Journal of Education and Health Promotion

Investigating high blood pressure, type‑2 diabetes, dislipidemia, and body mass index to determine the health status of people over 30 years

. Abdolhamid Zokaei; . Arash Ziapour; . Masoumeh Erfani Khanghahi; . Javad Yoosefi Lebni; . Seyed Fahim Irandoost; . Razie Toghroli; . Nafiul Mehedi; . Azadeh Foroughinia; . Fakhreddin Chaboksavar

Volume 10, Issue 12 , December 2020, , Pages 1-7

Abstract

INTRODUCTION: Over the past decades, the pattern of diseases in human societies had changedfrom infectious diseases to noncommunicable diseases (NCDs), and according to the report by ... Read More INTRODUCTION: Over the past decades, the pattern of diseases in human societies had changedfrom infectious diseases to noncommunicable diseases (NCDs), and according to the report by theWorld Health Organization, the highest burden of disease is attributed to NCDs. The study wasconducted to determine the status of hypertension, type‑2 diabetes, lipid disorders, and body massindex (BMI) among the patients aged over 30 years admitted to health centers of Karaj, Iran.MATERIALS AND METHODS: In this cross‑sectional study, the population included 2947 men andwomen aged 30 years and above admitted to six health‑care centers in Karaj. The questionnaireincludes demographic characteristics and had the questions on hypertension, diabetes and theirrisk factors, like lipid disorders and BMI was administered. The data were analyzed in SPSS,version 23, software using descriptive (frequency, percentage, mean, and standard deviation) andanalytical (Chi‑square and analysis of variance) tests (P < 0.01).RESULTS: About 10% of the participants had diabetes and 15% of the participants had hypertension.About 32% of the participants had dyslipidemia and 87% of the participants were overweight or obeseand over 35% were obese. Furthermore, with the increase in BMI, the prevalence of lipid disorder,hypertension, and type‑2 diabetes increased in the studied population (P < 0.01).CONCLUSION: According to the results, a high percentage of people had hypertension, type‑2diabetes, hyperlipidemia, and BMI in the population. Gender segregation showed that lipid disorders,overweight, and obesity in women were more than in men and percentage of people with hypertensionamong male were significantly higher than in females. In the case of type‑2 diabetes, the resultsshowed no statistically significant differences between men and women. The results may be helpfulin developing educational strategies and prevention and control of these diseases.

The relationship between health literacy with health status and healthcare utilization in 18-64 years old people in Isfahan

. Saeed Karimi; . Mahmoud Keyvanara; . Mohsen Hosseini; . Marzie Jafarian Jazi; . Elahe Khorasani

Volume 4, Issue 3 , June 2014, , Pages 1-8

Abstract

Background: Today, much attention has been paid to the patient role as the central factor in themanagement of their own health. It is focused on the issue that the patient has a more ... Read More Background: Today, much attention has been paid to the patient role as the central factor in themanagement of their own health. It is focused on the issue that the patient has a more critical rolecompared with the health-care provider in controlling the patient own health. defines health literacyas the degree to which individuals have the capacity to obtain, process, and understand basic healthinformation and services needed to make appropriate health decisions. Objective: The objective ofthis study was to determine health literacy, health status, healthcare utilization and the relationshipbetween them in 18 - 64 years old people in Isfahan. Structure and Design: This study was adescriptive analytical survey, which was conducted on 300 subjects of 18-64 years old in Isfahanwith Multi-stage sampling method proportional to selected sample size. Materials and Methods:For collecting the data, questionnaire adapted from CHAP (Consumer Assessment of HealthcareProviders and Systems) health literacy questionnaire was used. Health status was measured basedon an assessment of the physical and mental health over the past 6 months by 5° Likert scale. Dataanalysis was performed by using SPSS 18, descriptive statistics, Chi-square test and multivariateanalysis of variance. Results: There was no significant correlation between health literacy, healthstatus and healthcare utilization. Utilization was less in the urban area No. 6 of the city. In thebachelor’s degree group, the health status was lower than the other groups in these cases: Olderages, married, women, large family size, undergraduates, and urban area No. 14. Conclusions:Due to the average prevalence of health literacy in 18-64 years old individuals in Isfahan and lowhealthcare utilization, the followings are recommended: Necessity of more attention to the issueof health literacy, improving the physician-patient relationship and community awareness, whetherthrough health promotion programs or media for the optimum use of available resources.

Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran

. Seyed Homamodin Javadzade; . Gholamreza Sharifirad; . Fatemeh Radjati; . Firoozeh Mostafavi; . Mahnoosh Reisi; . Akbar Hasanzade

Volume 2, Issue 3 , August 2012, , Pages 1-7

Abstract

Background: Health literacy is a measure of an individual’s ability to read, comprehend, and act onmedical instructions. Limited health literacy can reduce the adults’ ability ... Read More Background: Health literacy is a measure of an individual’s ability to read, comprehend, and act onmedical instructions. Limited health literacy can reduce the adults’ ability to comprehend and usebasic health-related materials, such as prescription, food labels, health education pamphlets, articles,appointment slips, and health insurance plans, which can affect their ability to take appropriate andtimely health care action. Nowadays, low health literacy is considered a worldwide health threat. So,the purpose of this study was to assess health literacy level in older adults and to investigate therelationships between health literacy and health status, health care utilization, and health preventivebehaviors. Materials and Methods: A cross-sectional survey of 354 older adults was conductedin Isfahan. The method of sampling was clustering. Health literacy was measured using the Test ofFunctional Health Literacy in Adults (TOFHLA). Data were collected using home interviewing. Healthstatus was measured based on self-rated general health. Health care utilization was measuredbased on self-reported outpatient clinic visits, emergency room visits, and hospitalizations, andhealth preventive behaviors were measured based on self-reported preventive health servicesuse. Results: Approximately 79.6% of adults were found to have inadequate health literacy. Theytended to be older, had fewer years of schooling, lower household income, and were females.Inadequate health literacy was associated with poorer general health (P < 0.001). Health literacylevel was negatively associated with outpatient visits (P = 0.003) and hospitalization (P = 0.01).No significant association was found between health literacy level and emergency room utilization.Self-reported lack of PSA (Prostate-Specific Antigen) test (P < 0.001) and fecal occult blood test(FOBT; P = 0.003) was higher among individuals with inadequate health literacy than those withadequate health literacy. No significant association was found between health literacy level andmammogram in the last 2 years. Conclusion: Low health literacy is more prevalent in older adults.It indicates the importance of health literacy issue in health promotion. So, with simple educationalmaterials and effective interventions for low health literacy group, we can improve health promotionin the society and mitigate the adverse health effects of low health literacy.

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Keywords = health status

Investigating high blood pressure, type‑2 diabetes, dislipidemia, and body mass index to determine the health status of people over 30 years

Abstract

The relationship between health literacy with health status and healthcare utilization in 18-64 years old people in Isfahan

Abstract

Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran

Abstract