The Relationship between Different Levels of Health Literacy and Smoking Prevention Among Medical Sciences Student

Rahman Panahi, Fereshteh Osmani, Keyhan Javanmardi, Ali Ramezankhani, Leila Dehghankar, Roohola Amini, Ali Asghar Haeri Mehrizi, Mohiadin Amjadian, Mohamad Anbari, Nooshin Hosseini

Abstract


Background: Higher rates of Smoking among university students have been reported in various studies. On the other hand, health literacy (HL) can improve health behaviors. In fact, identifying factors affecting the adoption of smoking preventive behaviors such as HL can help prevent and reduce the prevalence of smoking among people. The aim of this study was to identify the relationship between different levels of HL and adoption of smoking preventive behaviors among university student in 2016. Methods: This was a cross‑sectional descriptive study. Three hundred and forty‑seven dormitory students of Shahid Beheshti University of Medical Sciences in Iran were selected through single‑stage cluster sampling for the study. Data were collected using a measure of HL (the HL inventory for adults‑HELIA) and a designed questionnaire to assess the adoption of smoking preventive behaviors. The data were analyzed using SPSS software version. 16 and descriptive statistical and Logistic regression test. Results: The mean (SD) of the score for adoption of smoking preventive behaviors and HL were 45.91 (12.99) and 70.52 (14.12) out of 100, respectively. The results showed that the adoption of smoking preventive behaviors had significant relationship with variables such as HL, gender, father’s education and not smoking (P < 0.05). Conclusions: Less adoption of smoking preventive behaviors was seen in students with lower levels of HL, female students, students with illiterate fathers and smokers. Therefore, it seems essential to take these factors into consideration in designing preventive programs for smoking in target groups.

Keywords


Behavior; health literacy; smoking; students

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References


Méndez D, Alshanqeety O, Warner KE. The potential impact of smoking control policies on future global smoking trends. Tob

Control 2013;22:46‑51.

Lim HK, Ghazali SM, Kee CC, Lim KK, Chan YY, Teh HC,

et al. Epidemiology of smoking among Malaysian adult males:

Prevalence and associated factors. BMC Public Health 2013;13:8.

Sadeghi R, Mazloomy Mahmoodabad SS, Khanjani N,

Fallahzadeh H, Rezaeian M. The association between health

literacy and smoking (Hookah and Cigarette) among the young

men in Sirjan, Iran. J Subst Use 2019;24:546‑9.

Khami MR, Murtomaa H, Razeghi S, Virtanen JI. Smoking and

its determinants among Iranian dental students. Med Princ Pract

;19:390‑4.

Panahi R, Tavousi M, Ramezankhani A, Sahraei M, Osmani F,

Khalilipour Darestani M, et al. Smoking prevalence and its

related factors among dormitory students of Shahid Beheshti

University of Medical Sciences, Tehran, Iran. Zahedan J Res

Med Sci 2018;20:e63037.

Jafari F, Haji Zamani A, Alizadeh K. Reviewing the prevalence

of (Cigarette) smoking and its related factors in Students of

Tehran University, Iran. Addict Health 2011;3:105‑10.

Mbatchou Ngahane BH, Luma H, Mapoure YN, Fotso ZM,

Afane Ze E. Correlates of cigarette smoking among university

students in Cameroon. Int J Tuberc Lung Dis 2013;17:270‑4.

Mumtaz B, Chaudhary IA, Arshad M, Samiullah. Comparison of

smoking behavior among medical and other college students in

Rawalpindi. J Coll Physicians Surg Pak 2009;19:7‑10.

Voight K, Twork S, Mittag D, Göbel A, Voigt R, Klewer J, et al.

Consumption of alcohol, cigarettes and illegal substances among

physicians and medical students in Brandenburg and Saxony.

BMC Health Serv Res 2009;9:219.

Panahi R, Ramezankhani A, Tavousi M, Niknami S. Adding

health literacy to the health belief model: Effectiveness of an

educational intervention on smoking preventive behaviors among

university students. Iran Red Crescent Med J 2018;20:e13773.

Taheri E, Ghorbani A, Salehi M, Sadeghnia HR. Cigarette

smoking behavior and the related factors among the students

of Mashhad University of Medical Sciences in Iran. Iran Red

Crescent Med J 2015;17:e16769.

Yong‑Bing L, Liu L, Yan‑Fei L, Chen YL. Relationship between

health literacy, health‑related behaviors and health status:

A survey of elderly Chinese. Int J Environ Res Public Health

;12:9714‑25.

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.

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;17:295-306.

Sajadi FA, Sajadi HS, Panahi R. Health literacy of university

students and its influential factors: A case study at Isfahan

University. J Educ Community Health 2020;7:23‑8.

Stewart DW, Vidrine IJ, Shete S, Spears CA, Cano MA,

Correa‑Fernández V, et al. Health literacy, smoking, and health

indicators in African American adults. J Health Commun

;20:24‑33.

Stewart DW, Cano MA, Correa‑Fernández V, Spears CA,

Li Y, Waters AJ, et al. Lower health literacy predicts smoking

relapse among racially/ethnically diverse smokers with low

socioeconomic status. BMC Public Health 2014;14:716:1‑6.

Stewart DW, Adams CE, Cano MA, Correa‑Fernández V,

Li Y, Waters AJ, et al. Association between health literacy and

established predictors of smoking cessation. Am J Public Health

;103:e43‑9.

Fu H, Feng D, Tang S, He Z, Xiang Y, Wu T, et al. Prevalence

of tobacco smoking and determinants of success in quitting

smoking among patients with chronic diseases: A cross‑sectional

study in Rural Western China. Int J Environ Res Public Health

;14:e167.

Atri SB, Sahebihagh MH, Jafarabadi MA, Behshid M,

Ghasempour M, Abri F. The relationship between health literacy

and stages of change in smoking behavior among employees

of educational health centers of Tabriz University of Medical

Sciences (2016). Int J Prev Med 2018;9:91.

Montazeri A, Tavousi M, Rakhshani F, Rafiefar S,

Soleymanian A, Sarbandi F, et al. Health literacy for Iranian

adults (HELIA): Development and psychometric properties.

Payesh 2014;13:589‑99.

Panahi R, Ramezankhani A, Tavousi M, Haeri Mehrizi A,

Niknami SH. The psychometric properties of health literacy for

Iranian adults (HELIA) in medical sciences students. J Research

Health 2020;10:53‑8.

Panahi R, Ramezankhani A, Tavousi M, Osmani F, Niknami SH.

Predictors of adoption of smoking preventive behaviors among

University students: Application of health belief model. J Educ

Community Health 2017;4:35‑42.

Zhang Q, Cui G, editors. Investigation and analysis of Xi’an

college students’ health literacy. HHBE; 2011. International

Conference on 2011:994‑7. doi: 10.1109/HHBE.2011.6028991.

Vozikis A, Drivas K, Milioris K. Health literacy among

university students in Greece: Determinants and association with

self‑perceived health, health behaviours and health risks. Arch

Public Health 2014;72:15.

Rahnavard Z, Mohammadi M, Rajabi F, Zolfaghari M.

An educational intervention using health belief model on

smoking preventive behavior among female teenagers. Hayat

;17:15‑26.

Masoudi BD, Baghianimoghadam MH, Sharifirad G,

Fallahzadeh H. Evaluation of preventive behaviors of addiction

based on health belief model (HBM) among Male High School

Students in Boroujen, Iran. Health Syst Res 2011;8:1‑10.

Izadirad H, Zareban I. The relationship of health literacy with

health status, preventive behaviors and health services utilization

in Baluchistan, Iran. J Educ Community Health 2016;2:43‑50.

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.

Esna Ashari F, Pirdehghan A, Rajabi F, Sayarifard A,

Ghadirian L, Rostami N, et al. The study of health literacy

of staff about risk factors of chronic diseases in 2014. Sci J

Hamadan Univ Med Sci 2015;22:248‑54.

Javadzade SH, Sharifirad GR, Radjati F, Mostafavi F, Reisi M,

Hasanzade A. Relationship between health literacy, health status

and healthy behaviors among elderly in Isfahan. J Educ Health

Promot 2012;1:31.

Scott TL, Gazmararian JA, Williams MV, Baker DW. Health

literacy and preventive health care use among Medicare enrollees

in a managed care organization. Med Care 2002;40:395‑404.

Varekojis SM, Miller L, Schiller MR, Stein D. Functional

health literacy and smoking cessation outcomes. Health Educ

;111:464‑75.

Panahi R, Ramezankhani A, Tavousi M. Health literacy and

preventive behaviors. J Res Health 2018;8:93‑4.

Panahi R, Ramezankhani A, Tavousi M, Niknami SH. Health

literacy and smoking. J Res Health 2018;8:1‑2.

Panahi R, Yekefallah L, Shafaei M, Dehghankar L, Anbari M,

Hosseini N, et al. Effect of health literacy among students on

the adoption of osteoporosis‑preventive behaviors in Iran. J Educ

Health Promot 2020;9:191.

Kabir MA, Goh K‑L, Khan MH. A cross‑country comparison of

tobacco consumption among youths from selected South‑Asian

countries. BMC Public Health 2013;13:379.

Chin DL, Hong O, Gillen M, Bates MN, Okechukwu CA. Heavy

and light/moderate smoking among building trades construction

workers. Public Health Nurs 2012;30:128‑39.

Ansari R, Khosravi A, Mokhtari M. Prevalence and cause of

smoking in the medicine students. Koomesh 2007;9:21‑6.

Saatci E, Inan S, Bozdemir N, Akpinar E, Ergun G. Predictors of

smoking behavior of first year university students: Questionnaire

survey. Croat Med J 2004;45:76‑9.

Wills TA, Resko JA, Ainette MG, Mendoza D. Role of parent

support and peer support in adolescent substance use: A test of

mediated effects. Psychol Addict Behav 2004;18:122‑34.