scholarly journals Does Depression and Anxiety Mediate the Relation between Limited Health Literacy and Diet Non-Adherence?

2020 ◽  
Vol 17 (21) ◽  
pp. 7913
Author(s):  
Ivana Skoumalova ◽  
Andrea Madarasova Geckova ◽  
Jaroslav Rosenberger ◽  
Maria Majernikova ◽  
Peter Kolarcik ◽  
...  
Keyword(s):  
Health Literacy ◽  
Hierarchical Cluster ◽  
Cross Sectional Study ◽  
Self Management ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Limited Health Literacy ◽  
Gender And Education ◽  
Limited Health

Limited health literacy (HL), depression and anxiety are common in dialyzed patients and affect health outcomes and self-management. We explored whether depression and anxiety mediate the association of HL with diet non-adherence (DN-A) in dialyzed patients. We performed a cross-sectional study in 20 dialysis clinics in Slovakia (n = 452; mean age: 63.6 years; males: 60.7%). Hierarchical cluster analysis was performed to create three HL groups. Logistic regression adjusted for age, gender and education was used to explore whether depression and anxiety mediate the association of HL with DN-A. Patients in the moderate HL group were more likely to be non-adherent to diet (OR (Odds Ratio)/95% CI: 2.19/1.21–3.99) than patients in the high HL group. Patients in the low HL and moderate HL group more likely reported depression or anxiety. Patients reporting depression (OR/95% CI: 1.94/1.26–2.98) or anxiety (OR/95% CI: 1.81/1.22–2.69) were more likely to be non-adherent with diet. Adjustment for depression reduced the association between moderate HL and DN-A by 19.5%. Adjustment for anxiety reduced the association between moderate HL and DN-A by 11.8%. Anxiety and depression partly mediated the association of HL with DN-A. More attention should be paid to treating patients’ psychological distress to ensure adequate adherence with recommended diet.

scholarly journals Health literacy levels and its determinants among people with asthma in Malaysian primary healthcare settings: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
H. Salim ◽  
S. Shariff Ghazali ◽  
P. Y. Lee ◽  
A. T. Cheong ◽  
N. H. Harrun ◽  
...  
Keyword(s):  
Health Literacy ◽  
Action Plan ◽  
Cross Sectional Study ◽  
Self Management ◽  
Cross Sectional ◽  
Limited Health Literacy ◽  
Healthcare Settings ◽  
History Of ◽  
Limited Health ◽  
Asthma Action Plan

Abstract Background Limited health literacy among people with asthma is associated with poor adherence to self-management activities, thus poor clinical outcomes. This study aimed to determine the prevalence of health literacy level and its determinants among people with asthma in the Malaysian primary healthcare settings. Method A cross-sectional study was conducted among participants aged > 18 years with asthma who attended five primary health clinics in Malaysia. Systematic random sampling was employed with a final sample of 550 participants. The questionnaires included the validated Malay version of Health Literacy Scale (HLS) and asthma control questionnaire (ACQ). Statistical analysis was done using SPSS version 25. Multiple logistic regression was performed to determine the determinants for limited health literacy. Results The participants mean age of the participants was 48 (SD15.4) years. Most of the participants were women (64%) and of Malay ethnicity (51.1%). Nearly half had a secondary level of education, n = 112, (45.8%). Mean duration of asthma diagnosis is 20.6 (SD 15.9) years. More than half (62.5%) had a family history of asthma. About half (50.9%) had uncontrolled asthma, with 87.3% self-rated themselves as having controlled asthma. About a third (29.1%) received education on of asthma action plan, but only 7.1% of these owned a written version an asthma action plan. Limited health literacy accounts for 60.5% of the participants. The significant determinants for limited health literacy included lower educational attainment (p < 0.001), family history of asthma (p = 0.034), < 20 years duration of asthma diagnosis (p = 0.031) and not receiving asthma action plan education (p < 0.001). Conclusion In this study population, more than half of the people living with asthma were found to have limited health literacy, which was associated with not having received self-management education supported by an asthma action plan. Future interventions should include strategies that ensure they meet the needs of people with limited health literacy.

scholarly journals Health literacy index in relation to drug information received from pharmacists

2021 ◽  
Vol 41 ◽  
pp. 03001
Author(s):  
Niken Nur Widyakusuma ◽  
Chairun Wiedyaningsih ◽  
Bella Hazana ◽  
Shirrin Shafira Azzahra ◽  
Triyani Dinityaswati ◽  
...  
Keyword(s):  
Health Literacy ◽  
Drug Information ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Potential Health ◽  
Limited Health Literacy ◽  
Literacy Survey ◽  
Limited Health ◽  
Yogyakarta City

Despite the significance of health literacy to health outcomes, there remains limited data on it in Indonesia, or whether drug information services provided by pharmacists can improve patients’ health literacy. This study aimed to measure the health literacy indices of health care visitors in Yogyakarta, Indonesia, and to identify whether the amount of drug information received from pharmacists, among other factors, is a determinant of health literacy. The research was a cross-sectional study using the Health Literacy Survey-Europe-Asia-Questionnaire (HLS-EU-Asia-Q) that was distributed to 400 respondents in pharmacies, hospitals, and primary health centres in Yogyakarta City. The relationships between respondents’ characteristics, including the amount of drug information received from pharmacists, and their health literacy index were analysed using Chi Square. Results: As many as 67.3 % of respondents had limited health literacy index scores. There was evidence that the scores were relative to the amount of drug information they had received from pharmacists (p ≤ 0.05). This study complements health literacy index data in Yogyakarta City, Indonesia, and provides evidence of potential health literacy determinants.

scholarly journals Prevalence of limited health literacy and its associated factors in patients with type 2 diabetes mellitus in Perak, Malaysia: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e039864
Author(s):  
Adina Abdullah ◽  
Chirk Jenn Ng ◽  
Su May Liew ◽  
Subashini Ambigapathy ◽  
Paranthaman V ◽  
...  
Keyword(s):  
Social Support ◽  
Health Literacy ◽  
Perceived Social Support ◽  
Diabetes Education ◽  
Cross Sectional Study ◽  
Diabetes Knowledge ◽  
Language Fluency ◽  
Cross Sectional ◽  
Limited Health Literacy ◽  
Limited Health

ObjectiveLimited health literacy in patients with type 2 diabetes mellitus (T2DM) led to poorer diabetes knowledge, less medication adherence and increased healthcare cost. The purpose of this paper was to report the prevalence of limited health literacy in patients with T2DM and to identify factors that are associated with it.DesignA cross-sectional study was conducted from January to March 2018; data on patients’ sociodemographic characteristics, diabetes knowledge, perceived social support and health literacy level were collected. Health literacy level was measured using the European Health Literacy Survey Questionnaire (HLS-EU-Q47).SettingPatients were recruited from four primary care clinics in Perak, Malaysia.ParticipantsAdult patients diagnosed with T2DM who attended the study clinics during the study period.Primary outcome variablePatients with HLS-EU-Q47 General Index of ≤33 points were classified as having limited health literacy.ResultsThe prevalence of limited health literacy was 65.3% (n=279). In bivariate analysis, patients’ ethnicity (p=0.04), highest education level (p<0.001), monthly income (p=0.003), having health insurance (p=0.007), English language fluency (p<0.001), Malay language fluency (p=0.021), attending diabetes education sessions (p<0.001), perceived social support (p<0.001) and diabetes knowledge (p=0.019) were factors associated with limited health literacy. In logistic regression, not being fluent in English was associated with limited health literacy (OR=2.36, 95% CI 1.30 to 4.30) whereas having high perceived social support (OR=0.52, 95% CI 0.40 to 0.69) and having attended diabetes education sessions (OR=0.42, 95% CI 0.27 to 0.68) were associated with adequate health literacy.ConclusionThe prevalence of limited health literacy is high among patients with T2DM in Perak, Malaysia. Strategies to improve health literacy in these patients must consider the influences of English fluency, attendance at diabetes education sessions and social support, and may need to adopt a universal approach to addressing limited health literacy.

scholarly journals Limited health literacy increases the risk of orthorexia nervosa among urban schoolteachers

2020 ◽  
Vol 39 (3) ◽  
pp. 162
Author(s):  
Gulay Yilmazel ◽  
Serpil Bozdogan
Keyword(s):  
Health Literacy ◽  
School Health ◽  
Binary Logistic Regression ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Orthorexia Nervosa ◽  
Cross Sectional ◽  
Black Sea Region ◽  
Limited Health Literacy ◽  
Limited Health

Background <br />Orthorexia nervosa (ON) describes a pathological obsession with proper nutrition that is characterized by a restrictive diet, ritualized patterns of eating, and rigid avoidance of foods believed to be unhealthy or impure. Limited health literacy may play a role in the onset and progression of orthorexia. The aim of this study was to determine the relationship between health literacy and ON among urban schoolteachers.<br /><br />Methods<br />This cross-sectional study was conducted in central Black Sea region of Turkey with 420 primary and secondary schoolteachers aged between 18 and 51 years. A questionnaire form including socio-demographic characteristics was used. The Orthorexia Nervosa Questionnaire (ORTO-15) was used to assess orthorexia nervosa behavior and the Turkey Health Literacy Scale (TSOY-32) to assess health literacy. Simple binary and multiple binary logistic regression analyses were carried out to verify the associations between the variables.<br /><br />Results<br />Of the study group 46.4% were in the 40-49 year age group, 53.8% were male, 78.6% had ON and 93.6% had limited health literacy. Nearly all of the orthorexics (96.4%) had limited health literacy. Female gender, Instagram use and limited health literacy was significantly associated with ON. Limited health literacy increases the risk of ON 4.85 times among teachers (aOR=4.85;95% C.I. : 2.15-10.94;p=0.000).<br /><br />Conclusion<br />The current findings suggest that limited health literacy is the strongest risk factor for ON among urban schoolteachers. School health literacy and social media literacy programs can open a new window into revealing ON.

scholarly journals Determining Health Literacy Level and Its Related Factors Among Pregnant Women Referred to Medical and Health Centers of Tehran in 2019: A Cross-sectional Study

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Safoura Taheri ◽  
Mahmoud Tavousi ◽  
Zohre Momenimovahed ◽  
Ashraf Direkvand-Moghadam ◽  
Nazanin Rezaei ◽  
...  
Keyword(s):  
Health Literacy ◽  
Pregnant Women ◽  
Health Information ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Related Factors ◽  
Cross Sectional ◽  
Limited Health Literacy ◽  
The Mean ◽  
Limited Health

Background: The ability to acquire, process, and understand health information to make informed decisions about health is defined as health literacy. A low level of health literacy disrupts women’s ability to understand and use health information in order to take appropriate and timely measures during pregnancy. Objectives: Due to the importance of health literacy during pregnancy and its direct impact on fetal health, this study was conducted to determine the level of health literacy and its related items among the pregnant women referred to medical and health centers in Tehran. Methods: This descriptive-analytical study was conducted on 270 pregnant women referred to the medical and health centers of Tehran in 2019. The participants in this study were selected by the mixed sampling method (cluster and random methods to select health centers and the convenience method to select participants). Data collection tools included a questionnaire for demographic and midwifery characteristics and a specialized questionnaire for maternal health literacy in pregnancy (MHELIP). Data analysis was performed by SPSS-19 software. Results: The mean age of the participants was 28.16 ± 5.70 years, and the mean gestational age was 24.50 ± 9.25 weeks. The mean score of health literacy among pregnant women was 63.14 ± 9.63, and 48.9% of them had limited (inadequate and insufficient) health literacy. The results showed positive correlations between the total score of health literacy and the demographic variables of age (P = 0.025), education (P = 0.003), and income (0.008), but no significant relationship was found between the mean total score of health literacy and employment status (P = 0.614) or parity (P = 0.614). Conclusions: It was found that limited health literacy had a high prevalence among pregnant women. Given the importance of pregnancy, it seems necessary for healthcare policymakers to design programs to promote women’s health literacy during pregnancy.

scholarly journals Assessment of Written Patient Information Pertaining to Cirrhosis and Its Complications: A Pilot Study

2019 ◽  
Vol 7 (4) ◽  
pp. 499-506
Author(s):  
Lea Ladegaard Grønkjær ◽  
Kirsten Berg ◽  
Rikke Søndergaard ◽  
Majbritt Møller
Keyword(s):  
Health Literacy ◽  
Patient Information ◽  
Information Quality ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Mixed Methods Design ◽  
Cross Sectional ◽  
Limited Health Literacy ◽  
Limited Health ◽  
Made In

Background: Written patient information may play an important role in the compliance of the cirrhosis disease, but little is known on the quality and patients’ understanding of them. Objectives: To assess the written patient information leaflet pertaining to cirrhosis and its complications. Methods: The Baker Able Leaflet Design (BALD) criteria and the Ensuring Quality Information for Patients (EQIP) questionnaire were applied to assess design, layout characteristics, and information quality. Readability was calculated using the Læsbarhedsindex (LIX) and the Simple Measure of Gobbledygook (SMOG). A cross-sectional study with a mixed methods design was carried out, using a questionnaire consisting of closed- and open-ended questions. Results: The BALD score was 24 and the EQIP score 70%. The LIX score was 46 and the SMOG score 15.8. Sixteen phrases from the leaflet were selected to explore patients’ understanding. Four phrases were understood by 100% of the patients, 6 phrases by more than 50% of the patients, and 6 phrases were understood by less than 50% of the patients. The meaning condensation showed that knowledge and understanding of cirrhosis and its complications were not enhanced by the availability of the leaflet. Conclusion: The leaflet had a good design, layout, and information quality but was difficult to read. Patients appeared to relate poorly to the leaflet and demonstrated limited health literacy. These results suggest that an assessment of written patient information ought to be made in an effort to improve readability. Further studies on intervention to improve patients’ health literacy are recommended.

P1498ASSOCIATIONS OF HEALTH LITERACY WITH DEPRESSION AND ANXIETY IN DIALYSED PATIENTS IN SLOVAKIA

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Ivana Skoumalová ◽  
Jaroslav Rosenberger ◽  
Andrea Madarasova Geckova
Keyword(s):  
Health Literacy ◽  
Demographic Data ◽  
Healthcare Providers ◽  
Emotional Problems ◽  
Hierarchical Cluster ◽  
Good Health ◽  
Cross Sectional Study ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
And Gender

Abstract Background and Aims Depression and anxiety is common in dialysed patients (Ng et al., 2015; de Brito et al., 2019) and associated with decreased quality of life, worse health outcomes and increased mortality (Schouten et al., 2019, Lopes at al., 2002). Health literacy (HL) as the ability to gain access, understand, and use information to promote and maintain good health (WHO, 1998) may be hampered by emotional problems such as depression and anxiety. The aim of our study is to examine the association of HL with depression and anxiety in dialysed patients in Slovakia. Method Cross-sectional study on 542 dialysed patients (mean age = 63.6, males = 60.7%) was conducted in 20 dialysis clinics in Slovakia from January to November 2018. Socio-demographic data, data on 9 domains of HL and data on depression and anxiety were collected by questionnaires. Hierarchical cluster analysis was used to create three clusters of patients (low, moderate, high HL). Depression and anxiety was dichotomized as 0-no/low symptoms and 1-moderate/severe symptoms. Association of HL clusters with depression and anxiety was analysed using logistic regression adjusted for age and gender. Results We found that patients in low HL cluster and moderate HL cluster were more likely to have moderate/severe symptoms of depression and anxiety than patients in high HL cluster. Odds ratio (OR) for depression for low HL cluster: 7.60; 95% Confidence Interval (CI): 2.88 – 20.06; p&lt;0.000 and for moderate HL cluster: OR: 4.85; 95% CI: 1.87 – 12.56; p&lt;0.001. OR for anxiety for low HL cluster: 3.14; 95% CI:1.55 – 6.35; p&lt;0.001 and for moderate HL cluster: OR 2.16;95% CI: 1.10 – 4.24; p&lt;0.05. Conclusion Patients with lower levels of HL suffer from anxiety and depression more than patients with higher levels of HL. These findings point to the need of regular screening of emotional problems such as depression and anxiety and their treatment as they may hamper capacities of dialysed patients for self-management as well as effective treatment of the disease from the perspective of healthcare providers.

scholarly journals A Cross-Sectional Study to Evaluate the Effects of Age and Duration of HIV Infection on Anxiety and Depression in Cisgender Men

2021 ◽  
Author(s):  
Sara Gianella ◽  
Rowan Saloner ◽  
Genevieve Curtin ◽  
Susan J. Little ◽  
Anne Heaton ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Small Sample Size ◽  
Cross Sectional Study ◽  
Small Sample ◽  
Self Report ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Results

AbstractThis observational cross-sectional study of 152 people with HIV (PWH) examined the effects of age and estimated duration of HIV infection (EDI) on depressive and anxiety symptoms. All participants were cisgender men and completed the Profile of Moods State (POMS), a self-report inventory of current (i.e., past week) mood states. Overall, study results confirmed higher levels of anxiety and depression in PWH compared to individuals without HIV. Age group (< 50 or ≥ 50 years) moderated the effect of EDI (< 3 or ≥ 3 years) on mood disturbance. Specifically, younger PWH with early diagnosed infection exhibited the highest levels of depression and anxiety, whereas depression and anxiety were attenuated in older PWH with early infection such that their POMS scores did not significantly differ from the HIV-negative and chronically HIV-infected groups. Despite the small sample size and other important limitations in our study design, our preliminary findings confirm previous observations that older people may have some adaptive ability to better handle the acute psychological stressors associated with recent HIV infection.

scholarly journals Prevalence of Depression and Anxiety amongst Cancer Patients in a Hospital Setting: A Cross-Sectional Study

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Anish Khalil ◽  
Muhammad Faheem ◽  
Ammad Fahim ◽  
Haran Innocent ◽  
Zainab Mansoor ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Mental Wellbeing ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional

Background. The biomedical care for cancer has not been complemented by psychosocial progressions in cancer care.Objectives. To find the prevalence of anxiety and depression amongst cancer patients in a hospital setting.Design and Setting. This cross-sectional study was conducted at the tertiary care hospitals Shifa International Hospital Islamabad and Nuclear Medicine, Oncology, and Radiotherapy Institute [NORI].Patients and Methods. 300 patients were interviewed from both the outpatient and inpatient department using The Aga Khan University Anxiety and Depression Scale (AKUADS).Main Outcome Measures. Using a score of 20 and above on the AKUADS, 146 (48.7%) patients were suffering from anxiety and depression.Results. When cross tabulation was done between different factors and the cancer patients with anxiety and depression, the following factors were found out to be significant with associatedpvalue < 0.05: education of the patient, presence of cancer in the family, the severity of pain, and the patient’s awareness of his anxiety and depression. Out of 143 (47.7%) uneducated patients, 85 (59.4%) were depressed, hence making it the highest educational category suffering from depression and anxiety.Conclusion. The prevalence of anxiety and depression amongst cancer patients was high showing that importance should be given to screening and counseling cancer patients for anxiety and depression, to help them cope with cancer as a disease and its impact on their mental wellbeing.Limitations. The frequency of female patients in our research was higher than those of male patients.

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