Association between social support and medication literacy in older adults with hypertension

BackgroundReduced physical function and reduced social networks place older adults with hypertension at high risk for medication-related harm. Medication literacy is one of the preventable factors that affect the success of drug therapy for hypertension. However, little is known about the level of m...

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Main Authors: Zhiying Shen, Siqing Ding, Shuangjiao Shi, Zhuqing Zhong
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.987526/full
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author Zhiying Shen
Zhiying Shen
Zhiying Shen
Siqing Ding
Shuangjiao Shi
Shuangjiao Shi
Shuangjiao Shi
Zhuqing Zhong
Zhuqing Zhong
author_facet Zhiying Shen
Zhiying Shen
Zhiying Shen
Siqing Ding
Shuangjiao Shi
Shuangjiao Shi
Shuangjiao Shi
Zhuqing Zhong
Zhuqing Zhong
author_sort Zhiying Shen
collection DOAJ
description BackgroundReduced physical function and reduced social networks place older adults with hypertension at high risk for medication-related harm. Medication literacy is one of the preventable factors that affect the success of drug therapy for hypertension. However, little is known about the level of medication literacy and its influencing factors in older adults with hypertension.ObjectiveThe purpose of this study was to investigate the levels of social support and medication literacy, and the association between them in older Chinese adult patients with hypertension.MethodsA total of 362 older adult patients with hypertension were investigated using a demographic characteristics questionnaire, the Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP) and the Social Support Rating Scale (SSRS). Pearson correlation analysis, canonical correlation analysis (CCA) and hierarchical linear regression were used to analyse the relationship between social support and medication literacy.ResultsOur results showed that the mean scores for the C-MLSHP and the SSRS for older adult patients with hypertension were 23.89 (SD = 4.66) and 39.22 (SD = 5.53), respectively. The results of the Pearson correlation analysis suggested that the score for social support was positively correlated with the score for medication literacy (r = 0.431, P < 0.01). The results of CCA demonstrate that older adult patients with hypertension who had more subjective (rs = 0.682) and objective support (rs = 0.817) performed better in knowledge (rs = 0.633), skills (rs = 0.631) and behavior literacy (rs = 0.715). Hierarchical linear regression indicated that two dimensions of subjective support (B = 0.252, P < 0.001) and objective support (B = 0.690, P < 0.001) in social support were found to be independent predictors of medication literacy (R2 = 0.335, F = 19.745, P < 0.001).ConclusionSocial support is positively associated with medication literacy in older Chinese adult patients with hypertension. The study highlights the importance of social support in promoting medication literacy among older adult patients with hypertension.
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spelling doaj.art-6bf14ae1ba334b06907de05df324c0c22022-12-22T04:38:28ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-11-011010.3389/fpubh.2022.987526987526Association between social support and medication literacy in older adults with hypertensionZhiying Shen0Zhiying Shen1Zhiying Shen2Siqing Ding3Shuangjiao Shi4Shuangjiao Shi5Shuangjiao Shi6Zhuqing Zhong7Zhuqing Zhong8Department of Hematology, Third Xiangya Hospital, Central South University, Changsha, ChinaClinical Nursing Safety Management Research Center of Central South University, Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Nursing, Third Xiangya Hospital, Central South University, Changsha, ChinaClinical Nursing Safety Management Research Center of Central South University, Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Hematology, Third Xiangya Hospital, Central South University, Changsha, ChinaClinical Nursing Safety Management Research Center of Central South University, Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Nursing, Third Xiangya Hospital, Central South University, Changsha, ChinaClinical Nursing Safety Management Research Center of Central South University, Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Nursing, Third Xiangya Hospital, Central South University, Changsha, ChinaBackgroundReduced physical function and reduced social networks place older adults with hypertension at high risk for medication-related harm. Medication literacy is one of the preventable factors that affect the success of drug therapy for hypertension. However, little is known about the level of medication literacy and its influencing factors in older adults with hypertension.ObjectiveThe purpose of this study was to investigate the levels of social support and medication literacy, and the association between them in older Chinese adult patients with hypertension.MethodsA total of 362 older adult patients with hypertension were investigated using a demographic characteristics questionnaire, the Chinese Medication Literacy Scale for Hypertensive Patients (C-MLSHP) and the Social Support Rating Scale (SSRS). Pearson correlation analysis, canonical correlation analysis (CCA) and hierarchical linear regression were used to analyse the relationship between social support and medication literacy.ResultsOur results showed that the mean scores for the C-MLSHP and the SSRS for older adult patients with hypertension were 23.89 (SD = 4.66) and 39.22 (SD = 5.53), respectively. The results of the Pearson correlation analysis suggested that the score for social support was positively correlated with the score for medication literacy (r = 0.431, P < 0.01). The results of CCA demonstrate that older adult patients with hypertension who had more subjective (rs = 0.682) and objective support (rs = 0.817) performed better in knowledge (rs = 0.633), skills (rs = 0.631) and behavior literacy (rs = 0.715). Hierarchical linear regression indicated that two dimensions of subjective support (B = 0.252, P < 0.001) and objective support (B = 0.690, P < 0.001) in social support were found to be independent predictors of medication literacy (R2 = 0.335, F = 19.745, P < 0.001).ConclusionSocial support is positively associated with medication literacy in older Chinese adult patients with hypertension. The study highlights the importance of social support in promoting medication literacy among older adult patients with hypertension.https://www.frontiersin.org/articles/10.3389/fpubh.2022.987526/fullhypertensionmedication literacysocial supportrelationshipolder adult
spellingShingle Zhiying Shen
Zhiying Shen
Zhiying Shen
Siqing Ding
Shuangjiao Shi
Shuangjiao Shi
Shuangjiao Shi
Zhuqing Zhong
Zhuqing Zhong
Association between social support and medication literacy in older adults with hypertension
Frontiers in Public Health
hypertension
medication literacy
social support
relationship
older adult
title Association between social support and medication literacy in older adults with hypertension
title_full Association between social support and medication literacy in older adults with hypertension
title_fullStr Association between social support and medication literacy in older adults with hypertension
title_full_unstemmed Association between social support and medication literacy in older adults with hypertension
title_short Association between social support and medication literacy in older adults with hypertension
title_sort association between social support and medication literacy in older adults with hypertension
topic hypertension
medication literacy
social support
relationship
older adult
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.987526/full
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