Health literacy in heart transplantation: Prevalence, correlates and associations with health behaviors—Findings from the international BRIGHT study

Cajita, MI; Denhaerynck, K; Dobbels, F; Berben, L; Russell, CL; Davidson, PM; De Geest, S

Health literacy in heart transplantation: Prevalence, correlates and associations with health behaviors—Findings from the international BRIGHT study

Cajita, MI Denhaerynck, K Dobbels, F Berben, L Russell, CL Davidson, PM

De Geest, S

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Publication Type:: Journal Article
Citation:: Journal of Heart and Lung Transplantation, 2017, 36 (3), pp. 272 - 279
Issue Date:: 2017-03-01

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Field	Value	Language
dc.contributor.author	Cajita, MI	en_US
dc.contributor.author	Denhaerynck, K	en_US
dc.contributor.author	Dobbels, F	en_US
dc.contributor.author	Berben, L	en_US
dc.contributor.author	Russell, CL	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.contributor.author	De Geest, S	en_US
dc.date.available	2016-08-31	en_US
dc.date.issued	2017-03-01	en_US
dc.identifier.citation	Journal of Heart and Lung Transplantation, 2017, 36 (3), pp. 272 - 279	en_US
dc.identifier.issn	1053-2498	en_US
dc.identifier.uri	http://hdl.handle.net/10453/122849
dc.description.abstract	© 2017 International Society for Heart and Lung Transplantation Background Health literacy (HL) is a major determinant of health outcomes; however, there are few studies exploring the role of HL among heart transplant recipients. The objectives of this study were to: (1) explore and compare the prevalence of inadequate HL among heart transplant recipients internationally; (2) determine the correlates of HL; and (3) assess the relationship between HL and health-related behaviors. Methods A secondary analysis was conducted using data of the 1,365 adult patients from the BRIGHT study, an international multicenter, cross-sectional study that surveyed heart transplant recipients across 11 countries and 4 continents. Using the Subjective Health Literacy Screener, inadequate HL was operationalized as being confident in filling out medical forms none/a little/some of the time (HL score of 0 to 2). Correlates of HL were determined using backward stepwise logistic regression. The relationship between HL and the health-related behaviors were examined using hierarchical logistic regression. Results Overall, 33.1% of the heart transplant recipients had inadequate HL. Lower education level (adjusted odds ratio [AOR] 0.24, p < 0.001), unemployment (AOR 0.69, p = 0.012) and country (residing in Brazil, AOR 0.25, p < 0.001) were shown to be associated with inadequate HL. Heart transplant recipients with adequate HL had higher odds of engaging in sufficient physical activity (AOR 1.6, p = 0.016). HL was not significantly associated with the other health behaviors. Conclusions Clinicians should recognize that almost one third of heart transplant participants have inadequate health literacy. Furthermore, they should adopt communication strategies that could mitigate the potential negative impact of inadequate HL.	en_US
dc.relation.ispartof	Journal of Heart and Lung Transplantation	en_US
dc.relation.isbasedon	10.1016/j.healun.2016.08.024	en_US
dc.subject.classification	Surgery	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Immunosuppressive Agents	en_US
dc.subject.mesh	Prognosis	en_US
dc.subject.mesh	Heart Transplantation	en_US
dc.subject.mesh	Prevalence	en_US
dc.subject.mesh	Survival Rate	en_US
dc.subject.mesh	Confidence Intervals	en_US
dc.subject.mesh	Logistic Models	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Health Behavior	en_US
dc.subject.mesh	Patient Compliance	en_US
dc.subject.mesh	Life Style	en_US
dc.subject.mesh	Age Factors	en_US
dc.subject.mesh	Sex Factors	en_US
dc.subject.mesh	Transplantation Immunology	en_US
dc.subject.mesh	Graft Rejection	en_US
dc.subject.mesh	Internationality	en_US
dc.subject.mesh	Needs Assessment	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Health Literacy	en_US
dc.title	Health literacy in heart transplantation: Prevalence, correlates and associations with health behaviors—Findings from the international BRIGHT study	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	36	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	36	en_US

Abstract:

© 2017 International Society for Heart and Lung Transplantation Background Health literacy (HL) is a major determinant of health outcomes; however, there are few studies exploring the role of HL among heart transplant recipients. The objectives of this study were to: (1) explore and compare the prevalence of inadequate HL among heart transplant recipients internationally; (2) determine the correlates of HL; and (3) assess the relationship between HL and health-related behaviors. Methods A secondary analysis was conducted using data of the 1,365 adult patients from the BRIGHT study, an international multicenter, cross-sectional study that surveyed heart transplant recipients across 11 countries and 4 continents. Using the Subjective Health Literacy Screener, inadequate HL was operationalized as being confident in filling out medical forms none/a little/some of the time (HL score of 0 to 2). Correlates of HL were determined using backward stepwise logistic regression. The relationship between HL and the health-related behaviors were examined using hierarchical logistic regression. Results Overall, 33.1% of the heart transplant recipients had inadequate HL. Lower education level (adjusted odds ratio [AOR] 0.24, p < 0.001), unemployment (AOR 0.69, p = 0.012) and country (residing in Brazil, AOR 0.25, p < 0.001) were shown to be associated with inadequate HL. Heart transplant recipients with adequate HL had higher odds of engaging in sufficient physical activity (AOR 1.6, p = 0.016). HL was not significantly associated with the other health behaviors. Conclusions Clinicians should recognize that almost one third of heart transplant participants have inadequate health literacy. Furthermore, they should adopt communication strategies that could mitigate the potential negative impact of inadequate HL.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/122849