The Prevalence of Limited Health Literacy and Its Associated Factors among Elderly Patients Attending an Urban Academic Primary Care Clinic in Malaysia

Rahim, Siti Nur Hidayah Abd; Mohamed-Yassin, Mohamed-Syarif; Abdul-Razak, Suraya; Isa, Mohamad Rodi; Baharudin, Noorhida

doi:10.3390/ijerph18179044

Cited by 10 publications

(5 citation statements)

References 38 publications

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“…Based on the characteristics of the population in these studies, the percentages of inadequate, low, or limited HL levels varied between 3.5% (among 4589 cancer patients in China) 24 and 84.5% (among 1360 community residents aged 15-69 years in Shanghai). 37 The most common determinants associated with their HL level were age, 13,15,16,24,36,15,40,41,44,45,53 -70 education, 13,16,24,30,32,15,35 -37,39,40,44,45,50,52 -58,60 -66,68,71 …”

Section: Resultsmentioning

confidence: 99%

Topics Included in Health Literacy Studies in Asia: A Systematic Review

Duong,

Chang

2023

Asia Pac J Public Health

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The study aimed to review general and specific health literacy studies in different countries in Asia to understand the progress of health literacy researches in the region. English-published studies with quantitative measurements of health literacy were collected through a systematic search in PubMed, Cochrane Library, Embase, and Web of Science, without publication dates limitation. A total of 156 articles on general health literacy, oral, mental, disease-specific health literacy, and eHealth literacy were collected. General health literacy was the most covered topic in 89 articles, followed by eHealth Literacy. Health literacy studies have been conducted in 16 countries and have been increasingly concerned in most of the countries in Asia. China had the largest number of articles, followed by Taiwan. Four studies had participants from more than one country. Education, age, health status, incomes, and living/residential area were significantly associated with health literacy levels in 156 studies, with the prevalence of 55.8%, 28.2%, 20.5%, 17.9%, and 10.9%, respectively. Lower health literacy was related to poorer health outcomes or lower quality of life in 71 studies.

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Section: Resultsmentioning

confidence: 99%

Topics Included in Health Literacy Studies in Asia: A Systematic Review

Duong,

Chang

2023

Asia Pac J Public Health

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“…In our study, the domain of ‘disease management’ had the lowest median knowledge score, similar to Goldsworthy et al [10], This lack of knowledge by patients on clinical management may be due to the ‘one-way style’ of communication between doctors and patients in Asia, with little room for input or queries from patients [32,33]. In addition, the health literacy of our patients may have been poor as the median age of our patients was 65 years, and published literature has indicated that younger patients were more likely to seek information digitally than older patients [34].…”

Section: Discussionmentioning

confidence: 99%

Development and validation of the Adult cirrhosiS Knowledge Questionnaire

Leung¹,

Mahadeva²,

Rajaram³

et al. 2022

European Journal of Gastroenterology &Amp; Hepatology

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Background Assessing a patient's knowledge regarding liver cirrhosis is important to improve patient outcomes. This study aimed to develop and validate the Adult cirrhosiS Knowledge Questionnaire (ASK-Q) to assess patients' knowledge regarding liver cirrhosis from multiple aspects. Methods A 24-item ASK-Q with four domains: self-understanding (5 items), aetiology (5 items), complications (5 items) and management (9 items) of liver cirrhosis was developed based on literature review and expert panel input. It was then piloted in five English-speaking patients with liver cirrhosis. These patients commented that the font size was too small. Hence, the font was enlarged and the final version of the ASK-Q was administered to English-speaking patients with liver cirrhosis, aged ≥18 years, with or without decompensation, at a tertiary hospital, from September 2020 to November 2021, at baseline and fortnight later. Patients with encephalopathy were excluded. Results 120/135 patients agreed to participate (response rate = 88.9%). The overall median score was 59.1 (45.6-68.2). A total of 7/22 (31.8%) items were "easy", 14/22 (63.6%) items were "moderately easy" and 1/22 (4.5%) items were "difficult". Exploratory factor analysis extracted nine factors, and two items were omitted. The ASK-Q was able to discriminate the knowledge level of patients with and without tertiary education [59.1 (50.0-72.7) vs. 54.5 (36.4-63.6); P < 0.05]. The overall Kuder-Richardson coefficient was 0.760, indicating adequate internal consistency. At retest, 77/120 patients participated (response rate = 64.2%) and 15/22 items were not statistically significant, indicating adequate reliability. Conclusions The ASK-Q was found to be a valid and reliable questionnaire for evaluating the knowledge of liver cirrhosis among English-speaking adult patients.

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“…However, a larger sample size was required when health literacy was considered. Abd-Rahim et al 40 reported a mean proportion of those who have adequate health literacy as 80% (334/413). Using sample size for proportion, with a total population of 5500 CKD patients in clinic CKD register, the minimum required sample is 229, with 95% confidence interval and 5% precision.…”

Section: Methodsmentioning

confidence: 99%

Self-Care, Health Literacy and Their Associations Amongst Patients with Chronic Kidney Disease (CKD) in Primary Care

Koh

Chua

et al. 2022

Preprint

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AimThe study objective was to determine the levels of self-care (including domains of behaviour, motivation, self-efficacy) and health literacy, and study their associations amongst patients with chronic kidney disease (CKD) in primary care setting in Singapore.MethodA cross-sectional, questionnaire-based study was conducted in one public-sector primary care clinic. Participants aged 21 to 80 years with hypertension were recruited from the clinic CKD register with 5,500 patients. Self-care profile (including behaviour, motivation and self-efficacy) were measured using Hypertension Self-Care Profile (HTN-SCP, range 0-240, domain range 0-80). Health literacy was measured using Short-Form Health Literacy Scale (HLS-SF12, range 0-50, limited literacy ≤33).ResultsA total of 347 out of 354 randomly selected patients consented to participate in the study. Two hundred and eighty-nine fully-completed responses were analysed. The mean self-care (HTN-SCP) score was 182.7 (SD 23.2), while mean scores were 55.3 (SD 8.6), 63.3 (SD 8.7), 64.0 (SD 9.3), for behaviour, self-efficacy and motivation domains respectively. The mean health literacy score was 36.1 (SD 7.7), and 31.1% of participants had limited health literacy. Limited health literacy was associated with self-efficacy (OR= −7.2, 95%CI=−9.1 to −5.2, p<0.001), motivation (OR= −6.1, 95%CI=−8.3 to −3.9, p<0.001) and behaviour (OR= −4.5, 95%CI=−6.6 to −2.4, p<0.001). Self-care was not associated with age, CKD status, household income and education but was associated with gender and limited health literacy. In the final regression model only limited health literacy was associated with self-care scores (Adjusted beta −17.4, p<0.001).ConclusionOne-third of the patients with CKD in primary care had limited health literacy. Self-care was not associated with age, gender, CKD status, household income or education. Limited health literacy was associated with self-care, with strongest association with self-efficacy, followed by motivation and behaviour. More targeted approach can be adopted to improve self-care and health literacy amongst patients with CKD.

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The Prevalence of Limited Health Literacy and Its Associated Factors among Elderly Patients Attending an Urban Academic Primary Care Clinic in Malaysia

Cited by 10 publications

References 38 publications

Topics Included in Health Literacy Studies in Asia: A Systematic Review

Topics Included in Health Literacy Studies in Asia: A Systematic Review

Development and validation of the Adult cirrhosiS Knowledge Questionnaire

Self-Care, Health Literacy and Their Associations Amongst Patients with Chronic Kidney Disease (CKD) in Primary Care

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