Mahdizadeh Mehrsadat, Solhi Mahnaz
PhD Candidate in Health Education and Health Promotion, Department of Health Services and Health Education, School of Health, Iran University of Medical Sciences, Tehran, Iran.
PhD., Associate Professor of Health Education and Health Promotion, Department of Health Services and Health Education, School of Health, Iran University of Medical Sciences, Tehran, Iran.
Electron Physician. 2018 Mar 25;10(3):6462-6469. doi: 10.19082/6462. eCollection 2018 Mar.
Self-care is a basic concept in health promotion, regarding the importance of health literacy as a key factor in self-care. This study aimed to identify the relationship between self-care behaviors and health literacy among elderly women in Iran.
This descriptive and analytic study was performed between October and December 2015. A total of 360 participants were selected from elderly women referred to health centers. Data was collected by test of functional health literacy in adults (S-TOFHLA) and a checklist for assessment of self-care behaviors, and health information seeking. Data were analyzed by SPSS software (version 22) with One-Way Analysis of Variance, and the Pearson correlation coefficient, t-test and regression test.
The mean score of functional health literacy was 41.30±6.29. Of the participants, 73.6% had inadequate health literacy, 20.8% borderline health literacy, and 5.6% enough health literacy. The mean score of health information seeking was 1.791. Also, 31.9% of elderly women had poor self-care behaviors, 56.9% moderate, and 11.1% high. A significant difference was observed in mean score of health literacy between different levels of self-care (F=30.087, p<0.001). Based on regression analysis, health literacy and health information seeking predicted 19.9% of the variance of self-care behaviors.
This study highlights the necessity of promoting health literacy and attention to its influencing factors to improve self-care ability of elderly women. In conclusion, Planning interventions to improve health literacy is essential for health promotion among elderly women.
自我护理是健康促进中的一个基本概念,健康素养作为自我护理的关键因素具有重要意义。本研究旨在确定伊朗老年女性自我护理行为与健康素养之间的关系。
本描述性分析研究于2015年10月至12月进行。从前往健康中心的老年女性中选取了360名参与者。通过成人功能性健康素养测试(S - TOFHLA)以及自我护理行为和健康信息寻求评估清单收集数据。使用SPSS软件(版本22)进行单因素方差分析、Pearson相关系数、t检验和回归检验来分析数据。
功能性健康素养的平均得分为41.30±6.29。参与者中,73.6%的人健康素养不足,20.8%处于临界健康素养水平,5.6%具备足够的健康素养。健康信息寻求的平均得分为1.791。此外,31.9%的老年女性自我护理行为较差,56.9%为中等,11.1%为较高。不同自我护理水平之间的健康素养平均得分存在显著差异(F = 30.087,p < 0.001)。基于回归分析,健康素养和健康信息寻求预测了自我护理行为方差的19.9%。
本研究强调了提高健康素养以及关注其影响因素以提高老年女性自我护理能力的必要性。总之,规划提高健康素养的干预措施对于老年女性的健康促进至关重要。