Racial Disparities in Health Literacy and Access to Care Among Patients With Heart Failure

Background/Aims Research has shown that health literacy can influence an individual's ability to practise self-care, particularly for patients with heart failure. This study aimed to assess health literacy and its relationship with heart failure knowledge and self-care practices in this patient group. Methods An observational sub-study was conducted with the data from a large randomised control trial that evaluated the relationship between patients' health literacy, general literacy, knowledge of heart failure and self-care. Results A total of 36 participants were recruited, of which 33 (89.9%) had adequate levels of health literacy. Health literacy was positively associated with heart failure knowledge. However, 67.7% of participants with adequate health literacy were found to have inadequate levels of self-care management. Conclusions Health literacy may facilitate better heart failure knowledge, but it does not necessarily lead to improved self-care management in patients with heart failure. This suggest that clinicians need to put more emphasis on translating knowledge into behavioural changes for self-care in this patient group.

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Numeracy, Health Literacy, Cognition, and 30-Day Readmissions among Patients with Heart Failure

Journal of Hospital Medicine ◽

10.12788/jhm.2932 ◽

2018 ◽

Cited By ~ 1

Author(s):

Madeline R Sterling ◽

Monika M. Safford ◽

Kathryn Goggins ◽

Sam K Nwosu ◽

Jonathan S. Schildcrout ◽

...

Keyword(s):

Heart Failure ◽

Health Literacy ◽

Patients With Heart Failure

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BIDIL: A RACE-TARGETED DRUG FOR BLACK AMERICAN’S ONLY

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i11.20022 ◽

2017 ◽

Vol 10 (11) ◽

pp. 11

Author(s):

Naveen Chandra Talniya

Keyword(s):

Heart Failure ◽

Racial Disparities ◽

Black Americans ◽

Vital Role ◽

Racial Group ◽

Racial Groups ◽

The Past ◽

Targeted Drug ◽

Racial Disparities In Health ◽

Targeted Medicine

It has been noted that pharma research toward race-targeted medicine and it criticism is going on simultaneously over the past few years. Some argued that drugs specifically target to cure particular racial groups could play a vital role against racial disparities in health. While others claimed that race-targeted medicine inappropriately treats race as a biological reason for racial disparities when broader social and environmental factors may offer better descriptions. Much of this debate includes the Food and Drug Administration’s approval of drug BiDil in 2005, which became the first drug to be marked for a specific racial group black Americans who suffers from heart failure (HF). This controversial drug was declared failed due to less attention of physician’s as well as its high cost in market. The highlighted part of this review is that besides much criticism still this drug prescribed by majority of physicians. Moreover, BiDil is not only one which is race specific but also there are more drugs which have been claimed to have different effects in different racial or ethnic groups.

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Health literacy and adherence to treatment of patients with heart failure

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2017039803447 ◽

2019 ◽

Vol 53 ◽

Cited By ~ 2

Author(s):

Monica Isabelle Lopes Oscalices ◽

Meiry Fernanda Pinto Okuno ◽

Maria Carolina Barbosa Teixeira Lopes ◽

Ruth Ester Assayag Batista ◽

Cassia Regina Vancini Campanharo

Keyword(s):

Heart Failure ◽

Medication Adherence ◽

Health Literacy ◽

White Women ◽

Patient Adherence ◽

Functional Health ◽

Cross Sectional ◽

Adherence To Medication ◽

Patients With Heart Failure ◽

Medical Questionnaire

ABSTRACT Objective: To relate the level of functional health literacy with adherence and barriers to non-adherence, rehospitalization, readmission and death in patients with heart failure. Method: A cross-sectional, analytical study with patients admitted to the emergency room with a diagnosis of heart failure. Literacy was assessed by the Newest Vital Sign. Patient adherence to medication treatment and barriers to non-compliance were assessed 90 days after discharge by the Morisky-Green test and the Brief Medical Questionnaire, respectively. Results: 100 patients participated in the study. The mean age was 63.3 years (± 15.2), with a predominance of white women. Medication adherence was low in 41.1% of participants, of which 55.9% presented inadequate literacy. Re-hospitalization and death were present in patients with inadequate literacy (p<0.001). Conclusion: The low level of literacy was directly related to lower adherence and the presence of barriers to medication adherence, as well as higher rehospitalization rates and death.

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