Westwood D, et al. . Antibiotic prescribing in patients with COVID-19: Rapid review and meta-analysis. Clin Microbiol Infect. 2021; 27: 520-531. https://doi.org/10.1016/j.cmi.2020.12.018 PMid:33418017 PMCid:PMC7785281

38. Jirjees F, Ahmed M, Sayyar S, Amini M, Al-Obaidi H, Aldeyab MA. Self-Medication with Antibiotics during COVID-19 in the Eastern Mediterranean Region Countries: A Review Antibiotics. 2022; 11(6):1-10. https://doi.org/10.3390/antibiotics11060733 PMid:35740140 PMCid:PMC9219972

39. Heshmatifar N, Quchan A, Tabrizi Z, Moayed L, Moradi S, Rastagi S, et al. Prevalence and Factors Related to Self-Medication for COVID-19 Prevention in the Elderly. Iran J Ageing. 2021; 16: 112-127. https://doi.org/10.32598/sija.16.1.2983.1

40. Zeid W, Hamed M, Mansour N, Diab R. Prevalence and associated risk factors of self-medication among patients attending El-Mahsama family practice center, Ismailia, Egypt. Bull Natl Res Cent. 2020; 44(1): 92-103. https://doi.org/10.1186/s42269-020-00351-7

41. Bonyani A, Safaeian L, Chehrazi M, Etedali A, Zaghian M, Mashhadian F. A high school-based education concerning drug abuse prevention. J Educ Health Promot. 2018; 7(88):1-6. https://doi.org/10.4103/jehp.jehp_122_17 PMid:30079359 PMCid:PMC6052774

42. Grigoryan L, Haaijer-Ruskamp FM, Burgerhof JG, Mechtler P, Deschepper R, Tambic- Andrasevic A, et al. self- medication with antimicrobial drugs in Europe. Emerg Infect Dis. 2006;12(3):452-459. https://doi.org/10.3201/eid1203.050992 PMid:16704784 PMCid:PMC3291450

43. Alipour Z, Eskandari N, Izadi Tamhe A, Faezipour A, Abedini Z, khoramirad A. Relationship between personality characteristics and use of antibiotics among college students. JHNM. 2015;25(77):46-54.

44. Mostafa A, Abdelzaher A, Rashed S, AlKhawaga SI, Afifi SK, AbdelAlim S, et al. Is health literacy associated with antibiotic use, knowledge and awareness of antimicrobial resistance among non-medical university students in Egypt? A cross-sectional study. BMJ open. 2021; 11(3):1-15. https://doi.org/10.1136/bmjopen-2020-046453 PMid:33649060 PMCid:PMC8098941

45. Wong LP, Alias H, Husin SA, Ali ZB, Sim B, Ponnampalavanar SSS. Factors influencing inappropriate use of antibiotics: Findings from a nationwide survey of the general public in Malaysia. PLoS One. 2021;16(10):1-12. https://doi.org/10.1371/journal.pone.0258698 PMid:34669733 PMCid:PMC8528291

46. Nazer MR, Darvishi M. Prescribe and use of antibiotics and its role in microbial resistance and its effects on resistance economy. yafte. 2017; 19 (3):25-34.

47. Rahmati M, Rejeh N, Heravi Karimooi M, Tadrisi S D. Investigating the relationship between health literacy and adherence with treatment regimen in the elderly with hypertension. IJNR. 2019; 13 (5): 15-22.

48. Ehsani-Chimeh E, Davoudi-Kiakalayeh A, Yousefzadeh Chabok Sh, Homaie Rad E. Self-Medication and its Effective Factors in Islamic Republic of Iran: A Population based Study. Evidence Based Health Policy. Management & Economics. 2019; 3(1): 66-74. https://doi.org/10.18502/jebhpme.v3i1.583

49. Kouhpayeh A, Khani Jeihooni A , Kashfi SH , Bahmandoost M. Effect of an educational intervention based on the model of health beliefs in self-medication of Iranian mothers. Invest Educ Enferm. 2017;35(1):59-68. https://doi.org/10.17533/udea.iee.v35n1a07 PMid:29767924

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Health Literacy and Its Association with Knowledge and Antibiotics Self-inflected Use among Women in Zahedan: A Cross-Sectional Study