Charoghchian Khorasani Elham, Tavakoly Sany Seyedeh Belin, Orooji Arezoo, Ferns Gordon, Peyman Nooshin
Department of Health Education and Health Promotion, Student Research Committee, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Public Health. 2020 May;49(5):860-874.
Inadequate health literacy (HL) is associated with poorer health outcomes and worse health care. Up to one-half of Iranian women have difficulty in interpreting medical information, and national HL assessment has been limited in Iran. We have undertaken a systematic review of the literature and used a meta-analysis to examine the situation of HL status in Iranian women, and determine the relationship between HL and self-efficacy, and self-care behaviors.
Six databases (PubMed, Web of Science, Scopus, Google Scholar, Scientific Information Database) and other non-indexed citations were searched using a variety of keywords regarding HL and Iranian women. The bias risk was decreased by the involvement of two independent reviewers assessing study quality and eligibility of included articles.
The average HL scores were in the range of marginal or limited (63.08; 95% CI, 59.83-66.32) in the Iranian women. The HL score was significantly higher among pregnant women (67.55; 95% CI, 32.54-82.57) and was lower in women with chronic disease (57.79; CI, 48.34-67.24). There was a significant association between HL and self-efficacy and self-care behaviors.
The average level of HL in the period of the review was marginal among Iranian women. The relationship of HL with self-efficacy and self-care behaviors was statistically significant but moderate.
健康素养不足与较差的健康结果和医疗保健状况相关。高达一半的伊朗女性在解读医学信息方面存在困难，而且伊朗的全国健康素养评估一直很有限。我们对文献进行了系统综述，并使用荟萃分析来研究伊朗女性的健康素养状况，以及确定健康素养与自我效能感和自我护理行为之间的关系。
使用与健康素养和伊朗女性相关的各种关键词，对六个数据库（PubMed、科学网、Scopus、谷歌学术、科学信息数据库）以及其他未编入索引的文献进行了检索。通过两名独立评审员参与评估研究质量和纳入文章的合格性，降低了偏倚风险。
伊朗女性的平均健康素养得分处于边缘或有限水平（63.08；95%置信区间，59.83 - 66.32）。孕妇的健康素养得分显著更高（67.55；95%置信区间，32.54 - 82.57），而患有慢性病的女性得分较低（57.79；置信区间，48.34 - 67.24）。健康素养与自我效能感和自我护理行为之间存在显著关联。
在本综述期间，伊朗女性的健康素养平均水平处于边缘状态。健康素养与自我效能感和自我护理行为之间的关系在统计学上具有显著性，但程度适中。
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