Volume 11, Issue 4 (2023)
Health Educ Health Promot 2023, 11(4): 581-589 |
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Sabaghinejad Z. Factors Predicting Health Literacy and Factors Associated to it; A Systematic Review. Health Educ Health Promot 2023; 11 (4) :581-589
URL: http://hehp.modares.ac.ir/article-5-71328-en.html
URL: http://hehp.modares.ac.ir/article-5-71328-en.html
Department of Medical Library and Information Science, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract: (549 Views)
Aims: Health literacy includes a range of critical skills that allow individuals to empower themselves to promote health behaviors. This study aimed to review the articles related to health literacy in the last 20 years and explain the factors associated with health literacy or predict it.
Information & Methods: This systematic review examined quantitative research articles published from 2002 to 2022 and indexed in Scopus, PubMed, and Web of Science databases. 887 articles were retrieved, and based on inclusion/exclusion criteria, 55 articles were reviewed.
Factors with the most frequent were reported and discussed. The role (prediction or association) was determined based on the highest frequency. The PRISMA 2009 framework was used to conduct a transparent process.
Findings: Younger people, white people, females, people with higher education levels, good social status, occupation, especially lifetime main occupations, higher individual income, higher knowledge level, and healthy people had high levels of health literacy. Also, the factors that had a significant relationship with health literacy (predictive or related) were different in patients and healthy people.
Conclusion: Health literacy includes various constructs and is related to different factors (as predictors or associated with health literacy). It may differ based on socio-economic and demographic characteristics in different communities.
Information & Methods: This systematic review examined quantitative research articles published from 2002 to 2022 and indexed in Scopus, PubMed, and Web of Science databases. 887 articles were retrieved, and based on inclusion/exclusion criteria, 55 articles were reviewed.
Factors with the most frequent were reported and discussed. The role (prediction or association) was determined based on the highest frequency. The PRISMA 2009 framework was used to conduct a transparent process.
Findings: Younger people, white people, females, people with higher education levels, good social status, occupation, especially lifetime main occupations, higher individual income, higher knowledge level, and healthy people had high levels of health literacy. Also, the factors that had a significant relationship with health literacy (predictive or related) were different in patients and healthy people.
Conclusion: Health literacy includes various constructs and is related to different factors (as predictors or associated with health literacy). It may differ based on socio-economic and demographic characteristics in different communities.
Keywords: Health Behavior [Mesh], Health Literacy [MeSH], Health Promotion [MeSH], Population Health [MeSH], Social Determinants of Health [MeSH]
Article Type: Systematic Review |
Subject:
Health Literacy
Received: 2023/08/31 | Accepted: 2023/11/4 | Published: 2023/11/10
Received: 2023/08/31 | Accepted: 2023/11/4 | Published: 2023/11/10
References
1. Nutbeam D, Kickbusch I. Health promotion glossary. Health Promot Int. 1998;13(4):349-64. [Link] [DOI:10.1093/heapro/13.4.349]
2. DeWalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP. Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med. 2004;19:1228-39. [Link] [DOI:10.1111/j.1525-1497.2004.40153.x]
3. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372(71):1-9. [Link] [DOI:10.1136/bmj.n71]
4. Caldwell EP. Health literacy in adolescents with sickle cell disease: The influence of caregiver health literacy. J Spec Pediatr Nurs. 2020;25(2):e12284. [Link] [DOI:10.1111/jspn.12284]
5. Manganello JA, Sojka CJ. An exploratory study of health literacy and African American adolescents. Comprehens Child Adolesc Nurs. 2016;39(3):221-39. [Link] [DOI:10.1080/24694193.2016.1196264]
6. Wallace LS, Rogers ES, Roskos SE, Holiday DB, Weiss BD. Brief report: screening items to identify patients with limited health literacy skills. J Gen Intern Med. 2006;21(8):874-7. [Link] [DOI:10.1111/j.1525-1497.2006.00532.x]
7. Cutilli CC, Simko LC, Colbert AM, Bennett IM. Health literacy, health disparities, and sources of health information in U.S. older adults. Orthop Nurs. 2018;37(1):54-65. [Link] [DOI:10.1097/NOR.0000000000000418]
8. Haun J, Luther S, Dodd V, Donaldson P. Measurement variation across health literacy assessments: Implications for assessment selection in research and practice. J Health Commun. 2012;17(sup3):141-59. [Link] [DOI:10.1080/10810730.2012.712615]
9. Azreena E, Suriani I, Juni MH, Fuziah P. Factors associated with health literacy among Type 2 Diabetes Mellitus patients attending a government health clinic, 2016. Int J Public Health Clin Sci. 2016;3(6):50-64 [Link]
10. Rheault H, Coyer F, Jones L, Bonner A. Health literacy in Indigenous people with chronic disease living in remote Australia. BMC Health Serv Res. 2019;19(1):523. [Link] [DOI:10.1186/s12913-019-4335-3]
11. Guo S, Davis E, Yu X, Naccarella L, Armstrong R, Abel T, et al. Measuring functional, interactive and critical health literacy of Chinese secondary school students: reliable, valid and feasible? Glob Health Promot. 2018;25(4):6-14. [Link] [DOI:10.1177/1757975918764109]
12. Kayupova G, Turdaliyeva B, Tulebayev K, Van Duong T, Chang PW, Zagulova D. Health literacy among visitors of district polyclinics in Almaty, Kazakhstan. Iran J Public Health. 2017;46(8):1062-70. [Link]
13. Hagger MS, Hardcastle SJ, Hu M, Kwok S, Lin J, Nawawi HM, et al. Health literacy in familial hypercholesterolemia: A cross-national study. Eur J Prev Cardiol. 2018;25(9):936-43. [Link] [DOI:10.1177/2047487318766954]
14. Chang Y-W, Li T-C, Chen Y-C, Lee J-H, Chang M-C, Huang L-C. Exploring knowledge and experience of health literacy for chinese-speaking nurses in Taiwan: a cross-sectional study. Int J Environ Res Public Health. 2020;17(20):7609. [Link] [DOI:10.3390/ijerph17207609]
15. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-8. [Link] [DOI:10.1093/eurpub/ckv043]
16. Paek H-J, Reber BH, Lariscy RW. Roles of interpersonal and media socialization agents in adolescent self-reported health literacy: a health socialization perspective. Health Educ Res. 2011;26(1):131-49. [Link] [DOI:10.1093/her/cyq082]
17. Wolf MS, Feinglass J, Thompson J, Baker DW. In search of 'low health literacy': Threshold vs. gradient effect of literacy on health status and mortality. Soc Sci Med. 2010;70(9):1335-41. [Link] [DOI:10.1016/j.socscimed.2009.12.013]
18. Ganzer CA, Insel KC, Ritter LS. Associations between working memory, health literacy, and recall of the signs of stroke among older adults. J Neurosci Nurs. 2012;44(5):236-43. [Link] [DOI:10.1097/JNN.0b013e3182666231]
19. Patel PJ, Joel S, Rovena G, Pedireddy S, Saad S, Rachmales R, et al. Testing the utility of the newest vital sign (NVS) health literacy assessment tool in older African-American patients. Patient Educ Couns. 2011;85(3):505-7. [Link] [DOI:10.1016/j.pec.2011.03.014]
20. García-García D, Pérez-Rivas FJ. Health literacy and its sociodemographic predictors: a cross-sectional study of a population in Madrid (Spain). Int J Environ Res Public Health. 2022;19(18):11815. [Link] [DOI:10.3390/ijerph191811815]
21. Caldwell EP, Melton K. Health literacy of adolescents. J Pediatr Nurs. 2020;55:116-9. [Link] [DOI:10.1016/j.pedn.2020.08.020]
22. Wolf MS, Gazmararian JA, Baker DW. Health literacy and functional health status among older adults. Arch Intern Med. 2005;165(17):1946-52. [Link] [DOI:10.1001/archinte.165.17.1946]
23. Downey LVA, Zun LS. Assessing adult health literacy in urban healthcare settings. J Natl Med Assoc. 2008;100(11):1304-8. [Link] [DOI:10.1016/S0027-9684(15)31509-1]
24. Hester EJ. An investigation of the relationship between health literacy and social communication skills in older adults. Commun Disord Q. 2008;30(2):112-9. [Link] [DOI:10.1177/1525740108324040]
25. Diemer FS, Haan YC, Nannan Panday RV, van Montfrans GA, Oehlers GP, Brewster LM. Health literacy in Suriname. Soc Work Health Care. 2017;56(4):283-93. [Link] [DOI:10.1080/00981389.2016.1277823]
26. Xie Y, Ma M, Zhang Yn, Tan X. Factors associated with health literacy in rural areas of Central China: structural equation model. BMC Health Serv Res. 2019;19(1):1-8. [Link] [DOI:10.1186/s12913-019-4094-1]
27. Sentell T, Braun KL. Low health literacy, limited English proficiency, and health status in Asians, Latinos, and other racial/ethnic groups in California. J Health Commun. 2012;17(sup3):82-99. [Link] [DOI:10.1080/10810730.2012.712621]
28. Jeong SH, Kim HK. Health literacy and barriers to health information seeking: a nationwide survey in South Korea. Patient Educ Couns. 2016;99(11):1880-7. [Link] [DOI:10.1016/j.pec.2016.06.015]
29. Bouclaous CH, Salem S, Ghanem A, Saade N, El Haddad J, Bou Malham M, et al. Health literacy levels and predictors among Lebanese adults visiting outpatient clinics in Beirut. Health Lit Res Pract. 2021;5(4):e295-309. [Link] [DOI:10.3928/24748307-20211012-02]
30. Shah LC, West P, Bremmeyr K, Savoy-Moore RT. Health literacy instrument in family medicine: the "newest vital sign" ease of use and correlates. J Am Board Fam Med. 2010;23(2):195-203. [Link] [DOI:10.3122/jabfm.2010.02.070278]
31. Miller MJ, Degenholtz HB, Gazmararian JA, Lin CJ, Ricci EM, Sereika SM. Identifying elderly at greatest risk of inadequate health literacy: A predictive model for population-health decision makers. Res Soc Adm Pharm. 2007;3(1):70-85. [Link] [DOI:10.1016/j.sapharm.2006.06.001]
32. Rasouli HR, Farajzadeh M, Tadayon AH. Evaluation of e-health literacy and its predictor factors among patients referred to a military hospital in Tehran, Iran, 2017. J Milit Med. 2018;20(1):83-92. [Persian] [Link]
33. Christy SM, Gwede CK, Sutton SK, Chavarria E, Davis SN, Abdulla R, et al. Health literacy among medically underserved: the role of demographic factors, social influence, and religious beliefs. J Health Commun. 2017;22(11):923-31. [Link] [DOI:10.1080/10810730.2017.1377322]
34. Jeppesen KM, Coyle JD, Miser WF. Screening questions to predict limited health literacy: a cross-sectional study of patients with diabetes mellitus. Ann Fam Med. 2009;7(1):24-31. [Link] [DOI:10.1370/afm.919]
35. Clouston SAP, Manganello JA, Richards M. A life course approach to health literacy: the role of gender, educational attainment and lifetime cognitive capability. Age Ageing. 2016;46(3):493-9. [Link] [DOI:10.1093/ageing/afw229]
36. Coman MA, Forray AI, Van den Broucke S, Chereches RM. Measuring Health Literacy in Romania: Validation of the HLS-EU-Q16 Survey Questionnaire. Int J Public Health. 2022;67:1604272. [Link] [DOI:10.3389/ijph.2022.1604272]
37. Chen P, Callisaya M, Wills K, Greenaway T, Winzenberg T. Cognition, educational attainment and diabetes distress predict poor health literacy in diabetes: a cross-sectional analysis of the SHELLED study. PloS One. 2022;17(4):e0267265. [Link] [DOI:10.1371/journal.pone.0267265]
38. Almoajel A, Alshamrani S, Alyabsi M. The relationship between e-health literacy and breast cancer literacy among Saudi women. Front Public Health. 2022;10:841102. [Link] [DOI:10.3389/fpubh.2022.841102]
39. Sun C-A, Chepkorir J, Jennifer Waligora Mendez K, Cudjoe J, Han H-R. A descriptive analysis of cancer screening health literacy among black women living with HIV in Baltimore, Maryland. Health Lit Res Pract. 2022;6(3):e175-81. [Link] [DOI:10.3928/24748307-20220616-01]
40. Feinberg I, Tighe EL, Ogrodnick MM. Strengthening the case for universal health literacy: The dispersion of health literacy experiences across a Southern U.S. State. Health Lit Res Pract. 2022;6(3):e182-90. [Link] [DOI:10.3928/24748307-20220620-01]
41. Gustafsdottir SS, Sigurdardottir AK, Mårtensson L, Arnadottir SA. Making Europe health literate: including older adults in sparsely populated Arctic areas. BMC Public Health. 2022;22(1):511. [Link] [DOI:10.1186/s12889-022-12935-1]
42. van der Heide I, Uiters E, Sørensen K, Röthlin F, Pelikan J, Rademakers J, et al. Health literacy in Europe: the development and validation of health literacy prediction models. Eur J Public Health. 2016;26(6):906-11. [Link] [DOI:10.1093/eurpub/ckw078]
43. Omariba DWR, Ng E. Health literacy and disability: differences between generations of Canadian immigrants. Int J Public Health. 2015;60(3):389-97. [Link] [DOI:10.1007/s00038-014-0640-0]
44. Wang C, Li H, Li L, Xu D, Kane RL, Meng Q. Health literacy and ethnic disparities in health-related quality of life among rural women: results from a Chinese poor minority area. Health Qual Life Outcomes. 2013;11(1):153. [Link] [DOI:10.1186/1477-7525-11-153]
45. Martin LT, Ruder T, Escarce JJ, Ghosh-Dastidar B, Sherman D, Elliott M, et al. Developing predictive models of health literacy. J Gen Intern Med. 2009;24(11):1211-6. [Link] [DOI:10.1007/s11606-009-1105-7]
46. Beauchamp A, Buchbinder R, Dodson S, Batterham RW, Elsworth GR, McPhee C, et al. Distribution of health literacy strengths and weaknesses across socio-demographic groups: a cross-sectional survey using the Health Literacy Questionnaire (HLQ). BMC Public Health. 2015;15(1):678. [Link] [DOI:10.1186/s12889-015-2056-z]
47. Bo A, Friis K, Osborne RH, Maindal HT. National indicators of health literacy: ability to understand health information and to engage actively with healthcare providers - a population-based survey among Danish adults. BMC Public Health. 2014;14(1):1095. [Link] [DOI:10.1186/1471-2458-14-1095]
48. Jayasinghe UW, Harris MF, Parker SM, Litt J, van Driel M, Mazza D, et al. The impact of health literacy and life style risk factors on health-related quality of life of Australian patients. Health Qual Life Outcomes. 2016;14(1):68. [Link] [DOI:10.1186/s12955-016-0471-1]
49. Tsai HM, Cheng CY, Chang SC, Yang YM, Wang HH. Health literacy and health-promoting behaviors among multiethnic groups of women in Taiwan. J Obstet Gynecol Neonatal Nurs. 2014;43(1):117-29. [Link] [DOI:10.1111/1552-6909.12269]
50. Davis DW, Jones VF, Logsdon MC, Ryan L, Wilkerson-McMahon M. Health promotion in pediatric primary care: importance of health literacy and communication practices. Clin Pediatr. 2013;52(12):1127-34. [Link] [DOI:10.1177/0009922813506607]
51. Griva K, Yoong RKL, Nandakumar M, Rajeswari M, Khoo EYH, Lee VYW, et al. Associations between health literacy and healthcare utilization and mortality in patients with coexisting diabetes and end-stage renal disease: A prospective cohort study. Br J Health Psychol. 2020;25(3):405-27. [Link] [DOI:10.1111/bjhp.12413]
52. Milner A, Shields M, King T. The influence of masculine norms and mental health on health literacy among men: Evidence from the ten to men study. Am J Mens Health. 2019;13(5):1557988319873532. [Link] [DOI:10.1177/1557988319873532]
53. Kale MS, Federman AD, Krauskopf K, Wolf M, O'Conor R, Martynenko M, et al. The association of health literacy with illness and medication beliefs among patients with chronic obstructive pulmonary disease. PloS One. 2015;10(4):e0123937. [Link] [DOI:10.1371/journal.pone.0123937]
54. Tschamper MK, Wahl AK, Hermansen Å, Jakobsen R, Larsen MH. Parents of children with epilepsy: Characteristics associated with high and low levels of health literacy. Epilepsy Behav. 2022;130:108658. [Link] [DOI:10.1016/j.yebeh.2022.108658]
55. Garcia-Codina O, Juvinyà-Canal D, Amil-Bujan P, Bertran-Noguer C, González-Mestre MA, Masachs-Fatjo E, et al. Determinants of health literacy in the general population: results of the Catalan health survey. BMC Public Health. 2019;19(1):1122. [Link] [DOI:10.1186/s12889-019-7381-1]
56. Champlin S, Mackert M. Creating a screening measure of health literacy for the health information national trends survey. Am J Health Promot. 2016;30(4):291-3. [Link] [DOI:10.1177/0890117116639557]
57. Hou WH, Huang YJ, Lee Y, Chen CT, Lin GH, Hsieh CL. Validation of the integrated model of health literacy in patients with breast cancer. Cancer Nurs. 2018;41(6):498-505. [Link] [DOI:10.1097/NCC.0000000000000540]
58. Apolinario D, Mansur LL, Carthery-Goulart MT, Brucki SM, Nitrini R. Detecting limited health literacy in Brazil: development of a multidimensional screening tool. Health Promot Int. 2014;29(1):5-14. [Link] [DOI:10.1093/heapro/dat074]
59. Ukrainetz TA. Contextualized language intervention: Scaffolding PreK-12 literacy achievement. 1st Edition. Greenville, SC: Thinking Publications; 2007. [Link]
60. Stibe A, Cugelman B. Social influence scale for technology design and transformation. In: Human-Computer Interaction-INTERACT 2019: 17th IFIP TC 13 International Conference, Paphos, Cyprus, September 2-6, 2019, Proceedings, Part III 17; 2019: Springer. [Link] [DOI:10.1007/978-3-030-29387-1_33]
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