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Research Article

Health literacy of cardiology patients: determinants and effects on patient outcomes

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Pages 656-673 | Received 15 Oct 2020, Accepted 30 Nov 2021, Published online: 08 Dec 2021
 

ABSTRACT

Health literacy is important for the management of chronic cardiovascular diseases. Comprehensive studies related to health literacy of cardiac patients are limited. The aims of this study were to determine the determinants of health literacy and its effects on patient outcomes in cardiology patients. The European Health Literacy Survey Questionnaire (HLS-EU-Q- 47 items) was applied to 530 patients who presented to cardiology polyclinics of a university hospital in Ankara. Correlation coefficients, univariate and multi-linear regression analyses were used in the study. Determinants of health literacy were sex, education level, place of residence and perception of social status (p < .05). Although adjustments were made based on relevant control variables in multivariate analyses, health literacy was found to affect 14 of 26 patient outcomes within the scope of the study (p < .05). Higher education level and perception of social status, residing in the city center and being female were among the determinants of high health literacy. Higher health literacy was associated with more positive patient outcomes. Health literacy affected health behaviors and risks, drug use habits, health status, use of preventive health services and patient satisfaction.

Author contributions

Concept – M.T., S.K.; Design – M.T., S.K.; Supervision – S.K.; Funding – M.T.; Materials – M.T., S.K.; Data collection and/or processing M.T.; Analysis and/or interpretation – M.T.; Literature search – M.T., S.K.; Writing – M.T., S.K.; Critical review – S.K.

City and country where the study was conducted

Ankara/Turkey

Disclosure statement

No potential conflict of interest was reported by the author(s).

Ethical approval

The study was approved by Hacettepe University Ethical Commission.

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.

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