RT Journal Article
T1 Health literacy and health outcomes in chronic obstructive pulmonary disease
A1 Puente Maestu, Luis
A1 Calle Rubio, Myrian
A1 Rodríguez Hermosa, Juan Luis
A1 Campuzano, Anna
A1 Miguel Díez, Javier De
A1 Álvarez-Sala Walther, José Luis
A1 Puente-Andues, Luis
A1 Pérez-Gutiérrez, Maria Joselín
A1 Lee, Shoou-Yih Daniel
AB Background: There is little information worldwide about the impact of health literacy (HL) on clinical outcomes of COPD. Our aim was to quantify inadequate HL in Spain, as measured by the Short Assessment of Health Literacy for Spanish Adults questionnaire, and to examine the associations between HL and both COPD outcomes and health status.Methods: 296 COPD patients of 68(SD = 9) years and a FEV1%predicted of 53%(SD = 18%) were enrolled and followed-up for one year. 59% showed "inadequate" HL.Results: Individuals with inadequate HL were older (70[SD = 9] vs 65[SD = 8] years; p < 0.001) and had less knowledge of their disease, as measured by the low HL-COPD questionnaire, (6.9[SD = 2.3] vs 7.5[SD = 1.9]; p < 0.001). While their lung function was no different, they reported significant differences in mMRC (1.6[SD = 1] vs 1.4[SD = 1]; p < 0.001), CAT (19.2[SD = 8.1] vs 18.3[SD = 7.5]; p = 0.049), and EQ-5 (3.1[SD = 2.2] vs 2.3[SD = 1.9]; p < 0.00). Those with inadequate HL had also higher risk of having ≥2 comorbidities (OR = 1.87; 95%CI = 1.14-3.08), need of assistance (OR = 2.5; 95%CI = 1.5-4.2), anxiety/depression (OR = 1.9; 95%CI = 1.2-3.0), admissions or visits to the emergency department (OR = 1.70; 95%CI = 1.1-2.7), and all-cause deaths in the following year (3.8% (SE = 1.1%) vs 0%; p = 0.051).Conclusions: Inadequate HL is prevalent among COPD patients and it is related to health status and relevant clinical outcomes of the disease. HL needs to be considered when planning the care for COPD patients.
PB Elsevier
SN 0954-6111
YR 2016
FD 2016
LK https://hdl.handle.net/20.500.14352/98378
UL https://hdl.handle.net/20.500.14352/98378
LA eng
NO Puente-Maestu L, Calle M, Rodríguez-Hermosa JL, Campuzano A, de Miguel Díez J, Álvarez-Sala JL, Puente-Andues L, Pérez-Gutiérrez MJ, Lee SY. Health literacy and health outcomes in chronic obstructive pulmonary disease. Respir Med. 2016 Jun;115:78-82.
DS Docta Complutense
RD 17 abr 2025