Health literacy of hypertensive patients and related factors: A cross sectional study - Payesh (Health Monitor)
Sat, May 18, 2024
OPEN ACCESS
Volume 22, Issue 5 (September-October 2023)                   Payesh 2023, 22(5): 639-648 | Back to browse issues page

Ethics code: IR.ZUMS.REC.1401.093


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Vazifeh S, Jafari N, Mehdizadeh S, Ahmadi F. Health literacy of hypertensive patients and related factors: A cross sectional study. Payesh 2023; 22 (5) :639-648
URL: http://payeshjournal.ir/article-1-2084-en.html
1- Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
2- Department of Community Health Nursing, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
3- zanjan medical university of science
4- Department of Epidemiology and Biostatistics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract:   (631 Views)
Objective(s): Health literacy is the capacity of people to acquire, process and understand basic health information and services needed for health decisions. Considering the importance of health literacy, especially in people with underlying and chronic diseases, this study aimed to investigate the health literacy and related factors in hypertensive patients.
Methods: This was a cross-sectional study conducted on a sample of hypertensive patients aged 18-65 years attending comprehensive urban health centers in Zanjan, Iran, in 2022. The sampling method was a two-stage cluster with systematic random sampling in each cluster. In order to collect data, the demographic information form and the Health Literacy Instrument for Adults (HELIA) was used. The data were analyzed using descriptive statistics.
Results: In all 277 patients entered into the study. The mean age of participants was 55.23 ± 6.75. Most participants (59.6%) were women and married (94.4%), housewives (52%), and 49.5% had inadequate and problematic health literacy score. There was a statistically significant difference between the mean score of health literacy among educated people and illiterate people (p<0.001). Also, there was a statistically significant difference between the mean score of health literacy among people who had sufficient income and those who had insufficient income (p=0.017). People who were regularly under the supervision of a physician had higher health literacy(p=0.033).
Conclusion: Considering the undesirable condition of health literacy in hypertensive patients, it is suggested to implement interventions to improve health literacy among this population.
Full-Text [PDF 1358 kb]   (401 Downloads)    
type of study: Descriptive | Subject: Public Health
Received: 2023/02/25 | Accepted: 2023/07/10 | ePublished ahead of print: 2023/08/21 | Published: 2023/08/28

References
1. Saatchi M, Panahi MH, Mozafari AA, Sahebkar M, Azarpakan A, Baigi V, Naieni KH. Health literacy and its associated factors: a population-based study, Hormuz Island. Iranian Journal of Epidemiology 2017;13:136-144 [Persian]
2. Frisch AL, Camerini L, Diviani N, Schulz PJ. Defining and measuring health literacy: how can we profit from other literacy domains?. Health Promotion International 2012;1;27:117-26 [DOI:10.1093/heapro/dar043]
3. Who D. Health literacy. [cited 2022 Mar 6]. Available from: https://www.who.int/
4. Osborn CY, Cavanaugh K, Wallston KA, Kripalani S, Elasy TA, Rothman RL, et al. Health literacy explains racial disparities in diabetes medication adherence. Journal of Health Communication 2011;16:268-78 [DOI:10.1080/10810730.2011.604388]
5. Tsai T-I, Lee S-YD, Tsai Y-W, Kuo KN. Methodology and validation of health literacy scale development in Taiwan. Journal of Health Communication 2010;16:50-61 [DOI:10.1080/10810730.2010.529488]
6. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). European Journal of Public Health 2015;25:1053-8 [DOI:10.1093/eurpub/ckv043]
7. Mahmoud Tavousi, AliasgharHaeri Mehrizi, shahram Rafiefar, Atoosa Solimanian, Fateme Sarbandi, Mona Ardestani, et al. Health literacy in Iran: findings from a national study. Payesh (Health Monitor) 2016;15:95-102[Persian]
8. Costa VRS, Costa P, Nakano EY, Apolinário D, Santana ANC. Functional health literacy in hypertensive elders at primary health care. Revista Brasileira De Enfermagem 2019;72:266-73 [DOI:10.1590/0034-7167-2018-0897]
9. Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nature Reviews Nephrology 2020;16:223-37 [DOI:10.1038/s41581-019-0244-2]
10. Franklin SS, Larson MG, Khan SA, Wong ND, Leip EP, Kannel WB, et al. Does the relation of blood pressure to coronary heart disease risk change with aging? The Framingham Heart Study. Circulation 2001;103:1245-9 [DOI:10.1161/01.CIR.103.9.1245]
11. Lloyd-Jones DM, Evans JC, Levy D. Hypertension in adults across the age spectrum: current outcomes and control in the community. The Journal of The American Medical Association 2005;294:466-72 [DOI:10.1001/jama.294.4.466]
12. Gangi S, Peyman N, Meysami bonab S, Esmaily H. Investigating the effect of self-care training on the quality of life and health literacy of patients with hypertension. Medical Journal of Mashhad University of Medical Sciences 2018;60:792-803[Persian]
13. Mohammadpour M, Zarifinezhad E, Armand R. A Study of Correlation between Applied Health Literacy and Self-Care Behaviors in Hypertensive Patients of Gachsaran City, 2016. Qom University Medical Sciences Journal 2018; 12:55-65[Persian] [DOI:10.29252/qums.12.10.55]
14. Rahmati M, Rejeh N, Heravi Karimooi M, Tadrisi SD. Investigating the relationship between health literacy and adherence with treatment regimen in the elderly with hypertension. Iranian Journal of Nursing Research 2019;13:15-22[Persian]
15. .Lippi G, Wong J, Henry BM. Hypertension and its severity or mortality in Coronavirus Disease 2019 (COVID-19): a pooled analysis. Polish Archives of Internal Medicine 2020;130:304-9 [DOI:10.20452/pamw.15272]
16. Kim MT, Song H-J, Han H-R, Song Y, Nam S, Nguyen TH, et al. Development and validation of the high blood pressure-focused health literacy scale. Patient Education and Counseling 2012;87:165-70 [DOI:10.1016/j.pec.2011.09.005]
17. Nielsen-Bohlman L, Panzer AM, Kindig DA. Health literacy: a prescription to end confusion. 1st Edition, National Academies Press: Washington, 2004 [DOI:10.17226/10883]
18. Taggart J, Williams A, Dennis S, Newall A, Shortus T, Zwar N, et al. A systematic review of interventions in primary care to improve health literacy for chronic disease behavioral risk factors. BMC Family Practice 2012;13:1-12 [DOI:10.1186/1471-2296-13-49]
19. Ganiyu AB, Mabuza LH, Malete NH, Govender I, Ogunbanjo GA. Non-adherence to diet and exercise recommendations amongst patients with type 2 diabetes mellitus attending Extension II Clinic in Botswana. African Journal of Primary Health Care and Family Medicine 2013;5:1-6 [DOI:10.4102/phcfm.v5i1.457]
20. Shrestha A, Singh SB, Khanal VK, Bhattarai S, Maskey R, Pokharel PK. Health literacy and knowledge of chronic diseases in Nepal. HLRP: Health Literacy Research and Practice 2018;2:e221-e30 [DOI:10.3928/24748307-20181025-01]
21. Fathi k, Shirmardi S, Shiralinia K. Predicting Preventive Covid-19 Disease Behaviors Based on Health Literacy With the Mediating Role of Media and Social Responsibility in Adults Living in Ahvaz. Jundishapur Scientific Medical Journal 2021;20:390-9[Persian] [DOI:10.32598/JSMJ.20.4.2619]
22. Montazeri AL, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Payesh (Health Monitor) 2014:13:589-99 [Persian]
23. Chajaee F, Pirzadeh A, Hasanzadeh A, Mostafavi F. Relationship between health literacy and knowledge among patients with hypertension in Isfahan province, Iran. Electronic Physician 2018;10:6470 [DOI:10.19082/6470]
24. Barati M, Bayat F, Asadi ZA, Moshir FA, Afshari M. Relationship between health literacy and self-care behaviors in hypertensive patients. Journal of Education and Community Health 2020;7:89-96[Persian] [DOI:10.29252/jech.7.2.89]
25. Heizomi H, Iraji Z, Vaezi R, Bhalla D, Morisky DE, Nadrian H. Gender differences in the associations between health literacy and medication adherence in hypertension: a population-based survey in Heris County, Iran. Vascular Health and Risk Management 2020;16:157[Persian] [DOI:10.2147/VHRM.S245052]
26. Darvishpour J, Omidi S, Farmanbar R. The relationship between health literacy and hypertension treatment control and follow-up. Caspian Journal of Health Research 2016;2:1-8[Persian] [DOI:10.18869/acadpub.cjhr.2.1.1]
27. Kilic HF, Dag S. The relationship between health literacy and medication adherence in a hypertensive patient population. International Journal of Caring Sciences 2020;13:101-107
28. Warren-Findlow J, Hutchison J, Patel P, Dulin M, Tapp H, Kuhn L. Assessing health literacy of hypertensive patients in a primary care setting using a self-administered questionnaire. Journal of Health Care for The Poor and Underserved 2014;25:1833-43 [DOI:10.1353/hpu.2014.0187]
29. National Health Education Standards: Model Guidance for Curriculum and Instruction (3Th Edition) 2022. available from: www.schoolhealtheducation.org
30. Shibuya A, Inoue R, Ohkubo T, Takeda Y, Teshima T, Imai Y, et al. The relation between health literacy, hypertension knowledge, and blood pressure among middle-aged Japanese adults. Blood Pressure Monitoring 2011;16:224-30 [DOI:10.1097/MBP.0b013e32834af7ba]
31. Shi D, Li J, Wang Y, Wang S, Liu K, Shi R, et al. Association between health literacy and hypertension management in a Chinese community: a retrospective cohort study. Internal and Emergency Medicine 2017;12:765-76 [DOI:10.1007/s11739-017-1651-7]
32. 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;4:1-9[Persian]
33. Esna Ashari F, Pirdehghan A, Rajabi F, Sayarifard A, Ghadirian L, Rostami N, et al. The Study of Health Literacy of Staff about Risk Factors of Chronic Diseases in 2014. Avicenna Journal of Clinical Medicine 2015;22:248-54
34. Fleary SA, Ettienne R. Social disparities in health literacy in the United States. HLRP: Health Literacy Research and Practice 2019;3:e47-e52 [DOI:10.3928/24748307-20190131-01]
35. Berkman ND, Davis TC, McCormack L. Health literacy: what is it? Journal of Health Communication 2010;15:9-19 [DOI:10.1080/10810730.2010.499985]
36. Van Der Heide I, Wang J, Droomers M, Spreeuwenberg P, Rademakers J, Uiters E. The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey. Journal of Health Communication 2013;18:172-84 [DOI:10.1080/10810730.2013.825668]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and Permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 All Rights Reserved | Payesh (Health Monitor)

Designed & Developed by : Yektaweb