Low health literacy in older patients with uncontrolled blood pressure at secondary care
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | HU Revista (Online) |
Texto Completo: | https://periodicos.ufjf.br/index.php/hurevista/article/view/16970 |
Resumo: | Background: Low health literacy (LHL) is common among patients with chronic diseases. Studies on the association between LHL and uncontrolled blood pressure are limited to primary and tertiary levels of healthcare. Objective: We evaluated the prevalence and association between LHL and uncontrolled blood pressure in hypertensive patients in a secondary healthcare in Brazil. Material and methods: Our study had a cross-sectional design and included 485 patients, between August/2014 to March/2016. We evaluated health literacy, by Short Assessment of Health Literacy for Portuguese-Speaking Adults (SAHLPA-18), and the blood pressure control. Individuals with a score ≤14 in SAHLPA-18 were considered as LHL, and individuals with blood pressure ≥140/90 (or ≥130/80 in diabetic patients) were considered as having uncontrolled blood pressure. Results: A total of 56.0% female, with mean age 62.0±12.6 years. Illiterate participants were 61.6%, and 65.4% earned up to one reference wage. Both uncontrolled blood pressure and LHL were highly prevalent (75.1% and 70.9%, respectively), but there was no association between these two parameters. In multivariate analysis, uncontrolled blood pressure was associated with age (OR:0.96, CI:0.94-0.98, p<0.001), diabetes mellitus (OR:4.36, CI:2.54-7.51; p<0.001) and number of pills (OR:1.16, CI:1.08-1.25, p<0.001). Conclusion: Even we found a high prevalence of LHL, the lack of association between LHL and uncontrolled blood pressure may be due to demographic characteristics of the sample, i.e., elderly people with low income and low schooling. HL assessment provides important information that supports actions to improve hypertension control and treatment. |
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Low health literacy in older patients with uncontrolled blood pressure at secondary careBaixo letramento em saúde em pacientes idosos com pressão arterial não controlada em nível secundário de atenção à saúdeHypertensionHealth educationHealth promotionHealth literacyHipertensãoEducação em saúdePromoção de saúdeLetramento em saúdeBackground: Low health literacy (LHL) is common among patients with chronic diseases. Studies on the association between LHL and uncontrolled blood pressure are limited to primary and tertiary levels of healthcare. Objective: We evaluated the prevalence and association between LHL and uncontrolled blood pressure in hypertensive patients in a secondary healthcare in Brazil. Material and methods: Our study had a cross-sectional design and included 485 patients, between August/2014 to March/2016. We evaluated health literacy, by Short Assessment of Health Literacy for Portuguese-Speaking Adults (SAHLPA-18), and the blood pressure control. Individuals with a score ≤14 in SAHLPA-18 were considered as LHL, and individuals with blood pressure ≥140/90 (or ≥130/80 in diabetic patients) were considered as having uncontrolled blood pressure. Results: A total of 56.0% female, with mean age 62.0±12.6 years. Illiterate participants were 61.6%, and 65.4% earned up to one reference wage. Both uncontrolled blood pressure and LHL were highly prevalent (75.1% and 70.9%, respectively), but there was no association between these two parameters. In multivariate analysis, uncontrolled blood pressure was associated with age (OR:0.96, CI:0.94-0.98, p<0.001), diabetes mellitus (OR:4.36, CI:2.54-7.51; p<0.001) and number of pills (OR:1.16, CI:1.08-1.25, p<0.001). Conclusion: Even we found a high prevalence of LHL, the lack of association between LHL and uncontrolled blood pressure may be due to demographic characteristics of the sample, i.e., elderly people with low income and low schooling. HL assessment provides important information that supports actions to improve hypertension control and treatment.Introdução: O baixo letramento em saúde (BLS) é comum entre pacientes com doenças crônicas. Os estudos sobre a associação entre o BLS e a pressão arterial não controlada estão limitados aos níveis primário e terciário de atenção à saúde. Objetivo: Avaliamos a prevalência e a associação entre BLS e pressão arterial não controlada em pacientes hipertensos em um centro de atenção secundária à saúde no Brasil. Material e métodos: Nosso estudo teve delineamento transversal e incluiu 485 pacientes, no período de Agosto/2014 a Março/2016. Avaliamos letramento em saúde, pelo Short Assessment of Health Literacy for Portuguese-Speaking Adults (SAHLPA-18), e controle pressórico. Indivíduos com um escore ≤14 em SAHLPA-18 foram considerados com BLS, e indivíduos com pressão arterial ≥140/90 (ou ≥130/80 em pacientes diabéticos) foram considerados como tendo pressão arterial não controlada. Resultados: Um total de 56,0% eram mulheres, com média de idade de 62,0±12,6 anos. Os participantes analfabetos eram 61,6% e 65,4% recebiam até um salário mínimo. Tanto a pressão arterial não controlada quanto o BLS foram muito prevalentes (75,1% e 70,9%, respectivamente), entretanto não houve associação entre esses dois parâmetros. Na análise multivariada, a pressão arterial não controlada foi associada à idade (OR: 0,96, IC: 0,94-0,98, p <0,001), diabetes mellitus (OR: 4,36, IC: 2,54-7,51; p <0,001) e número de comprimidos (OR: 1,16, Cl: 1,08-1,25, p <0,001). Conclusão: Mesmo encontrando alta prevalência de BLS, a falta de associação entre BLS e pressão arterial não controlada pode ser devido às características demográficas da amostra, ou seja, idosos com baixa renda e baixa escolaridade. A avaliação do letramento em saúde fornece informações importantes que apoiam ações para melhorar o controle e o tratamento da hipertensão.Editora UFJF2019-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtOrapplication/pdfhttps://periodicos.ufjf.br/index.php/hurevista/article/view/1697010.34019/1982-8047.2019.v45.16970HU Revista; v. 45 n. 1 (2019); 13-211982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/16970/18902Pinhati, Renata RomanholiTavares, Paula LizieroMarsicano, Elisa de OliveiraFernandes, Neimar da SilvaColugnati, Fernando Antonio BasileBastos, Marcus Gomesde Paula, Rogério BaumgratzPinheiro, Helady Sandersinfo:eu-repo/semantics/openAccess2019-09-06T16:46:06Zoai:periodicos.ufjf.br:article/16970Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2019-09-06T16:46:06HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.none.fl_str_mv |
Low health literacy in older patients with uncontrolled blood pressure at secondary care Baixo letramento em saúde em pacientes idosos com pressão arterial não controlada em nível secundário de atenção à saúde |
title |
Low health literacy in older patients with uncontrolled blood pressure at secondary care |
spellingShingle |
Low health literacy in older patients with uncontrolled blood pressure at secondary care Pinhati, Renata Romanholi Hypertension Health education Health promotion Health literacy Hipertensão Educação em saúde Promoção de saúde Letramento em saúde |
title_short |
Low health literacy in older patients with uncontrolled blood pressure at secondary care |
title_full |
Low health literacy in older patients with uncontrolled blood pressure at secondary care |
title_fullStr |
Low health literacy in older patients with uncontrolled blood pressure at secondary care |
title_full_unstemmed |
Low health literacy in older patients with uncontrolled blood pressure at secondary care |
title_sort |
Low health literacy in older patients with uncontrolled blood pressure at secondary care |
author |
Pinhati, Renata Romanholi |
author_facet |
Pinhati, Renata Romanholi Tavares, Paula Liziero Marsicano, Elisa de Oliveira Fernandes, Neimar da Silva Colugnati, Fernando Antonio Basile Bastos, Marcus Gomes de Paula, Rogério Baumgratz Pinheiro, Helady Sanders |
author_role |
author |
author2 |
Tavares, Paula Liziero Marsicano, Elisa de Oliveira Fernandes, Neimar da Silva Colugnati, Fernando Antonio Basile Bastos, Marcus Gomes de Paula, Rogério Baumgratz Pinheiro, Helady Sanders |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Pinhati, Renata Romanholi Tavares, Paula Liziero Marsicano, Elisa de Oliveira Fernandes, Neimar da Silva Colugnati, Fernando Antonio Basile Bastos, Marcus Gomes de Paula, Rogério Baumgratz Pinheiro, Helady Sanders |
dc.subject.por.fl_str_mv |
Hypertension Health education Health promotion Health literacy Hipertensão Educação em saúde Promoção de saúde Letramento em saúde |
topic |
Hypertension Health education Health promotion Health literacy Hipertensão Educação em saúde Promoção de saúde Letramento em saúde |
description |
Background: Low health literacy (LHL) is common among patients with chronic diseases. Studies on the association between LHL and uncontrolled blood pressure are limited to primary and tertiary levels of healthcare. Objective: We evaluated the prevalence and association between LHL and uncontrolled blood pressure in hypertensive patients in a secondary healthcare in Brazil. Material and methods: Our study had a cross-sectional design and included 485 patients, between August/2014 to March/2016. We evaluated health literacy, by Short Assessment of Health Literacy for Portuguese-Speaking Adults (SAHLPA-18), and the blood pressure control. Individuals with a score ≤14 in SAHLPA-18 were considered as LHL, and individuals with blood pressure ≥140/90 (or ≥130/80 in diabetic patients) were considered as having uncontrolled blood pressure. Results: A total of 56.0% female, with mean age 62.0±12.6 years. Illiterate participants were 61.6%, and 65.4% earned up to one reference wage. Both uncontrolled blood pressure and LHL were highly prevalent (75.1% and 70.9%, respectively), but there was no association between these two parameters. In multivariate analysis, uncontrolled blood pressure was associated with age (OR:0.96, CI:0.94-0.98, p<0.001), diabetes mellitus (OR:4.36, CI:2.54-7.51; p<0.001) and number of pills (OR:1.16, CI:1.08-1.25, p<0.001). Conclusion: Even we found a high prevalence of LHL, the lack of association between LHL and uncontrolled blood pressure may be due to demographic characteristics of the sample, i.e., elderly people with low income and low schooling. HL assessment provides important information that supports actions to improve hypertension control and treatment. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion ArtOr |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/16970 10.34019/1982-8047.2019.v45.16970 |
url |
https://periodicos.ufjf.br/index.php/hurevista/article/view/16970 |
identifier_str_mv |
10.34019/1982-8047.2019.v45.16970 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/16970/18902 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Editora UFJF |
publisher.none.fl_str_mv |
Editora UFJF |
dc.source.none.fl_str_mv |
HU Revista; v. 45 n. 1 (2019); 13-21 1982-8047 0103-3123 reponame:HU Revista (Online) instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
instacron_str |
UFJF |
institution |
UFJF |
reponame_str |
HU Revista (Online) |
collection |
HU Revista (Online) |
repository.name.fl_str_mv |
HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF) |
repository.mail.fl_str_mv |
revista.hurevista@ufjf.edu.br |
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1796798243082862592 |