The relationship between health literacy with health status and healthcare utilization in 18-64 years old people in Isfahan
نویسندگان
1 Department of Health Services Management, Social Determinate of Health Research Center
2 Department of Health Services Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
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4 Department of Biostatistics and Epidemiology, School of Health,
5 Department of Health Services Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
doi
چکیده
Background: Today, much attention has been paid to the patient role as the central factor in themanagement of their own health. It is focused on the issue that the patient has a more critical rolecompared with the health-care provider in controlling the patient own health. defines health literacyas the degree to which individuals have the capacity to obtain, process, and understand basic healthinformation and services needed to make appropriate health decisions. Objective: The objective ofthis study was to determine health literacy, health status, healthcare utilization and the relationshipbetween them in 18 - 64 years old people in Isfahan. Structure and Design: This study was adescriptive analytical survey, which was conducted on 300 subjects of 18-64 years old in Isfahanwith Multi-stage sampling method proportional to selected sample size. Materials and Methods:For collecting the data, questionnaire adapted from CHAP (Consumer Assessment of HealthcareProviders and Systems) health literacy questionnaire was used. Health status was measured basedon an assessment of the physical and mental health over the past 6 months by 5° Likert scale. Dataanalysis was performed by using SPSS 18, descriptive statistics, Chi-square test and multivariateanalysis of variance. Results: There was no significant correlation between health literacy, healthstatus and healthcare utilization. Utilization was less in the urban area No. 6 of the city. In thebachelor’s degree group, the health status was lower than the other groups in these cases: Olderages, married, women, large family size, undergraduates, and urban area No. 14. Conclusions:Due to the average prevalence of health literacy in 18-64 years old individuals in Isfahan and lowhealthcare utilization, the followings are recommended: Necessity of more attention to the issueof health literacy, improving the physician-patient relationship and community awareness, whetherthrough health promotion programs or media for the optimum use of available resources.
