Volume 10, Issue 3 (7-2025)
CJHR 2025, 10(3): 183-192 |
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Ethics code: IR.GUMS.REC.1399.404
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Bakhshi F, Naghipour M, Joukar F, Homaei Rad E, Javadi A, Mansour Ghanaei F. Social Determinants of Health and Health Literacy in Cancer Patients from PERSIAN Guilan Cohort Study. CJHR 2025; 10 (3) :183-192
URL: http://cjhr.gums.ac.ir/article-1-406-en.html
URL: http://cjhr.gums.ac.ir/article-1-406-en.html
Fataneh Bakhshi1 
, Mohammadreza Naghipour2 , Farahnaz Joukar3 , Enayatollah Homaei Rad4 , Amirhossein Javadi5 , Fariborz Mansour Ghanaei *6
, Mohammadreza Naghipour2 , Farahnaz Joukar3 , Enayatollah Homaei Rad4 , Amirhossein Javadi5 , Fariborz Mansour Ghanaei *6
1- School of Health, Research Center of Health and Environment, Guilan University of Medical Sciences, Rasht, Iran
2- Department of Community Medicine, School of Medicine, Gastrointestinal and Liver Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran.
3- Gastrointestinal and Liver Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran
4- Social Determinants of Health Research Center, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
5- School of Health, Research Center of Health and Environment, Guilan University of Medical Sciences, Rasht, Iran.
6- Gastrointestinal and Liver Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran ,fmansourghanaei@gmail.com
2- Department of Community Medicine, School of Medicine, Gastrointestinal and Liver Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran.
3- Gastrointestinal and Liver Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran
4- Social Determinants of Health Research Center, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
5- School of Health, Research Center of Health and Environment, Guilan University of Medical Sciences, Rasht, Iran.
6- Gastrointestinal and Liver Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran ,
Abstract: (257 Views)
Background: Effective health interventions rely on community-based strategies that address the social determinants of health. Health literacy plays a crucial role in individuals’ ability to understand, evaluate, and act on health-related information, thereby influencing their health decisions and behaviors.
Objectives: This study aimed to determine the relationship between social determinants of health and health literacy in cancer patients.
Methods: In this cross-sectional descriptive study, 71 patients enrolled in the PERSIAN Guilan Cohort were studied in 2019. The social determinants of health and health literacy data were collected by a valid and reliable questionnaire and analyzed using STATA version 13.1.
Results: The mean health literacy score among participants was 81.6± 2.66. Among the subdomains of health literacy, decision-making and behavior had the highest average score (95.24 ± 1.12), while reading skills had the lowest (57.65 ± 5.00). Among the social determinants of health, a significant relationship was reported between health literacy score and wealth index (β=7.827, P-value<0.001), not having diabetes (β=-3.85, P-value=0.022), not having hypertension (β=-10.05, P-value=0.045), and years of schooling (β=0.87, P-value<0.001).
Conclusion: Social determinants such as education, economic status, and family size are important predictors of health literacy in cancer patients. Health service programs, particularly those within the framework of the PERSIAN Cohort, should prioritize addressing these factors to enhance health literacy outcomes.
Objectives: This study aimed to determine the relationship between social determinants of health and health literacy in cancer patients.
Methods: In this cross-sectional descriptive study, 71 patients enrolled in the PERSIAN Guilan Cohort were studied in 2019. The social determinants of health and health literacy data were collected by a valid and reliable questionnaire and analyzed using STATA version 13.1.
Results: The mean health literacy score among participants was 81.6± 2.66. Among the subdomains of health literacy, decision-making and behavior had the highest average score (95.24 ± 1.12), while reading skills had the lowest (57.65 ± 5.00). Among the social determinants of health, a significant relationship was reported between health literacy score and wealth index (β=7.827, P-value<0.001), not having diabetes (β=-3.85, P-value=0.022), not having hypertension (β=-10.05, P-value=0.045), and years of schooling (β=0.87, P-value<0.001).
Conclusion: Social determinants such as education, economic status, and family size are important predictors of health literacy in cancer patients. Health service programs, particularly those within the framework of the PERSIAN Cohort, should prioritize addressing these factors to enhance health literacy outcomes.
Article Type: Original Contributions |
Subject:
Health Education and Promotion
Received: 2025/02/2 | Accepted: 2025/05/15 | Published: 2025/07/19
Received: 2025/02/2 | Accepted: 2025/05/15 | Published: 2025/07/19
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