Relationship between health literacy and knowledge among patients with hypertension in Isfahan province
Iran
Keywords:
Health Literacy, Knowledge, Hypertension, Health Center, IranAbstract
Background: Hypertension is usually symptomless, and is not seriously attended until it causes some chronic complications. Individuals’ skills in understanding and applying information about health subjects may have a substantial impact on patients’ behavior and health. Objective: to determine the relationship between health literacy and knowledge among patients with hypertension in Isfahan province, Iran. Methods: This cross-sectional study was conducted on 700 patients with hypertension selected according to multistage random and quota types in Isfahan province (Iran). Data collection tools included Health Literacy for Iranian Adults (HELIA) and Hypertension Knowledge Level Scale (HK-LS), which were completed by patients. Data were analyzed by SPSS version 23 using Pearson’s correlation, one way ANOVA, and Independent-samples t-test. The significance level was set at 0.05. Results: The mean (SD) of participants’ age was 60.58±11.14 years. Results showed that the relationship between age and health literacy (r=-0.354, p<0.001) and knowledge (r=-0.129, p<0.001) was statistically significant. More than three quarters of participants (75.5%) are inadequate and partially adequate of health literacy. There was a significant correlation between the blood pressure knowledge and the mean score of health literacy (r=0.0407, p<0.001). Conclusion: The present study confirmed that the majority of the patients with hypertension had inadequate health literacy and there was a significant correlation between the blood pressure knowledge and the mean score of health literacy. Therefore, adequate education should be provided in health centers to increase the health literacy and knowledge about hypertension in hypertensive people. So it is suggested that future studies will be conducted on the use of various educational media in hypertensive people.
References
World Health Organization: Global Status Report on Non communicable Diseases: 2010. 2011, Geneva:World Health Organization.2)Samavat T, Hojatzadeh E, Shams M, Afkhami A, Mahdavi A, Bashti SH, et al. Prevention ofcardiovascular disease. 2ed. Tehran: Javan; 2013: 155.3)Aghaei Meybodi HR, Khashayar P, Rezai Homami M, Heshmat R, Larijani B. Prevalence of hypertensionin an Iranian population. Ren Fail. 2014; 36(1): 87-91. doi: 10.3109/0886022X.2013.832315. PMID:24028502.4)Namayandeh S, Sadr S, Rafiei M, Modares-Mosadegh M, Rajaefard M. Hypertension in Iranian UrbanPopulation, Epidemiology, Awareness, Treatment and Control. Iran J Public Health. 2011; 40(3): 63-70.PMID: 23113087, PMCID: PMC3481637.5)Sarraf-Zadegan N, Boshtam M, Mostafavi S, Rafiei M. Prevalence of hypertension and associated riskfactors in Isfahan, Islamic Republic of Iran. EastMediterr Health J. 1999; 5(5): 992-1001. PMID:10983540.6)Mirzaei M, Moayedallaie S, Jabbary L, Mohammadi M. Prevalence of Hypertension in Iran 1980-2012: ASystematic Review. J Tehran Heart Cent. 2016; 11(4): 159-67. PMID: 28496506, PMCID: PMC5424849.7)Ferri CP, Schoenborn C, Kalra L, Acosta D, Guerra M, Huang Y, et al. Prevalence of stroke and relatedburden among older people living in Latin America, India and China. J Neurol Neurosurg Psychiatry. 2011;82(10): 1074-82. doi: 10.1136/jnnp.2010.234153. PMID:21402745, PMCID: PMC3171978.8)Mozaffarian D, Benjamin EJ, Go AS, Amett DK, Blaha MJ, Cushman M, et al. Heart Disease and StrokeStatistics-2016 Update: A report From the American Heart Association. Circulation. 2016; 133(4): e38-360. doi: 10.1161/CIR.0000000000000350. PMID: 26673558.9)Eftekhar Ardebili H, Fathi S, Moradi H, Mahmoodi M, Maheri A. Effect of Educational Intervention basedon the Health Belief Model in Blood Pressure Control in Hypertensive Women. J Mazandaran Univ MedSci. 2014; 24(119): 62-71.10)Mahmoodi Rad Gh, Mahmoodi Rad Z. Knowledge of hypertensive patients about level of their bloodpressure. J Birjand Univ Med Sci. 2006; 13(1): 42-8.11)Gray NJ, Klein JD, Noyce PR, Sesselberh TS, Cantrill JA. The Internet: a window on adolescent healthliteracy. J Adolesc Health. 2005; 37(3): 243. doi: 10.1016/j.jadohealth.2004.08.023. PMID: 16109345.12)Kichbush I, Sarmast H, Moosavian poor M. Health literacy and discussion on health and education.Publication of Health Promotion and Healthy Lifestyle Association. 2006; 2: 4.13)Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health care use amongMedicare enrollees in a managed care organization. Med Care. 2002; 40(5): 395-404. doi:10.1097/00005650-200205000-00005. PMID: 11961474
Afshari M, Khazaei S, Bahrami M, Merati H. Investigating Adult Health Literacy in Tuyserkan City. JEduc Community Health. 2014; 1(2): 48-55. doi: 10.20286/jech-010248.15)Gazmararian JA, Baker DW, Williams MV, Parker RM, Scott TL, Green DC, et al. Health literacy amongMedicare enrollees in a managed care organization. JAMA. 1999; 281(6): 545-51. doi:10.1001/jama.281.6.545. PMID: 10022111.16)Gershon RR, Stone PW, Bakken S, Larson E. Measurement of organizational culture and climate inhealthcare. J Nurs Adm. 2004; 34(1): 33-40. doi: 10.1097/00005110-200401000-00008. PMID: 14737033.17)Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The prevalence oflimited health literacy. J Gen Intern Med. 2005; 20(2): 175-4. doi: 10.1111/j.1525-1497.2005.40245.x.PMID: 15836552, PMCID: PMC1490053.18)Parker R. Health literacy: a challenge for American patients and their health care providers. Health PromotInt. 2000; 15(4): 277-83. doi: 10.1093/heapro/15.4.277.19)Gazmararian JA, Williams MV, Peel J, Baker DW.Health literacy and knowledge of chronic disease.Patient Educ Couns. 2003; 51(3): 267-75. doi: 10.1016/S0738-3991(02)00239-2. PMID: 14630383.20)Williams MV, Baker DV, Parker RM, Nurss JR. Relationship of functional health literacy to patients’knowledge oftheir chronic disease: a study of patients with hypertension and diabetes. Arch Intern Med.1998; 158(2): 166-72. doi: 10.1001/archinte.158.2.166. PMID: 9448555.21)Egan BM, Lackland DT, Cutler NE. Awareness, knowledge, and attitudes of older americans abouthighblood pressure: implications for health care policy, education, and research. Arch Intern Med. 2003;163(6): 681-7. doi: 10.1001/archinte.163.6.681. PMID: 12639200.22)Samal D, Greisenegger S, Auff E, Lang W, Lalouschek W. The relation between knowledgeabouthypertension and education in hospitalized patients with stroke in Vienna. Stroke. 2007; 38(4): 1304-8. doi:10.1161/01.STR.0000259733.43470.27. PMID: 17322074.23)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 press Mont. 2011;16(5): 224-30. doi: 10.1097/MBP.0b013e32834af7ba. PMID: 21857504.24)Darvishpour J, Omidi S, Farmanbar R. The Relationship between Health Literacy and HypertensionTreatment Control and Follow-up. Caspian Journal of Health Research. 2016; 2(1): 1-8. doi:10.18869/acadpub.cjhr.2.1.1.25)Mollakhalili H, Papi A, Zare-Farashbandi F, Sharifirad G, HasanZadeh A. A survey on health literacy ofinpatient's educational hospitals of Isfahan University of Medical Sciences in 2012. J Educ Health Promot.2014; 3: 66. doi: 10.4103/2277-9531.134804. PMID: 25077159, PMCID: PMC4113979.26)Bains SS, Egede LE. Associations between health literacy, diabetes knowledge, self-care behaviors, andglycemic control in a low income population with type 2 diabetes. Diabetes Technol Ther. 2011 Mar;13(3):335-41. PMID: 21299402,PMCID: PMC3690006,DOI: 10.1089/dia.2010.0160.27)Montazeri A, Tavousi M, Rakhshani F, Azin SA, JahangiriK, Ebadi M ,et al. Health Literacy for IranianAdults (HELIA): develoment and psychometric properties. Payesh J. 2014; 13(5): 589-99.28)Erkoc SB, Isikli B, Metintas S, Kalyoncu C. Hypertension Knowledge-Level Scale (HK-LS): A Study onDevelopment, Validity and Reliability. Int J Environ Res Public Health. 2012; 9(3): 1018-29. doi:10.3390/ijerph9031018.PMID: 22690180, PMCID: PMC3367294.29)Zinat Motlagh F, Chaman R, Ghafari R, Parisay Z, Golabi M, Eslami A, et al. Knowledge, Treatment,Control, and Risk Factors for Hypertension among Adults in Southern Iran. Int J Hypertens. 2015; 2015:897070. doi: 10.1155/2015/897070.30)Hutchison J, Warren-Findlow J, Dulin M, Tapp H, Kuhn L. The Association Between Health Literacy andDiet Adherence Among Primary Care Patientswith Hypertension. Journal of Health Disparities Researchand Practice. 2014; 7(2): 109-26.31)Ko Y, Balasubramanian TD, Wong L, Tan ML, Lee E, Tang WE, et al. Health literacy and its associationwith disease knowledge and control in patients with hypertension in Singapore. Int J Cardiol. 2013; 168(4):e116-7. doi: 10.1016/j.ijcard.2013.08.041. PMID: 23992931.32)Tehrani Banihashemi S, Amirkhani MA, Haghdoost AA, Alavian S, Asgharifard H, Baradaran H, et al .Health Literacy and the Influencing Factors: A Study in Five Provinces of Iran. Strides Dev Med Educ.2007; 4(1): 1-9.33)Tol A, Pourreza A, Tavasoli E, Rahimi Foroshani A. Determination of knowledge and health literacyamong women with type 2 diabetes in teaching hospitals of TUMS. Hospital. 2012; 11(3): 45-52.
Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between healthliteracy, health status, and healthy behaviors among older adults in Isfahan, Iran. J Educ Health Promot.2012; 1: 31. doi: 10.4103/2277-9531.100160. PMID: 23555134, PMCID: PMC3577376.35)Levinthal BR, Morrow DG, Tu W, Wu J, Murray MD, Pharm D. Cognition and Health Literacy in Patientswith Hypertension. J Gen Intern Med. 2008; 23(8): 1172-6. doi: 10.1007/s11606-008-0612-2. PMID:18459011, PMCID: PMC2517973.36)Battersby C, Hartley K, Fletcher AE, Markowe HJL, Brown RG, Styles W, et al. Cognitive function inhypertension: a community based study. J Hum Hypertens. 1993; 7(2): 117-23. PMID: 8510083.37)Veghari G, Sedaghat M, Maghsodlo S, Banihashem S, Moharloei P, Angizeh A, et al. Impact of literacy onthe prevalence, awareness, treatment and control of hypertension in adults in Golestan Province (northernIran). Caspian J Intern Med. 2013; 4(1): 580-4. PMID: 24009940, PMCID: PMC3762233.
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