Health Literacy - Observacional Study In An Integrated Heart Failure Unit
DOI:
https://doi.org/10.58043/rphrc.105Keywords:
health literacy, social determinants of health, social support, cardiovascular risk factors, heart failureAbstract
Introduction: Health literacy, nowadays best described through Sorensen’s integrated conceptual model, is a priority in current health policies due to its impact on health outcomes and costs. Low health literacy levels influence chronic disease management and prevention, contributing for a higher prevalence of cardiovascular risk factors.Methods: This is an observational study characterizing health literacy in patients followed in a heart failure unit, through the application of the European Health literacy survey questionnaire. Demographic, social, economic and geographic data were collected through informatic clinical process consultation, telephonic interview and application of the Oslo Social Support Scale. Data processing was done using Microsoft Office Excel®.
Results: In a group of 48 patients with an average age of 65,5 years, 69% were male. Two thirds of this sample had inadequate or problematic levels of health literacy. There was a higher prevalence of low levels of HL in subgroups with less social support, lower average income, that lived at a longer distance from the hospital and which attended less consultations at the heart failure unit.
Discussion and conclusion: These results met those already described in literature except for the relation between better levels of HL and higher number of consultations. This last finding may reflect the health education done by members of the integrated heart failure unit, supporting the role of health services and health professionals in improving health literacy levels of their patients.
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References
Plano de ação, literacia em saúde - Portugal 2019-2021. Divisão de literacia, saúde e bem-estar. Direção 11. de Serviços de prevenção da doença e promoção da saúde (DSPDPS),Direção Geral da Saúde;
Health 2020: Education and health through the life-course. 2015.
Sørensen K, van den Broucke S, Fullam J, Doyle 12. G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 13. 2012;12(1):80.
Sørensen K, van den Broucke S, Pelikan JM, Fullam J, Doyle G, Slonska Z, et al. Measuring health literacy in populations: illuminating the design 14. and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health. 2013;13(1):948. 15.
Saboga Nunes LKSJPMCEREP, Sorensen K, Pelikan J, Cunha M, Rodrigues E, Paixão E. Cross- cultural adaptation and validation to Portuguese of the European Health Literacy Survey (HLS-EU-PT). Atencion Primaria. 2014;46:1–13. 16.
Pedro AR, Amaral O, Escoval A. Literacia em saúde, dos dados à ação: tradução, validação e 17. aplicação do European Health Literacy Survey em Portugal. Revista Portuguesa de Saúde Pública. 2016;34(3):259–75.
Kickbush I, Maag D. Health literacy. In: 18. Heggenhougen K, Quah S, editors. International encyclopedia of public health. San Diego: Academic Press; 2008. p. 204–11. 19.
Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). The European Journal of Public Health. 2015;25(6):1053–8. 20.
Schillinger D. The Intersections Between Social Determinants of Health, Health Literacy, and Health Disparities. Studies in health technology 21. and informatics. 2020;269:22–41.
Mantwill S, Diviani N. Health literacy and health disparities: a global perspective. In: Okan O, Bauer U, Levin-Zamir D, Pinheiro P, Sorensen K, editors. Internation handbook of health literacy Research, practice and policy across the lifespan. Bristol: Policy Press; 2019. p. 139–52.
INE. Portal do Instituto Nacional de Estatística [Internet]. Mortes por enfarte agudo do miocárdio diminuíram 7,5% - 2019. Lisboa: Instituto Nacional de Estatística; 2021 Disponível em: http://www.ine.pt/
Bourbon M, Alves A, Rato Q. Prevalência de fatores de risco cardiovascular na população portuguesa. Lisboa; 2019.
Fonseca C, Brás D, Araújo I, Ceia F. Insuficiência cardíaca em números: estimativas para o século XXI em Portugal. Revista Portuguesa de Cardiologia. 2018;37(2):97–104.
Peterson PN. Health Literacy and Outcomes Among Patients With Heart Failure. JAMA. 2011 Apr 27;305(16):1695.
Kocalevent R-D, Berg L, Beutel ME, Hinz A, Zenger M, Härter M, et al. Social support in the general population: standardization of the Oslo social support scale (OSSS-3). BMC Psychology. 2018;6(1):31.
Bieri U et al. Health Literacy 2015 Population Survey. 2016. p. 1–8.
Liu Y-B, Hou P, Xue H-P, Mao X-E, Li Y-N. Social Support, Health Literacy, and Health Care Utilization Among Older Adults. Asia Pacific Journal of Public Health. 2019;31(4):359–66.
Lee S-YD, Arozullah AM, Cho YI. Health literacy, social support, and health: a research agenda. Social Science & Medicine. 2004;58(7):1309–21.
Kelly C, Hulme C, Farragher T, Clarke G. Are differences in travel time or distance to healthcare for adults in global north countries associated with an impact on health outcomes? A systematic review. BMJ Open. 2016;6(11):e013059.
Berkman ND, Davis TC, McCormack L. Health Literacy: What Is It? Journal of Health Communication. 2010;15(sup2):9–19.
Magnani JW, Mujahid MS, Aronow HD, Cené CW, Dickson VV, Havranek E, et al. Health Literacy and Cardiovascular Disease: Fundamental Relevance to Primary and Secondary Prevention: A Scientific Statement From the American Heart Association. Circulation. 2018;138(2).
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Copyright (c) 2024 Mafalda Corrêa Figueira, Crisálida Ferreira, Ana Rita Sousa, Joana Simões, Margarida Lopes Madeira, Hugo de Barros Viegas, Sara Gonçalves, Ermelinda Pedroso
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