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

Khorasani, Elham Charoghchian; Sany, Seyedeh Belin Tavakoly; Orooji, Arezoo; Ferns, Gordon A.; Peyman, Nooshin

doi:10.18502/ijph.v49i5.3203

Cited by 11 publications

(16 citation statements)

References 22 publications

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“…This finding may not be restricted to migrants: a current scoping review found only 12 studies on men’s health literacy worldwide 102. In contrast to that, another systematic review focusing on health literacy in women living in Iran revealed 34 studies 103. Furthermore, even within the studies included in the meta-analysis, the number of female participants (n=8012) far exceeded that of men (n=5380).…”

Section: Discussionmentioning

confidence: 91%

“… 102 In contrast to that, another systematic review focusing on health literacy in women living in Iran revealed 34 studies. 103 Furthermore, even within the studies included in the meta-analysis, the number of female participants (n=8012) far exceeded that of men (n=5380). Thus, in the context of male migration, gender might be a blind spot in health literacy research.…”

Section: Discussionmentioning

confidence: 97%

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Gender differences of health literacy in persons with a migration background: a systematic review and meta-analysis

et al. 2022

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ObjectiveTo investigate gender differences of health literacy in individuals with a migration background.DesignSystematic review and meta-analysis. OVID/MEDLINE, PsycINFO and CINAHL were searched in March 2018 and July 2020.SettingStudies had to provide health literacy data for adult women and men with a migration background, collected with a standardised instrument, or report results that demonstrated the collection of such data. Health literacy data were extracted from eligible studies or requested from the respective authors. Using a random-effects model, a meta-analysis was conducted to assess standardised mean differences (SMDs) of health literacy in men and women. Two researchers independently assessed risk of bias for each included study using the Appraisal Tool for Cross-Sectional Studies.ResultsTwenty-four studies were included in this systematic review. Thereof, 22 studies (8012 female and 5380 male participants) were included in the meta-analyses. In six studies, gender-specific health literacy scores were reported. The authors of additional 15 studies provided their data upon request and for one further study data were available online. Women achieved higher health literacy scores than men: SMD=0.08, 95% CI 0.002 to 0.159, p=0.04, I2=65%. Another 27 studies reported data on female participants only and could not be included due to a lack of comparable studies with male participants only. Authors of 56 other eligible studies were asked for data, but without success.ConclusionMen with a migration background—while being much less frequently examined—may have lower health literacy than women. As heterogeneity between studies was high and the difference became statistically insignificant when excluding studies with a high risk of bias, this result must be interpreted with caution. There is a paucity of research on the social and relational aspects of gender in relation to health literacy among people with a migration background, especially for men.PROSPERO registration numberCRD42018085555.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 97%

Gender differences of health literacy in persons with a migration background: a systematic review and meta-analysis

et al. 2022

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“…Therefore, the sense of self-efficacy plays a role in how individuals manage actual situations. There are indications that the level of self-efficacy and high-risk behaviors are negatively interrelated [ 10 , 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…Adequate mothers’ ability to understand, evaluate, and use health information is essential during pregnancy, particularly regarding risky health behavior and preventive behaviors [ 8 , 13 , 17 ]. However, despite the growing recognition of the crucial role of health literacy in individuals and community settings, there are limited studies on the health literacy level in pregnant women and its association with health behavior and health outcomes during pregnancy [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Examining health literacy and self-efficacy levels and their association with preventive behaviors of urinary tract infection in Iranian pregnant women: across sectional study

Eslami,

Sany,

Tehrani

et al. 2023

BMC Women's Health

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Objective Urinary tract infection (UTI) is assumed to be associated with the risk of fetal and maternal mortality and morbidity during pregnancy. The potential effect of health literacy and self-efficacy on UTI preventive behaviors among pregnant women has not yet been fully studied. Our objectives were to determine the level of health literacy, self-efficacy, and UTI prevention behaviors in pregnant women, and whether health literacy and self-efficacy are associated with UTI prevention behaviors in pregnant women. Design A cross-sectional study was conducted, from November 2020 to December 2020, through a multi-stage sampling design on 235 pregnant women aged between 18 and 42 years in Mashhad, Iran. Data were collected through valid and reliable questionnaires including the Test of Functional Health Literacy in Adults (TOFHLA), General Self-Efficacy Questionnaire (GSE), and research made-preventive behaviors recommendations for UTI disease. Results The level of UTI prevention behaviors scores is moderate (71.39 ± 8.58) among women during their pregnancy. Insufficient health literacy and self-efficacy were observed in 53.6% and 59.3% of participants, respectively. The regression model highlighted that 21.20% of the total variance of UTI preventive behaviors was predicted by sociodemographic characteristics, while 40.81% of the variance of UTI preventive behaviors was predicted by health literacy and self-efficacy. Conclusion It has been observed that health literacy and self-efficacy are main determinants to improve UTI preventive behaviors. Focusing on an intervention based on health literacy skills may be a practical strategy to promote a healthy lifestyle in this population.

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“…Although some scholars had conducted systematic reviews of MHL, there were some limitations: Kilfoyle et al (2016) conducted a systematic review and summarized the relationship between health literacy and women's reproductive health knowledge, behaviours, and outcomes in high‐income countries, without reporting the theoretical framework used in the review. Charoghchian et al (2020) conducted a systematic review and determined the HL's impact on lifestyle intervention in postpartum women but did not consider the early parenting behaviours. Zibellini et al (2021) conducted a systematic review of randomized controlled trials and few studies included in this review offered clear definitions of HL and only retrieved two instruments.…”

Section: Introductionmentioning

confidence: 99%

An integrative review on the maternal health literacy among maternal and child workers

Chen

Yue

Han

et al. 2022

J Nursing Management

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Aims This study aim to capture the most comprehensive evidence‐based dimensions of maternal health literacy, including summarizing the definitions, theoretical frameworks, measuring instruments, and the association between maternal health literacy and health behaviours. Background Maternal health literacy has been recognized as an important approach to achieving high‐quality maternal and child health; however, little is known about maternal health literacy comprehensively and scientifically. Evaluation An integrative review retrieved articles from 11 databases, following the methodology of Whittemore and Knafl. Inductive content analysis and narrative synthesis were conducted, guided by the aim of this review. Key issues A total of 5580 articles were retrieved and 23 articles were finally identified. Existing definitions and theoretical frameworks took less consideration of maternal applicability and failed to summarize maternal health literacy from a dynamic and systematic perspective. Measurement instruments were set up with many items that make it difficult to quickly screen for poor maternal health literacy. Most articles proved the association between maternal health literacy and health behaviours through correlation analysis or regression analysis but less explored the influence pathways between them. Conclusion The definition and theoretical framework need to focus on maternal applicability and explain the process of individual mothers acquiring and understanding health knowledge and skills from a dynamic and systematic perspective. A rapid instrument for maternal health literacy should be developed and high‐quality empirical research was conducted to understand the associated mechanisms between maternal health literacy and health behaviours. Implications for Nursing Management It is necessary to strengthen maternal and child health education of primary health care nurses and enhance their ability to help perinatal women use maternal and child health information effectively.

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

Cited by 11 publications

References 22 publications

Gender differences of health literacy in persons with a migration background: a systematic review and meta-analysis

Gender differences of health literacy in persons with a migration background: a systematic review and meta-analysis

Examining health literacy and self-efficacy levels and their association with preventive behaviors of urinary tract infection in Iranian pregnant women: across sectional study

An integrative review on the maternal health literacy among maternal and child workers

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