David Alejandro González?Chica|Zandile Mnisi|Jodie Avery|Katherine Duszynski|Jenny Doust|Philip Tideman|Andrew W. Murphy|Jacquii Burgess|Justin Beilby|Nigel Stocks
Effect of Health Literacy on Quality of Life amongst Patients with Ischaemic Heart Disease in Australian General Practice
University of Adelaide|National Health and Medical Research Council|University of Adelaide|National Health and Medical Research Council|University of Adelaide|University of Adelaide|Bond University|Flinders University|Ollscoil na Gaillimhe – University of Galway|Children's Medical Research Institute|University of Queensland|Torrens University Australia|University of Adelaide|National Health and Medical Research Council
background appropriate understanding health information patients cardiovascular disease cvd fundamental better management risk factors improved morbidity also benefit quality life objectives assess relationship health literacy healthrelated quality life hrqol patients ischaemic heart disease ihd investigate role sociodemographic clinical variables possible confounders methods crosssectional study patients ihd recruited stratified sample general practices two australian states queensland south australia 2007 2009 health literacy measured using validated questionnaire classified inadequate marginal adequate physical mental components hrqol assessed using medical outcomes study short form sf12 questionnaire analyses adjusted confounders sociodemographic variables clinical history ihd number cvd comorbidities cvd risk factors using multiple linear regression results total sample 587 patients ihd mean age 72084 years evaluated 768 males 842 retired pensioner 514 secondary educational level health literacy showed mean 39667 points 143 95ci 118173 classified inadequate scores physical component hrqol 396 95ci 371421 421 95ci 408433 448 95ci 433462 inadequate marginal adequate health literacy respectively pvalue trend 0001 association persisted adjustment confounders health literacy associated mental component hrqol pvalue 0482 advanced age lower educational level disadvantaged socioeconomic position larger number cvd comorbidities adversely affected health literacy hrqol conclusion inadequate health literacy contributing factor poor physical functioning patients ihd increasing health literacy may improve hrqol reduce impact ihd among patients chronic cvd