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    Health literacy in familial hypercholesterolemia: A cross-national study

    264973.pdf (188.0Kb)
    Access Status
    Open access
    Authors
    Hagger, Martin
    Hardcastle, Sarah
    Hu, M.
    Kwok, S.
    Lin, J.
    Nawawi, H.
    Pang, J.
    Santos, R.
    Soran, H.
    Su, T.
    Tomlinson, B.
    Watts, G.
    Date
    2018
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Hagger, M. and Hardcastle, S. and Hu, M. and Kwok, S. and Lin, J. and Nawawi, H. and Pang, J. et al. 2018. Health literacy in familial hypercholesterolemia: A cross-national study. European Journal of Preventive Cardiology. 25 (9): pp. 936–943.
    Source Title
    European Journal of Preventive Cardiology
    DOI
    10.1177/2047487318766954
    ISSN
    2047-4873
    School
    School of Psychology
    Remarks

    Hagger, M. and Hardcastle, S. and Hu, M. and Kwok, S. and Lin, J. and Nawawi, H. and Pang, J. et al. 2018. Health literacy in familial hypercholesterolemia: A cross-national study. European Journal of Preventive Cardiology. Copyright © The European Society of Cardiology. 2018. Reprinted by permission of SAGE Publications

    URI
    http://hdl.handle.net/20.500.11937/67696
    Collection
    • Curtin Research Publications
    Abstract

    Background: High rates of inadequate health literacy are associated with maladaptive health outcomes in chronic disease including increased mortality and morbidity rates, poor treatment adherence and poor health. Adequate health literacy may be an important factor in the effective treatment and management of familial hypercholesterolemia, and may also be implicated in genetic screening for familial hypercholesterolemia among index cases. The present study examined the prevalence and predictors of health literacy in familial hypercholesterolemia patients attending clinics in seven countries. Design: Cross-sectional survey. Methods: Consecutive FH patients attending clinics in Australia, Brazil, China, Hong Kong, Malaysia, Taiwan and the UK completed measures of demographic variables (age, gender, household income and highest education level) and a brief three-item health literacy scale. Results: Rates of inadequate health literacy were lowest in the UK (7.0%), Australia (10.0%), Hong Kong (15.7%) and Taiwan (18.0%) samples, with higher rates in the Brazil (22.0%), Malaysia (25.0%) and China (37.0%) samples. Income was an independent predictor of health literacy levels, accounting for effects of age. Health literacy was also independently related to China national group membership. Conclusions: Findings indicate non-trivial levels of inadequate health literacy in samples of familial hypercholesterolemia patients. Consistent with previous research in chronic illness, inadequate health literacy is related to income as an index of health disparities. Chinese familial hypercholesterolemia patients are more likely to have high rates of inadequate health literacy independent of income. Current findings highlight the imperative of education interventions targeting familial hypercholesterolemia patients with inadequate health literacy.

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