健康志愿者健康素养技能与预防骨质疏松症行走行为的关系。
Relationship between health literacy skills and walking behavior to prevent osteoporosis among health volunteers.
机构信息
Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
MS.C. in Health Education, School of Medical Sciences, Ahvaz University of Medical Science, Ahvaz, Iran.
出版信息
J Prev Med Hyg. 2023 May 16;64(1):E48-E54. doi: 10.15167/2421-4248/jpmh2023.64.1.2685. eCollection 2023 Mar.
BACKGROUND
Considering the effect of exercise and health literacy in preventing osteoporosis, the effect of health literacy in adopting preventive behaviors, and the role of health volunteers in transferring health messages to the community, this study aimed to determine the relationship between health literacy skills and adopting walking behavior to prevent osteoporosis in women health volunteers.
METHODS
In a cross-sectional study, 290 health volunteers referring to Qazvin health centers in 2020 were selected through Multi-stage random sampling. Data were collected using a health literacy questionnaire (HELIA) and a questionnaire for the adoption of walking behaviors for the prevention of osteoporosis, and they were analyzed using descriptive statistics and logistic regression in SPSS software version 23.
RESULTS
The adoption of walking behaviors to prevent osteoporosis was at an average level. Age (P = 0.034, OR = 1.098), decision-making and application of health information (P < 0.001, OR = 1.135), understanding (P = 0.031, OR = 1.054), and evaluation skills (P = 0.018, OR = 1.049) were factors affecting the adoption of this behavior so that by increasing one score to these variables, the chance of adopting the behavior increased 1.098, 1.135, 1.054 and 1.049 respectively. Also, the level of education was another effective variable in adopting this behavior, so having a favorable level of adoption of this behavior in health volunteers with a diploma degree (P = 0.017, OR = 0.736) and below diploma (P = 0.011, OR = 0.960), were 0.736 and 0.960 times of those with university degrees respectively.
CONCLUSION
The adoption of walking behaviors to prevent osteoporosis among health volunteers - who have lower age, education, and decision-making skills and the use of health information, understanding, and evaluation - was less. Therefore, it is necessary to pay more attention to them when designing educational health programs.
背景
考虑到运动和健康素养在预防骨质疏松症方面的作用，健康素养在采用预防行为方面的作用，以及健康志愿者在向社区传递健康信息方面的作用，本研究旨在确定健康素养技能与女性健康志愿者采用步行行为预防骨质疏松症之间的关系。
方法
在一项横断面研究中，2020 年通过多阶段随机抽样选择了 290 名前往卡兹温健康中心的健康志愿者。使用健康素养问卷（HELIA）和预防骨质疏松症的步行行为采用问卷收集数据，并在 SPSS 软件版本 23 中使用描述性统计和逻辑回归进行分析。
结果
预防骨质疏松症的步行行为采用率处于平均水平。年龄（P = 0.034，OR = 1.098）、决策和应用健康信息（P < 0.001，OR = 1.135）、理解（P = 0.031，OR = 1.054）和评估技能（P = 0.018，OR = 1.049）是影响采用这种行为的因素，因此，这些变量的分数每增加 1 分，采用该行为的机会就会增加 1.098、1.135、1.054 和 1.049。此外，教育水平也是采用这种行为的另一个有效变量，因此，具有大专学历的健康志愿者（P = 0.017，OR = 0.736）和低于大专学历的健康志愿者（P = 0.011，OR = 0.960）对这种行为的采用水平较好，分别为 0.736 和 0.960 倍。
结论
健康志愿者采用预防骨质疏松症的步行行为较少，这些志愿者的年龄、教育程度较低，决策和使用健康信息、理解和评估技能较差。因此，在设计健康教育计划时，需要更加关注他们。
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