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

Roderic Mòbil

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

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dc.contributor.author Cabellos Garcia, Ana Cristina
dc.contributor.author Castro-Sánchez, Enrique
dc.contributor.author Martínez Sabater, Antonio
dc.contributor.author Díaz-Herrera, Miguel Ángel
dc.contributor.author Ocaña-Ortiz, Ana
dc.contributor.author Juárez Vela, Raul
dc.date.accessioned 2020-03-25T10:35:23Z
dc.date.available 2020-03-25T10:35:23Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/10550/73655
dc.description.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.
dc.language.iso eng
dc.relation.ispartof International Journal Of Environmental Research And Public Health, 2020, vol. 17, num. 6, p. 2082-2095
dc.rights.uri info:eu-repo/semantics/openAccess
dc.source Cabellos Garcia, Ana Cristina Castro-Sánchez, Enrique Martínez Sabater, Antonio Díaz-Herrera, Miguel Ángel Ocaña-Ortiz, Ana Juárez Vela, Raul 2020 Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease International Journal Of Environmental Research And Public Health 17 6 2082 2095
dc.subject Sistema cardiovascular
dc.subject Educació social
dc.subject Salut
dc.title Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease
dc.type info:eu-repo/semantics/article
dc.date.updated 2020-03-25T10:35:23Z
dc.identifier.doi https://doi.org/10.3390/ijerph17062082
dc.identifier.idgrec 137239


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Roderic Mòbil