Functional Health Literacy and Associated Factors in Cancer Patients at a University Hospital
DOI:
https://doi.org/10.32635/2176-9745.RBC.2024v70n1.4497Keywords:
Health Literacy/statistics & numerical data, Health Education, Social Factors, Neoplasms/nursingAbstract
Introduction: Functional health literacy (FHL) is an individual’s ability to comprehend health information, influencing the engagement in preventive practices, early disease detection, management of chronic illnesses, and
access to healthcare services. Objective: To identify FHL levels and associated variables in patients undergoing intravenous antineoplastic outpatient treatment. Method: Between July 2020 and March 2021, 116 patients undergoing intravenous antineoplastic therapy responded
to a sociodemographic and health questionnaire, along with an FHL assessment tool. The dependent variable in this study was the level of LFS (Life Satisfaction) of the interviewees, while the independent variables were their sociodemographic, health, and professional-patient relationship characteristics. Results: Around 54% presented inadequate or borderline FHL. The analysis revealed higher odds of limited FHL among older patients (OR 1.05), those receiving chemotherapy for the first time (OR 4.57), and individuals with education up to elementary school (OR 23.42). Conclusion: The study highlights priority groups that require specialized attention and detailed guidance to improve care, especially patients at the beginning of cancer treatment.
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Simonds SK. Health education as social policy. health education monographs. 1974;2(suppl 1):1-10. [acesso 2023 mar 28]. Disponível em: https://journals.sagepub.com/doi/10.1177/10901981740020S102 DOI: https://doi.org/10.1177/10901981740020S102
Sørensen K, Van den Broucke S, Fullam J, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80. doi: https://doi.org/10.1186/1471-2458-12-80 DOI: https://doi.org/10.1186/1471-2458-12-80
Passamai MPB. Letramento funcional em saúde de adultos no contexto do Sistema Único de Saúde: um caminho para a promoção da saúde e prevenção de doenças crônicas não transmissíveis [Tese]. Ceará: Universidade Estadual do Ceará; 2012.
Robinson C. Aspects of literacy assessment: topics and issues. Paris: United Nations Educational Scientific and Cultural Organization; 2003. [acesso 2023 mar 28]. Disponível em: https://unesdoc.unesco.org/ark:/48223/pf0000140125
Kickbusch I, Pelikan JM, Tsouros FAAD. Health literacy: the solid facts. Copenhagen: WHO; 2013. [acesso 2023 mar 28]. Disponível em: https://iris.who.int/bitstream/handle/10665/326432/9789289000154-eng.pdf?sequence=1
Kutner M, Greenberg E, Jin Y, et al. The health literacy of america’s adults: results from the 2003 national assessment of adult literacy (NCES 2006–483). Washington, DC: National Center for Education Statistics; 2006. [acesso 2023 mar 28]. Disponível em: https://nces.ed.gov/pubs2006/2006483.pdf
Lindquist LA, Go L, Fleisher J, et al. Relationship of health literacy to intentional and unintentional nonadherence of hospital discharge medications. J Gen Intern Med. 2012;7(2):173-8. doi: https://doi.org/10.1007/s11606-011-1886-3 DOI: https://doi.org/10.1007/s11606-011-1886-3
Maragno CAD. Associação entre letramento em saúde e adesão ao tratamento medicamentos [dissertação na Internet]. 2009. Porto Alegre: Universidade Federal do Rio Grande do Sul; 2009. [acesso 2023 mar 28]. Disponível em: https://lume.ufrgs.br/handle/10183/18582
Palumbo R. Examining the impacts of health literacy on healthcare costs. An evidence synthesis. Health Serv Manage Res. 2017;30(4):197-212. doi: https://doi.org/10.1177/0951484817733366 DOI: https://doi.org/10.1177/0951484817733366
McCarthy DM, Waite KR, Curtis LM, et al. What did the doctor say? health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi: https://doi.org/10.1097/mlr.0b013e318241e8e1 DOI: https://doi.org/10.1097/MLR.0b013e318241e8e1
Fabbri M, Murad MH, Wennberg AM, et al. Health literacy and outcomes among patients with heart failure: a systematic review and meta-analysis. JACC Heart Fail. 2020;8(6):451-60. doi: https://doi.org/10.1016/j.jchf.2019.11.007 DOI: https://doi.org/10.1016/j.jchf.2019.11.007
Marques SRL, Lemos SMA. Letramento em saúde e fatores associados em adultos usuários da atenção primária. Trab educ Saúde. 2018;16(2):535-59. doi: https://doi.org/10.1590/1981-7746-sol00109 DOI: https://doi.org/10.1590/1981-7746-sol00109
Chehuen Neto JÁ, Bignoto TC, Costa LC, et al. Uso de pictogramas na prescrição médica e letramento funcional em saúde. Braz J Surg
Clinic Res. 2018;23(2):51-7. [acesso 2023 set 22]. Disponível em: https://www.mastereditora.com.br/periodico/20180704_094037.pdf
Tobias-Machado M, Carvalhal GF, Freitas CH Jr, et al. Association between literacy, compliance with prostate cancer screening, and cancer aggressiveness: results from a brazilian screening study. Int Braz J Urol. 2013;39(3):328-34. Doi: https://doi.org/10.1590/S1677-5538.IBJU.2013.03.05 DOI: https://doi.org/10.1590/S1677-5538.IBJU.2013.03.05
Santos MO, Lima FCS, Martins LFL, et al. Estimativa de incidência de câncer no Brasil, 2023-2025. Rev Bras Cancerol. 2023;69(1):e-213700. doi: https://doi.org/10.32635/2176-9745.RBC.2023v69n1.3700 DOI: https://doi.org/10.32635/2176-9745.RBC.2023v69n1.3700
Baker DW, Williams MV, Parker RM, et al. Development of a brief test to measure functional health literacy. Patient Educ Couns. 1999;38(1):33-42. doi: https://doi.org/10.1016/s0738-3991(98)00116-5 DOI: https://doi.org/10.1016/S0738-3991(98)00116-5
Carthery-Goulart MT, Anghinah R, Areza-Fegyveres R, et al. Performance of a Brazilian population on the test of functional health literacy in adults. Rev Saude Publica. 2009;43(4):631-8. doi: https://doi.org/10.1590/S0034-89102009005000031 DOI: https://doi.org/10.1590/S0034-89102009005000031
Paes NF. Uso de medicamentos e letramento funcional em saúde de pacientes com câncer de um hospital universitário [dissertação]. Niterói: Universidade Federal Fluminense; 2021.
Conselho Nacional de Saúde (BR). Resolução n° 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União, Brasília, DF. 2013 jun 13; Seção I:59.
Dumenci L, Matsuyama R, Riddle DL, et al. Measurement of cancer health literacy and identification of patients with limited cancer health literacy. J Health Commun. 2014;19(Suppl 2):205-24. doi: https://doi.org/10.1080/10810730.2014.943377 DOI: https://doi.org/10.1080/10810730.2014.943377
Vervloet M, van Dijk L, Rademakers JJDJM, et al. Recognizing and addressing limited pharmaceutical literacy: development of the RALPH interview guide. Res Social Adm Pharm. 2018;14(9):805-11. doi: https://doi.org/10.1016/j.sapharm.2018.04.031 DOI: https://doi.org/10.1016/j.sapharm.2018.04.031
Lima JP, Abreu DPG, Bandeira EO, et al. Functional health literacy in older adults with hypertension in the Family Health Strategy. Rev Bras Enferm. 2020;73(Suppl3):e20190848. doi: https://doi.org/10.1590/0034-7167-2019-0848 DOI: https://doi.org/10.1590/0034-7167-2019-0848
Rodrigues BC, Sales AEC, Rodrigues BC, et al. Avaliação do letramento em saúde em pacientes com câncer hematológico submetidos ao transplante de células-tronco hematopoiéticas. Rev Bras Cancerologia. 2022;68(1):e-251657. https://doi.org/10.32635/2176-9745.RBC.2022v68n1.1657 DOI: https://doi.org/10.32635/2176-9745.RBC.2022v68n1.1657
Kobayashi LC, Wardle J, Wolf MS, et al. Aging and functional health literacy: a systematic review and meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2016;71(3):445-57. doi: https://doi.org/10.1093/geronb/gbu161 DOI: https://doi.org/10.1093/geronb/gbu161
Ibrahim EY, Domenicano I, Nyhan K, et al. Cognitive effects and depression associated with taxane-based chemotherapy in breast cancer survivors: a meta-analysis. Front Oncol. 2021;29;11:642382. doi: https://doi.org/10.3389/fonc.2021.642382 DOI: https://doi.org/10.3389/fonc.2021.642382
Instituto Paulo Montenegro. Indicador de analfabetismo funcional: INAF Brasil 2018 resultados preliminares. São Paulo: Inaf; 2018. [acesso 2023 mar 28]. Disponível em: http://acaoeducativa.org.br/wpcontent/uploads/2018/08/Inaf2018_Relat%C3%B3rio-Resultados-Preliminares_v08Ago2018.pdf
Busch EL, Martin C, DeWalt DA, et al. Functional health literacy, chemotherapy decisions, and outcomes among a colorectal cancer cohort. Cancer Control. 2015;22(1):95-101. doi: https://doi.org/10.1177/107327481502200112 DOI: https://doi.org/10.1177/107327481502200112
Halbach SM, Enders A, Kowalski C, et al. Health literacy and fear of cancer progression in elderly women newly diagnosed with breast cancer-A longitudinal analysis. Patient Educ Couns. 2016;99(5):855-62. doi: https://doi.org/10.1016/j.pec.2015.12.012 DOI: https://doi.org/10.1016/j.pec.2015.12.012
Morris NS, Field TS, Wagner JL, et al. The association between health literacy and cancer-related attitudes, behaviors, and knowledge. J Health Commun. 2013;18(Suppl 1):223-41. doi: https://doi.org/10.1080/10810730.2013.825667 DOI: https://doi.org/10.1080/10810730.2013.825667
Avery M, Williams F. The importance of pharmacist providing patient education in oncology. J Pharm Pract. 2015;28(1):26-30. doi: https://doi.org/10.1177/0897190014562382 DOI: https://doi.org/10.1177/0897190014562382
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