Review Article

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 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.

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IssueVol 49 No 5 (2020) QRcode
SectionReview Article(s)
Health literacy; Women; Meta-analysis; Self-efficacy; Self-care behaviors; Iran

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How to Cite
CHAROGHCHIAN KHORASANI E, TAVAKOLY SANY SB, OROOJI A, FERNS G, PEYMAN N. Health Literacy in Iranian Women: A Systematic Review and Meta-Analysis. Iran J Public Health. 2020;49(5):860-874.