Factors associated with functional health literacy in old people undergoing pre-dialysis treatment

Lima, Monique de Freitas Gonçalves; Vasconcelos, Eliane Maria Ribeiro de; Borba, Anna Karla de Oliveira Tito; Santos, Carlos Renato dos; Carvalho, Juliana Cordeiro; Zimmermann, Rogerio Dubosselard

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Revista Brasileira de Geriatria e Gerontologia

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Original Articles • Rev. bras. geriatr. gerontol. 23 (4) • 2020 • https://doi.org/10.1590/1981-22562020023.200114 copy

Factors associated with functional health literacy in old people undergoing pre-dialysis treatment

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To evaluate the factors associated with functional health literacy in the elderly undergoing pre-dialysis treatment.

Method

This is a cross-sectional study, carried out with 60 elderly people diagnosed with chronic kidney disease and assisted in the conservative treatment outpatient clinic of a public hospital in the city of Recife, Pernambuco, Brazil. Data were collected using the instrument of Test of Health Literacy in Adults, an abbreviated version and a structured questionnaire, which were subsequently analyzed using descriptive and inferential statistics.

Result

Functional health literacy was insufficient 43(71.7%) and was associated with lower education (p-value=0.000) and non-white race (p-value=0.040).

Conclusion

The educational level and race are factors that interfere in functional health literacy, serving as subsidies for the elaboration of educational actions adjusted to the reality of this public.

Keywords
Health Literacy; Health of the Elderly; Chronic Kidney Disease

		Functional Health Literacy
Characteristics	Total	Inadequate	Adequate	p-value
Characteristics	n (%)	43(71.7%)	17(28.3%)	p-value
Sex
Female	22 (36.7)	19(86.4%)	3(13.6%)	0.055^b
Male	38 (63.3)	24(63.2%)	14(36.8%)
Age (years)
60-69	36(60.0)	14 (39%)	22(61%)	0.162^a
70-79	21(35.0)	9(43%)	12(57%)
80 and over	3(5.0)	3(100%)	0(0%)
Self-declared race
Non-white*	37 (61.7)	30(81.1%)	7(18.9%)	0.040^b
White	23 (38.3)	13(56.5%)	10(43.5%)
Income (MW)**
≤ 1	43(71.7)	33(76.7%)	10(23.3%)	0.209^a
> 1	17(28.3)	10(58.8%)	7(41.2%)
Marital status
With companion	36(60%)	13(36%)	23(64%)	0.264^b
No companion	24(40%)	13(54.2%)	11(45.8%)
Years of education
≤ 4	35(58.3)	32(91.4%)	3(8.6%)	0.000^b
>4	25(41.7)	11(44%)	14(56%)
Place of residence
Metropolitan region	45(75.0)	32(71.1%)	13(12.8%)	1.000^a
Another location	15(25.0)	11(73.3%)	4(26.7%)
Number of people in the residence
≤ 2	23(38.3)	16(69.6%)	7(30.4%)	0.776^b
≥ 3	37(61.7)	27(73%)	10(27%)

		Functional Health Literacy
Characteristics	Total	Inadequate	Adequate	p-value
Characteristics	n (%)	43(71.7%)	17(28.3%)	p-value
Outpatient treatment time (years)
≤ 2	19(31.7)	12(63.2%)	7(36.8%)	0.608^b
3-4	16(26.7)	12(75%)	4(25%)
≥ 5 and over	25(41.7)	19(76%)	6(24%)
Body Mass Index
Low weight	3(5)	0(0%)	3(100%)	0.310^a
Normal	23(38.3)	9(39%)	14(61%)
Overweight	34(56.7)	17(50%)	17(50%)
Comorbidities
None	8(13.3)	3(37.5%)	5(62.5%)	0.126^b
< 3	19(31.7)	5(26.3%)	14(73.7%)
≥ 3	33(55)	18(54.5%)	15(45.5%)
Difficulties in following treatment
Distance to health service and medication use	33(55.0)	26(78.8%)	7(21.2%)	0.176^b
Diet	27(45.0)	17(63%)	10(37%)
Satisfaction with consultations
Satisfied	34(56.7)	22(64.7)	12(35.3%)	0.171^b
Partially satisfied/Not satisfied	26(43.3)	21(80.8)	5(19.2%)
Knowledge in DRC
Sufficient	22(36.7)	16 (72.7%)	6(27.3%)	1.000^a
Insufficient	38(63.3)	27(71%)	11(29%)

Universidade do Estado do Rio Janeiro Rua São Francisco Xavier, 524 - Bloco F, 20559-900 Rio de Janeiro - RJ Brasil, Tel.: (55 21) 2334-0168 - Rio de Janeiro - RJ - Brazil
E-mail: revistabgg@gmail.com

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[1] Correspondence Monique de Freitas Gonçalves Lima monique_freitas@hotmail.com