Functional Health Literacy andAssociated Factors amongEgyptian Hospitalized Patients: A Cross-Sectional Study
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 4
Abstract
Background: Over the past few decades, studies of Functional Health Literacy (FHL) have increased dramatically. However, information about the health literacy of Egyptian patients remains scarce. Aim: This study aimed to evaluate the FHL and associated factors among Egyptian Hospitalized Patients. Methods: A cross-sectional survey was conducted over a period of six months in a selected university teaching hospital in Cairo, Egypt. A convenient sample of 280 adult patients was participated. Three measurements were utilized in this study together with the demographic data questionnaire: (i) The Short version of the Test of Functional Health Literacy in Adults (S-TOFHLA), (ii) Rapid Estimate of Adult Literacy in Medicine (REALM-R) and (iii) The CHEW scale. Results: the mean age of the participants was 40.48±SD 16.81 years. Most of them were males (63.6%), married (59.3%), and educated (67.7%). The mean score of the health literacy using S-TOFHLA was 18.84±11.21 and the median was 19; 57.1% of the participants had inadequate or marginal health literacy level. The REALM indicates that the participants reading ability was adequate (Median 11); 15.4% of participants had low reading ability score. Using the CHEW scale, 23.9% % had no or low confidence filling out medical forms by themselves, 41.1% does not or little have someone to read materials and 32.2% had problems learning their medical condition. The multiple regression test indicated that age (t=3.76, p=0.000), education (t=2.69, p=0.008) and presence of comorbidity (t=2.03, p=0.04) predict patients' REALM-R score, while the STOFHLA is only predicted by education (t=2.24, p=0.03). Conclusion and recommendation: The level of health literacy among the study participants was low. Healthcare providers should assess the patients' health literacy in order to tailor their communications and related health teaching materials.
Authors and Affiliations
Naglaa F. A. Youssef, Hanan A. Al Sebaee
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