Functional health literacy: protective role in adherence to treatment for hypertensive patients
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-sec...
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Universidade de Fortaleza
2020-08-01
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Online Access: | https://periodicos.unifor.br/RBPS/article/view/10503 |
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doaj-ae08387fd72c4b2bb673c84c33e8962c2020-11-25T02:58:46ZporUniversidade de FortalezaRevista Brasileira em Promoção da Saúde1806-12302020-08-013311210.5020/18061230.2020.10503Functional health literacy: protective role in adherence to treatment for hypertensive patientsLuciana Ricarte Cavalcante0https://orcid.org/0000-0001-7531-2584Luciara Leite Brito1https://orcid.org/0000-0002-9441-0523Helena Fraga-Maia2https://orcid.org/0000-0002-2782-4910Universidade Federal da BahiaUniversidade Federal da BahiaUniversidade do Estado da BahiaObjective: 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.https://periodicos.unifor.br/RBPS/article/view/10503health literacyhealth educationhypertensiontreatment adherence and compliance |
collection |
DOAJ |
language |
Portuguese |
format |
Article |
sources |
DOAJ |
author |
Luciana Ricarte Cavalcante Luciara Leite Brito Helena Fraga-Maia |
spellingShingle |
Luciana Ricarte Cavalcante Luciara Leite Brito Helena Fraga-Maia Functional health literacy: protective role in adherence to treatment for hypertensive patients Revista Brasileira em Promoção da Saúde health literacy health education hypertension treatment adherence and compliance |
author_facet |
Luciana Ricarte Cavalcante Luciara Leite Brito Helena Fraga-Maia |
author_sort |
Luciana Ricarte Cavalcante |
title |
Functional health literacy: protective role in adherence to treatment for hypertensive patients |
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 |
publisher |
Universidade de Fortaleza |
series |
Revista Brasileira em Promoção da Saúde |
issn |
1806-1230 |
publishDate |
2020-08-01 |
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. |
topic |
health literacy health education hypertension treatment adherence and compliance |
url |
https://periodicos.unifor.br/RBPS/article/view/10503 |
work_keys_str_mv |
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