Functional health literacy: protective role in adherence to treatment for hypertensive patients

Detalhes bibliográficos
Autor(a) principal: Cavalcante, Luciana Ricarte
Data de Publicação: 2020
Outros Autores: Brito, Luciara Leite, Fraga-Maia, Helena
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/10503
Resumo: 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.
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spelling Functional health literacy: protective role in adherence to treatment for hypertensive patientsAlfabetización funcional en salud: el papel protector para la adhesión al tratamento de pacientes con hipertensiónHealth LiteracyHealth EducationHypertensionTreatment Adherence and ComplianceAlfabetización en SaludHipertensiónCumplimiento y Adherencia al TratamientoObjective: 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.Objetivo: Investigar los factores asociados con la Alfabetización Funcional en Salud (AFS) y su papel como probable factor de protección para la adhesión al tratamiento de individuos con hipertensión (HAS) asistidos en unidades de Atención Primaria de Salud (APS). Métodos: Estudio transversal con usuarios de la APS en uso de medicación para la hipertensión en la ciudad de Salvador de Bahía. Los pacientes analfabetos y analfabetos funcionales han sido excluidos y aquellos con historias de accidentes vasculares cerebrales anteriores. Se ha recogido los datos entre noviembre de 2015 y agosto de 2016. Los datos clínicos y sociodemográficos han sido recogidos a través de un instrumento desarrollado por los autores y la AFS ha sido evaluada por el REALM. Se ha realizado los análisis descriptivo y de regresión logística. Resultados: La población fue de 286 individuos y la baja escolaridad estuvo asociada con la AFS inadecuada en el análisis bruto y el ajustado (OR = 9.25; IC95%: 4.49 – 19.05) y con la actividad de trabajo manual (OR = 9.90; IC95%: 2.08 – 46.90). En los pacientes con más de 8 años de escolaridad se observó que la AFS estuvo significativamente asociada con la no adhesión al tratamiento médico incluso después del ajuste para el género, la edad, el estado civil, la actividad física y el color de la piel (OR = 3.0; IC95%: 1.2 – 7.9). Conclusión: La AFS inadecuada se asoció significativamente con la no adhesión al tratamiento solamente por aquellos con más de 8 años de escolaridad. Mejorías en las acciones de promoción de la salud deberían ser reforzadas para abordar enfermedades crónicas como la HAS.Universidade de Fortaleza2020-08-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfhttps://ojs.unifor.br/RBPS/article/view/1050310.5020/18061230.2020.10503Brazilian Journal in Health Promotion; Vol. 33 (2020)Revista Brasileña en Promoción de la Salud; Vol. 33 (2020)Revista Brasileira em Promoção da Saúde; v. 33 (2020)1806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORenghttps://ojs.unifor.br/RBPS/article/view/10503/pdfCopyright (c) 2020 Revista Brasileira em Promoção da Saúdeinfo:eu-repo/semantics/openAccessCavalcante, Luciana RicarteBrito, Luciara LeiteFraga-Maia, Helena2020-12-09T14:40:29Zoai:ojs.ojs.unifor.br:article/10503Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2020-12-09T14:40:29Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Functional health literacy: protective role in adherence to treatment for hypertensive patients
Alfabetización funcional en salud: el papel protector para la adhesión al tratamento de pacientes con hipertensión
title Functional health literacy: protective role in adherence to treatment for hypertensive patients
spellingShingle Functional health literacy: protective role in adherence to treatment for hypertensive patients
Cavalcante, Luciana Ricarte
Health Literacy
Health Education
Hypertension
Treatment Adherence and Compliance
Alfabetización en Salud
Hipertensión
Cumplimiento y Adherencia al Tratamiento
title_short Functional health literacy: protective role in adherence to treatment for hypertensive patients
title_full Functional health literacy: protective role in adherence to treatment for hypertensive patients
title_fullStr Functional health literacy: protective role in adherence to treatment for hypertensive patients
title_full_unstemmed Functional health literacy: protective role in adherence to treatment for hypertensive patients
title_sort Functional health literacy: protective role in adherence to treatment for hypertensive patients
author Cavalcante, Luciana Ricarte
author_facet Cavalcante, Luciana Ricarte
Brito, Luciara Leite
Fraga-Maia, Helena
author_role author
author2 Brito, Luciara Leite
Fraga-Maia, Helena
author2_role author
author
dc.contributor.author.fl_str_mv Cavalcante, Luciana Ricarte
Brito, Luciara Leite
Fraga-Maia, Helena
dc.subject.por.fl_str_mv Health Literacy
Health Education
Hypertension
Treatment Adherence and Compliance
Alfabetización en Salud
Hipertensión
Cumplimiento y Adherencia al Tratamiento
topic Health Literacy
Health Education
Hypertension
Treatment Adherence and Compliance
Alfabetización en Salud
Hipertensión
Cumplimiento y Adherencia al Tratamiento
description 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.
publishDate 2020
dc.date.none.fl_str_mv 2020-08-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed Article"
"Avaliado pelos pares"
"Avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/10503
10.5020/18061230.2020.10503
url https://ojs.unifor.br/RBPS/article/view/10503
identifier_str_mv 10.5020/18061230.2020.10503
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/10503/pdf
dc.rights.driver.fl_str_mv Copyright (c) 2020 Revista Brasileira em Promoção da Saúde
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Revista Brasileira em Promoção da Saúde
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 33 (2020)
Revista Brasileña en Promoción de la Salud; Vol. 33 (2020)
Revista Brasileira em Promoção da Saúde; v. 33 (2020)
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
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