Health literacy in heart transplantation: Prevalence, correlates and associations with health behaviors—Findings from the international BRIGHT study

Autor: Maan Isabella Cajita, Kris Denhaerynck, Fabienne Dobbels, Lut Berben, Cynthia L. Russell, Patricia M. Davidson, Sabina De Geest, Maria G. Crespo-Leiro, Sandra Cupples, Paolo De Simone, Albert Groenewoud, Christiane Kugler, Linda Ohler, Johan Vanhaecke, Alain Jean Poncelet, Laurent Sebbag, Magalu Michel, Andrée Bernard, Andreas Doesch, Ugolino Livi, Valentina Manfredini, Vicens Brossa Loidi, Javier Segovia, Luis Amenar, Carmen Segura Saint-Gerons, Paul Mohacsi, Eva Horvath, Cheryl Riotto, Gareth Parry, Ashi Firouzi, Stella Kozuszko, Haissam Haddad, Annemarie Kaan, Grant Fisher, Tara Miller, Maureen Flattery, Kristin Ludrosky, Bernice Coleman, Jacqueline Trammell, Katherine St. Clair, Andrew Kao, Maria Molina, Karyn Ryan Canalesa, Samira Scalso de Almeida, A. Cotait Ayoub, Fernanda Barone, Michelle Harkess, Joanne Maddicks-Law
Rok vydání: 2017
Předmět:
Graft Rejection
Male
Gerontology
Internationality
Cross-sectional study
medicine.medical_treatment
Health Behavior
physical activity
multicenter
030204 cardiovascular system & hematology
heart transplantation
Logistic regression
0302 clinical medicine
Prevalence
030212 general & internal medicine
Heart transplantation
Age Factors
Middle Aged
Prognosis
health behaviors
Survival Rate
Female
Cardiology and Cardiovascular Medicine
Immunosuppressive Agents
Needs Assessment
Adult
Pulmonary and Respiratory Medicine
Health literacy
03 medical and health sciences
Sex Factors
Transplantation Immunology
Confidence Intervals
medicine
Humans
survey
Life Style
Survival rate
Aged
Transplantation
business.industry
Odds ratio
Stepwise regression
Confidence interval
Health Literacy
Cross-Sectional Studies
Logistic Models
Patient Compliance
Surgery
business
health literacy
Heart Transplantation
Demography
Zdroj: The Journal of Heart and Lung Transplantation. 36:272-279
ISSN: 1053-2498
DOI: 10.1016/j.healun.2016.08.024
Popis: Health literacy (HL) is a major determinant of health outcomes; however, there are few studies exploring the role of HL among heart transplant recipients. The objectives of this study were to: (1) explore and compare the prevalence of inadequate HL among heart transplant recipients internationally; (2) determine the correlates of HL; and (3) assess the relationship between HL and health-related behaviors.A secondary analysis was conducted using data of the 1,365 adult patients from the BRIGHT study, an international multicenter, cross-sectional study that surveyed heart transplant recipients across 11 countries and 4 continents. Using the Subjective Health Literacy Screener, inadequate HL was operationalized as being confident in filling out medical forms none/a little/some of the time (HL score of 0 to 2). Correlates of HL were determined using backward stepwise logistic regression. The relationship between HL and the health-related behaviors were examined using hierarchical logistic regression.Overall, 33.1% of the heart transplant recipients had inadequate HL. Lower education level (adjusted odds ratio [AOR] 0.24, p0.001), unemployment (AOR 0.69, p = 0.012) and country (residing in Brazil, AOR 0.25, p0.001) were shown to be associated with inadequate HL. Heart transplant recipients with adequate HL had higher odds of engaging in sufficient physical activity (AOR 1.6, p = 0.016). HL was not significantly associated with the other health behaviors.Clinicians should recognize that almost one third of heart transplant participants have inadequate health literacy. Furthermore, they should adopt communication strategies that could mitigate the potential negative impact of inadequate HL.
Databáze: OpenAIRE
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