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Is Health Literacy of Dialyzed Patients Related to Their Adherence to Dietary and Fluid Intake Recommendations?

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  • Ivana Skoumalova

    (Department of Health Psychology, Faculty of Medicine, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands)

  • Peter Kolarcik

    (Department of Health Psychology, Faculty of Medicine, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Olomouc University Social Health Institute, Palacky University in Olomouc, Univerzitni 22, Olomouc 771 11, Czech Republic)

  • Andrea Madarasova Geckova

    (Department of Health Psychology, Faculty of Medicine, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
    Olomouc University Social Health Institute, Palacky University in Olomouc, Univerzitni 22, Olomouc 771 11, Czech Republic)

  • Jaroslav Rosenberger

    (Department of Health Psychology, Faculty of Medicine, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Olomouc University Social Health Institute, Palacky University in Olomouc, Univerzitni 22, Olomouc 771 11, Czech Republic
    II. Internal Clinic, Faculty of Medicine, P.J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia)

  • Maria Majernikova

    (FMC-Dialysis Services Slovakia, Trieda SNP 1, 040 11 Kosice, Slovakia)

  • Daniel Klein

    (Institute of Mathematics, Faculty of Science, P. J. Safarik University, Jesenna 5, 040 01 Kosice, Slovakia)

  • Jitse P. van Dijk

    (Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
    Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
    Olomouc University Social Health Institute, Palacky University in Olomouc, Univerzitni 22, Olomouc 771 11, Czech Republic)

  • Sijmen A. Reijneveld

    (Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands)

Abstract

Non-adherence to dietary and fluid intake recommendations (NADFIR) is an important factor for the effective treatment of dialyzed patients and may be hindered by low health literacy (HL). Therefore, we assessed whether low HL of dialyzed patients is associated with their NADFIR. We performed a multicentric cross-sectional study in 20 dialysis clinics in Slovakia ( n = 452; response rate: 70.1%; mean age = 63.6 years; males: 60.7%). We assessed the association between nine domains of HL and non-adherence (high serum potassium, high serum phosphate, relative overhydration, and self-reported NADFIR) using general linear models adjusted for age and gender. Moreover, we assessed the moderation by socioeconomic status (SES). We found higher NADFIR among patients with less sufficient information for health management (high serum phosphate level; odds ratio (OR): 0.77; 95% confidence interval (CI): 0.63–0.94), with a lower ability to actively manage their health (self-reported diet non-adherence; OR: 0.74; 95% CI: 0.62–0.89), and those less able to actively engage with healthcare providers (overhydrated; OR: 0.78; 95% CI: 0.65–0.94). Moreover, SES modified this relation. Low HL affects the adherence of dialyzed patients. This shows a need to support patients with low HL and to train healthcare providers to work with these patients, taking into account their SES.

Suggested Citation

  • Ivana Skoumalova & Peter Kolarcik & Andrea Madarasova Geckova & Jaroslav Rosenberger & Maria Majernikova & Daniel Klein & Jitse P. van Dijk & Sijmen A. Reijneveld, 2019. "Is Health Literacy of Dialyzed Patients Related to Their Adherence to Dietary and Fluid Intake Recommendations?," IJERPH, MDPI, vol. 16(21), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:21:p:4295-:d:283780
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    References listed on IDEAS

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    3. René Rüegg & Thomas Abel, 2019. "The relationship between health literacy and health outcomes among male young adults: exploring confounding effects using decomposition analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(4), pages 535-545, May.
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    1. Ivana Skoumalova & Andrea Madarasova Geckova & Jaroslav Rosenberger & Maria Majernikova & Peter Kolarcik & Daniel Klein & Andrea F. de Winter & Jitse P. van Dijk & Sijmen A. Reijneveld, 2020. "Does Depression and Anxiety Mediate the Relation between Limited Health Literacy and Diet Non-Adherence?," IJERPH, MDPI, vol. 17(21), pages 1-10, October.
    2. Jun-Hao Lim & Karuthan Chinna & Pramod Khosla & Tilakavati Karupaiah & Zulfitri Azuan Mat Daud, 2020. "Understanding How Nutrition Literacy Links to Dietary Adherence in Patients Undergoing Maintenance Hemodialysis: A Theoretical Exploration using Partial Least Squares Structural Equation Modeling," IJERPH, MDPI, vol. 17(20), pages 1-21, October.

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