Functional health literacy: protective role in adherence to treatment for hypertensive patients

Luciana Ricarte Cavalcante, Luciara Leite Brito, Helena Fraga-Maia

Resumo


Objective: To investigate factors associated with Functional Health Literacy (FHL), as well as its role as a probable protective factor for treatment adherence in individuals with hypertension (SAH), attended in Primary Health Care (Atenção Primária à Saúde - APS) units. Methods: This is a cross-sectional study with APS users under antihypertensive medication in the city of Salvador, Bahia. Illiterate or functionally illiterate patients were excluded, as well as those with a history of ischemic stroke. Data were collected between November 2015 and August 2016. Sociodemographic and clinical data were accessed utilizing a structured instrument developed by the authors, and the FHL was assessed using the REALM. Descriptive analyses and logistic regression were performed. Results: The population comprised 286 individuals and it was observed that low schooling was associated with inadequate FHL, both in the gross and adjusted analysis (OR = 9.25; CI95%: 4.49 – 19.05) and with the professional activity of manual labor (OR = 9.90; CI95%: 2.08 – 46.90). In patients with schooling levels of over 8 years, it was observed that the FHL was significantly associated with non-adherence to medical treatment, even after adjustment by gender, age, civil status, physical activity, and skin color (OR = 3.0; CI95%: 1.2 – 7.9). Conclusions: Inadequate FHL was significantly associated with non-adhesion to treatment only for those with over 8 years of schooling. Improvements in health promotion actions should be reinforced to address chronic diseases such as SAH.

Palavras-chave


Health Literacy; Health Education; Hypertension; Treatment Adherence and Compliance

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Referências


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DOI: https://doi.org/10.5020/18061230.2020.10503

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Esta obra está licenciada sob uma licença Creative Commons Atribuição 4.0 Internacional.

Licença Creative Commons
Esta obra está licenciada com uma Licença Creative Commons Atribuição 4.0 Internacional.
Rev Bras Promoç Saúde, Fortaleza - Ceará - Brasil - e-ISSN: 1806-1230

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