Functional health literacy in hypertensive elders at primary health care

Abstract

Objective: to assess the relationship between inadequate functional health literacy and inadequate blood pressure control in older people with hypertension in Primary Health Care. Method: a cross-sectional study with sample calculated at 392. SAHLPA-18 tool was used for functional health literacy; blood pressure was measured; sociodemographic and clinical data were collected. Hierarchical logistic regression was used. Results: (high) inadequate blood pressure and (low) functional inadequate health literacy were present in 41.6% and 54.6% of the people, respectively. Factors associated with inadequate blood pressure were: inadequate functional health literacy, black-brown skin color, overweight-obesity, hypertension diagnosis time, non-adherence to exercise/diet, drug treatment. Schooling had no association with inadequate blood pressure Conclusion: hypertensive elderly people with inadequate health literacy were more likely to have inadequate blood pressure. Thus, health professionals need to value functional health literacy as a possible component to control blood pressure.

Risk Estimate of Inadequate Health Literacy (REIHL): development and validation of a practitioner-friendly health literacy screening tool for older adults

“…The prevalence of IHL in this sample was high (61%), and this result is comparable to those found in other populations: in the Netherlands, the prevalence of IHL in patients with arterial vascular disease was 76.7%, 43 whereas in Brazil, more than half of people with hypertension (54.6%) had IHL. 44 As the prevalence of IHL is high across various populations, there should be no problems with the generalisation of this health literacy tool. However, to determine whether the REIHL can be applied in other populations or nations, a cross-national study should be carried out in future.…”

Papel do letramento em saúde nos desfechos clínicos de idosos: uma revisão de escopo

“…Todos os 19 estudos apresentados nesta revisão de escopo foram publicados entre o ano de 2016 (Santos & Portela, 2016;Punte-Maestu et al 2016;Wannasirikul, Termsirikulchai, Sujirarat, Benjakul & Tanasugarn, 2016;Cox et al 2016) e o ano de 2020 (Souza, Farfel, Jaluul, Queiroz & Nery, 2020;Do et al 2020;Finbraten et al 2020). Dos trabalhos selecionados, segundo seus tipos de estudo, foram identificados nove coortes (Punte-Maestu et al 2016;Fabbri et al 2018;León-González et al 2017;Yu, Wilson, Han et al 2017;Shi et al 2017;Lamar et al 2018;Cox et al 2016;Wilson, Yu James, Bennett & Boyle, 2017;Yu, Wilson, Schneider, Bennett & Boyle, 2017), um ecológico (Santos & Portella, 2016) e nove estudos transversais (Costa, Costa, Nakano, Apolinário & Santana, 2019;Souza et al 2020;Como, 2018 González, Gonzáles-Pérez, Gestal-Otero & Díaz-Grávalos, 2018;Murtaugh et al 2017;Do et al, 2020;Finbraten et al 2020;Liu, Xue, Xue & Hou, 2018;Wannasirikul et al 2016). Todos os trabalhos tinham como objetivo identificar a relação do letramento em saúde com algum desfecho clínico investigado, conforme informações apresentadas no Quadro 1.…”

“…Os artigos analisados investigaram a associação entre o letramento em saúde e diversos desfechos em saúde da população idosa, três artigos abordaram essa relação com a hipertensão arterial sistêmica (Costa et al 2019;Shi et al 2017;Wannasirikul et al 2019), cinco abordaram essa relação com a diabetes (Santos & Portella, 2016;Souza et al 2020;Lamar et al 2018;Fernández-Silva et al 2018;Finbraten et al 2020), um abordou essa relação com a doença pulmonar obstrutiva crônica (Puente-Maestu et al 2016), um abordou essa relação com a dor e incapacidade (Murtaugh et al 2017), quatro abordaram essa relação com a insuficiência cardíaca (Fabbri et al 2018;León-Gonzáles et al 2017;Como, 2018;Cox et al 2016) e cinco abordaram essa relação com a saúde neurológica e mental (Yu, Wilson, Han et al 2017;Do et al 2020;Liu et al 2018;Wilson et al 2017;Yu, Wilson, Schneider et al 2017).…”

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

“…In the scope of Primary Healthcare, the National Humanization Policy presents the Singular Therapeutic Project (STP) as a healthcare organization strategy. The STP was developed with the proposal of the user being a part of the construction of the therapy to be adopted (9) and, for this purpose, a low level of knowledge on the pathology and the treatment becomes a limiting factor (10) .…”