Health literacy and warfarin therapy at two anticoagulation clinics in Brazil
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2017 |
| Outros Autores: | , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/29480 |
Resumo: | Universidade Federal de Minas Gerais. Hospital das Clínicas e Faculdade de Farmácia. Belo Horizonte, MG, Brazil / Sections of Cardiovascular Medicine and Preventive Medicine. Boston Medical Center. Boston University School of Medicine. Boston, Massachusetts, USA |
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Martins, Maria Auxiliadora ParreirasCosta, Josiane MoreiraMambrini, Juliana Vaz de MeloRibeiro, Antonio Luiz PinhoBenjamin, Emelia J.Brant, Luisa Campos CaldeiraPaasche-Orlow, Michael K.Magnani, Jared W.2018-10-09T18:42:26Z2018-10-09T18:42:26Z2017MARTINS, Maria Auxiliadora Parreiras et al. Health literacy and warfarin therapy at two anticoagulation clinics in Brazil. Heart, v. 103, n. 14, p. 1089-1095, 2017.1355-6037https://www.arca.fiocruz.br/handle/icict/2948010.1136/heartjnl-2016-310699engBMJ Pub. GroupAnticoagulantesAlfabetização em saúdeServiços de saúdeDoenças cardíacasHospitais de ensinoVarfarinaAnticoagulantsHealth LiteracyHealth ServicesHeart DiseasesTeaching HospitalsWarfarinHealth literacy and warfarin therapy at two anticoagulation clinics in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal de Minas Gerais. Hospital das Clínicas e Faculdade de Farmácia. Belo Horizonte, MG, Brazil / Sections of Cardiovascular Medicine and Preventive Medicine. Boston Medical Center. Boston University School of Medicine. Boston, Massachusetts, USAHospital Risoleta Tolentino Neves. Belo Horizonte, MG, Brazil.Fundação Oswaldo Cruz. Instituto René Rachou. Belo Horizonte, MG, Brazil.Universidade Federal de Minas Gerais. Faculdade de Medicina. Hospital das Clínicas. Belo Horizonte, MG, Brazil.Boston University and National Heart, Lung, and Blood Institute’s Framingham Heart Study. Framingham, Massachusetts, USA / Sections of Cardiovascular Medicine and Preventive Medicine. Boston Medical Center. Boston University School of Medicine. Boston, Massachusetts, USA/Department of Epidemiology. Boston University School of Public Health. Boston, Massachusetts, USA.Universidade Federal de Minas Gerais. Faculdade de Medicina. Hospital das Clínicas. Belo Horizonte, MG, Brazil.General Internal Medicine. Boston University School of Medicine. Boston, Massachusetts, USA.Department of Medicine. Division of Cardiology. UPMC Heart and Vascular Institute. University of Pittsburgh. Pittsburgh, Pennsylvania, USA.OBJECTIVE: Health literacy has been related to health-related conditions and health outcomes. Studies examining the association of health literacy and anticoagulation have had variable results. We sought to investigate the relations of health literacy and percentage of time in therapeutic range (TTR) in a vulnerable Brazilian cohort at two hospital-based anticoagulation clinics. METHODS: We measured health literacy with the Short Assessment of Health Literacy for Portuguese-speaking Adults (SAHLPA-18) in 2015-2016. We identified the demographic and clinical characteristics associated with health literacy and related health literacy to TTR. RESULTS: We enrolled 422 adults prescribed chronic warfarin therapy in our observational study (median age 62.1 years; 58.8% women; monthly income $200.00). The prevalence of inadequate health literacy (score 0-14 points) was 72.3% with a median score of 12 (quartiles, Q1=10; Q3=15) on the SAHLPA-18. The median TTR was 66.1%. In the multivariable logistic analysis, cognitive impairment and assistance with taking warfarin were associated with inadequate health literacy. Prosthetic heart valves and more school years were associated with adequate health literacy. Our analyses showed no significant relation between health literacy and TTR, analysing health literacy as a categorical (adjusted OR 1.05; 95% CI 0.65 to 1.70) or continuous variable (Spearman's coefficient 0.02; p=0.70). CONCLUSIONS: Inadequate health literacy was highly prevalent in this impoverished Brazilian cohort receiving anticoagulation with warfarin. However, we did not identify an association between health literacy and TTR. Future investigations may consider the systemic factors that contribute towards successful anticoagulation outcomes for vulnerable patient cohorts with inadequate health literacy.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83082https://www.arca.fiocruz.br/bitstream/icict/29480/1/license.txt9193a7c197bc67acd023525e72a03240MD51ORIGINALHealth literacy and warfarin .pdfHealth literacy and warfarin .pdfapplication/pdf916524https://www.arca.fiocruz.br/bitstream/icict/29480/2/Health%20literacy%20and%20warfarin%20.pdfbfabddfb785a24d746b61bac0d9cefbeMD52TEXTHealth literacy and warfarin .pdf.txtHealth literacy and warfarin .pdf.txtExtracted texttext/plain45339https://www.arca.fiocruz.br/bitstream/icict/29480/3/Health%20literacy%20and%20warfarin%20.pdf.txtecf3bb66321a8d7eea445acb636a8aebMD53icict/294802019-07-23 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| dc.title.pt_BR.fl_str_mv |
Health literacy and warfarin therapy at two anticoagulation clinics in Brazil |
| title |
Health literacy and warfarin therapy at two anticoagulation clinics in Brazil |
| spellingShingle |
Health literacy and warfarin therapy at two anticoagulation clinics in Brazil Martins, Maria Auxiliadora Parreiras Anticoagulantes Alfabetização em saúde Serviços de saúde Doenças cardíacas Hospitais de ensino Varfarina Anticoagulants Health Literacy Health Services Heart Diseases Teaching Hospitals Warfarin |
| title_short |
Health literacy and warfarin therapy at two anticoagulation clinics in Brazil |
| title_full |
Health literacy and warfarin therapy at two anticoagulation clinics in Brazil |
| title_fullStr |
Health literacy and warfarin therapy at two anticoagulation clinics in Brazil |
| title_full_unstemmed |
Health literacy and warfarin therapy at two anticoagulation clinics in Brazil |
| title_sort |
Health literacy and warfarin therapy at two anticoagulation clinics in Brazil |
| author |
Martins, Maria Auxiliadora Parreiras |
| author_facet |
Martins, Maria Auxiliadora Parreiras Costa, Josiane Moreira Mambrini, Juliana Vaz de Melo Ribeiro, Antonio Luiz Pinho Benjamin, Emelia J. Brant, Luisa Campos Caldeira Paasche-Orlow, Michael K. Magnani, Jared W. |
| author_role |
author |
| author2 |
Costa, Josiane Moreira Mambrini, Juliana Vaz de Melo Ribeiro, Antonio Luiz Pinho Benjamin, Emelia J. Brant, Luisa Campos Caldeira Paasche-Orlow, Michael K. Magnani, Jared W. |
| author2_role |
author author author author author author author |
| dc.contributor.author.fl_str_mv |
Martins, Maria Auxiliadora Parreiras Costa, Josiane Moreira Mambrini, Juliana Vaz de Melo Ribeiro, Antonio Luiz Pinho Benjamin, Emelia J. Brant, Luisa Campos Caldeira Paasche-Orlow, Michael K. Magnani, Jared W. |
| dc.subject.other.pt_BR.fl_str_mv |
Anticoagulantes Alfabetização em saúde Serviços de saúde Doenças cardíacas Hospitais de ensino Varfarina |
| topic |
Anticoagulantes Alfabetização em saúde Serviços de saúde Doenças cardíacas Hospitais de ensino Varfarina Anticoagulants Health Literacy Health Services Heart Diseases Teaching Hospitals Warfarin |
| dc.subject.en.pt_BR.fl_str_mv |
Anticoagulants Health Literacy Health Services Heart Diseases Teaching Hospitals Warfarin |
| description |
Universidade Federal de Minas Gerais. Hospital das Clínicas e Faculdade de Farmácia. Belo Horizonte, MG, Brazil / Sections of Cardiovascular Medicine and Preventive Medicine. Boston Medical Center. Boston University School of Medicine. Boston, Massachusetts, USA |
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2017 |
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2017 |
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2018-10-09T18:42:26Z |
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2018-10-09T18:42:26Z |
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info:eu-repo/semantics/article |
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MARTINS, Maria Auxiliadora Parreiras et al. Health literacy and warfarin therapy at two anticoagulation clinics in Brazil. Heart, v. 103, n. 14, p. 1089-1095, 2017. |
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https://www.arca.fiocruz.br/handle/icict/29480 |
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1355-6037 |
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10.1136/heartjnl-2016-310699 |
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MARTINS, Maria Auxiliadora Parreiras et al. Health literacy and warfarin therapy at two anticoagulation clinics in Brazil. Heart, v. 103, n. 14, p. 1089-1095, 2017. 1355-6037 10.1136/heartjnl-2016-310699 |
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