Author/Authors :
Almasi‑Hashiani, Amir Department of Epidemiology - School of Health - Arak University of Medical Sciences , Abbasi, Mahmoud Medical Ethics and Law Research Center - Shahid Beheshti University of Medical Sciences , Tavakol, Mohammad Sociology Department - School of Social Sciences - University of Tehran , Baigi, Vali department of Epidemiology and Biostatistics - School of Public Health - Tehran University of Medical Sciences , Mohammadi, Mehri School of Medicine - Arak University of Medical Sciences , Nazari, Javad School of Medicine - Arak University of Medical Sciences , Khedmati Morasae, Esmaeil National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care North West Coast (NIHR CLAHRC NWC), Institute of Psychology - Health, and Society - Department of Health Services Research - University of Liverpool, UK , Shadi, Yahya Zanjan University of Medical Sciences , Taheri, Majid Medical Ethics and Law Research Center - Shahid Beheshti University of Medical Sciences
Abstract :
Background: Health literacy is a major factor for health promotion and well-being. In spite of several researches on health literacy, information on the subject of the status of health literacy in Asian countries such as Iran is inadequate. Therefore, this study aimed to assess the inequality of health literacy in an Iranian population and its influencing factors. Methods: In this cross-sectional study, 736 families were selected by cluster random sampling. A validated questionnaire was used to measure the health literacy of participants. Socioeconomic status (SES) was calculated by asset-based approach, and principal component analysis (PCA) was performed to estimate the families’ SES. Concentration index and curve were used to measure SES inequality in health literacy, and after that decomposed into its determinants. The data were analyzed by Stata software. Results: The mean age of the participants was 34.81 years (standard deviation = 5.98 years). The value of concentration index for health literacy equals 0.2292 (95% confidence interval = 0.168–0.283), and this value indicates that there is inequality in distribution of health literacy in Iran and the inequality disfavors the poor. Conclusions: The results of this study revealed that there is inequality in distribution of health literacy in Iran, and people of higher economic status in Iran enjoy from better health literacy levels.
Keywords :
Healthcare disparities , health literacy , health status disparities , socioeconomic factors
