Volume 6, Issue 3 (2018)                   HEHP 2018, 6(3): 109-115 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Jafari M, Lamiyan M, Hajizadeh E. Relationship between Health Literacy and Special Quality of Life and Body Image in Women Undergone Mastectomy in Reproductive Age. HEHP. 2018; 6 (3) :109-115
URL: http://journals.modares.ac.ir/article-5-15694-en.html
1- Midwifery & Reproductive Health Department, Medical ‎Sciences Faculty, Tarbiat Modares ‎University, Tehran, Iran
2- Midwifery & Reproductive Health Department, Medical ‎Sciences Faculty, Tarbiat Modares ‎University, Tehran, Iran , Lamyianm@modares.ac.ir‎
3- Biostatistics Department, Medical ‎Sciences Faculty, Tarbiat Modares ‎University, Tehran, Iran
Abstract:   (375 Views)
Aims: The aim of this study was to investigate the relationship between health literacy and special quality of life and body image in women undergone mastectomy in reproductive age.
Instruments and Methods: This cross sectional descriptive-analytical study was conducted on 225 women in reproductive age (15-49) with breast cancer and having a mastectomy referred to Sina Hospital-breast surgery clinic, Breast Research Center, and Mahdieh Hospital from 2014 to 2015. A simple random sampling method as well as 4 questionnaires including the Health Literacy for the Iranian Adults (HELIA), Standard questionnaire of the European Organization for Research and Treatment of Cancer (EORTC version 3.0), special edition of Breast Cancer (QLQ-BR 23), and a Special questionnaire for body images was used. The data were analyzed by SPSS 21 software, using Spearman's correlation coefficient and one way ANOVA test.
Findings: There was a statistical significant relationship between job status, education, and health literacy of participants (p=0.001). The significant relationship was observed between health literacy and the overall quality of life (p=0.042). Fatigue and pain had the strongest impact on quality of life of patients. Also, there was a statistical significant relationship between the body image and education level.
Conclusion: Women’s health literacy is closely related to their education level. There is a significant and positive relationship between the health literacy and overall quality of life. However, no statistical significant correlation is found between health literacy levels and symptom scales of breast cancer.
Full-Text [PDF 468 kb]   (65 Downloads)    
Article Type: Original Article |
Received: 2018/01/2 | Accepted: 2018/01/16 | Published: 2018/09/9

1. Hickey M, Peate M, Saunders CM, Friedlander M. Breast cancer in young women and its impact on reproductive function. Hum reprod update. 2009;15(3):323-39. [Link] [DOI:10.1093/humupd/dmn064]
2. Tazhibi M, Sarrafzadeh Sh, Mokarian F, Babazade Sh, Tabatabaeian M, Rezaei P, et al. Comparison of satisfactions from mastectomy and Lump Ectome in breast cancer patients. J Educ Health Promot. 2014;3:22 [Link] [DOI:10.4103/2277-9531.127611]
3. Hidding JT, Beurskens CHG, van der Wees PJ, van Laarhoven HWM, Nijhuis-van der Sanden MWG. Treatment related impairments in arm and shoulder in patients with breast cancer: A systematic review. PloS One. 2014;9(5):e96748. [Link] [DOI:10.1371/journal.pone.0096748]
4. Avis NE, Crawford S, Manuel J. Quality of life among younger women with breast cancer. J Clin Oncol. 2005;23(15):3322-30. [Link] [DOI:10.1200/JCO.2005.05.130]
5. Taleghani F, Bahrami M, Loripoor M, Yousefi AR. Empowerment needs of women with breast cancer: A qualitative study. Iran Red Crescent Med J. 2014;16(11):e16379 [Link] [DOI:10.5812/ircmj.16379]
6. Domínguez E, Santana F, Seuc AH. Disability-adjusted life years for breast and reproductive system cancers in Cuban women of childbearing age. MEDICC rev. 2014;16(3-4):8-13. [Link]
7. Montazeri A. Quality of life data as prognostic indicators of survival in cancer patients: An overview of the literature from 1982 to 2008. Health Qual life Outcomes. 2009;7(1):102. [Link] [DOI:10.1186/1477-7525-7-102]
8. Benor DE, Delbar V, Krulik T. Measuring impact of nursing intervention on cancer patients' ability to control symptoms. Cancer Nurs. 1998;21(5):320-34. [Link] [DOI:10.1097/00002820-199810000-00003]
9. Mollaoğlu M, Erdoğan G. Effect on symptom control of structured information given to patients receiving chemotherapy. Eur J Oncol Nurs. 2014;18(1):78-84. [Link] [DOI:10.1016/j.ejon.2013.07.006]
10. Simonds SK. Health education as social policy. Health Educ Behav. 1974;2(suppl 1):1-10. [Link]
11. Kickbusch IS. Health literacy: Addressing the health and education divide. Health promot int. 2001;16(3):289-97. [Link] [DOI:10.1093/heapro/16.3.289]
12. Nutbeam D. Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health promot int. 2000;15(3):259-67. [Link] [DOI:10.1093/heapro/15.3.259]
13. Mousavi SM, Montazeri A, Mohagheghi MA, Jarrahi AM, Harirchi I, Najafi M, et al. Breast cancer in Iran: An epidemiological review. breast j. 2007;13(4):383-91. [Link] [DOI:10.1111/j.1524-4741.2007.00446.x]
14. Harirchi I, Karbakhsh M, Kashefi A, Momtahen AJ. Breast cancer in Iran: Results of a multi-center study. Asian pac j cancer prev. 2004;5(1):24-7. [Link]
15. Howard-Anderson J, Ganz PA, Bower JE, Stanton AL. Quality of life, fertility concerns, and behavioral health outcomes in younger breast cancer survivors: A systematic review. J Natl Cancer Inst. 2012;104(5):386-405. [Link] [DOI:10.1093/jnci/djr541]
16. Lee HB, Han W. Unique features of young age breast cancer and its management. J breast cancer. 2014;17(4):301-7. [Link] [DOI:10.4048/jbc.2014.17.4.301]
17. Letourneau JM, Ebbel EE, Katz PP, Katz A, Ai WZ, Chien AJ, et al. Pretreatment fertility counseling and fertility preservation improve quality of life in reproductive age women with cancer. Cancer. 2012;118(6):1710-7. [Link] [DOI:10.1002/cncr.26459]
18. Koay K, Schofield P, Jefford M. Importance of health literacy in oncology. Asia Pac J Clin Oncol. 2012;8(1):14-23. [Link] [DOI:10.1111/j.1743-7563.2012.01522.x]
19. Montazeri A, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health literacy for Iranian adults (HELIA): Development and psychometric properties. Payesh. 2014;13(5):589-99 [Persian] [Link]
20. Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, et al. The European organization for research and treatment of cancer quality of life questionnaire (EORTC QLQ-C30): Translation and validation study of the Iranian version. Support Care Cancer. 1999;7(6):400-6. [Link] [DOI:10.1007/s005200050300]
21. Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, et al., The EORTC breast cancer-specific quality of life questionnaire (EORTC QLQ-BR23): Translation and validation study of the Iranian version. Qual Life Res. 2000;9(2):177-84. [Link] [DOI:10.1023/A:1008918310251]
22. Raeisi L, Lamyian M, Hajizadeh E. The effect of abdominal hysterectomy on women's body image. Payesh. 2012;11(5):637-42. [Link]
23. Tehrani Banihashemi SA, Amirkhani MA, Haghdoost AK, Alavian SM, Asgharifard H, Baradaran H, et al. Health literacy and the influencing factors: A study in five provinces of Iran. J Strid Dev Medical Educ. 2007;4(1):1-9. [Persian] [Link]
24. Karimi S, Keyvanara M, Hosseini M, Jazi MJ, Khorasani E. The relationship between health literacy with health status and healthcare utilization in 18-64 years old people in Isfahan. J Educ health promot. 2014. 3:75. [Link]
25. Hassan M, Javadi F, Javaheri M, Mohammadi Y, Kashani A, Safipour Afshar A, et al. Examining the relation between health literacy and outcomes of diabetes in patients with type 2 diabetes in Saqez, western Iran. Int J Sci Basic Appl Res. 2013;7(10):648-52. [Link]
26. Simmons RA, Cosgrove SC, Romney MC, Plumb JD, Brawer RO, Gonzalez ET, et al. Health literacy: cancer prevention strategies for early adults. Am J Prev Med. 2017;53(3S1):S73-S77. [Link]
27. Song L, Mishel M, Bensen JT, Chen RC, Knafl GJ, Blackard B, et al. How does health literacy affect quality of life among men with newly diagnosed clinically localized prostate cancer? Findings from the North Carolina-Louisiana Prostate Cancer Project (PCaP). Cancer. 2012;118(15):3842-51. [Link] [DOI:10.1002/cncr.26713]
28. Veiga DF, et al. Mastectomy versus conservative surgical treatment: The impact on the quality of life of women with breast cancer. Rev Bras Saúde Mater Infant. 2010;10(1):51-7. [Link] [DOI:10.1590/S1519-38292010000100005]
29. Montazeri A, Vahdaninia M, Harirchi I, Ebrahimi M, Khaleghi F, Jarvandi S. Quality of life in patients with breast cancer before and after diagnosis: An eighteen months follow-up study. BMC cancer. 2008;8:330. [Link] [DOI:10.1186/1471-2407-8-330]
30. Kulesza-Bronczyk B, Dobrzycka B, Piekut K, Terlikowski R, Mackowiak-Matejczyk B, Wojno A, et al. Quality of life during the first year after breast cancer resection. Prog Health Sci. 2014;4(1):124-9. [Link]
31. Alawadi SA, Ohaeri JU. Health–related quality of life of Kuwaiti women with breast cancer: A comparative study using the EORTC Quality of Life Questionnaire. BMC cancer. 2009;9:222. [Link] [DOI:10.1186/1471-2407-9-222]
32. Sadeghi R, Kodabakhsi A, Akbari M, M. KG. body image and self-steam: Comparison of two groups of Brest cancerous women in Shohada Tajrish Hospital. Iranian Quarterly Journal of Breast Diseases. 2012;5(2):16-29. [Link]
33. Moradi Manesh F, Ahadi H, Jomehri F, Rahgozar M. The Relationship of Body Image with Psychological Distress in Women with Breast Cancer. Armaghane Danesh J .2012;17(3):196-204. [Persian] [Link]
34. Fobair P, Stewart SL, Chang S, D'Onofrio C, Banks PJ, Bloom JR. Body image and sexual problems in young women with breast cancer. Psychooncology. 2006;15(7):579-94. [Link] [DOI:10.1002/pon.991]
35. McLean SA, Paxton SJ, Wertheim EH. Mediators of the relationship between media literacy and body dissatisfaction in early adolescent girls: Implications for prevention. Body Imag. 2013;10(3):282-9. [Link] [DOI:10.1016/j.bodyim.2013.01.009]

Add your comments about this article : Your username or Email:

Send email to the article author