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Health Literacy among People in Cardiac Rehabilitation: Associations with Participation and Health-Related Quality of Life in the Heart Skills Study in Denmark

Author

Listed:
  • Anna Aaby

    (Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark)

  • Karina Friis

    (DEFACTUM, Central Denmark Region, Olof Palmes Allé 15, 8200 Aarhus N, Denmark)

  • Bo Christensen

    (Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark)

  • Helle Terkildsen Maindal

    (Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark
    Steno Diabetes Center Copenhagen, Niels Steensens vej 2, 2820 Gentofte, Denmark)

Abstract

Health literacy (HL) is a dynamic determinant of health and a promising target of health equity interventions in noncommunicable disease prevention. Among people referred to a cardiac rehabilitation program, we examined the associations between (1) HL and participation in cardiac rehabilitation and (2) HL and health-related quality of life (HRQoL). Using a cross-sectional design, we invited 193 people referred to cardiac rehabilitation in Randers Municipal Rehabilitation Unit, Denmark, to respond to a questionnaire in 2017. Of these, 150 people responded (77.7%). HL was measured using the nine scales of the Health Literacy Questionnaire (HLQ), while HRQoL was measured using the Short Form Health Survey 12 (version 2) (SF-12). The mean age of respondents was 67.0 years; 71.3% of the sample were men. Nonrespondents had significantly lower educational attainment and more often lived alone than respondents. Using multiple regression analyses, we found no significant associations between HL and participation in cardiac rehabilitation. There were significant positive associations between several aspects of HL and physical and mental HRQoL. HL could be a factor of interest in initiatives aimed at improving participation and outcomes of cardiac rehabilitation.

Suggested Citation

  • Anna Aaby & Karina Friis & Bo Christensen & Helle Terkildsen Maindal, 2020. "Health Literacy among People in Cardiac Rehabilitation: Associations with Participation and Health-Related Quality of Life in the Heart Skills Study in Denmark," IJERPH, MDPI, vol. 17(2), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:2:p:443-:d:306764
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    References listed on IDEAS

    as
    1. Jany Rademakers & Monique Heijmans, 2018. "Beyond Reading and Understanding: Health Literacy as the Capacity to Act," IJERPH, MDPI, vol. 15(8), pages 1-12, August.
    2. Marija Jovanić & Marija Zdravković & Dejana Stanisavljević & Aleksandra Jović Vraneš, 2018. "Exploring the Importance of Health Literacy for the Quality of Life in Patients with Heart Failure," IJERPH, MDPI, vol. 15(8), pages 1-13, August.
    3. David Alejandro González-Chica & Zandile Mnisi & Jodie Avery & Katherine Duszynski & Jenny Doust & Philip Tideman & Andrew Murphy & Jacquii Burgess & Justin Beilby & Nigel Stocks, 2016. "Effect of Health Literacy on Quality of Life amongst Patients with Ischaemic Heart Disease in Australian General Practice," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-15, March.
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    Cited by:

    1. Anna Aaby & Camilla Bakkær Simonsen & Knud Ryom & Helle Terkildsen Maindal, 2020. "Improving Organizational Health Literacy Responsiveness in Cardiac Rehabilitation Using A Co-Design Methodology: Results from The Heart Skills Study," IJERPH, MDPI, vol. 17(3), pages 1-18, February.
    2. Ronie Walters & Stephen J. Leslie & Jane Sixsmith & Trish Gorely, 2020. "Health Literacy for Cardiac Rehabilitation: An Examination of Associated Illness Perceptions, Self-Efficacy, Motivation and Physical Activity," IJERPH, MDPI, vol. 17(22), pages 1-15, November.
    3. Tetine Sentell & Sandra Vamos & Orkan Okan, 2020. "Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    4. Heidi Holmen & Tone Flølo & Christine Tørris & Borghild Løyland & Kari Almendingen & Ann Kristin Bjørnnes & Elena Albertini Früh & Ellen Karine Grov & Sølvi Helseth & Lisbeth Gravdal Kvarme & Rosah Ma, 2023. "Unpacking the Public Health Triad of Social Inequality in Health, Health Literacy, and Quality of Life—A Scoping Review of Research Characteristics," IJERPH, MDPI, vol. 21(1), pages 1-19, December.
    5. 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.

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