Document Type : Original Article


1 Department of Health Services Management, Social Determinate of Health Research Center

2 Department of Biostatistics and Epidemiology, School of Health,

3 Department of Health Services Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran


Background: Today, much attention has been paid to the patient role as the central factor in the
management of their own health. It is focused on the issue that the patient has a more critical role
compared with the health-care provider in controlling the patient own health. defines health literacy
as the degree to which individuals have the capacity to obtain, process, and understand basic health
information and services needed to make appropriate health decisions. Objective: The objective of
this study was to determine health literacy, health status, healthcare utilization and the relationship
between them in 18 - 64 years old people in Isfahan. Structure and Design: This study was a
descriptive analytical survey, which was conducted on 300 subjects of 18-64 years old in Isfahan
with Multi-stage sampling method proportional to selected sample size. Materials and Methods:
For collecting the data, questionnaire adapted from CHAP (Consumer Assessment of Healthcare
Providers and Systems) health literacy questionnaire was used. Health status was measured based
on an assessment of the physical and mental health over the past 6 months by 5° Likert scale. Data
analysis was performed by using SPSS 18, descriptive statistics, Chi-square test and multivariate
analysis of variance. Results: There was no significant correlation between health literacy, health
status and healthcare utilization. Utilization was less in the urban area No. 6 of the city. In the
bachelor’s degree group, the health status was lower than the other groups in these cases: Older
ages, 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 issue
of health literacy, improving the physician-patient relationship and community awareness, whether
through health promotion programs or media for the optimum use of available resources.


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