Do Health Literacy and Awareness of Polycystic Ovary Syndrome Predict the Lifestyle Choices of Arabic Speaking Female University Students
Abstract
Background: Considering the increasing prevalence of Polycystic Ovarian Syndrome (PCOS) and its related complications—such as obesity, cardiovascular diseases, and infertility—in the Middle East, it is imperative to create sufficient public awareness about this issue. Accordingly, the potential link between PCOS awareness and health literacy level with the lifestyle choices of Arabic‑speaking female university students was examined in this cross‑sectional study.
Materials and Methods: This research was conducted in the Sultanate of Oman and involved 446 Arabic‑speaking female university students, who completed a self‑administered online questionnaire, Single Item Literacy Screener, and PCOS Awareness Tool.
Results: The findings showed that, while 53.50% of the study participants had inadequate health literacy, 79.80% demonstrated an acceptable level of PCOS awareness. However, this did not seem to influence their lifestyle, given that 59.20% of the respondents were physically inactive and 83.30% regularly consumed fast food. Regression analysis results nonetheless revealed that health literacy and PCOS awareness were significant predictors of lifestyle choices (F2,44 = 5.98, p < 0.05, 95% CI [4.44–5.35]).
Conclusions: The Arabic‑speaking female university students’ health literacy level and PCOS awareness are significant predictors of their lifestyle choices. Thus, the policymakers in the Arab region need to develop effective strategies aimed at PCOS prevention, focusing specifically on raising public awareness about PCOS and its negative consequences on female reproductive health. In addition, university administrators should ensure the availability of healthy food choices at their campuses as well as opportunities for physical activity to promote healthy lifestyle among all students.
Keywords
Full Text:
PDFReferences
Wolf WM, Wattick RA, Kinkade ON, Olfert MD. Geographical prevalence of polycystic ovary syndrome as determined by region and race/ethnicity. Int J Environ Res Public Health 2018;15:2589.
Bozdag G, Mumusoglu S, Zengin D, Karabulut E, Yildiz BO. The prevalence and phenotypic features of polycystic ovary syndrome: A systematic review and meta analysis. Hum Reprod 2016;31:2841 55.
Teede H, Deeks A, Moran L. Polycystic ovary syndrome: A complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC Med 2010;8:41.
Motlagh Asghari K, Nejadghaderi SA, Alizadeh M, Sanaie S, Sullman MJ, Kolahi AA, et al. Burden of polycystic ovary syndrome in the Middle East and North Africa region, 1990–2019. Sci Rep 2022;12:7039.
Bellver J, Rodríguez Tabernero L, Robles A, Muñoz E, Martínez F, Landeras J, et al. Polycystic ovary syndrome throughout a woman’s life. J Assist Reprod Genet 2018;35:25 39.
World Health Organization [WHO]. Cardiovascular Diseases 2022. Available from: https://www.emro.who.int/health-topics/ cardiovascular-diseases/index.html. [Last accessed on 2022 Feb 11].
Strowitzki T, Capp E, von Eye Corleta H. The degree of cycle irregularity correlates with the grade of endocrine and metabolic disorders in PCOS patients. Eur J Obstet Gynecol Reprod Biol 2010;149:178 81.
Damone AL, Joham AE, Loxton D, Earnest A, Teede HJ, Moran LJ. Depression, anxiety and perceived stress in women with and without PCOS: A community based study. Psychol Med 2019;49:1510 20.
Riestenberg C, Jagasia A, Azziz R. Economic burden of polycystic ovary syndrome. In: Pal L, Seifer DB, editors. Polycystic Ovary Syndrome. Springer International Publishing, Cham; 2022. p. 431 46.
Parker J, O’brien C, Hawrelak J, Gersh FL. Polycystic ovary syndrome: An evolutionary adaptation to lifestyle and the environment. Int J Environ Res Public Health 2022;19:1336.
Rasquin Leon LI, Anastasopoulou C, Mayrin JV. Polycystic Ovarian Disease. StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2021.
Moran LJ, Tassone EC, Boyle J, Brennan L, Harrison CL, Hirschberg AL, et al. Evidence summaries and recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome: Lifestyle management. Obes Rev 2020;21:e13046.
Okati Aliabad H, Ansari Moghaddam A, Kargar S, Jabbari N. Prevalence of obesity and overweight among adults in the Middle East countries from 2000 to 2020: A systematic review
and meta analysis. J Obes 2022;3:8074837.
Al Ruthia YS, Balkhi B, AlGhadeer S, Mansy W, AlSanawi H, AlGasem R, et al. Relationship between health literacy and body mass index among Arab women with polycystic ovary syndrome. Saudi Pharm J 2017;25:1015 8.
Pramodh S. Exploration of lifestyle choices, reproductive health knowledge, and polycystic ovary syndrome (PCOS) awareness among female Emirati University students. Int J Womens Health 2020;12:927 38.
Al Khaduri M, Al Farsi Y, Al Najjar TA, Gowri V. Hospital based prevalence of polycystic ovarian syndrome among Omani women. Middle East Fertil Soc J 2014;19:135 8.
Upadhye JJ, Shembekar CA. Awareness of PCOS (polycystic ovarian syndrome) in adolescent and young girls. Int J Reprod Contracept Obstet Gynecol 2017;6:2297 301.
Piltonen TT, Ruokojärvi M, Karro H, Kujanpää L, Morin Papunen L, Tapanainen J, et al. Awareness of polycystic ovary syndrome among obstetrician gynecologists and endocrinologists in Northern Europe. PLoS One 2019;14:e0226074.
Tejada JJ, Punzalan JR. On the misuse of Slovin’s formula. Philipp Stat 2012;61:129 36.
Morris NS, MacLean CD, Chew LD, Littenberg B. The Single Item Literacy Screener: Evaluation of a brief instrument to identify limited reading ability. BMC Fam Pract 2006;7:1 7.
IBM Corp. IBM SPSS Statistics for Windows, Version 24.0. Armonk, NY: IBM Corp; 2016. 22. Shenoy PB, Brundha MP. Awareness of polycystic ovarian disease among females of age group 18 30 years. J Pharm Sci Res 2016;8:813.
Tahir H, Hassan A, Khan QU, Hafeez F. Prevalence of polycystic ovary syndrome awareness among female medical students. Discov Rep 2020;3:e10.
Azziz R, Woods KS, Reyna R, Key TJ, Knochenhauer ES, Yildiz BO. The prevalence and features of the polycystic ovary syndrome in an unselected population. J Clin Endocrinol Metab 2004;89:2745 9.
Asunción M, Calvo RM, San Millán JL, Sancho J, Avila S, Escobar Morreale HF. A prospective study of the prevalence of the polycystic ovary syndrome in unselected Caucasian women from Spain. J Clin Endocrinol Metab 2000;85:2434 8.
Sharif E, Rahman S, Zia Y, Rizk NM. The frequency of polycystic ovary syndrome in young reproductive females in Qatar. Int J Womens Health 2017;9:1 10.
Jalilian A, Kiani F, Sayehmiri F, Sayehmiri K, Khodaee Z, Akbari M. Prevalence of polycysticovary syndrome and its associated complications in Iranian women: A meta analysis. Iran J Reprod Med 2015;13:591 604.
Attlee A, Nusralla A, Eqbal R, Said H, Hashim M, Obaid RS. Polycystic ovary syndrome in university students: Occurrence and associated factors. Int J Fertil Steril 2014;8:261 6.
Al Nuaim AA, Al Nakeeb Y, Lyons M, Al Hazzaa HM, Nevill A, Collins P, et al. The prevalence of physical activity and sedentary behaviours relative to obesity among adolescents from Al Ahsa, Saudi Arabia: Rural versus urban variations. J Nutr Metab 2012;2012:417589.
Al Nakeeb Y, Lyons M, Dodd LJ, Al Nuaim A. An investigation into the lifestyle, health habits and risk factors of young adults. Int J Environ Res Public Health 2015;12:4380 94.
Al Otaibi HH, Basuny AM. Fast food consumption associated with obesity/overweight risk among university female student in Saudi Arabia. Pak J Nutr 2015;14:511 6.
Musaiger AO, Awadhalla MS, Al Mannai M, AlSawad M, Asokan GV. Dietary habits and sedentary behaviors among health science university students in Bahrain. Int J Adolesc Med Health 2017;29:20150038.
Bektas İ, Kudubeş AA, Ayar D, Bektas M. Predicting the healthy lifestyle behaviors of Turkish adolescents based on their health literacy and self efficacy levels. J Pediatr Nurs 2021;59:e20 5.
Uysal N, Ceylan E, Koç A. Health literacy level and influencing factors in university students. Health Soc Care Community 2020;28:505 11.
Hashim M, Abdelrahim DN, Ahmed S, Ameri BS, Youssef M, Mousannef J, et al. Knowledge, awareness, and practices of university students toward the role of dietary and lifestyle behaviors in colorectal cancer: A cross sectional study from Sharjah/UAE. Asian Pac J Cancer Prev 2022;23:815 22.
Gallè F, Veshi A, Sabella EA, Çitozi M, Da Molin G, Ferracuti S, et al. Awareness and behaviors regarding COVID 19 among Albanian undergraduates. Behav Sci (Basel) 2021;11:45.
Wikkeling Scott LF, Ajja RJ, Rikard RV. Health literacy research in the Eastern Mediterranean Region: An integrative review. Int J Public Health 2019;64:523 33
Refbacks
- There are currently no refbacks.