Health literacy in patients with heart failure treated in primary care

Rosalia Santesmases-Masana, Luis González-de Paz, Jordi Real, Alicia Borràs-Santos, Antoni Sisó-Almirall, Maria Dolors Navarro-Rubio

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    10 Citations (Scopus)


    © 2016 Elsevier España, S.L.U. Objectives The level of health literacy is examined, as well as its conditioning factors in patients with heart failure who are seen routinely in a Primary Health Care Area. Design A multicentre cross-sectional study. Setting 10 Primary care centres from the metropolitan area of Barcelona. Participants Patients diagnosed with heart failure. Inclusion criteria: to have visited the Primary Health Care centre in the last year, being able to arrive at the primary care setting independently, and voluntarily participation. Main measurements Health Literacy Survey–European Union - Questionnaire (HLS-EU-Q) and Spanish version of the European Heart Failure Self-care Behaviour Scale. An analysis was made of the relationships between health literacy, self-care practices, sociodemographic, and clinical variables using ANOVA test and a multiple linear regression model. Results The study included 318 patients (51.2% women) with a mean age of 77.9 ± 8.7 years. The index of health literacy of 79.6% (n = 253) of the participants indicated problems in understanding healthcare information. Health literacy level was explained by academic level (P < .001), the extent of heart failure (P = .032), self-care, and age (P < .04).The academic level explained 61.6% of the health of literacy (95% bootstrap: 44.58%; 46.75%). Conclusions In patients with stable heart failure, it is important to consider all factors that help patients to understand the healthcare information. Health literacy explains patient self-care attitude in heart failure.
    Original languageEnglish
    Pages (from-to)28-34
    JournalAtención primaria (Barcelona. Ed. impresa)
    Issue number1
    Publication statusPublished - 1 Jan 2017


    • Health literacy
    • Heart failure
    • Primary care
    • Self-care practices


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