Evidence map›Paper›PMID 33920508›Full record

SynthesisInternational journal of environmental research and public health2021

The Health Literacy Status and Its Role in Interventions in Iran: A Systematic and Meta-Analysis.

Seyedeh Belin Tavakoly Sany, Hassan Doosti, Mehrsadat Mahdizadeh, Arezoo Orooji, Nooshin Peyman

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. The Slums in the Mirror of Health: A Systematic Review Analysis from Iran.International journal of preventive medicine · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Seyedeh Belin Tavakoly SanyDepartment of Health Education and Health Promotion, Faculty of Health, Mashhad University of Medical Sciences, Mashhad 13131-99137, Iran.
Hassan DoostiDepartment of Mathematics and Statistics, Macquarie University, Sydney, NSW 2109, Australia.ORCID 0000-0002-0290-8122
Mehrsadat MahdizadehDepartment of Health Education and Health Promotion, Faculty of Health, Mashhad University of Medical Sciences, Mashhad 13131-99137, Iran.
Arezoo OroojiSocial Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad 13131-99137, Iran.
Nooshin PeymanDepartment of Health Education and Health Promotion, Faculty of Health, Mashhad University of Medical Sciences, Mashhad 13131-99137, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are increasing calls for public health policies to realize the visions of a health literate society and health literacy on a global scale. However, there are still more gaps in what researchers recognize and what steps they should take to improve health literacy (HL) skills. This review aimed to measure the HL status of the Iranian population and the effect size of the underlying association between HL and other health outcomes, and to examine the effectiveness of HL interventions on improving the functional dimension of HL, self-efficacy, and health-promoting behaviors. All full text published articles written in English and Persian language were included from inception until January 2019, but the type of study is not limited. A total of 52 potentially relevant articles with data on 36,523 participants were included in this review. In the population with health conditions, the average HL score was 62.51 (95% CI: 59.95-65.08), while in the patient population, the HL score was 64.04 (95% CI: 60.64-67.45). Health literacy was positively and significantly correlated with self-care behaviors 0.42 (95% CI; 0.35-0.49), self-efficacy 0.35 (95% CI; 0.26-0.43), knowledge 0.50 (95% CI; 0.44-0.55), communication skills 0.33 (95% CI; 0.25-0.41), and health promotion behaviors 0.39 (95% CI; 0.35-0.44). The meta-analyses showed that overall, HL interventions significantly improved HL status, self-efficacy, and health promotion behaviors. Results indicate that HL status was in the range of marginal HL level in the Iranian population. Our finding highlights the beneficial impact of HL intervention on health-promoting behaviors and self-efficacy, particularly in low literacy/socioeconomic status people.

Indexed as

Health LiteracyHealth StatusHumansIranKnowledgeSelf Efficacyhealth literacyhealth literacy interventionshealth-promoting behaviorsmeta-analysisself-efficacysystematic review

Identifiers

PMID33920508
PMCPMC8073744

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.