Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative Study
AimThis study aimed to evaluate the relationship between health literacy (HL) and chronic obstructive pulmonary disease (COPD) severity.MethodsPulmonary function test, sociodemographic features, Modified Medical Research Council (mMRC) dyspnea scale, COPD assessment test (CAT), and the European Heal...
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.846768/full |
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| author | Deniz Azkan Ture Sudip Bhattacharya Hakan Demirci Tekin Yildiz |
| author_facet | Deniz Azkan Ture Sudip Bhattacharya Hakan Demirci Tekin Yildiz |
| author_sort | Deniz Azkan Ture |
| collection | DOAJ |
| description | AimThis study aimed to evaluate the relationship between health literacy (HL) and chronic obstructive pulmonary disease (COPD) severity.MethodsPulmonary function test, sociodemographic features, Modified Medical Research Council (mMRC) dyspnea scale, COPD assessment test (CAT), and the European Health Literacy Survey Questionnaire were used. The study examined 13,760 patients who underwent a pulmonary function test. Out of 13,760 patients, 673 patients had FEV1/FVC values less than 70%. Those with FEV1/FVC< 0.70 (n = 336) after the reversibility test were included in the study.ResultsThere was a significant decrease in HL and an increase in COPD severity (p < 0.001). In multivariate analysis, the risk of severe COPD was 2.74 times higher in patients in the poor income level than in patients in the good income level. In patients with inadequate HL, the risk of developing severe COPD was 1.80 times higher. A significant difference was found in HL index scores among the groups in terms of education level and income level (p < 0.001; p < 0.001, respectively). The most difficult topics for patients with COPD were periodic health examinations, good practices in mental health, and adult vaccinations.ConclusionsPatients with COPD were found to be at a HL level well below the expected level. The risk of severe COPD increased with poor income and inadequate HL. Healthcare providers should be careful in accessing, understanding, and interpreting the health information of patients with inadequate HL. Therefore, patient education should be prioritized in the follow-up and in the treatment of patients with COPD. Physicians should pay maximum attention to patients with COPD in the regular use of drugs, their proper use, in taking preventive measures, and in adult vaccination. |
| first_indexed | 2024-12-13T15:06:10Z |
| format | Article |
| id | doaj.art-d10a2e08777444b1a5491b9865922ad0 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-13T15:06:10Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-d10a2e08777444b1a5491b9865922ad02022-12-21T23:40:59ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-03-011010.3389/fpubh.2022.846768846768Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative StudyDeniz Azkan Ture0Sudip Bhattacharya1Hakan Demirci2Tekin Yildiz3Department of Family Medicine, Bursa Yuksek Ihtisas Training and Research Hospital, University of Health Sciences Turkey, Bursa, TurkeyDepartment of Community Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Dehradun, IndiaDepartment of Family Medicine, Bursa Yuksek Ihtisas Training and Research Hospital, University of Health Sciences Turkey, Bursa, TurkeyDepartment of Chest Diseases, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, University of Health Sciences Turkey, Istanbul, TurkeyAimThis study aimed to evaluate the relationship between health literacy (HL) and chronic obstructive pulmonary disease (COPD) severity.MethodsPulmonary function test, sociodemographic features, Modified Medical Research Council (mMRC) dyspnea scale, COPD assessment test (CAT), and the European Health Literacy Survey Questionnaire were used. The study examined 13,760 patients who underwent a pulmonary function test. Out of 13,760 patients, 673 patients had FEV1/FVC values less than 70%. Those with FEV1/FVC< 0.70 (n = 336) after the reversibility test were included in the study.ResultsThere was a significant decrease in HL and an increase in COPD severity (p < 0.001). In multivariate analysis, the risk of severe COPD was 2.74 times higher in patients in the poor income level than in patients in the good income level. In patients with inadequate HL, the risk of developing severe COPD was 1.80 times higher. A significant difference was found in HL index scores among the groups in terms of education level and income level (p < 0.001; p < 0.001, respectively). The most difficult topics for patients with COPD were periodic health examinations, good practices in mental health, and adult vaccinations.ConclusionsPatients with COPD were found to be at a HL level well below the expected level. The risk of severe COPD increased with poor income and inadequate HL. Healthcare providers should be careful in accessing, understanding, and interpreting the health information of patients with inadequate HL. Therefore, patient education should be prioritized in the follow-up and in the treatment of patients with COPD. Physicians should pay maximum attention to patients with COPD in the regular use of drugs, their proper use, in taking preventive measures, and in adult vaccination.https://www.frontiersin.org/articles/10.3389/fpubh.2022.846768/fulldisease severityGOLD classificationhealth literacyHLS-EU-QCOPD |
| spellingShingle | Deniz Azkan Ture Sudip Bhattacharya Hakan Demirci Tekin Yildiz Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative Study Frontiers in Public Health disease severity GOLD classification health literacy HLS-EU-Q COPD |
| title | Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative Study |
| title_full | Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative Study |
| title_fullStr | Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative Study |
| title_full_unstemmed | Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative Study |
| title_short | Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative Study |
| title_sort | health literacy and health outcomes in chronic obstructive pulmonary disease patients an explorative study |
| topic | disease severity GOLD classification health literacy HLS-EU-Q COPD |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.846768/full |
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