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

  • Elham CHAROGHCHIAN KHORASANI Department of Health Education and Health Promotion, Student Research Committee, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
  • Seyedeh Belin TAVAKOLY SANY Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
  • Arezoo OROOJI Department of Epidemiology and Biostatistics, Student Research Committee, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
  • Gordon FERNS Department of Medical Education, Brighton and Sussex Medical School, University of Brighton Falmer Campus, BN1 9PH, UK
  • Nooshin PEYMAN Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
Keywords:
Health literacy;, Women, Meta-analysis;, Self-efficacy;, Self-care behaviors;, Iran

Abstract

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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Published
2020-05-04
How to Cite
1.
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. 49(5):860-874.
Section
Review Article(s)