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Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease

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Listed:
  • Ana Cristina Cabellos-García

    (Hospital Universitari I Politècnic La Fe, Health Research Institut La Fe, Research Group GREIACC, 46026 Valencia, Spain)

  • Enrique Castro-Sánchez

    (National Institute for Health Research, Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at Imperial College, London SW7 2AZ, UK)

  • Antonio Martínez-Sabater

    (Nursing Department, Universitat de València, Hospital Clínico Universitario, 46010 València, Spain)

  • Miguel Ángel Díaz-Herrera

    (Equipo de Atención Primaria Sant Ildefons-Cornella 2, Institut Català de la Salut, 08004 Barcelona, Spain
    Hospital Universitari General de Catalunya, Grupo Quirónsalud, 08195, Barcelona, Spain)

  • Ana Ocaña-Ortiz

    (Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana FISABIO, 46035 València, Spain)

  • Raúl Juárez-Vela

    (International Univeristy of La Roja, Instituto de Investigación Sanitaria de Aragón, 26006 Logroño, Spain
    Health Research Institute of Aragon, 50009 Zaragoza, Spain)

  • Vicente Gea-Caballero

    (Escuela de Enfermería La Fe, Adscript Center of Universitat de Valencia, Health Research Institut La Fe, Research Group GREIACC, 46026 Valencia, Spain)

Abstract

Background : Health literacy (HL) has been linked to empowerment, use of health services, and equity. Evaluating HL in people with cardiovascular health problems would facilitate the development of suitable health strategies care and reduce inequity. Aim: To investigate the relationship between different dimensions that make up HL and social determinants in patients with cardiovascular disease. Methods : Observational, descriptive, cross-sectional study in patients with cardiovascular disease, aged 50–85 years, accessing primary care services in Valencia (Spain) in 2018–2019. The Health Literacy Questionnaire was used. Results : 252 patients. Age was significantly related with the ability to participate with healthcare providers ( p = 0.043), ability to find information ( p = 0.022), and understanding information correctly to know what to do ( p = 0.046). Level of education was significant for all HL dimensions. Patients without studies scored lower in all dimensions. The low- versus middle-class social relationship showed significant results in all dimensions. Conclusions : In patients with cardiovascular disease, level of education and social class were social determinants associated with HL scores. Whilst interventions at individual level might address some HL deficits, inequities in access to cardiovascular care and health outcomes would remain unjustly balanced unless structural determinants of HL are taken into account.

Suggested Citation

  • Ana Cristina Cabellos-García & Enrique Castro-Sánchez & Antonio Martínez-Sabater & Miguel Ángel Díaz-Herrera & Ana Ocaña-Ortiz & Raúl Juárez-Vela & Vicente Gea-Caballero, 2020. "Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease," IJERPH, MDPI, vol. 17(6), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:6:p:2082-:d:335184
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    References listed on IDEAS

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    1. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    2. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
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    1. Tetine Sentell & Sandra Vamos & Orkan Okan, 2020. "Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    2. David García-García & Francisco Javier Pérez-Rivas, 2022. "Health Literacy and Its Sociodemographic Predictors: A Cross-Sectional Study of a Population in Madrid (Spain)," IJERPH, MDPI, vol. 19(18), pages 1-14, September.
    3. María Jesús Valero-Chillerón & Desirée Mena-Tudela & Águeda Cervera-Gasch & Víctor Manuel González-Chordá & Francisco Javier Soriano-Vidal & José Antonio Quesada & Enrique Castro-Sánchez & Rafael Vila, 2022. "Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study," IJERPH, MDPI, vol. 19(9), pages 1-13, April.

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