scholarly journals The Prevalence of Limited Health Literacy and Its Associated Factors among Elderly Patients Attending an Urban Academic Primary Care Clinic in Malaysia

2021 ◽  
Vol 18 (17) ◽  
pp. 9044
Author(s):  
Siti Nur Hidayah Abd-Rahim ◽  
Mohamed-Syarif Mohamed-Yassin ◽  
Suraya Abdul-Razak ◽  
Mohamad Rodi Isa ◽  
Noorhida Baharudin
Keyword(s):  
Primary Care ◽  
Health Literacy ◽  
Elderly Patients ◽  
Associated Factors ◽  
Medical Information ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Limited Health Literacy ◽  
Academic Primary Care ◽  
Limited Health

Limited health literacy (HL) is linked to many negative health outcomes, including poor self-management of chronic diseases and medication adherence among patients. There are a lack of data regarding HL in the elderly population in Malaysia. This study aimed to determine the prevalence of limited HL levels and its associated factors among elderly patients in an urban academic primary care clinic in Selangor, Malaysia. A cross-sectional study was conducted among 413 elderly patients (≥60 years old) who attended this academic primary care clinic between January 2020 and January 2021. Sociodemographic data, clinical characteristics, and health literacy scores were collected. Descriptive statistics (median with interquartile ranges (IQR), frequency, and percentages) and multiple logistic regression were utilized. The prevalence of limited HL in our population was 19.1% (95% CI: 15.3, 23). The middle-old (70–79 years) and very-old (≥80 years) age groups were more likely to have limited HL (aOR 4.05; 95% CI: 2.19, 7.52 and aOR 4.36; 95% CI: 1.02, 18.63, respectively). Those with at least secondary school education (aOR 0.06; 95% CI: 0.02, 0.24) and those who found medical information via the internet/television (aOR 0.21; 95% CI: 0.05, 0.93) had lower odds of having limited HL. In conclusion, having limited HL levels was not common among elderly patients in this primary care clinic. Further studies involving rural and larger primary care clinics in Malaysia are required to support these findings.

scholarly journals Associated Factors of Chronic Kidney Disease among Hyponatraemic Elderly Patients Attending a Primary Care Clinic

2018 ◽  
Author(s):  
Chai Li Tay
Keyword(s):  
Primary Care ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Elderly Patients ◽  
Associated Factors ◽  
Demographic Data ◽  
Primary Care Clinic ◽  
Loop Diuretics ◽  
Care Clinic ◽  
End Stage

Introduction: Chronic kidney disease (CKD) emerges to be an important geriatric health issue. It may progress to end stage renal failure and affect the quality of life. However, little is known about the associated factors of CKD. So this study aimed to determine the associated factors of CKD among hyponatraemic elderly. Methods: This is a retrospective study of hyponatraemic patients aged ≥ 60 years attending outpatient clinic in 2014. Blood test results of glucose, potassium, creatinine, medical history, blood pressure, medication and demographic  data were  captured from patient records. Each patient’s estimated glomerular filtration rate (eGFR) was calculated using the CKD-EPI Creatinine Equation. CKD is defined as eGFR of < 60 ml/min/1.73m2. SPSS 21 was used to do the analysis. Results: Totally 257 patients with mean age of 72.9 ± 7.3 years were enrolled in this study. Of them 73 (28.4 %) elderly had CKD. The mean eGFR was 72.62 ± 24.14 ml/min/1.73m2, mean BP was (135.75 ± 18/10) mmHg. Of the participants, 134 (52.1 %) were men, 151 (58.8 %) were diabetics, 247 (96.1 %) had hypertension. The independent associated factors of CKD were increasing age (OR 1.08; 95 % CI 1.03-1.13; p = 0.002), hyperglycaemia (OR 1.10; 95 % CI 1.02-1.18; p = 0.017) and the use of loop diuretics (OR 5.15; 95 % CI 1.52-17.38; p = 0.008). Conclusion: Hyperglycaemia and loop diuretics usage are found to be significantly associated with CKD among elderly patients attending a primary care clinic. Hence every effort should be made to optimise glucose control and cautious in the usage of loop diuretics to retard the decline in renal function.

scholarly journals Readability assessment of patient-provider electronic messages in a primary care setting

2015 ◽  
Vol 23 (1) ◽  
pp. 202-206 ◽  
Author(s):  
Jacob B Mirsky ◽  
Lina Tieu ◽  
Courtney Lyles ◽  
Urmimala Sarkar
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Safety Net ◽  
Reading Level ◽  
Care Clinic ◽  
Limited Health Literacy ◽  
Grade Levels ◽  
High Prevalence ◽  
Limited Health ◽  
Electronic Messaging

Abstract Background The high prevalence of limited health literacy among patients threatens the success of secure electronic messaging between patients from diverse populations and their providers. Objective The purpose of this study is to generate hypotheses about the readability of patient and provider electronic messages. Methods We collected 31 patient-provider e-mail exchanges ( n = 119 total messages) from a safety-net primary care clinic. We compared the messages’ mean word count and Flesch-Kincaid Grade Levels (FKGLs), calculated the frequency of provider messages below an FKGL = 8, and assessed readability concordance between patients’ and providers’ messages. Results Patients used more words in their initial e-mails compared to providers, but the FKGLs were similar, and 68% of provider messages were written below an FKGL = 8. Of 31 exchanges, 9 (29%) contained at least one patient message with an FKGL &gt; 3 grade levels lower than the corresponding provider message(s). Conclusion Our study demonstrates that most providers are able to respond to patient electronic messages with a matching reading level.

Perspectives of Caregivers Experiencing Persistent Food Insecurity at an Academic Primary Care Clinic

2021 ◽  
Author(s):  
Ingrid L. Tablazon ◽  
Deepak Palakshappa ◽  
Faith C OBrian ◽  
Brenda Ramirez ◽  
Joseph A. Skelton ◽  
...  
Keyword(s):  
Primary Care ◽  
Food Insecurity ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Academic Primary Care

scholarly journals Morbidity pattern amongst elderly patients presenting at a primary care clinic in Nigeria

2011 ◽  
Vol 3 (1) ◽  
Author(s):  
Lawrence A. Adebusoye ◽  
Modupe M. Ladipo ◽  
Eme T. Owoaje ◽  
Adetola M. Ogunbode
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Primary Care Clinic ◽  
Care Clinic

Assessing outcomes of educational videos in group visits for patients with chronic pain at an academic primary care clinic

2017 ◽  
Vol 129 (5) ◽  
pp. 524-530
Author(s):  
Carrie N. Vogler ◽  
Stacy Sattovia ◽  
Laura Y. Salazar ◽  
Tiffany I. Leung ◽  
Albert Botchway
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Group Visits ◽  
Educational Videos ◽  
Academic Primary Care

Direct-to-Consumer Marketing of Osteoporosis Drugs and Bone Densitometry

2003 ◽  
Vol 37 (7-8) ◽  
pp. 976-981 ◽  
Author(s):  
Matthew F Hollon ◽  
Eric B Larson ◽  
Thomas D Koepsell ◽  
Ann E Downer
Keyword(s):  
Primary Care ◽  
Bone Densitometry ◽  
Pap Smear ◽  
Strong Association ◽  
Primary Care Clinic ◽  
Screening Tests ◽  
Care Clinic ◽  
Direct To Consumer ◽  
Academic Primary Care ◽  
Consumer Marketing

OBJECTIVE: To determine whether there is an association between a woman's exposure to direct-to-consumer (DTC) advertisements for 2 osteoporosis drugs and presentation for bone densitometry. METHODS: A matched case–control study was conducted between October and December 1998 at an academic primary care clinic in Seattle, WA. Seventeen women from the study population (aged ≥18 y, seen in the previous 2 y at the academic primary care clinic) presented for bone densitometry. All 51 women completed a self-administered questionnaire. RESULTS: Women familiar with 1 of 2 osteoporosis drugs due to exposure to advertisements had 9 times the odds of densitometry (unadjusted OR 9.3, 95% CI 1.0 to 86). Multivariate analysis, including confounders such as education level and whether a woman had previously had 3 screening tests (mammography, Pap smear, serum cholesterol), revealed a significant and strong association between exposure to advertisements and densitometry (adjusted OR 29, 95% CI 1.6 to 511). CONCLUSIONS: DTC marketing may increase health services utilization. Further independent evaluation of DTC marketing based on available observational evidence is feasible and warranted.

Sign in / Sign up

Export Citation Format

Share Document