The association between sex, age and health literacy and the uptake of cardiovascular prevention: a cross-sectional analysis in a primary care setting

Tschaftary, Alessa; Hess, Natascha; Hiltner, Sarah; Oertelt‐Prigione, Sabine

doi:10.1007/s10389-017-0888-y

Cited by 13 publications

(7 citation statements)

References 20 publications

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“…However, Tschaftary et al [ 46 ] discovered that the older the patients were, the more health literate they were. This opposite finding warrants further studies to ascertain the positive or negative association between older age and lower health.…”

Section: Discussionmentioning

confidence: 99%

Assessing Patients’ Critical Health Literacy and Identifying Associated Factors: Cross-sectional Study

Shan¹,

Ji²,

Dong³

et al. 2023

J Med Internet Res

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Background Previous studies have revealed that functional health literacy plays a less important role than communicative and critical health literacy (CRHL) and that communicative literacy and CRHL contribute more to better patient self-management. Although improving health literacy has been identified as an approach to fostering community involvement and empowerment, CRHL may be regarded as the neglected domain of health literacy, rarely achieving any focus or interventions that claim to be working toward this outcome. Considering this research background, close scholarly attention needs to be paid to CRHL and its associated factors. Objective This study aimed to assess CRHL and identify essential factors closely associated with the status of CRHL among Chinese patients and to provide some implications for clinical practice, health education, medical research, and public health policy making. Methods We conducted this cross-sectional study, which lasted from April 8, 2022, to September 23, 2022, following the steps below. We first designed a 4-section survey questionnaire and then recruited Mandarin Chinese–speaking patients from Qilu Hospital of Shandong University, China, using randomized sampling. Subsequently, we administered the questionnaire via wenjuanxing, the most popular web-based survey platform in China, between July 20, 2022, and August 19, 2022. Finally, we used latent class modeling to analyze the valid data collected to classify the patient participants and identify the factors potentially associated with different CRHL levels. Results All data in the 588 returned questionnaires were valid. On the basis of the collected data, we classified the patient participants into 3 latent classes of limited, moderate, and adequate CRHL and identified 4 factors associated with limited CRHL, including middle and old age, male sex, lower educational attainment, and low internal drive to maintain one’s health. Conclusions Using latent class modeling, we identified 3 classes of CRHL and 4 factors associated with limited CRHL among the Chinese study participants. These literacy classes and the predicting factors ascertained in this study can provide some implications for clinical practice, health education, medical research, and health policy making.

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Section: Discussionmentioning

confidence: 99%

Assessing Patients’ Critical Health Literacy and Identifying Associated Factors: Cross-sectional Study

Shan¹,

Ji²,

Dong³

et al. 2023

J Med Internet Res

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“…Cardiovascular disease is the leading cause of male mortality, accounting for 29.4% of all male deaths globally; and since 1990, men have displayed a higher risk of dying from cardiovascular disease than women (Benjamin et al, 2017). This disease's prevalence is largely due to early initiation of, and sustained exposure to, cardiovascular-disease risk factors, including poor diet, tobacco use, alcohol consumption, diabetes, hypertension, obesity, and cardiovascular-disease family history (Ragonese, Shand, & Barker, 2018;Tschaftary, Hess, Hiltner, & Prigione, 2018). The latter authors explored the relationship between hegemonic masculinity and men's cardiovascular health.…”

Section: Hegemonic Masculinity's Influence On Men's Health and Health...mentioning

confidence: 99%

The interplay of hegemonic masculinity and health literacy in the successful cardiovascular self-care among Pakistani immigrant men in Toronto: ethnographic case studies

Syed

2023

Preprint

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<p>As a second-generation Canadian Pakistani man, I observed Pakistani men adapting their masculinity features in order to optimize their use of health information to improve their cardiovascular self-care behaviours. However, limited literature exists on the topic. Informed by Orem’s theory of self-care, the purpose of this was study was to understand how the interplay between hegemonic masculinity and health literacy unfolded in Pakistani immigrant men’s cardiovascular self-care. Three Pakistani men were separately interviewed, and each ethnographic case study was analyzed and then compared across the three cases. Results show that the participants were influenced by both Pakistani and Canadian cultures, which created options and opportunities for successful cardiovascular self-care unique to the participants. The results also show that individual’s health literacy is intertwined with culture, gendered constructs, and immigrant context. Future research could focus on how to promote men’s health.</p>

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“…One factor that may influence a patient’s ability to initiate or maintain positive health behaviours is health literacy, which can be defined as ‘the personal characteristics and social resources needed for individuals and communities to access, understand, appraise and use information and services to make decisions about health’ 7. Up to 60% of cardiac patients have limited health literacy,8 9 which is associated with less engagement in healthy lifestyle behaviours,10 increased hospital readmissions11 and increased risk of mortality 11. However, little is known about effective interventions to address health literacy barriers among patients with CAD.…”

Section: Introductionmentioning

confidence: 99%

Health literacy interventions for secondary prevention of coronary artery disease: a scoping review

et al. 2022

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Deficits in health literacy are common in patients with coronary artery disease (CAD), and this is associated with increased morbidity and mortality. In this scoping review, we sought to identify health literacy interventions that aimed to improve outcomes in patients with CAD, using a contemporary conceptual model that captures multiple aspects of health literacy. We searched electronic databases for studies published since 2010. Eligible were studies of interventions supporting patients with CAD to find, understand and use health information via one of the following: building social support for health; empowering people with lower health literacy; improving interaction between patients and the health system; improving health literacy capacities of clinicians or facilitating access to health services. Studies were assessed for methodological quality, and findings were analysed through qualitative synthesis. In total, 21 studies were included. Of these, 10 studies aimed to build social support for health; 6 of these were effective, including those involving partners or peers. Five studies targeted interaction between patients and the health system; four of these reported improved outcomes, including through use of teach-back. One study addressed health literacy capacities of clinicians through communication training, and two facilitated access to health services via structured follow-up—all reporting positive outcomes. Health literacy is a prerequisite for CAD patients to self-manage their health. Through use of a conceptual framework to describe health literacy interventions, we identified mechanisms by which patients can be supported to improve health outcomes. Our findings warrant integration of these interventions into routine clinical practice.

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The association between sex, age and health literacy and the uptake of cardiovascular prevention: a cross-sectional analysis in a primary care setting

Cited by 13 publications

References 20 publications

Assessing Patients’ Critical Health Literacy and Identifying Associated Factors: Cross-sectional Study

Assessing Patients’ Critical Health Literacy and Identifying Associated Factors: Cross-sectional Study

The interplay of hegemonic masculinity and health literacy in the successful cardiovascular self-care among Pakistani immigrant men in Toronto: ethnographic case studies

Health literacy interventions for secondary prevention of coronary artery disease: a scoping review

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