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Health Literacy in Iranian Women: A Systematic Review and Meta-Analysis

BACKGROUND: Inadequate health literacy (HL) is associated with poorer health outcomes and worse health care. Up to one-half of Iranian women have difficulty in interpreting medical information, and national HL assessment has been limited in Iran. We have undertaken a systematic review of the literat...

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Detalles Bibliográficos
Autores principales: CHAROGHCHIAN KHORASANI, Elham, TAVAKOLY SANY, Seyedeh Belin, OROOJI, Arezoo, FERNS, Gordon, PEYMAN, Nooshin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7475634/
https://www.ncbi.nlm.nih.gov/pubmed/32953674
Descripción
Sumario:BACKGROUND: Inadequate health literacy (HL) is associated with poorer health outcomes and worse health care. Up to one-half of Iranian women have difficulty in interpreting medical information, and national HL assessment has been limited in Iran. We have undertaken a systematic review of the literature and used a meta-analysis to examine the situation of HL status in Iranian women, and determine the relationship between HL and self-efficacy, and self-care behaviors. METHODS: Six databases (PubMed, Web of Science, Scopus, Google Scholar, Scientific Information Database) and other non-indexed citations were searched using a variety of keywords regarding HL and Iranian women. The bias risk was decreased by the involvement of two independent reviewers assessing study quality and eligibility of included articles. RESULTS: The average HL scores were in the range of marginal or limited (63.08; 95% CI, 59.83–66.32) in the Iranian women. The HL score was significantly higher among pregnant women (67.55; 95% CI, 32.54–82.57) and was lower in women with chronic disease (57.79; CI, 48.34–67.24). There was a significant association between HL and self-efficacy and self-care behaviors. CONCLUSION: The average level of HL in the period of the review was marginal among Iranian women. The relationship of HL with self-efficacy and self-care behaviors was statistically significant but moderate.