Document Type : Original Article


1 Social Determinants of Health Research Center, Research Institute for Prevention of Non Communicable Diseases, School of Nursing and Midwifery

2 Occupational Health Department, School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran

3 Student Research Committee, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin


BACKGROUND: In chronic diseases such as osteoporosis, understanding the factors that improve
prevention, such as health literacy (HL), is essential in reducing the incidence of these diseases.
This study aimed to determine the association between HL and adoption of osteoporosis‑preventive
behaviors among students in Qazvin.
SUBJECTS AND METHODS: This is a cross-sectional study in which 375 female students
(aged 15–18 years) at high schools (grades 10th, 11th, and 12th) in Qazvin city were selected, in
2019. Sampling method was multistage. To collect data, the standardized questionnaire for measuring
HL in adolescents (health literacy measure in adolescents), in addition to another questionnaire for
assessing osteoporosis‑preventive behaviors, was used. Data were analyzed using SPSS 22 by
descriptive statistics and logistic regression. The association considered significant when P < 0.05.
RESULTS: The mean scores of adoption of osteoporosis‑preventive behaviors and HL were
22.43 ± 5.60 and 70.84 ± 12.58, respectively. Logistic regression showed that there was a significant
association between the adoption of osteoporosis‑preventive behaviors and HL (P = 0.001). In
addition, the association between the adoption of osteoporosis‑preventive behaviors and age was
also significant (P = 0.048 and odds ratio = 3.35).
CONCLUSIONS: Young students and those of low HL showed less adoption of osteoporosis‑preventive
behaviors. Therefore, it is necessary to pay more attention to design educational programs that may
raise the knowledge and awareness of those students about such these diseases, mainly prevention.


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