Functional health literacy: protective role in adherence to treatment for hypertensive patients
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| Format: | Artículo científico |
| Langue: | en |
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Universidade de Fortaleza
2020
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| _version_ | 1876433487641182208 |
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| author | Luciana Ricarte Cavalcante |
| author_facet | Luciana Ricarte Cavalcante |
| contents | Functional health literacy: protective role in adherence to treatment for hypertensive patients Luciana Ricarte Cavalcante Luciara Leite Brito Helena Fraga-Maia Salud Hypertension Health Literacy Health Education Treatment Adherence and Compliance Objective: To investigate factors associated with Functional Health Literacy (FHL), as well as its role as a probable protective factor for treatment adherence in individuals with hypertension (SAH), attended in Primary Health Care (Atenção Primária à Saúde - APS) units. Methods: This is a cross-sectional study with APS users under antihypertensive medication in the city of Salvador, Bahia. Illiterate or functionally illiterate patients were excluded, as well as those with a history of ischemic stroke. Data were collected between November 2015 and August 2016. Sociodemographic and clinical data were accessed utilizing a structured instrument developed by the authors, and the FHL was assessed using the REALM. Descriptive analyses and logistic regression were performed. Results: The population comprised 286 individuals and it was observed that low schooling was associated with inadequate FHL, both in the gross and adjusted analysis (OR = 9.25; CI95%: 4.49 – 19.05) and with the professional activity of manual labor (OR = 9.90; CI95%: 2.08 – 46.90). In patients with schooling levels of over 8 years, it was observed that the FHL was significantly associated with non-adherence to medical treatment, even after adjustment by gender, age, civil status, physical activity, and skin color (OR = 3.0; CI95%: 1.2 – 7.9). Conclusions: Inadequate FHL was significantly associated with non-adhesion to treatment only for those with over 8 years of schooling. Improvements in health promotion actions should be reinforced to address chronic diseases such as SAH. 2020 artículo científico 1806-1222 https://www.redalyc.org/articulo.oa?id=40863235020 https://www.redalyc.org/journal/408/40863235020/ https://www.redalyc.org/journal/408/40863235020/html/ https://www.redalyc.org/journal/408/40863235020/40863235020.epub https://www.redalyc.org/journal/408/40863235020/movil en http://www.redalyc.org/revista.oa?id=408 Revista Brasileira em Promoção da Saúde application/pdf Universidade de Fortaleza Revista Brasileira em Promoção da Saúde (Brasil) Vol.33 |
| format | Artículo científico |
| id | redalyc_40863235020 |
| institution | Redalyc |
| language | en |
| publishDate | 2020 |
| publisher | Universidade de Fortaleza |
| spellingShingle | Functional health literacy: protective role in adherence to treatment for hypertensive patients Luciana Ricarte Cavalcante Salud Hypertension Health Literacy Health Education Treatment Adherence and Compliance Functional health literacy: protective role in adherence to treatment for hypertensive patients Luciana Ricarte Cavalcante Luciara Leite Brito Helena Fraga-Maia Salud Hypertension Health Literacy Health Education Treatment Adherence and Compliance Objective: To investigate factors associated with Functional Health Literacy (FHL), as well as its role as a probable protective factor for treatment adherence in individuals with hypertension (SAH), attended in Primary Health Care (Atenção Primária à Saúde - APS) units. Methods: This is a cross-sectional study with APS users under antihypertensive medication in the city of Salvador, Bahia. Illiterate or functionally illiterate patients were excluded, as well as those with a history of ischemic stroke. Data were collected between November 2015 and August 2016. Sociodemographic and clinical data were accessed utilizing a structured instrument developed by the authors, and the FHL was assessed using the REALM. Descriptive analyses and logistic regression were performed. Results: The population comprised 286 individuals and it was observed that low schooling was associated with inadequate FHL, both in the gross and adjusted analysis (OR = 9.25; CI95%: 4.49 – 19.05) and with the professional activity of manual labor (OR = 9.90; CI95%: 2.08 – 46.90). In patients with schooling levels of over 8 years, it was observed that the FHL was significantly associated with non-adherence to medical treatment, even after adjustment by gender, age, civil status, physical activity, and skin color (OR = 3.0; CI95%: 1.2 – 7.9). Conclusions: Inadequate FHL was significantly associated with non-adhesion to treatment only for those with over 8 years of schooling. Improvements in health promotion actions should be reinforced to address chronic diseases such as SAH. 2020 artículo científico 1806-1222 https://www.redalyc.org/articulo.oa?id=40863235020 https://www.redalyc.org/journal/408/40863235020/ https://www.redalyc.org/journal/408/40863235020/html/ https://www.redalyc.org/journal/408/40863235020/40863235020.epub https://www.redalyc.org/journal/408/40863235020/movil en http://www.redalyc.org/revista.oa?id=408 Revista Brasileira em Promoção da Saúde application/pdf Universidade de Fortaleza Revista Brasileira em Promoção da Saúde (Brasil) Vol.33 |
| title | Functional health literacy: protective role in adherence to treatment for hypertensive patients |
| topic | Salud Hypertension Health Literacy Health Education Treatment Adherence and Compliance |
| url | https://www.redalyc.org/articulo.oa?id=40863235020 https://www.redalyc.org/journal/408/40863235020/ https://www.redalyc.org/journal/408/40863235020/html/ https://www.redalyc.org/journal/408/40863235020/40863235020.epub https://www.redalyc.org/journal/408/40863235020/movil |