Health literacy and self-care among patients with chronic kidney disease in a primary care setting.
Singapore Med J
; 2024 Jan 12.
Article
en En
| MEDLINE
| ID: mdl-38212993
ABSTRACT
INTRODUCTION:
The study objective was to determine the levels of self-care and health literacy (HL) and their associations among patients with chronic kidney disease (CKD).METHODS:
This was a cross-sectional, questionnaire-based study conducted in a public primary care setting in Singapore. A total of 289 participants aged 21-80 years with hypertension were recruited. Self-care profiles were measured using the Hypertension Self-Care Profile (HTN-SCP; range 0-240, domain range 0-80). Health literacy was measured using the Short-Form Health Literacy Scale (HLS-SF12; range 0-50, limited literacy ≤33).RESULTS:
The mean self-care score was 182.7 (standard deviation [SD] 23.2). The median HL score was 34.7 (interquartile range [IQR] 31.9-40.3), and 31.1% of participants had limited HL. Self-care was not associated with age, CKD status, household income and education, but was associated with gender and HL score. In the final regression model, lower HL scores (adjusted ß = 1.03, 95% confidence interval [CI] 0.7 to 1.36, P < 0.001) and male gender (adjusted ß = -5.29, 95% CI -10.56 to -0.03, P = 0.049) were associated with lower self-care scores. The HL scores were associated with self-care domains of self-efficacy (HL ß = 0.30, 95% CI 0.17 to 0.42, P < 0.001), motivation (HL ß = 0.40, 95% CI 0.26 to 0.53, P < 0.001) and behaviour (HL ß = 0.38, 95% CI 0.26 to 0.50, P < 0.001).CONCLUSION:
Thirty-one percent of the participants had limited HL. Self-care was not associated with age, race, CKD status, household income or education. Male gender and limited HL were associated with lower self-care. Self-care was associated with self-efficacy, motivation and behaviour. Future research could focus on more targeted approaches to improve self-care and HL among patients with CKD.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
Singapore Med J
Año:
2024
Tipo del documento:
Article
País de afiliación:
Singapur
Pais de publicación:
India