Socioeconomic status and health literacy as the important predictors of general health in Iran: a structural equation modeling approach

Q3 Nursing

Epidemiology Biostatistics and Public Health Pub Date : 2023-08-10 DOI:10.2427/13312

Tayebeh Nadi, Jalal Poorolajal, Amin Doosti-Irani

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Abstract

Background: We aimed to determine the level of health literacy (HL), and its association with general health. In addition, we investigated the direct and indirect association of socioeconomic status (SES) and general health among the adult population in Iran. Methods: This cross-sectional study involved 750 literate adults' people. The SES was assessed based on the owning of assets. HL was evaluated using a validated questionnaire in Iran. General health was assessed using the WHO general health questionnaire. The simple and adjusted linear regression models, and structural equation modeling (SEM) were used for data analysis. Results: In adjusted model, female gender, higher level of education, use of books, pamphlets, or brochures as a source of health information, the higher level of SES were positively associated with higher HL. In addition, the HL was significantly associated with higher scores of general health. Results of SEM showed that the direct effect of SES on general health was not significant, but the indirect effect via HL was significant (path coefficient: 0.24; p<0.001). Conclusion: Results of our study indicated HL is strongly associated with general health among the adult population. SES had a significant indirect association with general health via the effect on health literacy.

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社会经济地位和健康素养作为伊朗一般健康的重要预测因素:结构方程建模方法

& # x0D;背景:我们旨在确定健康素养(HL)水平及其与一般健康的关系。此外，我们还调查了伊朗成年人社会经济地位(SES)与一般健康之间的直接和间接关系。方法:这项横断面研究涉及750名识字的成年人。SES是根据资产拥有情况来评估的。在伊朗使用有效的问卷评估HL。使用世卫组织一般健康问卷对一般健康状况进行了评估。采用简单线性回归模型和调整后的线性回归模型以及结构方程模型(SEM)进行数据分析。结果:在调整后的模型中，女性性别、较高的受教育程度、使用书籍、小册子或宣传册作为健康信息来源、较高的SES水平与较高的HL呈正相关。此外，HL与一般健康得分显著相关。扫描电镜结果显示，社会经济地位对一般健康的直接影响不显著，但通过HL的间接影响显著(通径系数:0.24;术;0.001)# x0D公司;结论:我们的研究结果表明，HL与成年人的一般健康状况密切相关。社会经济地位通过对健康素养的影响与一般健康存在显著的间接关联。

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来源期刊

Epidemiology Biostatistics and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

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期刊介绍： Epidemiology, Biostatistics, and Public Health (EBPH) is a multidisciplinary journal that has two broad aims: -To support the international public health community with publications on health service research, health care management, health policy, and health economics. -To strengthen the evidences on effective preventive interventions. -To advance public health methods, including biostatistics and epidemiology. EBPH welcomes submissions on all public health issues (including topics like eHealth, big data, personalized prevention, epidemiology and risk factors of chronic and infectious diseases); on basic and applied research in epidemiology; and in biostatistics methodology. Primary studies, systematic reviews, and meta-analyses are all welcome, as are research protocols for observational and experimental studies. EBPH aims to be a cross-discipline, international forum for scientific integration and evidence-based policymaking, combining the methodological aspects of epidemiology, biostatistics, and public health research with their practical applications.