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Health literacy of patients on oral anticoagulation treatment- individual and social determinants and effect on health and treatment outcomes

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Health literacy of patients on oral anticoagulation treatment- individual and social determinants and effect on health and treatment outcomes

dc.contributor.author	Cabellos García, Ana Cristina
dc.contributor.author	Martínez Sabater, Antonio
dc.contributor.author	Díaz-Herrera, Miguel Ángel
dc.contributor.author	Gea Caballero, Vicente
dc.contributor.author	Castro Sánchez, Enrique
dc.date.accessioned	2021-09-15T07:28:14Z
dc.date.available	2021-09-15T07:28:14Z
dc.date.issued	2021
dc.identifier.citation	Cabellos García, Ana Cristina Martínez Sabater, Antonio Díaz-Herrera, Miguel Ángel Gea Caballero, Vicente Castro Sánchez, Enrique 2021 Health literacy of patients on oral anticoagulation treatment- individual and social determinants and effect on health and treatment outcomes BMC Public Health 21 1363 1 9
dc.identifier.uri	https://hdl.handle.net/10550/80304
dc.description.abstract	Background Assessment health literacy in people with cardiovascular health problems would facilitate the development of appropriate health strategies for the care and reduction of complications associated with oral anticoagulation therapy. Aim: To evaluate the relationship between health literacy and health and treatment outcomes (concordance with oral anticoagulants, Normalized Ratio control and occurrence of complications) in patients with cardiovascular pathology. Methods Observational, analytic and cross-sectional study carried out on 252 patients with cardiovascular pathology (atrial fibrillation, flutter or valve prosthesis), aged 50-85 years, accessing primary care services in Valencia (Spain) in 2018-2019. Variables referring to anticoagulant treatment with vitamin K antagonists (years of treatment, adequate control, polypharmacy and occurrence of complications, among others) and health literacy (Health Literacy Questionnaire) were analysed. Results All dimensions of health literacy were significantly related to the level of education (p < 0.02), social class (p < 0.02), an adequate control of acenocoumarol (p < 0.001), frequentation of health services (p < 0.001), information by patients to health professionals about anticoagulant treatment (p < 0.03), emergency care visits (p < 0.001) and unscheduled hospital admissions (p < 0.001). Conclusion Health literacy has a relevant influence on the adequate self-management of anticoagulation treatment and the frequency of complications. The different dimensions that comprise health literacy play an important role, but the 'social health support' dimension seems to be essential for such optimal self-management. Trial registration ACC-ACE-2016-01. Registration date: December 2015.
dc.language.iso	eng
dc.relation.ispartof	BMC Public Health, 2021, vol. 21, num. 1363, p. 1-9
dc.subject	Salut
dc.subject	Alfabetització
dc.title	Health literacy of patients on oral anticoagulation treatment- individual and social determinants and effect on health and treatment outcomes
dc.type	journal article	es_ES
dc.date.updated	2021-09-15T07:28:14Z
dc.identifier.doi	10.1186/s12889-021-11259-w
dc.identifier.idgrec	147859
dc.rights.accessRights	open access	es_ES