Prevalence of low health literacy levels in decompensated heart failure compared with acute myocardial infarction patients
Abstract Aims Health literacy (HL) is a health determinant in cardiovascular diseases as the active participation of patients is essential for optimizing self‐management of these conditions. We aimed to estimate the prevalence of low HL level in patients hospitalized for acute myocardial infarction...
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doaj-2179d97b7fe7474085213a3082d3139c2021-03-29T13:28:35ZengWileyESC Heart Failure2055-58222021-04-01821446145910.1002/ehf2.13230Prevalence of low health literacy levels in decompensated heart failure compared with acute myocardial infarction patientsAdèle Perrin0Gergis Abdalla1Marie Viprey2François Delahaye3Nathan Mewton4Michel Ovize5Laurent Sebbag6Thomas Bochaton7Alexandra L. Dima8Estelle Bravant9Anne‐Marie Schott10Julie Haesebaert11Université de Lyon, Université Claude Bernard Lyon 1 Research on Healthcare Performance (RESHAPE), INSERM U1290 Lyon F‐69008 FranceUniversité de Lyon, Université Claude Bernard Lyon 1 Research on Healthcare Performance (RESHAPE), INSERM U1290 Lyon F‐69008 FranceUniversité de Lyon, Université Claude Bernard Lyon 1 Research on Healthcare Performance (RESHAPE), INSERM U1290 Lyon F‐69008 FranceUniversité de Lyon, Université Claude Bernard Lyon 1 Research on Healthcare Performance (RESHAPE), INSERM U1290 Lyon F‐69008 FranceHospices Civils de Lyon, Service de Cardiologie, Service d'Insuffisance Cardiaque Hôpital Louis Pradel Lyon F‐69500 FranceHospices Civils de Lyon, Centre d'Investigation Clinique Inserm 1407 Hôpital Louis Pradel Lyon F‐69500 FranceHospices Civils de Lyon, Service de Cardiologie, Service d'Insuffisance Cardiaque Hôpital Louis Pradel Lyon F‐69500 FranceHospices Civils de Lyon, Hôpital Louis Pradel Unité CarMeN Inserm 1060 Lyon F‐69500 FranceUniversité de Lyon, Université Claude Bernard Lyon 1 Research on Healthcare Performance (RESHAPE), INSERM U1290 Lyon F‐69008 FranceUniversité de Lyon, Université Claude Bernard Lyon 1 Research on Healthcare Performance (RESHAPE), INSERM U1290 Lyon F‐69008 FranceUniversité de Lyon, Université Claude Bernard Lyon 1 Research on Healthcare Performance (RESHAPE), INSERM U1290 Lyon F‐69008 FranceUniversité de Lyon, Université Claude Bernard Lyon 1 Research on Healthcare Performance (RESHAPE), INSERM U1290 Lyon F‐69008 FranceAbstract Aims Health literacy (HL) is a health determinant in cardiovascular diseases as the active participation of patients is essential for optimizing self‐management of these conditions. We aimed to estimate the prevalence of low HL level in patients hospitalized for acute myocardial infarction (AMI) or acute decompensated heart failure (ADHF) and explore low HL determinants. Methods and results A prospective cross‐sectional study was performed in three cardiology units. HL level was assessed using Brief Health Literacy Screen (BHLS) and categorized as low or adequate. Dimensions of HL were assessed with the Health Literacy Questionnaire (HLQ). Associations with sociodemographic factors, disease history, and comorbidities were explored. A total of 208 patients were included, mean ± SD age was 68.5 ± 14.9 years, and 65.9% were men. Patients with ADHF were significantly older and more often women than AMI patients. Prevalence of low HL was 36% overall, 51% in ADHF patients, and 21% in AMI patients (P < 0.001). After adjustment for sociodemographic factors, patients with lower income (€<10 000 per year, adjusted odds ratio = 10.46 95% confidence interval [2.38; 54.51], P = 0.003) and native language other than French (adjusted odds ratio = 14.36 95% confidence interval [3.76; 66.9], P < 0.002) were more likely to have low HL. ADHF patients presented significantly lower HLQ scores than AMI patients in five out of the nine HLQ dimensions reflecting challenges in access to healthcare. Conclusions Prevalence of low HL was higher among ADHF patients than among AMI patients. Low HL ADHF patients needed more support when accessing healthcare services, and these would require more adaptation to respond to low HL patients' needs.https://doi.org/10.1002/ehf2.13230Cardiovascular diseasesHeart failureMyocardial infarctionHealth literacyEpidemiology |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adèle Perrin Gergis Abdalla Marie Viprey François Delahaye Nathan Mewton Michel Ovize Laurent Sebbag Thomas Bochaton Alexandra L. Dima Estelle Bravant Anne‐Marie Schott Julie Haesebaert |
spellingShingle |
Adèle Perrin Gergis Abdalla Marie Viprey François Delahaye Nathan Mewton Michel Ovize Laurent Sebbag Thomas Bochaton Alexandra L. Dima Estelle Bravant Anne‐Marie Schott Julie Haesebaert Prevalence of low health literacy levels in decompensated heart failure compared with acute myocardial infarction patients ESC Heart Failure Cardiovascular diseases Heart failure Myocardial infarction Health literacy Epidemiology |
author_facet |
Adèle Perrin Gergis Abdalla Marie Viprey François Delahaye Nathan Mewton Michel Ovize Laurent Sebbag Thomas Bochaton Alexandra L. Dima Estelle Bravant Anne‐Marie Schott Julie Haesebaert |
author_sort |
Adèle Perrin |
title |
Prevalence of low health literacy levels in decompensated heart failure compared with acute myocardial infarction patients |
title_short |
Prevalence of low health literacy levels in decompensated heart failure compared with acute myocardial infarction patients |
title_full |
Prevalence of low health literacy levels in decompensated heart failure compared with acute myocardial infarction patients |
title_fullStr |
Prevalence of low health literacy levels in decompensated heart failure compared with acute myocardial infarction patients |
title_full_unstemmed |
Prevalence of low health literacy levels in decompensated heart failure compared with acute myocardial infarction patients |
title_sort |
prevalence of low health literacy levels in decompensated heart failure compared with acute myocardial infarction patients |
publisher |
Wiley |
series |
ESC Heart Failure |
issn |
2055-5822 |
publishDate |
2021-04-01 |
description |
Abstract Aims Health literacy (HL) is a health determinant in cardiovascular diseases as the active participation of patients is essential for optimizing self‐management of these conditions. We aimed to estimate the prevalence of low HL level in patients hospitalized for acute myocardial infarction (AMI) or acute decompensated heart failure (ADHF) and explore low HL determinants. Methods and results A prospective cross‐sectional study was performed in three cardiology units. HL level was assessed using Brief Health Literacy Screen (BHLS) and categorized as low or adequate. Dimensions of HL were assessed with the Health Literacy Questionnaire (HLQ). Associations with sociodemographic factors, disease history, and comorbidities were explored. A total of 208 patients were included, mean ± SD age was 68.5 ± 14.9 years, and 65.9% were men. Patients with ADHF were significantly older and more often women than AMI patients. Prevalence of low HL was 36% overall, 51% in ADHF patients, and 21% in AMI patients (P < 0.001). After adjustment for sociodemographic factors, patients with lower income (€<10 000 per year, adjusted odds ratio = 10.46 95% confidence interval [2.38; 54.51], P = 0.003) and native language other than French (adjusted odds ratio = 14.36 95% confidence interval [3.76; 66.9], P < 0.002) were more likely to have low HL. ADHF patients presented significantly lower HLQ scores than AMI patients in five out of the nine HLQ dimensions reflecting challenges in access to healthcare. Conclusions Prevalence of low HL was higher among ADHF patients than among AMI patients. Low HL ADHF patients needed more support when accessing healthcare services, and these would require more adaptation to respond to low HL patients' needs. |
topic |
Cardiovascular diseases Heart failure Myocardial infarction Health literacy Epidemiology |
url |
https://doi.org/10.1002/ehf2.13230 |
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