Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/25777
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dc.contributor.authorCabellos-García, AC-
dc.contributor.authorMartínez-Sabater, A-
dc.contributor.authorDíaz-Herrera, MÁ-
dc.contributor.authorGea-Caballero, V-
dc.contributor.authorCastro-Sánchez, E-
dc.date.accessioned2023-01-14T10:57:15Z-
dc.date.available2023-01-14T10:57:15Z-
dc.date.issued2021-07-09-
dc.identifierORCID iD: Enrique Castro-Sánchez https://orcid.org/0000-0002-3351-9496-
dc.identifier1363-
dc.identifier.citationCabellos-García, A.C. et al. (2021) 'Health literacy of patients on oral anticoagulation treatment- individual and social determinants and effect on health and treatment outcomes', BMC Public Health, 21 (1), 1363, pp. 1 - 9. doi: 10.1186/s12889-021-11259-w.en_US
dc.identifier.urihttps://bura.brunel.ac.uk/handle/2438/25777-
dc.descriptionAvailability of data and material: The datasets generated and/or analysed during the current study are available in the Figshare repository. https://figshare.com/articles/dataset/Data_base_HL_and_OAC_xlsx/14703537en_US
dc.description.abstractCopyright . Background: Assessment health literacy in people with cardiovascular health problems would facilitate the development of appropriate health strategies for the care and reduction of complications associated with oral anticoagulation therapy. Aim: To evaluate the relationship between health literacy and health and treatment outcomes (concordance with oral anticoagulants, Normalized Ratio control and occurrence of complications) in patients with cardiovascular pathology. Methods: Observational, analytic and cross-sectional study carried out on 252 patients with cardiovascular pathology (atrial fibrillation, flutter or valve prosthesis), aged 50–85 years, accessing primary care services in Valencia (Spain) in 2018–2019. Variables referring to anticoagulant treatment with vitamin K antagonists (years of treatment, adequate control, polypharmacy and occurrence of complications, among others) and health literacy (Health Literacy Questionnaire) were analysed. Results: All dimensions of health literacy were significantly related to the level of education (p < 0.02), social class (p < 0.02), an adequate control of acenocoumarol (p < 0.001), frequentation of health services (p < 0.001), information by patients to health professionals about anticoagulant treatment (p < 0.03), emergency care visits (p < 0.001) and unscheduled hospital admissions (p < 0.001). Conclusion: Health literacy has a relevant influence on the adequate self-management of anticoagulation treatment and the frequency of complications. The different dimensions that comprise health literacy play an important role, but the “social health support” dimension seems to be essential for such optimal self-management. Trial registration: ACC-ACE-2016-01. Registration date: December 2015.en_US
dc.format.extent1 - 9-
dc.format.mediumElectronic-
dc.languageEnglish-
dc.language.isoen_USen_US
dc.publisherBioMed Central (part of Springer Nature)en_US
dc.rightsCopyright © The Author(s). 2021. Rights and permissions: Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (https://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.-
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/-
dc.subjecthealth literacyen_US
dc.subjectanticoagulantsen_US
dc.subjectacenocoumarolen_US
dc.subjecttreatment adherence and complianceen_US
dc.subjectself-managementen_US
dc.subjectdrug-related side effects and adverse reactionen_US
dc.subjecthealth servicesen_US
dc.titleHealth literacy of patients on oral anticoagulation treatment- individual and social determinants and effect on health and treatment outcomesen_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.1186/s12889-021-11259-w-
dc.relation.isPartOfBMC Public Health-
pubs.issue1-
pubs.publication-statusPublished-
pubs.volume21-
dc.identifier.eissn1471-2458-
dc.rights.holderThe Author(s)-
Appears in Collections:Dept of Arts and Humanities Research Papers

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