Functional health literacy: protective role in adherence to treatment for hypertensive patients
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
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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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 |
|
_version_ |
1808844185838551040 |