Relationship between health literacy skills and walking behavior to prevent osteoporosis among health volunteers.

Background: Considering the effect of exercise and health literacy in preventing osteoporosis, the effect of health literacy in adopting preventive behaviors, and the role of health volunteers in transferring health messages to the community, this study aimed to determine the relationship between health literacy skills and adopting walking behavior to prevent osteoporosis in women health volunteers.

Methods: In a cross-sectional study, 290 health volunteers referring to Qazvin health centers in 2020 were selected through Multi-stage random sampling. Data were collected using a health literacy questionnaire (HELIA) and a questionnaire for the adoption of walking behaviors for the prevention of osteoporosis, and they were analyzed using descriptive statistics and logistic regression in SPSS software version 23.

Results: The adoption of walking behaviors to prevent osteoporosis was at an average level. Age (P = 0.034, OR = 1.098), decision-making and application of health information (P < 0.001, OR = 1.135), understanding (P = 0.031, OR = 1.054), and evaluation skills (P = 0.018, OR = 1.049) were factors affecting the adoption of this behavior so that by increasing one score to these variables, the chance of adopting the behavior increased 1.098, 1.135, 1.054 and 1.049 respectively. Also, the level of education was another effective variable in adopting this behavior, so having a favorable level of adoption of this behavior in health volunteers with a diploma degree (P = 0.017, OR = 0.736) and below diploma (P = 0.011, OR = 0.960), were 0.736 and 0.960 times of those with university degrees respectively.

Conclusion: The adoption of walking behaviors to prevent osteoporosis among health volunteers - who have lower age, education, and decision-making skills and the use of health information, understanding, and evaluation - was less. Therefore, it is necessary to pay more attention to them when designing educational health programs.