A Tol, A Pourreza, E Tavasoli, A Rahimi Foroshani,
Volume 11, Issue 3 (10-2012)
Abstract
Background: Health literacy is the degree to which individuals have the capacity to obtain, process, and understanding basic health information and services needed to make appropriate health decisions. The aim of this study was to assess relationship between health literacy and knowledge of women with type 2 diabetes.
Materials & Methods: In this cross sectional survey, 160 women with type 2 diabetes were selected by convenience sampling method. Data collected by using a STOHFLA standard questionnaire and knowledge was measured by self-administrated questionnaire. Obtained data analyzed by SPSS16 software in two categories of descriptive and inferential statistics (Chi-square and Pearson coefficient).
Results: The mean age of studied population was 52.73±8.56 years old. The means of health literacy and knowledge was 40.57±15.87 and 21.52±2.94, respectively. There was a relation between occupation, education and family history with knowledge and health literacy score, and also between incomes with knowledge. There was reverse significant relation between age and disease duration with knowledge and health literacy.
Conclusion: Results indicated that patients did not have the appropriate knowledge in type 2 diabetes, as well as health literacy which was also moderate. These results confirmed the need to develop of education for improving and increasing the appropriate knowledge and health literacy among studied women.
Mahmoud Zivari Rahman, Javad Siahmoshtei, Niloofar Mikaeili,
Volume 24, Issue 2 (9-2025)
Abstract
Background and purpose: Early Maladaptive Schemas (EMSs) are pervasive cognitive patterns that can detrimentally affect the well-being of individuals with chronic illnesses. This study aimed to investigate the structural relationship between EMSs and Health-Related Quality of Life (HRQoL) in cancer patients, with a specific focus on the mediating role of health literacy.
Methods: This descriptive-analytical study utilized a correlational design based on Structural Equation Modeling (SEM). The statistical population comprised all cancer patients aged 20 to 60 years referring to private oncology centers in [City Name] in 2025. A total of 665 participants were recruited using convenience sampling. Data were collected using the Young Schema Questionnaire (YSQ), the Health Literacy for Iranian Adults (HELIA) questionnaire, and the Health-Related Quality of Life questionnaire. Data analysis was performed using SPSS (v.25) and AMOS (v.24) software, with the significance level set at 0.05.
Results: The path analysis revealed that EMSs had a significant direct negative effect on both health literacy (β =-0.85, P< 0.001) and HRQoL (β= -0.56, P<0.001). Conversely, health literacy showed a significant positive effect on HRQoL (β=0.51, P<0.001). Furthermore, health literacy significantly mediated the relationship between EMSs and HRQoL (β=0.26,P<0.001). The goodness-of-fit indices confirmed the model's optimal fit (X2/Df = 3.94, GFI = 0.913, IFI = 0.903, CFI = 0.901, RMSEA = 0.067)
Conclusion: The findings suggest that Early Maladaptive Schemas significantly compromise the quality of life in cancer patients. However, health literacy acts as a protective buffer, mediating this negative impact. Therefore, interventions aimed at enhancing health literacy could be an effective strategy to mitigate the adverse effects of maladaptive schemas and improve the HRQoL of cancer patients.
