Low Health Literacy Is Associated with Worse Postoperative Outcomes Following Hepato-pancreato-Biliary Cancer Surgery
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Health literacy and e-health literacy, increasingly used to empower citizens, are crucial in the use of health services, as that can influence users in adopting preventive measures and making informed decisions in the management of their disease / health. In this study we assessed the knowledge, skills and perceived capacity in the use of electronic sources for the management of health problems, in older people. The results indicate that age is associated significantly with e-health literacy on a negative way (p<.01), and a predictive model of health e-literacy (F(3,54)=10.5; p<.01) explained 36.9% of e- health literacy (R2= .369). This study points to the need to maximize concerted strategies to promote health literacy and e-health literacy thus giving the elderly equal opportunities to make healthy choices to increase health and wellness, towards a healthy aging.
Health Literacy
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Cancer Treatment
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Health literacy plays a vital role in patients' understanding of their prescribed medication instructions. To inform strategies to assist providers in communicating in a manner that is easily understood by patients, it would be beneficial to determine the relationship between health literacy and the day-to-day aspects of medication adherence. This study identified: 1) differences of health literacy levels in medication adherence; 2) the association between health literacy and medication adherence; and 3) and factors associated with medication adherence score. A convenience sample of older predominantly African-American patients (N = 389), over the age of 60, completed a cross-sectional survey. Chi-square analysis assessed health literacy differences in five aspects of medication adherence. Ordinary linear regression analysis determined factors associated with medication adherence score. Patients with limited health literacy were more likely to forget to take their medications and more likely to take less medication than instructed than patients with adequate health literacy (χ2(5) = 15.91, p = .007, χ2(5) = 10.31, p = .036, respectively). REALM score was also significantly associated with medication adherence score (β= .016, p < .001, β = .009, p = .033), respectively). Findings suggest that providers seeking to improve medication adherence in older adults, particularly African-American patients, should focus communication on assessing health literacy levels prior to discussing medication instructions.
Health Literacy
Medication Adherence
Cross-sectional study
Association (psychology)
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Cancer surgery
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Introduction Health literacy is generally defined as the ability and motivation of individuals to access, understand and use basic health knowledge. Some studies showed that low health literacy is associated with longer average length of stay in hospital and less effective utilization of health care. Aim The purpose of this was to compare the health literacy levels of patients with Short Test of Functional Health Literacy in Adults (S‐TOFHLA), Rapid Estimate of Adult Literacy in Medicine (REALM) and 3‐Question Brief Health Literacy Screen (BHLS). Method In this study, individuals who were hospitalized comprised of 103 (42.9%) men and 137 (57.1%) women patients, ranged from 18 to 64 years (44.9±13.75 years). In this study, S‐TOFHLA, REALM and BHLS were used to determine patients' health literacy. Questions on socio‐demographic characteristics were also included. Results A total of 240 patients were recruited for the study. On the S‐TOFHLA, 65% of the patients had adequate health literacy. On the REALM, 50.4% of patients were able to read most of the patient education materials. According to BHLS 57.9 % of the patients were categorized as adequate health literacy. It was found that having lower education levels was more common among patients with lower health literacy compared with higher health literacy levels measured with BHLS (p<0.05), REALM (p<0.05) and S‐TOFHLA (p<0.05). There was a correlation between BHLS, REALM and S‐TOFHLA results (p=0.00). Conclusion This is the first study that measures the health literacy levels of hospitalized patients with different health literacy tools. There was a linear relationship between the number of hospitalizations and the health literacy levels. According to our results BHLS provide consistent health literacy levels of hospitalized patients when we compare with S‐TOFHLA and REALM. It can be concluded BHLS is a reliable health literacy instrument.
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Realm
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