A systematic review and meta-analysis of health literacy in the Iranian population: findings and implications

Reza Gheshlagh, Amanj Kurdi

Research output: Contribution to journalArticle

Abstract

Objectives: Health literacy includes social and cognitive skills determining individuals’ motivation to obtain and understand health information, therefore empowering them to promote healthy behaviors. The exact level of health literacy in the Iranian population is unknown as different Iranian studies have reported different health literacy rates in the Iranian population. Therefore, this study aimed to investigate health literacy in the Iranian population by systematically combining and analyzing findings from the previous studies.
Methods: A total of 26 articles in Persian and in English, published up to December 2017 were reviewed. Searching for articles with the keywords prevalence, abundance, health literacy and Iran was conducted in the following national and international databases: Scientific Information Database (SID), Medlibe, MagIran, Web of Science, Science Direct, Google Scholar, PubMed, and Scopus. The data were analyzed using the meta-analysis method and a random effects model. The heterogeneity among the studies was examined using the I2 statistic. All the analyses were performed using the STATA 12 software.
Results: The highest levels of health literacy were for the region 1 of Iran, including the following provinces: Alborz, Tehran, Qazvin, Mazandaran, Semnan, Golestan, and, Gom (46.7% with 95% CI: 25.7-67.7). In addition, older people (60.2% with 95%CI: 43.7-76.8) and patients with diabetes (55.4% with 95%CI: 35.6-75.2) had the lowest health literacy levels, respectively. Moreover, pregnant women (37.4% with 95%CI: 27-53.3) had the highest level of health literacy.
Conclusions: The lowest health literacy level was in older people and patients with diabetes. Therefore, it seems necessary to provide education for communities and groups with inadequate health literacy levels, especially older people and patients with chronic diseases, to improve their health
LanguageEnglish
JournalShiraz E-Medical Journal
Publication statusAccepted/In press - 7 Jan 2019

Fingerprint

Health Literacy
Meta-Analysis
Population
Health Status
Iran
Databases
Health
PubMed
Motivation
Pregnant Women
Chronic Disease
Software

Keywords

  • health literacy
  • systematic review
  • Iran

Cite this

@article{59a91cf383ba4b909c189b56e76941e2,
title = "A systematic review and meta-analysis of health literacy in the Iranian population: findings and implications",
abstract = "Objectives: Health literacy includes social and cognitive skills determining individuals’ motivation to obtain and understand health information, therefore empowering them to promote healthy behaviors. The exact level of health literacy in the Iranian population is unknown as different Iranian studies have reported different health literacy rates in the Iranian population. Therefore, this study aimed to investigate health literacy in the Iranian population by systematically combining and analyzing findings from the previous studies.Methods: A total of 26 articles in Persian and in English, published up to December 2017 were reviewed. Searching for articles with the keywords prevalence, abundance, health literacy and Iran was conducted in the following national and international databases: Scientific Information Database (SID), Medlibe, MagIran, Web of Science, Science Direct, Google Scholar, PubMed, and Scopus. The data were analyzed using the meta-analysis method and a random effects model. The heterogeneity among the studies was examined using the I2 statistic. All the analyses were performed using the STATA 12 software.Results: The highest levels of health literacy were for the region 1 of Iran, including the following provinces: Alborz, Tehran, Qazvin, Mazandaran, Semnan, Golestan, and, Gom (46.7{\%} with 95{\%} CI: 25.7-67.7). In addition, older people (60.2{\%} with 95{\%}CI: 43.7-76.8) and patients with diabetes (55.4{\%} with 95{\%}CI: 35.6-75.2) had the lowest health literacy levels, respectively. Moreover, pregnant women (37.4{\%} with 95{\%}CI: 27-53.3) had the highest level of health literacy. Conclusions: The lowest health literacy level was in older people and patients with diabetes. Therefore, it seems necessary to provide education for communities and groups with inadequate health literacy levels, especially older people and patients with chronic diseases, to improve their health",
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N2 - Objectives: Health literacy includes social and cognitive skills determining individuals’ motivation to obtain and understand health information, therefore empowering them to promote healthy behaviors. The exact level of health literacy in the Iranian population is unknown as different Iranian studies have reported different health literacy rates in the Iranian population. Therefore, this study aimed to investigate health literacy in the Iranian population by systematically combining and analyzing findings from the previous studies.Methods: A total of 26 articles in Persian and in English, published up to December 2017 were reviewed. Searching for articles with the keywords prevalence, abundance, health literacy and Iran was conducted in the following national and international databases: Scientific Information Database (SID), Medlibe, MagIran, Web of Science, Science Direct, Google Scholar, PubMed, and Scopus. The data were analyzed using the meta-analysis method and a random effects model. The heterogeneity among the studies was examined using the I2 statistic. All the analyses were performed using the STATA 12 software.Results: The highest levels of health literacy were for the region 1 of Iran, including the following provinces: Alborz, Tehran, Qazvin, Mazandaran, Semnan, Golestan, and, Gom (46.7% with 95% CI: 25.7-67.7). In addition, older people (60.2% with 95%CI: 43.7-76.8) and patients with diabetes (55.4% with 95%CI: 35.6-75.2) had the lowest health literacy levels, respectively. Moreover, pregnant women (37.4% with 95%CI: 27-53.3) had the highest level of health literacy. Conclusions: The lowest health literacy level was in older people and patients with diabetes. Therefore, it seems necessary to provide education for communities and groups with inadequate health literacy levels, especially older people and patients with chronic diseases, to improve their health

AB - Objectives: Health literacy includes social and cognitive skills determining individuals’ motivation to obtain and understand health information, therefore empowering them to promote healthy behaviors. The exact level of health literacy in the Iranian population is unknown as different Iranian studies have reported different health literacy rates in the Iranian population. Therefore, this study aimed to investigate health literacy in the Iranian population by systematically combining and analyzing findings from the previous studies.Methods: A total of 26 articles in Persian and in English, published up to December 2017 were reviewed. Searching for articles with the keywords prevalence, abundance, health literacy and Iran was conducted in the following national and international databases: Scientific Information Database (SID), Medlibe, MagIran, Web of Science, Science Direct, Google Scholar, PubMed, and Scopus. The data were analyzed using the meta-analysis method and a random effects model. The heterogeneity among the studies was examined using the I2 statistic. All the analyses were performed using the STATA 12 software.Results: The highest levels of health literacy were for the region 1 of Iran, including the following provinces: Alborz, Tehran, Qazvin, Mazandaran, Semnan, Golestan, and, Gom (46.7% with 95% CI: 25.7-67.7). In addition, older people (60.2% with 95%CI: 43.7-76.8) and patients with diabetes (55.4% with 95%CI: 35.6-75.2) had the lowest health literacy levels, respectively. Moreover, pregnant women (37.4% with 95%CI: 27-53.3) had the highest level of health literacy. Conclusions: The lowest health literacy level was in older people and patients with diabetes. Therefore, it seems necessary to provide education for communities and groups with inadequate health literacy levels, especially older people and patients with chronic diseases, to improve their health

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