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J Res Health Sci. 2026;26(1): e00674.
doi: 10.34172/jrhs.11438
  PDF Download: 1

Original Article

The Association Between Health Literacy and General Health in Women With Gestational Diabetes: A Cross-sectional Study

Yasaman Rajabi Basir 1 ORCID logo, Sara Alipour 1, Farzaneh Esna-Ashari 2, Shiva Borzouei 3* ORCID logo

1 Department of Medicine, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
2 Research Center for Social Factors Affecting Health, Hamadan University of Medical Sciences, Hamadan, Iran
3 Department of Endocrinology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
*Corresponding Author: Shiva Borzouei, Email: borzouei@umsha.ac.ir, Email: borzooeishiva@yahoo.com

Abstract

Background: Health literacy includes cognitive and social skills that enable individuals to understand and use health information effectively. In addition, it significantly influences health outcomes in society. Women with gestational diabetes mellitus (GDM) often have low health literacy and need better education. Therefore, this study explored the link between health literacy and general health in these women.

Study Design: A cross-sectional study.

Methods: This study involved 200 women with GDM referred to the Diabetes Clinic in Hamadan, Iran. The participants were selected through consecutive sampling, and the required data were collected using self-reported questionnaires, a health literacy questionnaire, and a general health questionnaire. The obtained data were analyzed using SPSS with a 95% confidence level.

Results: The mean age of women was 29.63 years, and the mean±standard deviation (SD) of health literacy score was 77.41±16.44. Further, the mean±SD of the general health questionnaire score was 21.02±6.01. There was a positive correlation between health literacy and general health (P<0.001), as well as between health literacy and education (P<0.05). Moreover, a positive correlation was found between general health and education (P<0.05). Eventually, a significant negative correlation was observed between age and general health (P<0.05).

Conclusion: Health literacy plays an essential role in managing GD and promoting general health for pregnant women. This subsequently leads to reduced postpartum complications for the mother and baby, as well as reduced healthcare costs.



Please cite this article as follows: Rajabi Basir Y, Alipour S, Esna-Ashari F, Borzouei S. The association between health literacy and general health in women with gestational diabetes: a cross-sectional study. J Res Health Sci. 2026; 26(1):e00674. doi:10.34172/jrhs.11438
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Submitted: 08 Jul 2025
Revision: 14 Jul 2025
Accepted: 14 Aug 2025
ePublished: 18 Oct 2025
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