IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i21p7913-d436165.html
   My bibliography  Save this article

Does Depression and Anxiety Mediate the Relation between Limited Health Literacy and Diet Non-Adherence?

Author

Listed:
  • Ivana Skoumalova

    (Department of Health Psychology and Research Methodology, Faculty of Medicine, P.J. Safarik University, Trieda SNP 1, 040 01 Kosice, Slovakia
    Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University in Kosice, Trieda SNP 1, 040 01 Kosice, Slovakia
    Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands)

  • Andrea Madarasova Geckova

    (Department of Health Psychology and Research Methodology, Faculty of Medicine, P.J. Safarik University, Trieda SNP 1, 040 01 Kosice, Slovakia
    Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University in Kosice, Trieda SNP 1, 040 01 Kosice, Slovakia
    Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
    Olomouc University Social Health Institute, Palacky University, Univerzitni 22, 771 11 Olomouc, Czech Republic)

  • Jaroslav Rosenberger

    (Department of Health Psychology and Research Methodology, Faculty of Medicine, P.J. Safarik University, Trieda SNP 1, 040 01 Kosice, Slovakia
    Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University in Kosice, Trieda SNP 1, 040 01 Kosice, Slovakia
    Olomouc University Social Health Institute, Palacky University, Univerzitni 22, 771 11 Olomouc, Czech Republic
    FMC-Dialysis Services Slovakia, Trieda SNP 1, 040 01 Kosice, Slovakia)

  • Maria Majernikova

    (FMC-Dialysis Services Slovakia, Trieda SNP 1, 040 01 Kosice, Slovakia)

  • Peter Kolarcik

    (Department of Health Psychology and Research Methodology, Faculty of Medicine, P.J. Safarik University, Trieda SNP 1, 040 01 Kosice, Slovakia
    Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University in Kosice, Trieda SNP 1, 040 01 Kosice, Slovakia
    Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
    Olomouc University Social Health Institute, Palacky University, Univerzitni 22, 771 11 Olomouc, Czech Republic)

  • Daniel Klein

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

  • Andrea F. de Winter

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

  • Jitse P. van Dijk

    (Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University in Kosice, Trieda SNP 1, 040 01 Kosice, Slovakia
    Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
    Olomouc University Social Health Institute, Palacky University, Univerzitni 22, 771 11 Olomouc, Czech Republic)

  • Sijmen A. Reijneveld

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

Abstract

Limited health literacy (HL), depression and anxiety are common in dialyzed patients and affect health outcomes and self-management. We explored whether depression and anxiety mediate the association of HL with diet non-adherence (DN-A) in dialyzed patients. We performed a cross-sectional study in 20 dialysis clinics in Slovakia ( n = 452; mean age: 63.6 years; males: 60.7%). Hierarchical cluster analysis was performed to create three HL groups. Logistic regression adjusted for age, gender and education was used to explore whether depression and anxiety mediate the association of HL with DN-A. Patients in the moderate HL group were more likely to be non-adherent to diet (OR (Odds Ratio)/95% CI: 2.19/1.21–3.99) than patients in the high HL group. Patients in the low HL and moderate HL group more likely reported depression or anxiety. Patients reporting depression (OR/95% CI: 1.94/1.26–2.98) or anxiety (OR/95% CI: 1.81/1.22–2.69) were more likely to be non-adherent with diet. Adjustment for depression reduced the association between moderate HL and DN-A by 19.5%. Adjustment for anxiety reduced the association between moderate HL and DN-A by 11.8%. Anxiety and depression partly mediated the association of HL with DN-A. More attention should be paid to treating patients’ psychological distress to ensure adequate adherence with recommended diet.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7913-:d:436165
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/21/7913/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/21/7913/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. Peter Kolarcik & Eva Cepova & Andrea Madarasova Geckova & Gerald R. Elsworth & Roy W. Batterham & Richard H. Osborne, 2017. "Structural properties and psychometric improvements of the Health Literacy Questionnaire in a Slovak population," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(5), pages 591-604, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    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, 2022. "Health Literacy and Change in Health-Related Quality of Life in Dialysed Patients," IJERPH, MDPI, vol. 19(2), pages 1-9, January.
    2. Ivana Skoumalova & Andrea Madarasova Geckova & Jaroslav Rosenberger & Maria Majernikova & Peter Kolarcik & Daniel Klein & Andrea F. de Winter & Jitse P. van Dijk & Sijmen A. Reijneveld, 2022. "Low Health Literacy Is Associated with Poorer Physical and Mental Health-Related Quality of Life in Dialysed Patients," IJERPH, MDPI, vol. 19(20), pages 1-9, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Leena Paakkari & Minna Torppa & Joanna Mazur & Zuzana Boberova & Gorden Sudeck & Michal Kalman & Olli Paakkari, 2020. "A Comparative Study on Adolescents’ Health Literacy in Europe: Findings from the HBSC Study," IJERPH, MDPI, vol. 17(10), pages 1-12, May.
    2. Silvia Timková & Tatiana Klamárová & Eva Kovaľová & Bohuslav Novák & Peter Kolarčik & Andrea Madarasová Gecková, 2020. "Health Literacy Associations with Periodontal Disease among Slovak Adults," IJERPH, MDPI, vol. 17(6), pages 1-12, March.
    3. Ivana Skoumalova & Andrea Madarasova Geckova & Jaroslav Rosenberger & Maria Majernikova & Peter Kolarcik & Daniel Klein & Andrea F. de Winter & Jitse P. van Dijk & Sijmen A. Reijneveld, 2022. "Low Health Literacy Is Associated with Poorer Physical and Mental Health-Related Quality of Life in Dialysed Patients," IJERPH, MDPI, vol. 19(20), pages 1-9, October.
    4. Martina Zavacka & Ivana Skoumalova & Andrea Madarasova Geckova & Jaroslav Rosenberger & Peter Zavacky & Jana Pobehova & Maria Majernikova, 2020. "Does Health Literacy of Hemodialyzed Patients Predict the Type of Their Vascular Access? A Cross-Sectional Study on Slovak Hemodialyzed Population," IJERPH, MDPI, vol. 17(2), pages 1-8, January.
    5. 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.
    6. Dulce Nascimento Do Ó & Ana Rita Goes & Gerald Elsworth & João F. Raposo & Isabel Loureiro & Richard H. Osborne, 2022. "Cultural Adaptation and Validity Testing of the Portuguese Version of the Health Literacy Questionnaire (HLQ)," IJERPH, MDPI, vol. 19(11), pages 1-18, May.
    7. Jonathan O’Hara & Crystal McPhee & Sarity Dodson & Annie Cooper & Carol Wildey & Melanie Hawkins & Alexandra Fulton & Vicki Pridmore & Victoria Cuevas & Mathew Scanlon & Patricia M. Livingston & Richa, 2018. "Barriers to Breast Cancer Screening among Diverse Cultural Groups in Melbourne, Australia," IJERPH, MDPI, vol. 15(8), pages 1-13, August.
    8. 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.
    9. Wadad Kathy Tannous & Moin Uddin Ahmed & James Rufus John & Graham Reece & Golo Ahlenstiel, 2021. "Estimating the Economic Burden of Low Health Literacy in the Blacktown Community in Sydney, Australia: A Population-Based Study," IJERPH, MDPI, vol. 18(5), pages 1-23, February.
    10. Charlotte Demant Klinker & Anna Aaby & Lene Winther Ringgaard & Anneke Vang Hjort & Melanie Hawkins & Helle Terkildsen Maindal, 2020. "Health Literacy is Associated with Health Behaviors in Students from Vocational Education and Training Schools: A Danish Population-Based Survey," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
    11. Catherine J. Leslie & Melanie Hawkins & Diane L. Smith, 2020. "Using the Health Literacy Questionnaire (HLQ) with Providers in the Early Intervention Setting: A Qualitative Validity Testing Study," IJERPH, MDPI, vol. 17(7), pages 1-14, April.
    12. Ivana Skoumalova & Andrea Madarasova Geckova & Jaroslav Rosenberger & Maria Majernikova & Peter Kolarcik & Daniel Klein & Andrea F. de Winter & Jitse P. van Dijk & Sijmen A. Reijneveld, 2022. "Health Literacy and Change in Health-Related Quality of Life in Dialysed Patients," IJERPH, MDPI, vol. 19(2), pages 1-9, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7913-:d:436165. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.