Health literacy levels and its determinants among people with asthma in Malaysian primary healthcare settings: a cross-sectional study.
Asthma
Limited health literacy
Low-and-middle-income country
Prevalence
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
22 06 2021
22 06 2021
Historique:
received:
27
10
2020
accepted:
03
06
2021
entrez:
23
6
2021
pubmed:
24
6
2021
medline:
2
7
2021
Statut:
epublish
Résumé
Limited health literacy among people with asthma is associated with poor adherence to self-management activities, thus poor clinical outcomes. This study aimed to determine the prevalence of health literacy level and its determinants among people with asthma in the Malaysian primary healthcare settings. A cross-sectional study was conducted among participants aged > 18 years with asthma who attended five primary health clinics in Malaysia. Systematic random sampling was employed with a final sample of 550 participants. The questionnaires included the validated Malay version of Health Literacy Scale (HLS) and asthma control questionnaire (ACQ). Statistical analysis was done using SPSS version 25. Multiple logistic regression was performed to determine the determinants for limited health literacy. The participants mean age of the participants was 48 (SD15.4) years. Most of the participants were women (64%) and of Malay ethnicity (51.1%). Nearly half had a secondary level of education, n = 112, (45.8%). Mean duration of asthma diagnosis is 20.6 (SD 15.9) years. More than half (62.5%) had a family history of asthma. About half (50.9%) had uncontrolled asthma, with 87.3% self-rated themselves as having controlled asthma. About a third (29.1%) received education on of asthma action plan, but only 7.1% of these owned a written version an asthma action plan. Limited health literacy accounts for 60.5% of the participants. The significant determinants for limited health literacy included lower educational attainment (p < 0.001), family history of asthma (p = 0.034), < 20 years duration of asthma diagnosis (p = 0.031) and not receiving asthma action plan education (p < 0.001). In this study population, more than half of the people living with asthma were found to have limited health literacy, which was associated with not having received self-management education supported by an asthma action plan. Future interventions should include strategies that ensure they meet the needs of people with limited health literacy.
Sections du résumé
BACKGROUND
Limited health literacy among people with asthma is associated with poor adherence to self-management activities, thus poor clinical outcomes. This study aimed to determine the prevalence of health literacy level and its determinants among people with asthma in the Malaysian primary healthcare settings.
METHOD
A cross-sectional study was conducted among participants aged > 18 years with asthma who attended five primary health clinics in Malaysia. Systematic random sampling was employed with a final sample of 550 participants. The questionnaires included the validated Malay version of Health Literacy Scale (HLS) and asthma control questionnaire (ACQ). Statistical analysis was done using SPSS version 25. Multiple logistic regression was performed to determine the determinants for limited health literacy.
RESULTS
The participants mean age of the participants was 48 (SD15.4) years. Most of the participants were women (64%) and of Malay ethnicity (51.1%). Nearly half had a secondary level of education, n = 112, (45.8%). Mean duration of asthma diagnosis is 20.6 (SD 15.9) years. More than half (62.5%) had a family history of asthma. About half (50.9%) had uncontrolled asthma, with 87.3% self-rated themselves as having controlled asthma. About a third (29.1%) received education on of asthma action plan, but only 7.1% of these owned a written version an asthma action plan. Limited health literacy accounts for 60.5% of the participants. The significant determinants for limited health literacy included lower educational attainment (p < 0.001), family history of asthma (p = 0.034), < 20 years duration of asthma diagnosis (p = 0.031) and not receiving asthma action plan education (p < 0.001).
CONCLUSION
In this study population, more than half of the people living with asthma were found to have limited health literacy, which was associated with not having received self-management education supported by an asthma action plan. Future interventions should include strategies that ensure they meet the needs of people with limited health literacy.
Identifiants
pubmed: 34158013
doi: 10.1186/s12889-021-11194-w
pii: 10.1186/s12889-021-11194-w
pmc: PMC8218499
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1186Subventions
Organisme : Family Medicine Association of Malaysia (FMSA)
ID : FMSA(7): 24/16-18
Références
Respir Med. 2005 May;99(5):553-8
pubmed: 15823451
Health Expect. 2015 Oct;18(5):1180-93
pubmed: 23773311
J Allergy Clin Immunol. 2009 Jun;123(6):1209-17; quiz 1218-9
pubmed: 19447484
Lancet. 2011 Mar 5;377(9768):863-73
pubmed: 21269682
Expert Rev Respir Med. 2016;10(1):39-51
pubmed: 26610152
J Allergy Clin Immunol. 2013 Aug;132(2):321-7
pubmed: 23591273
Health Econ. 2007 Nov;16(11):1159-84
pubmed: 17311356
Lancet Respir Med. 2015 Feb;3(2):159-170
pubmed: 25680912
Lancet. 2004 Jan 10;363(9403):157-63
pubmed: 14726171
Allergy. 2004 May;59(5):469-78
pubmed: 15080825
BMC Public Health. 2013 Oct 10;13:948
pubmed: 24112855
Int J Cardiol. 2018 Dec 15;273:249-251
pubmed: 30193793
Respir Med. 2006 Apr;100(4):616-21
pubmed: 16226443
J Epidemiol. 2017 Feb;27(2):80-86
pubmed: 28142016
J Asthma. 2012 Jun;49(5):542-51
pubmed: 22715910
J Asthma. 2014 Sep;51(7):703-13
pubmed: 24654706
Malays Fam Physician. 2018 Dec 31;13(3):20-26
pubmed: 30800229
Curr Opin Allergy Clin Immunol. 2017 Jun;17(3):188-193
pubmed: 28333691
Health Promot Int. 2017 Feb 1;32(1):130-138
pubmed: 28180257
J Immigr Minor Health. 2011 Apr;13(2):315-22
pubmed: 20938742
Malays Fam Physician. 2017 Apr 30;12(1):14-21
pubmed: 28503269
Eur Respir J. 1999 Oct;14(4):902-7
pubmed: 10573240
J Allergy Clin Immunol. 2009 Sep;124(3):601-3
pubmed: 19631974
Aust Health Rev. 2018 Feb;42(1):10-20
pubmed: 29081348
Stud Health Technol Inform. 2020 Jun 25;269:22-41
pubmed: 32593981
BMC Med. 2017 Mar 17;15(1):64
pubmed: 28302126
Health Lit Res Pract. 2019 Jan 18;3(1):e9-e18
pubmed: 31294300
PLoS One. 2017 Feb 14;12(2):e0172229
pubmed: 28196113
Br J Gen Pract. 2014 Nov;64(628):564
pubmed: 25348975
Lancet Respir Med. 2017 Sep;5(9):691-706
pubmed: 28822787
J Gen Intern Med. 2006 Aug;21(8):813-7
pubmed: 16881939
Patient Educ Couns. 2009 Jun;75(3):386-91
pubmed: 19217741
J Asthma. 2010 Aug;47(6):620-6
pubmed: 20636188
Health Expect. 2017 Oct;20(5):1049-1060
pubmed: 28402013
J Asthma Allergy. 2015 Sep 23;8:93-103
pubmed: 26445555
Health Promot Int. 2019 Oct 1;34(5):e1-e17
pubmed: 30107564
J Health Commun. 2011;16 Suppl 3:30-54
pubmed: 21951242
Am J Health Behav. 2007 Sep-Oct;31 Suppl 1:S19-26
pubmed: 17931132
J Public Health Res. 2014 Dec 02;3(3):307
pubmed: 25553312
BMC Public Health. 2021 Jan 30;21(1):248
pubmed: 33516186
Prim Health Care Res Dev. 2020 Feb 24;21:e4
pubmed: 32090729
BMC Public Health. 2012 Mar 19;12:204
pubmed: 22429515
J Asthma. 2014 Mar;51(2):162-7
pubmed: 24102556
J Community Health. 2009 Aug;34(4):321-7
pubmed: 19353250
BMC Public Health. 2012 Jan 25;12:80
pubmed: 22276600
J Health Serv Res Policy. 2016 Apr;21(2):73-82
pubmed: 26377727
Health Lit Res Pract. 2020 Dec 11;4(4):e251-e266
pubmed: 33313935