سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Mishra, Rima, Bhandari, Ganesh, Yadav, Dipendra. (1403). Relationship of Health Status and Healthy Behaviors with Health Literacy among Elderly in Pokhara Metropolitan, Nepal in 2023. , 10(2), 42-56. doi: 10.22038/jhl.2024.81423.1622
Rima Mishra; Ganesh Bhandari; Dipendra Kumar Yadav. "Relationship of Health Status and Healthy Behaviors with Health Literacy among Elderly in Pokhara Metropolitan, Nepal in 2023". , 10, 2, 1403, 42-56. doi: 10.22038/jhl.2024.81423.1622
Mishra, Rima, Bhandari, Ganesh, Yadav, Dipendra. (1403). 'Relationship of Health Status and Healthy Behaviors with Health Literacy among Elderly in Pokhara Metropolitan, Nepal in 2023', , 10(2), pp. 42-56. doi: 10.22038/jhl.2024.81423.1622
Mishra, Rima, Bhandari, Ganesh, Yadav, Dipendra. Relationship of Health Status and Healthy Behaviors with Health Literacy among Elderly in Pokhara Metropolitan, Nepal in 2023. , 1403; 10(2): 42-56. doi: 10.22038/jhl.2024.81423.1622

Relationship of Health Status and Healthy Behaviors with Health Literacy among Elderly in Pokhara Metropolitan, Nepal in 2023

Journal of Health Literacy
دوره 10، شماره 2 - شماره پیاپی 37، تیر 2025، صفحه 42-56    اصل مقاله (1.61 M)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22038/jhl.2024.81423.1622
نویسندگان
Rima Mishra* ؛ Ganesh Bhandari؛ Dipendra Kumar Yadav
School of Health and Allied Sciences, Faculty of Health Sciences, Pokhara University, Nepal.
چکیده
Background and Objectives: The ability to understand and apply health-related information is known as health literacy. The elderly are more sensitive to the unfavorable health consequences caused by low health literacy. The purpose of this study is to investigate the association between older health literacy and healthy behaviors and health status. 

Materials and Methods: A cross-sectional study was conducted among 239 community dwelling elderly in Pokhara Metropolitan, Nepal. Multistage sampling procedure was applied. The questionnaire included Health Literacy Questionnaire (HLQ), self-reported health status and healthy behavior related questions. General linear model was used to examine the associations. 

Results: The proportion of people with low literacy level across each of the domains was: (i) feeling understood and supported by healthcare providers (85.4%), (ii) having sufficient information to manage own health (94.6%), (iii) social support for health (74.1%), (iv) ability to find good health information (68.6%), and (v) understand health information well enough to know what to do (78.2%), respectively whereas overall health literacy was 74.9%. Having average health status (AOR: 0.44; 95% CI: 0.17–0.92), Prostate-specific antigen PSA test in last 2 years (AOR: 0.56; 95% CI: 0.21–0.99), OPD visit in last 3 months (AOR: 1.95; 95% CI: 1.23–3.88), medication compliance (AOR: 0.23; 95% CI: 0.17–0.43), past smoking (AOR: 1.94; 95% CI: 1.80–4.11) and performing physical activity (AOR: 0.36; 95% CI: 0.20–0.68) were found to be associated with health literacy.

Conclusion: Implementing interventions for health literacy is essential to empower elderly individuals with the knowledge and skills needed for informed decision-making about their health.
 
کلیدواژه‌ها
Elderly؛ Health Status؛ Health Literacy؛ Healthy Behavior
مراجع
  1. Parker RM, Ratzan SJJohc. Re-enforce, not re-define health literacy-moving forward with health literacy 2.0. 2019;24(12):923-5. https://doi.org/10.1080/10810730.2019.1691292 PMid:31752603
  2. Sørensen 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. 2012;12(1):1-13. https://doi.org/10.1186/1471-2458-12-80 PMid:22276600 PMCid:PMC3292515
  3. Nutbeam DJSs, medicine. The evolving concept of health literacy. 2008;67(12):2072-8. https://doi.org/10.1016/j.socscimed.2008.09.050 PMid:18952344
  4. Beauchamp A, Buchbinder R, Dodson S, Batterham RW, Elsworth GR, McPhee C, et al. Distribution of health literacy strengths and weaknesses across socio-demographic groups: a cross-sectional survey using the Health Literacy Questionnaire (HLQ). 2015;15(1):1-13. https://doi.org/10.1186/s12889-015-2056-z PMid:26194350 PMCid:PMC4508810
  5. Baker DWJJogim. The meaning and the measure of health literacy. 2006;21(8):878-83. https://doi.org/10.1111/j.1525-1497.2006.00540.x PMid:16881951 PMCid:PMC1831571
  6. Baron-Epel O, Levin-Zamir D, Cohen V, Elhayany AJHPI. Internal locus of control, health literacy and health, an Israeli cultural perspective. 2019;34(2):248-57. https://doi.org/10.1093/heapro/dax078 PMid:29140448
  7. Reisi M, Javadzade SH, Mostafavi F, Sharifirad G, Radjati F, Hasanzade AJJoe, et al. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. 2012;1(1):31. https://doi.org/10.4103/2277-9531.100160 PMid:23555134 PMCid:PMC3577376
  8. Wolf MS, Gazmararian JA, Baker DWJAoim. Health literacy and functional health status among older adults. 2005;165(17):1946-52. https://doi.org/10.1001/archinte.165.17.1946 PMid:16186463
  9. Gazmararian JA, Kripalani S, Miller MJ, Echt KV, Ren J, Rask KJJogim. Factors associated with medication refill adherence in cardiovascular-related diseases: a focus on health literacy. 2006;21:1215-21. https://doi.org/10.1111/j.1525-1497.2006.00591.x PMid:17105519 PMCid:PMC1924753
  10. Persell SD, Osborn CY, Richard R, Skripkauskas S, Wolf MSJJogim. Limited health literacy is a barrier to medication reconciliation in ambulatory care. 2007;22:1523-6. https://doi.org/10.1007/s11606-007-0334-x PMid:17786521 PMCid:PMC2219798
  11. Williams MV, Baker DW, Parker RM, Nurss JRJAoim. Relationship of functional health literacy to patients' knowledge of their chronic disease: a study of patients with hypertension and diabetes. 1998;158(2):166-72. https://doi.org/10.1001/archinte.158.2.166 PMid:9448555
  12. Ratzan SCJHpi. Health literacy: communication for the public good. 2001;16(2):207-14. https://doi.org/10.1093/heapro/16.2.207 PMid:11356759
  13. UNDESA UJWPP. Department of Economic and Social Affairs, Population Division (2019). 2019.
  14. Kutner M, Greenburg E, Jin Y, Paulsen CJNCfes. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. NCES 2006-483. 2006.
  15. Morris NS, MacLean CD, Chew LD, Littenberg BJBfp. The Single Item Literacy Screener: evaluation of a brief instrument to identify limited reading ability. 2006;7:1-7. https://doi.org/10.1186/1471-2296-7-21 PMid:16563164 PMCid:PMC1435902
  16. Shrestha A, Singh SB, Khanal VK, Bhattarai S, Maskey R, Pokharel PKJHHLR, et al. Health literacy and knowledge of chronic diseases in Nepal. 2018;2(4):e221-e30. https://doi.org/10.3928/24748307-20181025-01 PMid:31294298 PMCid:PMC6608901
  17. Budhathoki SS, Bhattachan M, Yadav AK, Upadhyaya P, Pokharel PKJTm, health. Eco-social and behavioural determinants of diarrhoea in under-five children of Nepal: a framework analysis of the existing literature. 2016;44:1-7. https://doi.org/10.1186/s41182-016-0006-9 PMid:27433126 PMCid:PMC4940696
  18. Osborne RH, Batterham RW, Elsworth GR, Hawkins M, Buchbinder RJBph. The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). 2013;13(1):1-17. https://doi.org/10.1186/1471-2458-13-658 PMid:23855504 PMCid:PMC3718659
  19. Yadav UN, Lloyd J, Hosseinzadeh H, Baral KP, Bhatta N, Harris MFJPO. Levels and determinants of health literacy and patient activation among multi-morbid COPD people in rural Nepal: Findings from a cross-sectional study. 2020;15(5):e0233488. https://doi.org/10.1371/journal.pone.0233488 PMid:32469917 PMCid:PMC7259703
  20. Li P, Zhong J, Chen H, Qin T, Meng L. Current Status and Associated Factors of Health Information Literacy Among the Community Elderly in Central China in the COVID-19 Pandemic: A Cross-Sectional Study. Risk Manag Healthc Policy. 2022;15:2187-95. https://doi.org/10.2147/RMHP.S387976 PMid:36447840 PMCid:PMC9701505
  21. Liu YB, Liu L, Li YF, Chen YL. Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese. Int J Environ Res Public Health. 2015;12(8):9714-25. https://doi.org/10.3390/ijerph120809714 PMid:26295246 PMCid:PMC4555308
  22. Tiller D, Herzog B, Kluttig A, Haerting J. Health literacy in an urban elderly East-German population - results from the population-based CARLA study. BMC Public Health. 2015;15:883. https://doi.org/10.1186/s12889-015-2210-7 PMid:26357978 PMCid:PMC4566302
  23. Baker DW, Gazmararian JA, Sudano J, Patterson MJTJoGSBPS, Sciences S. The association between age and health literacy among elderly persons. 2000;55(6):S368-S74. https://doi.org/10.1093/geronb/55.6.S368 PMid:11078114
  24. Tiller D, Herzog B, Kluttig A, Haerting JJBph. Health literacy in an urban elderly East-German population-results from the population-based CARLA study. 2015;15(1):1-9. https://doi.org/10.1186/s12889-015-2210-7 PMid:26357978 PMCid:PMC4566302
  25. Cho YI, Lee S-YD, Arozullah AM, Crittenden KSJSs, medicine. Effects of health literacy on health status and health service utilization amongst the elderly. 2008;66(8):1809-16. https://doi.org/10.1016/j.socscimed.2008.01.003 PMid:18295949
  26. Howard DH, Sentell T, Gazmararian JAJJogim. Impact of health literacy on socioeconomic and racial differences in health in an elderly population. 2006;21:857-61. https://doi.org/10.1111/j.1525-1497.2006.00530.x PMid:16881947 PMCid:PMC1831584
  27. Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, et al. Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. 2002;92(8):1278-83. https://doi.org/10.2105/AJPH.92.8.1278 PMid:12144984 PMCid:PMC1447230
  28. Yongbing L, Yanru W, Liang F, Yanli C, Liu L, Yanfei L, et al. The health literacy status and influencing factors of older population in Xinjiang. 2015;44(7):913.
  29. Sentell T, Zhang W, Davis J, Baker KK, Braun KLJJogim. The influence of community and individual health literacy on self-reported health status. 2014;29:298-304. https://doi.org/10.1007/s11606-013-2638-3 PMid:24096723 PMCid:PMC3912275
  30. Serper M, Patzer RE, Curtis LM, Smith SG, O'Conor R, Baker DW, et al. Health literacy, cognitive ability, and functional health status among older adults. 2014;49(4):1249-67. https://doi.org/10.1111/1475-6773.12154 PMid:24476068 PMCid:PMC4111764
  31. Arnold CL, Davis TC, Berkel HJ, Jackson RH, Nandy I, London SJPm. Smoking status, reading level, and knowledge of tobacco effects among low-income pregnant women. 2001;32(4):313-20. https://doi.org/10.1006/pmed.2000.0815 PMid:11304092
  32. Chen JZ, Hsu HC, Tung HJ, Pan LYJG, international g. Effects of health literacy to self‐efficacy and preventive care utilization among older adults. 2013;13(1):70-6. https://doi.org/10.1111/j.1447-0594.2012.00862.x PMid:22672704
  33. Panahi R, Ramezankhani A, Tavousi M, Osmani F, Karami A, Niknami SJJoE, et al. Effect of educational intervention on health literacy and adoption of smoking preventive behaviors among university students. 2018;5(2):26-35. https://doi.org/10.5812/ircmj.13773
  34. Bennett IM, Chen J, Soroui JS, White SJTAoFM. The contribution of health literacy to disparities in self-rated health status and preventive health behaviors in older adults. 2009;7(3):204-11. https://doi.org/10.1370/afm.940 PMid:19433837 PMCid:PMC2682976
آمار
تعداد مشاهده مقاله: 192
تعداد دریافت فایل اصل مقاله: 164