Health literacy in heart transplantation: Prevalence, correlates and associations with health behaviors-Findings from the international BRIGHT study.
- Cajita MI School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
- Denhaerynck K Institute of Nursing Science, Department of Public Health, University of Basel, Basel, Switzerland.
- Dobbels F Academic Center for Nursing and Midwifery, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
- Berben L Institute of Nursing Science, Department of Public Health, University of Basel, Basel, Switzerland.
- Russell CL School of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, Missouri, USA.
- Davidson PM School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
- De Geest S Institute of Nursing Science, Department of Public Health, University of Basel, Basel, Switzerland; Academic Center for Nursing and Midwifery, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium. Electronic address: sabina.degeest@unibas.ch.
- 2016-10-25
Published in:
- The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation. - 2017
health behaviors
health literacy
heart transplantation
multicenter
physical activity
survey
Adult
Age Factors
Aged
Confidence Intervals
Cross-Sectional Studies
Female
Graft Rejection
Health Behavior
Health Literacy
Heart Transplantation
Humans
Immunosuppressive Agents
Internationality
Life Style
Logistic Models
Male
Middle Aged
Needs Assessment
Patient Compliance
Prevalence
Prognosis
Sex Factors
Survival Rate
Transplantation Immunology
English
BACKGROUND
Health literacy (HL) is a major determinant of health outcomes; however, there are few studies exploring the role of HL among heart transplant recipients. The objectives of this study were to: (1) explore and compare the prevalence of inadequate HL among heart transplant recipients internationally; (2) determine the correlates of HL; and (3) assess the relationship between HL and health-related behaviors.
METHODS
A secondary analysis was conducted using data of the 1,365 adult patients from the BRIGHT study, an international multicenter, cross-sectional study that surveyed heart transplant recipients across 11 countries and 4 continents. Using the Subjective Health Literacy Screener, inadequate HL was operationalized as being confident in filling out medical forms none/a little/some of the time (HL score of 0 to 2). Correlates of HL were determined using backward stepwise logistic regression. The relationship between HL and the health-related behaviors were examined using hierarchical logistic regression.
RESULTS
Overall, 33.1% of the heart transplant recipients had inadequate HL. Lower education level (adjusted odds ratio [AOR] 0.24, p < 0.001), unemployment (AOR 0.69, p = 0.012) and country (residing in Brazil, AOR 0.25, p < 0.001) were shown to be associated with inadequate HL. Heart transplant recipients with adequate HL had higher odds of engaging in sufficient physical activity (AOR 1.6, p = 0.016). HL was not significantly associated with the other health behaviors.
CONCLUSIONS
Clinicians should recognize that almost one third of heart transplant participants have inadequate health literacy. Furthermore, they should adopt communication strategies that could mitigate the potential negative impact of inadequate HL.
Health literacy (HL) is a major determinant of health outcomes; however, there are few studies exploring the role of HL among heart transplant recipients. The objectives of this study were to: (1) explore and compare the prevalence of inadequate HL among heart transplant recipients internationally; (2) determine the correlates of HL; and (3) assess the relationship between HL and health-related behaviors.
METHODS
A secondary analysis was conducted using data of the 1,365 adult patients from the BRIGHT study, an international multicenter, cross-sectional study that surveyed heart transplant recipients across 11 countries and 4 continents. Using the Subjective Health Literacy Screener, inadequate HL was operationalized as being confident in filling out medical forms none/a little/some of the time (HL score of 0 to 2). Correlates of HL were determined using backward stepwise logistic regression. The relationship between HL and the health-related behaviors were examined using hierarchical logistic regression.
RESULTS
Overall, 33.1% of the heart transplant recipients had inadequate HL. Lower education level (adjusted odds ratio [AOR] 0.24, p < 0.001), unemployment (AOR 0.69, p = 0.012) and country (residing in Brazil, AOR 0.25, p < 0.001) were shown to be associated with inadequate HL. Heart transplant recipients with adequate HL had higher odds of engaging in sufficient physical activity (AOR 1.6, p = 0.016). HL was not significantly associated with the other health behaviors.
CONCLUSIONS
Clinicians should recognize that almost one third of heart transplant participants have inadequate health literacy. Furthermore, they should adopt communication strategies that could mitigate the potential negative impact of inadequate HL.
- Language
-
- English
- Open access status
- bronze
- Identifiers
-
- DOI 10.1016/j.healun.2016.08.024
- PMID 27773449
- Persistent URL
- https://sonar.ch/global/documents/73028
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