Association of Health Literacy Levels Between Family Members

Ishikawa, Hirono; Kiuchi, Takahiro

doi:10.3389/fpubh.2019.00169

Cited by 35 publications

(26 citation statements)

References 35 publications

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“…For instance, in Middle-Eastern and similar cultures, the families are one "collective" unit, so, the HL of one member may possibly influence that of other member. 32 In our population as well, 89.33% individuals had at least four members in their family.…”

Section: Discussionmentioning

confidence: 64%

<p>Gender Differences in the Associations Between Health Literacy and Medication Adherence in Hypertension: A Population-Based Survey in Heris County, Iran</p>

Heizomi¹,

Iraji²,

Vaezi³

et al. 2020

VHRM

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Objective: We examined the gender-based associations of health literacy (HL) with selfreported medication adherence (MEDA) among patients with primary hypertension (pHTN). Patients and Methods: The subjects were recruited from the general population through all health centers of the Heris county, east Azarbaijan. They were to be adults (30+ years age), with pHTN of any stage, of any gender, and without comorbid illness. All underwent detailed face-toface interview. We used valid questionnaires for HL and MEDA. Hierarchical regression was done to establish the association between MEDA, socio-demographic variables, and nine HL domains by gender. Other statistical procedures were also done. Results: A total of 300 (48.6% males, mean age: 56.7±9.3) subjects participated; 43.0% were uneducated, 73.0% had moderate socioeconomic status, 68.0% had poor HL, and 7.0% maintained high adherence. Men were better in reading skills (p=0.002), and accessing (p=0.01) and using (p=0.02) health information, but women were better in health knowledge (p=0.004). The average regression estimate (±standard deviation) between HL and MEDA was 0.37±0.09, lower among men (0.361±0.11) than women (0.396±0.08), p=0.003. Upon hierarchical regression, the association between HL and MEDA was significant for communication and decision-making skills alone among both men (34.5%) and women (40.6%), individually. Conclusion: HL had substantial association with MEDA among those with HTN, for both men and women, particularly the communication and decision-making. With considerations on gender differences, this association should be confirmed through interventional studies to help make HL a formal mitigating strategy for MEDA and other public health goals.

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Section: Discussionmentioning

confidence: 64%

<p>Gender Differences in the Associations Between Health Literacy and Medication Adherence in Hypertension: A Population-Based Survey in Heris County, Iran</p>

Heizomi¹,

Iraji²,

Vaezi³

et al. 2020

VHRM

View full text Add to dashboard Cite

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“…The index score was standardized to unified metrics from 0 to 50 using the following formula: (MEAN – 1) × (50/3). Responses of ‘don't know’ were treated as missing and not included in calculations of participants’ index scores (Ishikawa & Kiuchi, 2019). The scores were categorized in four groups: ‘inadequate’ (0–25), ‘problematic’ (>25–33), ‘sufficient’ (>33–42) and ‘excellent’ (>42–50) health literacy.…”

Section: Methodsmentioning

confidence: 99%

Assessing health science students' health literacy and its association with health behaviours

Rueda‐Medina

Gómez‐Urquiza

Tapia-Haro

et al. 2020

Health Soc Care Community

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Health literacy is an aspect of growing importance since it has been recognized as an important determinant for health status (Sun et al., 2013). Health literacy represents 'the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health' (Smith, Tang, & Nutbeam, 2006). According to the European Health Literacy Project (HLS-EU) it is the achievement of 'knowledge, motivation and competences to access, understand, appraise, and apply health information in order to make judgments and take decisions in everyday life concerning healthcare, disease prevention and health promotion to maintain or improve quality of life during the life course'(Sørensen et al., 2015). The comparative report on health literacy in eight European member states showed that 10.3% of participants had inadequate health literacy (Pelikan, 2012). The European Health Literacy Survey Questionnaire (HLS-EU-Q47) was designed to measure health literacy. It is based on a conceptual framework including four information-processing dimensions (accessing, understanding, appraising and applying) within three health domains (healthcare, disease prevention and health promotion; Sørensen et al., 2012, 2013). Although there is growing interest regarding the status of health literacy in the general population, the level of health literacy measured by the HLS-EU-Q47 among health sciences students (students enrolled in health science programs including nursing, physiotherapy and occupational therapy degrees) have not been previously examined. It is especially relevant that these students, as future health professionals, have a good level of health literacy as they will educate patients, families and communities about healthcare topics. Health literacy might represent a determinant of health be

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“…Playing the role of a source for many in uential factors on FHL, geographic location seems to be a basic social determinant with great in uence on HL. This outstanding determinant perpetuates the disparities in many social determinants of health such as income [5], and the number of family members [39]. Although family size is still with lack of evidence to be considered as a proxy for poor socioeconomic status, our results in the present study shed light to the associations between gender, education, family size, SES, and HL.…”

Section: Discussionmentioning

confidence: 61%

Gender-based Inequalities in Health literacy among an Iranian Kurd Population: Results of a Community Survey

Mahmoodi

Moradzadeh

Iranpour

et al. 2020

Preprint

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Background Health literacy, as a social determinant of health, has a decisive role in providing different populations with healthcare services in an equal manner. Our aim in this study was to investigate the contribution of socio-demographic factors to functional health literacy (FHL) in a population of Iranian adults and identify differences in the contribution of these factors across genders. Methods This community-based cross-sectional study was conducted in 2015 to 2016 in Sanandaj, Iran. Multistage cluster sampling was employed to recruit 1000 people older than 18 (response rate = 89.2%) from 35 urban and 10 rural health care centers. Test of functional health literacy in adults (TOFHLA) was used to assess FHL. In order to measure inequality in FHL, concentration index decomposition was used. Results In total, 869 respondents (response rate: 86.9%) with a mean age (standard deviation; SD) of 33.68 (13.0) completed TOFHLA questionnaire. More than half of participants were women (57.5%). Participants demonstrated an average TOFHLA score of 51.9. Women demonstrated slightly higher TOFHLA scores (52.2 [SD: 0.46]) compared to men (50.7 [SD: 0.4]). However, the concentration index for gender was 10.9% suggesting gender contributed only moderately to TOFHLA scores. Comparatively, 54.3% of TOFHLA differences were attributed to geographic location. Among women, place of residence, monthly income, age, education level and being head of household contributed to 43%, 32%, 13%, 11.5% and 11% of FHL inequality, respectively. Among men, however, place of residence (45.2%), size of household (15.1%) and monthly income (13.5%) contributed most to inequality in FHL. Conclusions Although gender was not the strongest contributing factor for FHL inequalities, poor FHL was mostly concentrated among men. Different factors were attributed to FHL inequality by gender, as discussed inside. Understanding these differences may assist in identifying and targeting interventions towards men and women with low levels of FHL. Our findings shed light the critical role of social determinants of health (SDH) in promoting the health literacy of populations, particularly in developing countries like Iran.

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Association of Health Literacy Levels Between Family Members

Cited by 35 publications

References 35 publications

<p>Gender Differences in the Associations Between Health Literacy and Medication Adherence in Hypertension: A Population-Based Survey in Heris County, Iran</p>

<p>Gender Differences in the Associations Between Health Literacy and Medication Adherence in Hypertension: A Population-Based Survey in Heris County, Iran</p>

Assessing health science students' health literacy and its association with health behaviours

Gender-based Inequalities in Health literacy among an Iranian Kurd Population: Results of a Community Survey

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