Evaluation of the relationship between compliance with the follow-up and treatment protocol and health literacy in bladder tumor patients

Figures & data

Table 1. Socio-demographic characteristics of the participants.

	n = 126
Age (years)	67.13 ± 10.77 (35:89)
Gender (Male/Female)	111 (88.10%)/15 (11.90%)
Educational level
Primary school and under	76 (60.30%)
Secondary school	26 (20.60%)
High school and above	24 (19.10%)
Financial state
Poor	30 (23.80%)
Good	96 (76.20%)
Smoking
Yes	34 (27%)
No	92 (73%)

The data were given as n (%), mean ± standard deviation (minimum:maximum).

Table 2. The relationship of the general characteristics of the participants with the state of health literacy.

	Limited-inadequate HL (n = 85)	Adequate-perfect HL (n = 41)	p value
Age
<65	25 (29.40%)	20 (48.80%)	0.034^a
≥65	60 (70.60%)	21 (51.20%)
Educational level
Primary school and under	61 (71.80%)	15 (36.60%)	0.001^a
Secondary school	13 (15.30%)	13 (31.70%)
High school and above	11 (12.90%)	13 (31.70%)
Financial state
Poor	26 (30.60%)	4 (9.80%)	0.010^a
Good	59 (69.40%)	37 (90.20%)
Smoking
Yes	24 (28.20%)	10 (24.40%)	0.649^a
No	61 (71.80%)	31 (75.60%)

The data were expressed as n (%).

^aChi-square test.

Table 3. The change of health literacy according to the patient characteristics.

	Healthcare (q1–16)	Disease prevention (q17–31)	Health promotion (q32–47)	General(q1–47)
Age
<65 (n = 45)	32.99 ± 6.76	30.52 ± 7.20	30.30 ± 6.79	31.28 ± 6.09
≥65 (n = 81)	30.66 ± 6.40	28.31 ± 7.66	26.84 ± 7.75	28.61 ± 6.69
p value	.058^a	.116^a	.013^a	.028^a
Educational level
Primary school and lower (n = 76)	29.28 ± 5.79	26.86 ± 7.73	26.12 ± 7.58	27.43 ± 6.39
Secondary school (n = 26)	34.78 ± 6.03	32.22 ± 5.18	29.45 ± 6.51	32.15 ± 4.78
High school and above (n = 24)	31.49 ± 6.60	29.10 ± 7.55	28.08 ± 7.58	29.56 ± 6.58
p value	<.001^a	<.001^a	<.001^a	<.001^a
Financial state
Poor (n = 30)	28.06 ± 5.97	25 ± 7.54	23.51 ± 7.12	25.53 ± 6.03
Good (n = 96)	32.56 ± 6.45	30.38 ± 7.12	29.50 ± 7.17	30.83 ± 6.26
p value	.001^a	.001^a	<.001^a	<.001^a
Smoking
Yes (n = 34)	30.73 ± 7.64	27.91 ± 8.01	27.05 ± 7.56	28.58 ± 6.99
No (n = 92)	31.77 ± 6.19	29.54 ± 7.37	28.45 ± 7.60	29.93 ± 6.43
p value	0.479^a	0.283^a	0.359^a	0.308^a

The data were expressed as mean ± standard deviation.

^aIndependent double sample t test.

Table 4. The relationship of health literacy and sub-groups with treatment continuity.

	Cystoscopic adherence (100%)		p value
	Non-compliance (n = 45)	Compliance (n = 81)
Healthcare (q1–16)	30.37 ± 5.29	32.11 ± 7.18	.123^a
Disease prevention (q17–31)	27.48 ± 7.07	30 ± 7.70	.073^a
Health promotion (q32–47)	27.41 ± 6.93	28.45 ± 7.94	.463^a
General (s1–47)	28.44 ± 5.65	30.19 ± 7	.130^a

The data were expressed as mean ± standard deviation.

^aIndependent double sample t test.

Figure 1. The treatment compliance and health literacy states of the patients.

Table 5. The relationship between age and risk group and treatment compliance.

	AGE		p value
	<65 (n = 45)	≥65 (n = 81)
Risk group
Low risk	26 (57.80%)	40 (49.40%)	.366^a
High risk	19 (42.20%)	41 (50.60%)
Treatment compliance
Yes	35 (77.80%)	46 (56.80%)	.018^a
No	10 (22.20%)	35 (43.20%)

The data were expressed as n (%).

^aChi-square test. Low risk: patients recommended cystoscopic follow-up two times a year, high risk: four times a year.