Anna Aaby|Alison Beauchamp|Jonathan O’Hara|Helle Terkildsen Maindal
Large diversity in Danish health literacy profiles: perspectives for care of long-term illness and multimorbidity
Aarhus University|Western Health|University of Melbourne|Australian Institute for Musculoskeletal Science|Monash University|Deakin University|Steno Diabetes Center|Aarhus University
abstract background health literacy important modifiable social determinant health study aims explore health literacy challenges people longterm illness multimorbidity provide detailed profiles revealing health literacy strengths weaknesses within danish population methods crosssectional study among danish individuals n 490 health literacy assessed using ninescale health literacy questionnaire hlq using multiple logistic regression hierarchical cluster analysis estimated association hlq scale scores likelihood longterm illness multimorbidity identified sociodemographic health characteristics related profiles health literacy strengths weaknesses results increase actively managing health social support health decreased odds longterm illness odds ratio 053 03109 043 024074 multimorbidity 051 026098 033 017062 respectively conversely increase healthcare provider support increased odds longterm illness 297 178508 multimorbidity 294 153587 respectively five profiles identified based cluster analysis cluster characterized specific health characteristics eg cluster better health status 2 39976 4 p lt 0001 wellbeing 2 28832 4 p lt 0001 cluster poor health status 2 39976 4 p lt 0001 increased likelihood longterm illness 2 18641 4 p lt 0001 conclusions association health literacy longterm illness multimorbidity combination health literacy profiling based cluster analysis provides comprehensive needs assessment promising starting point development health literacy responsive interventions