Association Between Health Literacy and BMI: A Cross-Sectional Study of Suburban Adult Population in Bangladesh

Islam, Md. Karimul; Nasrin, Nishad; Jaber, Abu; Hossain, Md. Tanvir

doi:10.25133/jpssv302022.018

Cited by 3 publications

(2 citation statements)

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“…www.nature.com/scientificreports/ Tajdar et al argued that the risk of having components of metabolic syndrome such as obesity, diabetes, and high BP for the subjects with insufficient HL is 1.6 times of those with sufficient HL 27 . According to a study conducted in Bangladesh, higher HL is associated with lower BMI 28 . In addition, Stewart et al found that lower HL was associated with greater nicotine dependence, less knowledge about the health risks related to smoking, and less perceived risk 29 , indicating the significance of preventing CVD among young adults using a health promotion approach to eliminate and modify risk factors and adopt a healthy lifestyle.…”

Section: Discussionmentioning

confidence: 99%

Association between health literacy and Framingham risk score

Rahimi,

Hashemi,

Rezaei

et al. 2024

Sci Rep

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High health literacy (HL) plays a critical role in preventing or delaying the onset of cardiovascular diseases (CVDs) and can improve disease management and control. The present study aims to determine the association between HL and non-laboratory-based (office-based) Framingham 10-year risk score of CVD. This cross-sectional study was conducted on 648 people aged 30–65 in the health centers of Jahrom. The Health Literacy Instrument for Adults (HELIA) was used to assess HL. The non-laboratory-based Framingham risk score (FRS) was utilized to determine the 10-year risk of CVDs. Risk factors such as age, gender, diabetes, current smoking status, systolic blood pressure (SBP), hypertension (HTN) treatment, and body mass index (BMI) were applied in the non-laboratory-based model. The average age of the subjects was 44.7 ± 10.5 years, among which 49.2% were males. The prevalence of diabetes, HTN, and smoking equaled 8.5%, 15.7%, and 10%, respectively. In addition, the average BMI was 26.1 ± 3.6 kg/m2. Based on the non-laboratory-based Framingham 10-year risk score of CVD, 72.5%, 13.9%, and 13.6% of the subjects were in the low, moderate, and high risk groups, respectively. Based on the HL grouping, the levels of insufficient, borderline, sufficient, and excellent HL were 19.3%, 26.4%, 34.6%, and 19.7%, respectively. A significant association was observed between 10-year CVD risk and HL grouping. In addition, a negative correlation was reported at the individual level between HL and non-laboratory-based FRS among the whole population (r = − 0.39, p < 0.001), men (r = − 0.32, p < 0.001), and women (r = − 0.42, p < 0.001). A higher HL score is associated with a lower risk of CVD. In addition, the adjusted logistic regression analysis showed that there was a strong association between elevated CVD risk (≥ 10%) and HL (OR 6.1, 95% CI 2.9–12.6) among inadequate HL participants compared with excellent HL individuals. Thus, designing and implementing training programs to increase HL, especially among those who are at risk of CVDs, should be regarded as an important issue for the prevention of such diseases.

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Section: Discussionmentioning

confidence: 99%

Association between health literacy and Framingham risk score

Rahimi,

Hashemi,

Rezaei

et al. 2024

Sci Rep

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“…In addition, this program should consider other healthcare services like monthly health checkups, supplementary nutrition and health-related advice during pregnancy, as these healthcare services are positively associated with improvement of maternal health and reduction of maternal mortality. Alongside the cash transfer program, a health literacy program should be initiated to teach the targeted group on proper healthcare services (Islam et al ., 2022). The authors also prescribe a joint partnership of the government and nongovernment institutions for running the CCT program at the mass level all over Bangladesh.…”

Section: Discussionmentioning

confidence: 99%

Impact of conditional cash transfer on health outcome of expectant mothers in Bangladesh

Farjana

Khanam

Mamun

2023

IJSE

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PurposeConditional Cash Transfer (CCT) aims to assist expectant mothers in low-income households. It might address the insufficient prenatal and postnatal healthcare services in rural areas of low-income nations, including Bangladesh. However, the effectiveness of such intervention is rarely investigated in rural Bangladesh. The study aims to explore the impact of CCT on certain health outcomes of expectant mothers in southwestern rural Bangladesh.Design/methodology/approachThe study applied the quasi-experimental Propensity Score Matching method to assess the effectiveness of CCT in health outcomes of expectant mothers. The authors also deployed logistic regression to explore the predictors of three health issues – blood pressure, hemoglobin adequacy and morning sickness.FindingsThe Average Treatment Effect shows that the CCT program significantly improves maternal health by lowering the extent of blood pressure and morning sickness and enhancing the hemoglobin adequacy of the CCT recipient women compared to the non-recipient. The result reveals that CCT beneficiary status as well as the education and immunization are positively and significantly associated with normal blood pressure and hemoglobin adequacy. CCT is also a negative predictor of morning sickness. The study recommends to expand the coverage of the CCT program and also emphasize on the improvement of education, training and immunization for rural pregnant women.Originality/valueTo assist in scaling purchasing power and nutritious food for poor pregnant and lactating mothers in low-income households, “Nobojatra” project initiated the CCTs in the southwest region of Bangladesh. Yet, the impact of such cash transfers on their health outcomes is rarely explored in the context of Bangladesh. This study provides evidence regarding the effectiveness of cash transfers to pregnant women of low-income households in rural Bangladesh.Peer reviewThe peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-08-2022-0512

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Link between gender inequality and women’s satisfaction with maternal healthcare services: a cross-sectional study in Khulna, Bangladesh

Halim,

Akter,

Islam

2024

BMJ Open

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BackgroundGender inequality within households remains a significant barrier to accessing maternal healthcare services in many low-resource settings, including Bangladesh. Understanding the relationship between the gender inequality faced by women in households and their perceived satisfaction with maternal healthcare services is important.ObjectiveThis study aims to identify the factors influencing gender inequality and investigate the association between gender inequality faced by women within households and their perceived satisfaction with maternal healthcare services.DesignConducted between October and November 2022, employing a cross-sectional design.Settings and participants150 women who are at their prenatal or postnatal stages are systematically sampled fromKhalishpurmunicipality andDighaliasubdistrict from Khulna, Bangladesh.Outcome measuresGender inequality within the households is assessed using a validated five-point Likert scale of five items. Participants with an average score below or equal to the median value are considered to be facing gender inequality within households. Satisfaction with maternal healthcare services is measured across five variables using a similar scale. Based on the responses, a standardised score is generated to measure the satisfaction level with maternal healthcare services.ResultsWe find that women are around seven times more likely to experience gender inequality in their households if their husbands are engaged in self-employed jobs or skilled labour compared with unemployment (p<0.10). Coercive actions, such as physical assault (odds: 6.428, p<0.01) and preventing women from financially supporting their maternal kin (odds: 14.909; p<0.01), are positively related to gender inequality. Such inequality negatively relates to women’s perceived satisfaction with their maternal healthcare services (−1.851, p<0.01). Additionally, traditional home delivery, verbal abuse and the forced use of traditional medication reduce satisfaction levels. On the other hand, increased prenatal care is expected to increase satisfaction with maternal services as perceived by women (0.545, p<0.10).ConclusionsThe study prioritises promoting equity in opportunities for both males and females, with access to maternal health, and educational opportunities within households. Reduced inequality within households may help minimise the extent of coercive behaviour against women. The national maternal health strategy should focus on basic health services for pregnant women, with free prenatal and postnatal check-ups for pregnant mothers to improve their perinatal healthcare services.

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Association Between Health Literacy and BMI: A Cross-Sectional Study of Suburban Adult Population in Bangladesh

Cited by 3 publications

References 57 publications

Association between health literacy and Framingham risk score

Association between health literacy and Framingham risk score

Impact of conditional cash transfer on health outcome of expectant mothers in Bangladesh

Link between gender inequality and women’s satisfaction with maternal healthcare services: a cross-sectional study in Khulna, Bangladesh

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