Department of Health Education and Health Promotion, Faculty of Health, Mashhad University of Medical Sciences, Mashhad 13131-99137, Iran.
Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad 13131-99137, Iran.
Int J Environ Res Public Health. 2021 Apr 17;18(8):4260. doi: 10.3390/ijerph18084260.
There are increasing calls for public health policies to realize the visions of a health literate society and health literacy on a global scale. However, there are still more gaps in what researchers recognize and what steps they should take to improve health literacy (HL) skills. This review aimed to measure the HL status of the Iranian population and the effect size of the underlying association between HL and other health outcomes, and to examine the effectiveness of HL interventions on improving the functional dimension of HL, self-efficacy, and health-promoting behaviors. All full text published articles written in English and Persian language were included from inception until January 2019, but the type of study is not limited. A total of 52 potentially relevant articles with data on 36,523 participants were included in this review. In the population with health conditions, the average HL score was 62.51 (95% CI: 59.95-65.08), while in the patient population, the HL score was 64.04 (95% CI: 60.64-67.45). Health literacy was positively and significantly correlated with self-care behaviors 0.42 (95% CI; 0.35-0.49), self-efficacy 0.35 (95% CI; 0.26-0.43), knowledge 0.50 (95% CI; 0.44-0.55), communication skills 0.33 (95% CI; 0.25-0.41), and health promotion behaviors 0.39 (95% CI; 0.35-0.44). The meta-analyses showed that overall, HL interventions significantly improved HL status, self-efficacy, and health promotion behaviors. Results indicate that HL status was in the range of marginal HL level in the Iranian population. Our finding highlights the beneficial impact of HL intervention on health-promoting behaviors and self-efficacy, particularly in low literacy/socioeconomic status people.
人们越来越呼吁公共卫生政策在全球范围内实现健康素养社会和健康素养的愿景。然而，研究人员认识到的差距和他们应该采取的措施之间仍然存在更多差距，以提高健康素养 (HL) 技能。本综述旨在衡量伊朗人口的 HL 状况以及 HL 与其他健康结果之间的潜在关联的效应大小，并研究 HL 干预对提高 HL 功能维度、自我效能和促进健康行为的有效性。从成立到 2019 年 1 月，所有全文发表的英文和波斯语文章都包括在内，但研究类型不限。本综述共纳入了 52 篇具有 36523 名参与者数据的潜在相关文章。在有健康状况的人群中，HL 平均得分为 62.51（95%CI：59.95-65.08），而在患者人群中，HL 得分为 64.04（95%CI：60.64-67.45）。健康素养与自我保健行为呈正显著相关，相关系数为 0.42（95%CI；0.35-0.49），与自我效能呈正显著相关，相关系数为 0.35（95%CI；0.26-0.43），与知识呈正显著相关，相关系数为 0.50（95%CI；0.44-0.55），与沟通技巧呈正显著相关，相关系数为 0.33（95%CI；0.25-0.41），与健康促进行为呈正显著相关，相关系数为 0.39（95%CI；0.35-0.44）。荟萃分析表明，总体而言，HL 干预显著改善了 HL 状况、自我效能和健康促进行为。结果表明，伊朗人口的 HL 状况处于边缘 HL 水平范围内。我们的研究结果强调了 HL 干预对促进健康行为和自我效能的有益影响，特别是在低文化程度/社会经济地位的人群中。
