Gender Differences in the Associations Between Health Literacy and Medication Adherence in Hypertension: A Population-Based Survey in Heris County, Iran
| Autor: | Donald E. Morisky, Haleh Heizomi, Rogayeh Vaezi, Zeynab Iraji, Devender Bhalla, Haidar Nadrian |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty hypertension Endocrinology Diabetes and Metabolism Population MEDLINE Medication adherence Blood Pressure Health literacy Iran 030204 cardiovascular system & hematology Medication Adherence 03 medical and health sciences chemistry.chemical_compound Sex Factors 0302 clinical medicine gender medicine Humans Pharmacology (medical) 030212 general & internal medicine education Socioeconomic status Antihypertensive Agents Original Research Aged Aged 80 and over education.field_of_study business.industry Public health Multilevel model Public Health Environmental and Occupational Health Hematology General Medicine Middle Aged Health Literacy Vascular Health and Risk Management Cross-Sectional Studies chemistry Female Cardiology and Cardiovascular Medicine business Demography MEDA |
| Zdroj: | Vascular Health and Risk Management |
| ISSN: | 1178-2048 |
| DOI: | 10.2147/vhrm.s245052 |
| Popis: | Haleh Heizomi,1 Zeynab Iraji,2 Rogayeh Vaezi,1 Devender Bhalla,3– 5 Donald E Morisky,6 Haidar Nadrian1,7 1Department of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran; 2Department of Statistics and Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran; 3Pôle Universitaire Euclide, Intergovernmental UN Treaty 49006/49007®, Bangui, Central African Republic; 4Iranian Epilepsy Association®, Tehran, Iran; 5Nepal Interest Group of Epilepsy and Neurology (NiGEN), Kathmandu, Nepal; 6Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USA; 7Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, IranCorrespondence: Haidar NadrianDepartment of Health Education and Promotion, Faulty of Health,Tabriz University of Medical Sciences, Attar-e-Neyshabouri Street, Tabriz, IranTel +989181734596Email haidarnadrian@gmail.comObjective: We examined the gender-based associations of health literacy (HL) with self-reported medication adherence (MEDA) among patients with primary hypertension (pHTN).Patients and Methods: The subjects were recruited from the general population through all health centers of the Heris county, east Azarbaijan. They were to be adults (30+ years age), with pHTN of any stage, of any gender, and without comorbid illness. All underwent detailed face-to-face interview. We used valid questionnaires for HL and MEDA. Hierarchical regression was done to establish the association between MEDA, socio-demographic variables, and nine HL domains by gender. Other statistical procedures were also done.Results: A total of 300 (48.6% males, mean age: 56.7± 9.3) subjects participated; 43.0% were uneducated, 73.0% had moderate socioeconomic status, 68.0% had poor HL, and 7.0% maintained high adherence. Men were better in reading skills (p=0.002), and accessing (p=0.01) and using (p=0.02) health information, but women were better in health knowledge (p=0.004). The average regression estimate (±standard deviation) between HL and MEDA was 0.37± 0.09, lower among men (0.361± 0.11) than women (0.396± 0.08), p=0.003. Upon hierarchical regression, the association between HL and MEDA was significant for communication and decision-making skills alone among both men (34.5%) and women (40.6%), individually.Conclusion: HL had substantial association with MEDA among those with HTN, for both men and women, particularly the communication and decision-making. With considerations on gender differences, this association should be confirmed through interventional studies to help make HL a formal mitigating strategy for MEDA and other public health goals.Keywords: medication adherence, health literacy, hypertension, gender |
| Databáze: | OpenAIRE |
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