Factors Associated With Health Literacy and Medication Adherence in an Urban Community

2019 ◽  
Vol 34 (9) ◽  
pp. 604-612
Author(s):  
Salome Bwayo Weaver ◽  
Mary Maneno ◽  
Prince Chijioke ◽  
Debbynie Barsh ◽  
Rachel Mayaka

OBJECTIVE: The primary objective of this study is to determine factors associated with health literacy and medication adherence in an urban community. DESIGN: A cross-sectional study was conducted to assess factors associated with health literacy and medication adherence. Participants were recruited from October 2012 to April 2013. SETTING: Ambulatory care clinic and senior wellness center. PARTICIPANTS: Participants were eligible if they were older than 18 years of age and had received care at the ambulatory clinic or obtained services at the senior wellness center. INTERVENTIONS: REALM survey and the Morisky 8-Item Medication Adherence Questionnaire. MAIN OUTCOME MEASURES: The two outcomes evaluated in this study were health literacy and medication adherence. RESULTS: A total of 51 participants were enrolled in the study. Twenty-seven (53%) of the participants were noted to be nonadherent to their medications. Twenty (74%) of these participants read below the high school level, and the remaining 7 (26%) read above a high school level. Study findings showed that both education level and comorbidities status were associated with health literacy. Participants who had a below high school education level had greater odds of having a below high school health literacy level (odds ratio [OR] = 7.500, 95% confidence interval [CI] 1.482-37.949). Participants who had two or more comorbidities had greater odds of having a below high school health literacy level (OR = 24.889, 95% CI 2.698-229.610). CONCLUSION: Our study results found associations between both comorbidities and education with health literacy.

2019 ◽  
Vol 34 (9) ◽  
pp. 604-612 ◽  
Author(s):  
Salome Bwayo Weaver ◽  
Mary Maneno ◽  
Prince Chijioke ◽  
Debbynie Barsh ◽  
Rachel Mayaka

OBJECTIVE: The primary objective of this study is to determine factors associated with health literacy and medication adherence in an urban community. DESIGN: A cross-sectional study was conducted to assess factors associated with health literacy and medication adherence. Participants were recruited from October 2012 to April 2013. SETTING: Ambulatory care clinic and senior wellness center. PARTICIPANTS: Participants were eligible if they were older than 18 years of age and had received care at the ambulatory clinic or obtained services at the senior wellness center. INTERVENTIONS: REALM survey and the Morisky 8-Item Medication Adherence Questionnaire. MAIN OUTCOME MEASURES: The two outcomes evaluated in this study were health literacy and medication adherence. RESULTS: A total of 51 participants were enrolled in the study. Twenty-seven (53%) of the participants were noted to be nonadherent to their medications. Twenty (74%) of these participants read below the high school level, and the remaining 7 (26%) read above a high school level. Study findings showed that both education level and comorbidities status were associated with health literacy. Participants who had a below high school education level had greater odds of having a below high school health literacy level (odds ratio [OR] = 7.500, 95% confidence interval [CI] 1.482-37.949). Participants who had two or more comorbidities had greater odds of having a below high school health literacy level (OR = 24.889, 95% CI 2.698-229.610). CONCLUSION: Our study results found associations between both comorbidities and education with health literacy.


2016 ◽  
Vol 150 (1) ◽  
pp. 52-59 ◽  
Author(s):  
Régis Vaillancourt ◽  
Yen Truong ◽  
Shazya Karmali ◽  
Amanda Kraft ◽  
Selina Manji ◽  
...  

Background: Medications that taste unpleasant can be a struggle to administer to children, most often resulting in low adherence rates. Pictograms can be useful tools to improve adherence by conveying information to patients in a way that they will understand. Methods: One-on-one structured interviews were conducted with parents/guardians and with children between the ages of 9 and 17 years at a pediatric hospital. The questionnaire evaluated the comprehension of 12 pictogram sets that described how to mask the taste of medications for children. Pictograms understood by >85% of participants were considered validated. Short-term recall was assessed by asking participants to recall the meaning of each pictogram set. Results: There were 51 participants in the study—26 (51%) were children aged 9 to 17 years and 25 (49%) were parents or guardians. Most children (54%) had health literacy levels of grade 10 or higher. Most parents and guardians (92%) had at least a high school health literacy level. Six of the 12 pictogram sets (50%) were validated. Eleven of 12 pictogram sets (92%) had a median translucency score greater than 5. All 12 pictogram sets (100%) were correctly identified at short-term recall and were therefore validated. Conclusion: The addition of validated illustrations to pharmaceutical labels can be useful to instruct on how to mask the taste of medication in certain populations. Further studies are needed to assess the clinical impact of providing illustrated information to populations with low health literacy.


2018 ◽  
Vol 52 (3) ◽  
Author(s):  
Hygeia Grace C. Agosto ◽  
Marla Vina A. Briones ◽  
Maylin C. Palatino

Objective. A number of studies worldwide have shown that health literacy is vital in the improvement of health status of individuals as well as in the effective implementation of health programs. In the Philippines, however, data regarding the level of health literacy among Filipino adults are yet to be gathered. This study then aimed to describe the health literacy level and to determine the correlates of health literacy among Filipino adults aged 50 to 70 years old belonging to the lower socioeconomic class in a selected community. Methods. An analytical cross-sectional study was conducted, utilizing data from the study of Briones, M. et. al in 2015, among selected Filipino adults in a barangay in Pasig City. Results. Ninety-four percent of the study participants had problematic/inadequate health literacy level. The factors found to be statistically associated with having problematic / inadequate health literacy were having at most high school level education, and not being able to visit a medical doctor in the past 12 months. Nonetheless, being self-employed made an individual less likely to have a problematic/inadequate health literacy. Conclusions. There was a high proportion of individuals who had problematic/inadequate health literacy among 50 to 70 years old in the study area. Socio-economic characteristics such as educational attainment and healthcare access were shown to be associated with an individual’s level of health literacy. Despite the extensive health information available to the public, the level of health literacy still remained to be poor. This indicates that there is a need to evaluate if said information are easily accessed, understood, appraised and applied by individuals to make sound health decisions.


2012 ◽  
Vol 87 (2) ◽  
pp. 160-164 ◽  
Author(s):  
Kelly W. Muir ◽  
Alice Ventura ◽  
Sandra S. Stinnett ◽  
Abraham Enfiedjian ◽  
R. Rand Allingham ◽  
...  

Author(s):  
Neşe Algan ◽  
Başak Gül Aktakas ◽  
İpek Tekin

The present study aims to investigate the relationship between corruption and economic growth by taking the driving force of education into account. A significant contribution of the education level to the reduction process of corruption is expected to occur. For this reason, the number of those who are convicted of corruption offenses depending on their educational status for Turkey are to be taken into account, whereas the effect of education being a separate variable on growth and corruption will not be considered. In this regard, Vector Error Correction (VECM) model will be used as a method for the years between 1980-2011 and the relationship between corruption and economic growth will be analyzed. The contribution of the study to the literature is to reveal the impact of those who cause corruption depending on their education level on growth by undertaking the education levels separately. According to the empirical findings, considering corruption convicts who are literate but not graduated from a school and those having graduated from primary and secondary education, it was observed that corruption affects growth in a negative way. In contrast, given the corruption crimes which were committed by the graduates of both high school and vocational school at high school level and higher education, it was determined that there is a positive relationship between corruption and economic growth.


2018 ◽  
Vol 9 (1) ◽  
pp. 12
Author(s):  
Nana Novariana ◽  
Nur Sefa Arief Hermawan

<p>School Health Effort Programs held at all levels of education. The purpose of School Health Efforts was to improve the quality of education and learning achievement of learners by improving the behavior of clean and healthy life and health status and create a healthy environment, thus allowing harmonious growth and optimum development in the framework of human formation in Indonesia as a whole. The purpose of this research was to analyze more deeply about the management of Trias School Health Efforts (UKS) at Junior High School level in Bandar Lampung City in 2017. This research was a qualitative research type with descriptive analysis research design with phenomenology approach. The study was conducted from March to April 2017 at the Junior High School level in Bandar Lampung city, the Office of the Ministry of Religious Affairs of Bandar Lampung City, the Bandar Lampung City Health Office, and the Education Office of Bandar Lampung City. With informants, 31 informants from headmasters, UKS teachers, and UKS officers, and staff organizing UKS at Health Office, Education Office, and Ministry of Religious Affairs. The conclusion of the research result was that in general tries of UKS in junior high school level as Bandar Lampung City has been running quite well, both in terms of health education, health service, and healthy environment coaching. It was just that in each of the triads still need more and more coaching. As well as from the Community Health Centres can further channel the new sciences that have been obtained for more fostering schools that exist within the target area.</p>


2020 ◽  
Author(s):  
Mudyawati Kamaruddin ◽  
Sitti Usmia

In general, women who are pregnant are afraid of facing labor because of pain that can cause fear and anxiety, this can cause physical tension which results in stiff muscles and joints that are not natural, so it is necessary to do pregnancy exercises. Pregnancy exercise is one of the physical exercises in the form of certain movements that support the ease of childbirth and is done specifically to improve the health of pregnant women. This study was conducted to determine the description of knowledge and attitudes of third trimester pregnant women about pregnancy exercise. This study was conducted on 42 samples of third trimester pregnant women in Tanete Health Center, Bulukumba with a sampling technique in the form of accidental sampling, namely sampling based on the fact that respondents happened to appear. Data collection in the form of a questionnaire to determine the knowledge and attitudes of respondents about pregnancy exercise by analyzing the level of education of each respondent. The results showed there was a significant relationship between the level of education with the knowledge of pregnant women towards pregnancy exercise with p value = 0.00. While the level of education and attitude of pregnant women towards pregnancy exercise there is no relationship p value of 0.824. Of the 45 pregnant women studied who had good knowledge of pregnancy exercises by 26.2%, namely with a high school education level, although the knowledge of pregnancy exercise was also distributed to sufficient knowledge which amounted to 28.6% with a junior secondary education level and 11 , 9% with a high school level. The level of education can affect the attitude of pregnant women in expressing themselves in a positive attitude towards pregnancy exercise, although from further tests there is no significant relationship between the two.


2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Vina Putri Patandung ◽  
Kusrini Kadar ◽  
Kadek Ayu Erika

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic disease with high level of complexity that requires extensive education and self-care management. The demands on individuals with T2DM are complicated by the fact that self-care often depends on printed educational materials and high health literacy skills. Every individual who needs health information and services also needs health literacy skills to find health information and services, communicating needs, respond to and using the information and obtaining health services, understanding health information, and finding realible health information and services to suit all needs, making the right decision to act. This study aims to determine the level of functional, communicative, and critical health literacy of T2DM patients at Pangolombian and Kakaskasen Public Health Centre of Tomohon City, as well as factors related to the level of health literacy. Method: Quantitative descriptive to describe the level of health literacy and correlation to see factors related to the patient's health literacy level. The sample of this study was a patient of T2DM who followed prolanis, amounted to 34 people, determined by using purposive sampling. Data were obtained by interview and using demographic characteristics questionnaire and Functional, Communicative, and Critical Health Literacy questionnaires. Result: Generally, health literacy level of T2DM patients is still low both for functional, communicative, and critical. This can happen because of various factors but the most related is the low access to health information and patient education level. Conclusion: The results of this study showed that health literacy level of T2DM patient in Tomohon city is still very low. This happened because access to health information is still less obtained by patients and also their education level is still low. These results can be used as recommendations for health workers to pay more attention to how to educate patients who should be adjusted to the level of education so that the information provided can be put to good use by the patient.


2021 ◽  
Vol 9 ◽  
Author(s):  
Pálma Szabó ◽  
Éva Bíró ◽  
Karolina Kósa

Background: Health literacy, a recently determined construct plays an important role in how individuals are able to manage their health. A useful approach for the assessment of health literacy is to measure the comprehension of available patient education materials (PEMs).Objective: We aimed at assessing the usefulness of PEMS available in Hungarian by testing comprehension of selected PEMs in different groups of users.Methods: Comprehension of patient education materials in the domain of healthcare was tested by selecting PEMs and creating questions based on their text in 3 dimensions of health literacy: understand, process/appraise, apply/use. Twenty questions were created that could be answered without pre-existing knowledge by reading the appropriate text taken from PEMs. Comprehension was examined in four groups: laypersons, non-professional healthcare workers, 1st year healthcare students, and 5th year medical students. Readability indices were calculated for the same texts to which questions were created.Results: Laypersons answered &lt;50% of the PEMs-based questions correctly. Non-professional healthcare workers performed better with 57% of right answers but significantly worse than healthcare students or medical students. Those with at least high school qualification (maturity exam) showed significantly higher comprehension compared to those with lower educational attainment. Persons in good or very good health also had significantly better comprehension than those in less favorable health. All readability indices showed that comprehension of the tested PEMs required at least 10 years of schooling or more. Therefore, these PEMS are difficult to understand for persons with less than high school level of education.Conclusion: Rephrasing of the investigated patient educational materials would be recommended so that they better fit the educational attainment of the Hungarian population. Evaluation of the readability and comprehensibility of other PEMs also seems warranted.


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