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Volume 14, Issue 2 (2026)
Health Educ Health Promot 2026, 14(2): 281-290 |
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Received: 2026/04/19 | Accepted: 2026/06/20 | Published: 2026/07/1
Received: 2026/04/19 | Accepted: 2026/06/20 | Published: 2026/07/1
How to cite this article
Azaryan F, Izadirad H, Dadvand M. Health Literacy as a Predictor of Health-Promoting Lifestyle in Cardiovascular Patients in Southeast Iran. Health Educ Health Promot 2026; 14 (2) :281-290
URL: http://hehp.daneshafarand.org/article-4-87248-en.html
URL: http://hehp.daneshafarand.org/article-4-87248-en.html
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1- Student Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
Abstract (257 Views)
Aims: Cardiovascular diseases are a leading cause of mortality worldwide and in Iran. Health literacy is a crucial factor in managing these conditions. This study aimed to examine the relationship between health literacy and health-promoting behaviors among patients with cardiovascular diseases in Khāsh, southeastern Iran.
Instrument & Methods: In this cross-sectional study, 350 patients with CVD from Imam Khomeini Hospital in Khāsh were selected using convenience sampling. Data were collected using two validated instruments: the Short Form of the Health Literacy for Iranian Adults and the Walker Health-Promoting Lifestyle Profile. Data were analyzed using Pearson’s correlation, multiple linear regression, and analysis of variance in SPSS 24.
Findings: The mean health literacy score was 36.25±22.65, indicating a poor overall level of health literacy. Health-promoting behaviors were at a moderate level (139.84±21.74), with the lowest score observed for physical activity (20.54±4.39). Health literacy showed the strongest correlation with physical activity (r=0.632; p<0.001) and the weakest correlation with stress management (r=0.297; p<0.001). Regression analysis identified health literacy as the strongest predictor of health-promoting behaviors (β= 0.666; p<0.001), followed by basic health literacy skills (β=0.435) and decision-making skills (β= 0.330). The model explained approximately 52% of the variance in health-promoting behaviors (R²=0.524).
Conclusion: Health literacy is the strongest predictor of health-promoting behaviors among patients with cardiovascular disease.
Instrument & Methods: In this cross-sectional study, 350 patients with CVD from Imam Khomeini Hospital in Khāsh were selected using convenience sampling. Data were collected using two validated instruments: the Short Form of the Health Literacy for Iranian Adults and the Walker Health-Promoting Lifestyle Profile. Data were analyzed using Pearson’s correlation, multiple linear regression, and analysis of variance in SPSS 24.
Findings: The mean health literacy score was 36.25±22.65, indicating a poor overall level of health literacy. Health-promoting behaviors were at a moderate level (139.84±21.74), with the lowest score observed for physical activity (20.54±4.39). Health literacy showed the strongest correlation with physical activity (r=0.632; p<0.001) and the weakest correlation with stress management (r=0.297; p<0.001). Regression analysis identified health literacy as the strongest predictor of health-promoting behaviors (β= 0.666; p<0.001), followed by basic health literacy skills (β=0.435) and decision-making skills (β= 0.330). The model explained approximately 52% of the variance in health-promoting behaviors (R²=0.524).
Conclusion: Health literacy is the strongest predictor of health-promoting behaviors among patients with cardiovascular disease.
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