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Aim <p>One of the effective factors in preventing cardiovascular disease is cardiac health behaviors. Cardiac health behaviors are essential for transforming lifestyle patterns. In this study, we investigated the status of health literacy and cardiac health behaviors and the factors that can affect them.</p> Subject and methods <p>This descriptive-analytical cross-sectional involved 126 individuals with cardiovascular diseases who were referred to Ayatollah Mousavi hospital in Zanjan, Iran. Convenience sampling was conducted from August 10 to November 10, 2024. Data were collected using the Cardiac Health Behavior (CHB) scale and the Health Literacy (HL) Instrument for Adults (HELIA). Analyses were performed in Rstudio 2025.05.0 using independent t-test, one-way ANOVA, and multiple linear regression.</p> Results <p>The lowest HL score was in the “decision-making/ behavioral intention” domain and the highest in the “reading” domain. About 36% and 12% of participants had an adequate and excellent level of HL, respectively. The lowest CHB score was in the “physical activity” domain and the highest in the “dietary habits” domain. Women, urban residents, non-smokers, patients with adequate/ excellent levels of HL, and those with university education demonstrated better CHB scores.</p> Conclusion <p>According to the results, the lowest score was related to physical activity and the highest score was related to dietary habits, and health literacy was not adequate. Health policymakers should implement educational interventions to improve physical activity and dietary habits and should be planning intervention for increase health literacy.</p>

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Relation between health literacy and cardiac health behavior among Iranian cardiovascular disease patients

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月21日

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  • Hamidreza Fallahabadi,
  • Farzane Ahmadi,
  • Farzaneh Karamitanha,
  • Mohammadbagher Naser

摘要

Aim

One of the effective factors in preventing cardiovascular disease is cardiac health behaviors. Cardiac health behaviors are essential for transforming lifestyle patterns. In this study, we investigated the status of health literacy and cardiac health behaviors and the factors that can affect them.

Subject and methods

This descriptive-analytical cross-sectional involved 126 individuals with cardiovascular diseases who were referred to Ayatollah Mousavi hospital in Zanjan, Iran. Convenience sampling was conducted from August 10 to November 10, 2024. Data were collected using the Cardiac Health Behavior (CHB) scale and the Health Literacy (HL) Instrument for Adults (HELIA). Analyses were performed in Rstudio 2025.05.0 using independent t-test, one-way ANOVA, and multiple linear regression.

Results

The lowest HL score was in the “decision-making/ behavioral intention” domain and the highest in the “reading” domain. About 36% and 12% of participants had an adequate and excellent level of HL, respectively. The lowest CHB score was in the “physical activity” domain and the highest in the “dietary habits” domain. Women, urban residents, non-smokers, patients with adequate/ excellent levels of HL, and those with university education demonstrated better CHB scores.

Conclusion

According to the results, the lowest score was related to physical activity and the highest score was related to dietary habits, and health literacy was not adequate. Health policymakers should implement educational interventions to improve physical activity and dietary habits and should be planning intervention for increase health literacy.