Daneshvar Medicine

Daneshvar Medicine

Assessing the level of health literacy and barriers to accessing health information in referrals to Shahid Mostafa Khomeini hospital

Document Type : Original Article

Authors
Mahia sadat Nasiri 1
Zahra Johari 2
Kobra Khajavi Shojai 2
Ashraf Pirasteh 2
1 Faculty of Medicine, Shahed University, Tehran, Iran
2 Department of Health and Social Medicine, Shahed University, Tehran, Iran
10.22070/daneshmed.2021.12948.0
Abstract
Background and Objective: The World Health Organization has identified health literacy as one of the biggest determinants of health. The purpose of this study was to determine the level of health literacy and barriers to accessing health information in clienteles to Shahid Mostafa Khomeini hospital.
Materials and Methods: This cross-sectional study was performed on 385 referrals to Shahid Mostafa Khomeini hospital in 2020. The collection tool is a questionnaire containing three parts including individual and demographic questions, questions to assess the level of health literacy and questions to assess barriers to accessing health information). The data collected in this study were analyzed using SPSS 22 software. Significance level in this study was less than 0.05.
Results: From the total number of participants 55.1% were women and the mean age of the subjects was 41.69 ± 15.44. About 67.8% of the participants were the inadequate health literacy group. There was a significant relationship between health literacy level and age, gender, education and marriage of the participants (P < 0.0001). “No health center near home”. Was the most frequently reported barrier in both groups. The best variables for predicting health literacy, gender, and barriers to accessing health information were “Don’t know how to take care of self ",” Don’t know how to use the internet ", “Information wouldnot help to make decisions”.
Conclusion: According to the findings of the present study, people with adequate health literacy account for a small percentage; therefore, health policy makers should make more efforts and plans to increase health literacy in society, especially in the elderly or less educated.
Keywords
Level of health literacy
Barriers to accessing health information
  1. Nutbeam D, Kickbusch I. Advancing health literacy: A global challenge for the 21st century. Health Promotion International 2000;15(3);183-184.
  2. Paasche‐Orlow MK, Parker RM, Gazmararian JA, Nielsen‐Bohlman LT, Rudd RR. The prevalence of limited health literacy. Journal of General Internal Medicine 2005; 20:175-8.
  3. Berkman N D, Davis T C, McCormack L. Health literacy: What is it?. Journal of Health Communication 2010; 15:9-19.
  4. 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):49. doi: 10.1186/1471-2296-13-49.
  5. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Annals of Internal Medicine 2011; 155(2):97-107.
  6. Centers for Disease Control and Prevention (CDC) Health Literacy Page. Learn About Health Literacy. Available at: http://www.cdc.gov/healthliteracy/learn/; 2015. Accessed June 2016.
  7. Tavousi M, Haeri Mehrizi A, Rafiefar S, Solimanian A, Sarbandi F, Ardestani M, et al. Health literacy in Iran: findings from a National study. Payesh 2016; 15(1):95-102.
  8. Fernandez DM, Larson JL, Zikmund-Fisher BJ. Associations between health literacy and preventive health behaviors among older adults: findings from the health and retirement study. BMC Public Health 2016; 596. https://doi.org/10.1186/s12889-016-3267-7.
  9. Mazor KM, Roblin DW, Williams AE, Greene SM, Gaglio B, Field TS, et al. Health literacy and cancer prevention: two new instruments to assess comprehension. Patient Education and Counseling 2012; 88(1):54-60.
  10. Pleasant A. Advancing Health Literacy Measurement: A Pathway to Better Health and Health System Performance. Journal of Health Communication 2014; 19:1481–1496.
  11. Baker DW, Gazmararian JA, Williams MV. Health literacy and use of outpatient physician services by medicare managed care enrollees. Journal of General Internal Medicine 2004; 19:215–20.
  12. Cho YI, Lee SY, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Social Science & Medicine 2008; 66:1809–16.
  13. Murray MD, Tu W, Wu J, et al. Factors associated with exacerbation of heart failure include treatment adherence and health literacy skills. Clinical Pharmacology & Therapeutics 2009; 85:6518.
  14. Paakkari, L.; Paakkari, O. Health literacy as a learning outcome in schools. Health Education 2012; 112:133–152.
  15. Kickbusch I, Pelikan J M, Apfel F, Tsouros A D. Health literacy. The Solid Facts; World Health Organization: Geneva, Switzerland, 2013; ISBN 978-92-890-00154.
  16. Izadyar H, Zareban I. The relationship of health literacy with health status, preventivebehaviiours and health sevices utilization in Baluchestan, Iran. Journal of Education and Community Health 2016; 2(3):43-50.
  17. Cho YI, Lee SY, Arozullah AM, Crittenden KS. Effects of health literacy on health status and health service utilization amongst the elderly. Social Science & Medicine 2008;66(8):1809-16.
  18. W. Han, H.J. Lee, S.H. Choi, S.J. Ju, C.M. Lee, Y.O. Kwon, et al. Nursing Informatics, Komoonsa, Seoul 2012.
  19. Eysenbach G, Powell J, Kuss O, Sa E R. Empirical studies assessing the quality of health information for consumers on the World Wide Web: a systematic review. Journal of the American Medical Association 2002; 287:2691–2700.
  20. Xuewei Ch, Hay J L, Waters E A, Kiviniemi M T, Biddle C, Schofield E, et al. Health literacy and use and trust in health information. Journal of Health Communication 2018; 23(8): 724–734.
  21. Nutbeam D. Advancing health literacy: a global challenge for the 21st century. Health Promotion International 2000; 15(3):183-4.
  22. World Health Organization. Closing the gap in a generation: health equity through action on the social determinants of health: commission on social determinants of health fialreport. geneva: World Health Organization 2008.
  23. Javadzade SH, Sharifiad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. Journal of Education and Health Promotion 2012; 1:31. doi: 10.4103/2277-9531.100160.
  24. Sadeghi R., Heshmati H, Shakibazadeh E, Foroushani A. A comprehensive model of health education barriers of health-care system in Iran. Journal of Education and Health Promotion 2020;9(1):106.
  25. Panahi R., Ebrahimi G, Kazemi S S, Tavousi M. Health literacy: an effective component to overcome perceived barriers to adoption of preventive behaviors in the health belief model. Journal of Education and Community Health 2018; 5(3):1–3.
  26. Tsai TI, Lee SY, Tsai YW, Kuo KN. Methodology and validation of health literacy scale development in Taiwan. Journal of Health Communication 2011; 16(1):50-61.
  27. Jeong S H، Kim H K. Health literacy and barriers to health information seeking: A nationwide survey in South Korea Patient Education and Counseling 2016; 99:1880-1887.
  28. Sahm L J, Wolf M S, Curtis L M, McCarthy S. Prevalence of limited health literacy among irish adults. Journal of Health Communication 2012; 17 Suppl 3:100-8.
  29. Pelikan J M, Ganahl K, Roethlin F. Health literacy as a determinant, mediator and/or moderator of health: Empirical models using the European Health Literacy Survey dataset. Global Health Promotion 2018; 25(4):57-66.
  30. Stephanie M L, Shirley M, Stephen G, Yan Ch, Rifky T, Diane C, et al. The impact of inadequate health literacy on patient satisfaction, healthcare utilization, and expenditures among older adults. Geriatric Nursing 2017; 38(4):334-341. doi: 10.1016/j.gerinurse.2016.12.003.
  31. Svendsen M T, Kronborg Bak C, Sorensen K, Pelikan J, Riddersholm S J, Skals R K, et al. Associations of health literacy with socioeconomic position, health risk behavior, and health status: a large national population-based survey among Danish adults. BMC Public Health 2020; 20:565. doi: 10.1186/s12889-020-08498-8.
  32. Sarah Gibney, Lucy Bruton, Catherine Ryan, Gerardine Doyle, Gillian Rowlands. Increasing health literacy may reduce health inequalities: evidence from a national population survey in ireland. International Journal of Environmental Research 2020; 17(16): 5891. doi: 10.3390/ijerph1716589.
  33. Miranda R, Meeks K A C, Snijder M B, B J van den Born, M P Fransen, R J Peters, et al. Health literacy and hypertension outcomes in a multi-ethnic population: the HELIUS study. European Journal of Public Health 2020; 30(3):516–521. doi: 10.1093/eurpub/ckz174.
  34. Tavousi M, Haeri Mehrizi A, Rafiefar SH, Solimanian A, Sarbandi F, Ardestani M, Hashemi A, Montazeri A. Health literacy in Iran: findings from a national study. Journal of the Iranian Institute for Health Sciences Research, Payesh 2016; 1:95-102.
  35. Montazeri A, et al. Health literacy for iranian adults (HELIA): develoment and psychometric properties. Payesh 2014;13:589-600.
  36. Mahmoudi H, Taheri A. Relation between information literacy and health literacy of students in Ferdowsi University of Mashhad. Human Information Interaction 2015;2(2):31-41.
  37. Jahanieftekhari M, Peyman N, Doosti H. Health literacy and health-promoting lifestyle among health volunteers in neyshabour. Scientific Journal of Ilam University of Medical Sciences 2018; 26(3).
  38. Khosravi A, Ahmadzadeh KH, Arastoopoor SH, Tahmasbi R. Health literacy levels of diabetic patients referred to Shiraz healthcenters and its effective factors. Journal of Health Administration 2016; 12(2):194-205.
  39. Banihashemi SA, Amirkhani MA, Haghdoost AA, Alavian SM, Asgharifard H, Baradaran H, et al. Health literacy and the affecting factors: a study in five provinces of Iran. Journal of Medical Education Development Center 2007; 4(1):1-9.
  40. Saied Moallemi Z, Haghighi M. Assessing oral health literacy among the residents of Isfahan in 2014-2015. Journal of Isfahan Dental School 2016; 12(3): 268-279.
  41. Qin L, Xu H. A cross-sectional study of the effect of health literacy on diabetes prevention and control among elderly individuals with prediabetes in rural China. British Medical Journal Open 2016; 6(5): e011077. doi: 10.1136/bmjopen-2016-011077.
  42. 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. Journal of Hamadan University of Medical Sciences 2015; 22 (3): 248-254.
  43. Khosravi A, Ahmadzadeh Kh. Investigating health literacy level of patients referred to Bushehr hospitals and recognizing its effective factors. Iran South Medicine Journal 2016; 18(6): 1245-1253.
  44. Holt K A, Overgaard D, Engel L V, Kayser L. Health literacy, digital literacy and eHealth literacy in Danish nursing students at entry and graduate level: a cross sectional study. European Journal of Human Genetics 2020; 28(Suppl 1):141–797.
  45. Javadzade H, Sharifirad Gh, Reisi M, Tavassoli E, Rajati F. Health literacy among adults of Isfahan, Iran. Journal Health System Research 2013; 9:540-549.
  46. Mollakhalili H, Papi A, Sharifirad Gh, Zare Farashbandi Z, HasanZadeh H. A survey on health literacy of inpatients educational hospitals of isfahan university of medical sciences. Health Information Management Journal 2014; 11:473.
  47. Mohseni M, Khanjani N, Iranpour A, Tabe R, Borhaninejad V R. The relationship between health literacy and health status among elderly people in kerman. Iranian Journal of Ageing 2015; 10(2):146-155.
  48. Kamalipour M, Ashkani N, Mehralizade A, Choobin N, EsmaeelZadeh Z, Azad M. Evaluation of health literacy adults in Jahrom. Journal of Preventive Medicine 2019; 6(1):19-25.
Daneshvar Medicine
Volume 29, Issue 5 - Serial Number 156
November and December 2021
Pages 26-40