Keywords
Osteoporosis, walking behavior, adopting walking behavior, Health literacy skills
Abstract
Background: Considering the effect of exercise and health literacy in preventing osteoporosis, the effect of health literacy in adopting preventive behaviors, and the role of health volunteers in transferring the health messages to the community, this study aimed to determine the relationship between health literacy skills and adopting walking behavior to prevent osteoporosis in women health volunteers.
Methods:
In a cross-sectional study, 290 health volunteers referring to Qazvin health centers in 1399 were selected through Multi-stage random sampling. Data were collected using a health literacy questionnaire (HELIA) and a questionnaire for the adoption of walking behaviors for the prevention of osteoporosis, and they were analyzed using descriptive statistics and logistic regression in SPSS software version 23.
Results:
The means of the adoption of behaviors were 10.57 ± 1.43. Age (P=0.034, OR=1.098), decision-making and application of health information (P<0.001, OR=1.135), perception (P=0.031, OR=1.054) and evaluation skills (P=0.018, OR=1.049) were factors affecting the adoption of this behavior so that by increasing one score to these variables, the chance of adopting the behavior increased 1.098, 1.135, 1.054 and 1.049 respectively. Also, the level of education was another effective variable in adopting this behavior, so having a favorable level of adoption of this behavior in health volunteers with a diploma degree (P=0.017, OR=0.736) and below diploma (P=0.011, OR=0.960), were 0.736 and 0.960 times of those with university degrees respectively.
Conclusion:
To improve the adoption of walking behavior to prevent osteoporosis, we should pay special attention to effective health literacy skills in the health volunteers.
References
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8.Malekzadeh J, Fararooei M. Preventing of osteoporosis: Applying the health belief model. Advances in Nursing & Midwifery. 2015;25(87):15-22.
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11.Fathi F, Rezaei Sofi M. The Relationship between Health Literacy and Physical Activity Level of Elderly Women in the City of Urmia. Journal of Health Literacy. 2017; 2(1):12-21.
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15.Mahdavi ZH, Ramezankhani A, Ghanbari SH, Khodakarim L. Relationship between health literacy and female cancers preventive behaviors. Payesh 2017; 5: 613- 25 (In Persian).
16.Panahi R, Dehghankar L, Abdollahi F, Anbari M, Hosseini N. Health Literacy and Breast Cancer Preventive Behaviors among Students. Payesh. 2019; 18 (6) :547-557
17.Akram Bayati FG, Mohsen Shamsi. Exploration of the educational needs of health educators and volunteer health care communicators: A qualitative study. J Arak Med Univ 2013; 15 (69):21-32.
18.Davoud Shojaezadeh, Roya Sadeghi, Mohammad Javad Tarrahi, Mojgan Asadi, Behnam Lashgarara.Application of Health Belief Model in Prevention of Osteoporosis in Volunteers of Khorramabad City Health Centers, Iran. Journal of Health System Research 2012;2(8).(persian)
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22.Panahi R, Namdar P, Siboni FS, Fallah S, Anbari M, Dehghankar L, et al. Association between health literacy and adopting preventive behaviors of breast cancer in Iran. J Edu Health Promot. 2020; 9: 241.
23.Panahi R, Ramezankhani A, Tavousi M. Health literacy and preventive behaviors. Journal of Research & Health. 2018; 8(2): 93-4.
24.Panahi R, Osmani F, Javanmardi K, Ramezankhani A, Dehghankar L, Amini RA, et al. The relationship between different levels of Health Literacy and smoking prevention among Medical sciences student. Int J Prev Med. 2021; 12: 124.
25.Panahi R, Ramezankhani A, Tavousi M, Niknami SH. Adding health literacy to the health belief model: effectiveness of an educational intervention on smoking preventive behaviors among university students. Iranian Red Crescent Medical Journal. 2018; 20(2): e13773.
26.Panahi R, Kazemi SS. Health literacy: an Effective Component in Prevention of Osteoporosis in Women. International Journal of Musculoskeletal Pain Prevention. 2018;3(3):69-71.
27.Jeihooni AK, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A. The effect of an educational program based on a health belief model on preventing osteoporosis in women. Int J Prev Med 2015; 6:115.
28. Sharifi Rad Gh, Baghani Moghaddam MH, Shamsi, Rezaian M. Research in Health Education, First Edition, Tehran: Sobhan Works Publications, 2009: 178-180.
29. Montazeri A, Tavousi M, Rakhshani F, Azin S A, Jahangiri K, Ebadi M. (Health Literacy for Iranian Adults (HELIA): development and psychometric Properties). Payesh 2014; 13: 589-99. (Persian)
30.Khani-Jeihooni A, Manouchehri M., Bahmandoost M, Khiyali Z. Effect of Educational Intervention Based on the Health Belief Model on Preventive Behaviors Against Influenza A (H1N1) among Students. Journal of Education and Community Health. 2020;7(2):97-103
31.Panahi R, Ramezankhani A, Tavousi M, Osmani F, Niknami S. Predictors of Adoption of Smoking Preventive Behaviors among University Students: Application of Health Belief Model. J Educ Community Health. 2017; 4 (1) :35-42
32.Panahi R, Namdar P, Siboni FS, Fallah S, Anbari M, Dehghankar L, et al. Association between health literacy and adopting preventive behaviors of breast cancer in Iran. J Edu Health Promot. 2020; 9: 241.
33.Panahi R, Ramezankhani A, Tavousi M, Osmani F, Niknami SH. Relationship between health literacy skills and adoption of smoking preventive behaviors. SJIMU. 2019; 27(2): 11-20
34.Khoshravesh S, Moeini B, Rezapur-Shahkolai F, Taheri-Kharameh Z, Bandehelahi K. Health Literacy of Employees of Hamadan University of Medical Sciences and Related Demographic Factors. Journal of Education and Community Health 2018; 5 :19-26
35.Ansari M, Shahdadneghad E, Khaledian M, Salajegheh M. Survey of Health Literacy of People Referred to the Libraries of Public Libraries Foundation. Health Information Management Journal 2017; 14: 224-7
36.Mahmoudi H, Taheri A. (Relation between Information Literacy and Health Literacy of Students in Ferdowsi University of Mashhad). HII 2015; 2: 31-41. (Persian)
37.Ziapoor A, Kianpoor N. (Predicting health literacy of students in Kermanshah University of Medical Sciences in 2016: The role of demographic variables). J Health Lit. 2016; 1(3): 182-90. (Persian).
38.Jahani Eftekhari M, Peyman N, Doosti H. Health Literacy and Health-promoting Lifestyle among Health Volunteers in Neyshabour . sjimu. 2018; 26 (3) :7-15
39.Sajadi F A, Sajadi H S, Panahi R. Health Literacy of University Students and its Influential Factors: A Case Study at Isfahan University. J Educ Community Health. 2020; 7 (1) :23-28
40.Dehghankar L, Hajikarimbaba M, Panahi R. Health Literacy and Factors Related to It Among Female Students of Imam Khomeini International University in Qazvin, Iran. sjsph. 2019; 17 (3) :295-306
41. Aligol M, Kazemi S S, Salim Abadi Y, Nasirzadeh M, Tayyebi Z. A Survey on Physical Activity Determinants as Osteoporosis Preventive Behavior Among Pre-University Female Students of Rafsanjan in 2017: A Descriptive Study. J Rafsanjan Univ Med Sci 2019; 18 (5): 455-68. (Persian)
42.Bashiri Moosavi F, Farmanbar R, Taghdisi MH, AtrkarRoshan Z. Level of physical activity among girl high school students in Tarom county and relevant factors. IHEPSA 2015; 3(2): 133-40. (Persian)
43.Fernandez MD, Larson JL, Zikmund-Fisher BJ. Associations between health literacy and preventive health behaviors among older adults: findings from the health and retirement study. BMC Public Health 2016, 16:596
44.Izadirad H, Zareban I. The Relationship of Health Literacy with Health Status, Preventive Behaviors and Health Services Utilization in Baluchistan, Iran. Journal of Education and Community Health 2016; 2: 43-50 (Persian)
45.Panahi R, Ramezankhani A, Anbari M, Javanmardi K. Adoption of smoking preventive behaviors and its related factors among dormitory students of Shahid Beheshti University of Medical Sciences in Tehran-2016. Journal of Health in the Field. 2020; 8(1): 22-31.
46.Hosseini Z, Karimi Z, Mohebi S, Sharifirad G, Rahbar A, Gharlipour Z. Nutritional preventive behavior of osteoporosis in female students: applying Health Belief Model (HBM). International Journal of Pediatrics. 2017;5(1):4137‐44.
47.Ozturk A, Sendir M. Evaluation of knowledge of osteoporosis and self-efficacy perception of female orthopaedic patients in Turkey. Nursing and Healthcare of Chronic Illness banner. 2011;3(3):319-28.
48.Chan CY, Mohamed N, Ima-Nirwana S, Chin KY. A Review of Knowledge, Belief and Practice Regarding Osteoporosis among Adolescents and Young Adults. International journal of environmental research and public health. 2018;15(8).
49.Ghanbari S, Ramezankhani A, Montazeri A, Mehrabi YJPo. Health literacy measure for adolescents (HELMA): development and psychometric properties. PloS one. 2016;11(2):e0149202.
50. Hernandez‐Rauda R, Martinez‐Garcia S. Osteoporosis‐related life habits and knowledge about osteoporosis among women in El Salvador: a cross‐sectional study. BMC Musculoskelet Disord. 2004;5:29.
51.Khani Jeihooni A, Heidarnia AR, Kaveh MH, Hajizadeh E, Gholami T. Survey of osteoporosis preventive behaviors among women in Fasa: The application of the health belief model and social cognitive theory. Iran South Med J. 2016;19(1):48‐62. (Persian)
52. Martin LT, Haas A, Schonlau M, and Pitkin Derose K, Rosenfeld L, Rudd R, Buka SL. Which literacy skills are associated with smoking?. J Epidemiol Community Health 2012; 66(10): 189-92.
2.Panahi R, Dehghankar L, Hosseini N, Hasania E. Factors Related to Adoption of Osteoporosis Preventive Behaviors among Females' High School Students; a Case Study of Qazvin City. J Educ Community Health. 2020; 7(2): 105-112.
3. Etehadnezhad S, Moradi Z, Kashfi M, Khani-jeihooni A, khiyali Z. Predictors of Osteoporosis Preventive Behaviors among Women: An Application of the Transtheoretical Model. Journal of Education and Community Health. 2018;5(3 ):48-56.
4.Karimiankakolaki Z, Eslami A, Gerayllo S, Heidari F, Safari Hajataghaie S, Behzadi Goudari S. Effect of Education Using the Virtual Social Networks on Promoting Women's Self-Efficacy in Preventing Osteoporosis. Journal of Education and Community Health. 2018;5( 3):57-62.
5.Shobeiri F, Hesami E, Khodakarami B, Soltanian A. Effect of Counseling on Preventive Behaviors of Osteoporosis in Women Referred to Health Centers in Hamedan, Iran in 2015. Journal of Education and Community Health. 2015;2(3):51-7.
6.Mohammadi S, Ghofranipour F, Gholami-Fesharaki M. The Effect of Osteoporosis Prevention Education on Knowledge, Attitude and Behavior of Adolescent Female Students in Kermanshah, Iran. Journal of Education and Community Health. 2015;2(2):47-55.
7.Mousaviasl S, Renani HA, Gheibizadeh M, Malehi AS. The Effect of Education Based on the Health Belief Model on Osteoporosis Prevention Behaviors in Female High School Students. Jundishapur Journal of Chronic Disease Care. 2016;5(4).
8.Malekzadeh J, Fararooei M. Preventing of osteoporosis: Applying the health belief model. Advances in Nursing & Midwifery. 2015;25(87):15-22.
9.Ghaffari M, Niazi S, Ramezankhani A, Soori H. Knowledge of Female Students of Kalaleh city about Osteoporosis, calcium intake and physical activity: An Unacceptable Status. Iranian Journal of Nutrition Sciences & Food Technology. 2013;7(5):319-27.
10. Panahi R, Samiei Siboni F, Kheiri M, Jahangasht GhoozlU KH, Shafaei M, Dehghankar L. Promoting the adoption of behaviors to prevent osteoporosis using the Health Belief Model integrated with Health Literacy: quasi-experimental intervention study. BMC Public Health 2021; 21:2221.
11.Fathi F, Rezaei Sofi M. The Relationship between Health Literacy and Physical Activity Level of Elderly Women in the City of Urmia. Journal of Health Literacy. 2017; 2(1):12-21.
12.World Health Organization, Annual Global move for health initiative, a concept paper: World Health Organization WHO/NMH/NPH/PAH/03.1; 2003.
13.Bayat B, Mohebbi B, Tol A, Sadeghi R, Yekaninejad MS. Quality of Life Predictors Among Health Volunteers in South Tehran Health Centers. Journal of School of Public Health and Institute of Public Health Research. 2018;15(4):377-88.
14.Tavousi M, Haeri Mehrizi AA, Rafiefar SH, Solimanian A, Sarbandi F, Ardestani M, Hashemi A, Montazeri A. Health literacy in Iran: findings from a national study. Payesh 2016; 15: 95-102. (Persian)
15.Mahdavi ZH, Ramezankhani A, Ghanbari SH, Khodakarim L. Relationship between health literacy and female cancers preventive behaviors. Payesh 2017; 5: 613- 25 (In Persian).
16.Panahi R, Dehghankar L, Abdollahi F, Anbari M, Hosseini N. Health Literacy and Breast Cancer Preventive Behaviors among Students. Payesh. 2019; 18 (6) :547-557
17.Akram Bayati FG, Mohsen Shamsi. Exploration of the educational needs of health educators and volunteer health care communicators: A qualitative study. J Arak Med Univ 2013; 15 (69):21-32.
18.Davoud Shojaezadeh, Roya Sadeghi, Mohammad Javad Tarrahi, Mojgan Asadi, Behnam Lashgarara.Application of Health Belief Model in Prevention of Osteoporosis in Volunteers of Khorramabad City Health Centers, Iran. Journal of Health System Research 2012;2(8).(persian)
19.Jorvand R, Karami B, Panahi R. The effect of healthy nutrition education on the behavior of health volunteers in Ilam Province in terms of consuming fast food. Journal of Health in the Field.2020; 8(2):10-16.
20.BAS GEBOERS, ANDREA F.DEWINTER, ANDKARLA A. LUTEN, CAREL J. M. JANSEN, SIJMEN A. REIJNEVELD. The Association of Health Literacy with Physical Activity and Nutritional Behavior in Older Adults, and Its Social Cognitive Mediators. Journal of Health Communication 2014; 19: 61-76.
21.Mei Ling Lim, Kimberley S van Schooten, Kylie A Radford, Kim Delbaere. Association between health literacy and physical activity in older people: a systematic review and meta-analysis. Health Promotion International 2021; 1-16.
22.Panahi R, Namdar P, Siboni FS, Fallah S, Anbari M, Dehghankar L, et al. Association between health literacy and adopting preventive behaviors of breast cancer in Iran. J Edu Health Promot. 2020; 9: 241.
23.Panahi R, Ramezankhani A, Tavousi M. Health literacy and preventive behaviors. Journal of Research & Health. 2018; 8(2): 93-4.
24.Panahi R, Osmani F, Javanmardi K, Ramezankhani A, Dehghankar L, Amini RA, et al. The relationship between different levels of Health Literacy and smoking prevention among Medical sciences student. Int J Prev Med. 2021; 12: 124.
25.Panahi R, Ramezankhani A, Tavousi M, Niknami SH. Adding health literacy to the health belief model: effectiveness of an educational intervention on smoking preventive behaviors among university students. Iranian Red Crescent Medical Journal. 2018; 20(2): e13773.
26.Panahi R, Kazemi SS. Health literacy: an Effective Component in Prevention of Osteoporosis in Women. International Journal of Musculoskeletal Pain Prevention. 2018;3(3):69-71.
27.Jeihooni AK, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A. The effect of an educational program based on a health belief model on preventing osteoporosis in women. Int J Prev Med 2015; 6:115.
28. Sharifi Rad Gh, Baghani Moghaddam MH, Shamsi, Rezaian M. Research in Health Education, First Edition, Tehran: Sobhan Works Publications, 2009: 178-180.
29. Montazeri A, Tavousi M, Rakhshani F, Azin S A, Jahangiri K, Ebadi M. (Health Literacy for Iranian Adults (HELIA): development and psychometric Properties). Payesh 2014; 13: 589-99. (Persian)
30.Khani-Jeihooni A, Manouchehri M., Bahmandoost M, Khiyali Z. Effect of Educational Intervention Based on the Health Belief Model on Preventive Behaviors Against Influenza A (H1N1) among Students. Journal of Education and Community Health. 2020;7(2):97-103
31.Panahi R, Ramezankhani A, Tavousi M, Osmani F, Niknami S. Predictors of Adoption of Smoking Preventive Behaviors among University Students: Application of Health Belief Model. J Educ Community Health. 2017; 4 (1) :35-42
32.Panahi R, Namdar P, Siboni FS, Fallah S, Anbari M, Dehghankar L, et al. Association between health literacy and adopting preventive behaviors of breast cancer in Iran. J Edu Health Promot. 2020; 9: 241.
33.Panahi R, Ramezankhani A, Tavousi M, Osmani F, Niknami SH. Relationship between health literacy skills and adoption of smoking preventive behaviors. SJIMU. 2019; 27(2): 11-20
34.Khoshravesh S, Moeini B, Rezapur-Shahkolai F, Taheri-Kharameh Z, Bandehelahi K. Health Literacy of Employees of Hamadan University of Medical Sciences and Related Demographic Factors. Journal of Education and Community Health 2018; 5 :19-26
35.Ansari M, Shahdadneghad E, Khaledian M, Salajegheh M. Survey of Health Literacy of People Referred to the Libraries of Public Libraries Foundation. Health Information Management Journal 2017; 14: 224-7
36.Mahmoudi H, Taheri A. (Relation between Information Literacy and Health Literacy of Students in Ferdowsi University of Mashhad). HII 2015; 2: 31-41. (Persian)
37.Ziapoor A, Kianpoor N. (Predicting health literacy of students in Kermanshah University of Medical Sciences in 2016: The role of demographic variables). J Health Lit. 2016; 1(3): 182-90. (Persian).
38.Jahani Eftekhari M, Peyman N, Doosti H. Health Literacy and Health-promoting Lifestyle among Health Volunteers in Neyshabour . sjimu. 2018; 26 (3) :7-15
39.Sajadi F A, Sajadi H S, Panahi R. Health Literacy of University Students and its Influential Factors: A Case Study at Isfahan University. J Educ Community Health. 2020; 7 (1) :23-28
40.Dehghankar L, Hajikarimbaba M, Panahi R. Health Literacy and Factors Related to It Among Female Students of Imam Khomeini International University in Qazvin, Iran. sjsph. 2019; 17 (3) :295-306
41. Aligol M, Kazemi S S, Salim Abadi Y, Nasirzadeh M, Tayyebi Z. A Survey on Physical Activity Determinants as Osteoporosis Preventive Behavior Among Pre-University Female Students of Rafsanjan in 2017: A Descriptive Study. J Rafsanjan Univ Med Sci 2019; 18 (5): 455-68. (Persian)
42.Bashiri Moosavi F, Farmanbar R, Taghdisi MH, AtrkarRoshan Z. Level of physical activity among girl high school students in Tarom county and relevant factors. IHEPSA 2015; 3(2): 133-40. (Persian)
43.Fernandez MD, Larson JL, Zikmund-Fisher BJ. Associations between health literacy and preventive health behaviors among older adults: findings from the health and retirement study. BMC Public Health 2016, 16:596
44.Izadirad H, Zareban I. The Relationship of Health Literacy with Health Status, Preventive Behaviors and Health Services Utilization in Baluchistan, Iran. Journal of Education and Community Health 2016; 2: 43-50 (Persian)
45.Panahi R, Ramezankhani A, Anbari M, Javanmardi K. Adoption of smoking preventive behaviors and its related factors among dormitory students of Shahid Beheshti University of Medical Sciences in Tehran-2016. Journal of Health in the Field. 2020; 8(1): 22-31.
46.Hosseini Z, Karimi Z, Mohebi S, Sharifirad G, Rahbar A, Gharlipour Z. Nutritional preventive behavior of osteoporosis in female students: applying Health Belief Model (HBM). International Journal of Pediatrics. 2017;5(1):4137‐44.
47.Ozturk A, Sendir M. Evaluation of knowledge of osteoporosis and self-efficacy perception of female orthopaedic patients in Turkey. Nursing and Healthcare of Chronic Illness banner. 2011;3(3):319-28.
48.Chan CY, Mohamed N, Ima-Nirwana S, Chin KY. A Review of Knowledge, Belief and Practice Regarding Osteoporosis among Adolescents and Young Adults. International journal of environmental research and public health. 2018;15(8).
49.Ghanbari S, Ramezankhani A, Montazeri A, Mehrabi YJPo. Health literacy measure for adolescents (HELMA): development and psychometric properties. PloS one. 2016;11(2):e0149202.
50. Hernandez‐Rauda R, Martinez‐Garcia S. Osteoporosis‐related life habits and knowledge about osteoporosis among women in El Salvador: a cross‐sectional study. BMC Musculoskelet Disord. 2004;5:29.
51.Khani Jeihooni A, Heidarnia AR, Kaveh MH, Hajizadeh E, Gholami T. Survey of osteoporosis preventive behaviors among women in Fasa: The application of the health belief model and social cognitive theory. Iran South Med J. 2016;19(1):48‐62. (Persian)
52. Martin LT, Haas A, Schonlau M, and Pitkin Derose K, Rosenfeld L, Rudd R, Buka SL. Which literacy skills are associated with smoking?. J Epidemiol Community Health 2012; 66(10): 189-92.