Gutenberg Open Science: Risk factors for poorer health literacy in patients with liver cirrhosis

Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-6694

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DC Field	Value	Language
dc.contributor.author	Kaps, Leonard	-
dc.contributor.author	Hildebrand, Katharina	-
dc.contributor.author	Nagel, Michael	-
dc.contributor.author	Michel, Maurice	-
dc.contributor.author	Kremer, Wolfgang Maximilian	-
dc.contributor.author	Hilscher, Max	-
dc.contributor.author	Galle, Peter R.	-
dc.contributor.author	Schattenberg, Jörn M.	-
dc.contributor.author	Wörns, Marcus-Alexander	-
dc.contributor.author	Labenz, Christian	-
dc.date.accessioned	2022-01-14T10:55:13Z	-
dc.date.available	2022-01-14T10:55:13Z	-
dc.date.issued	2021	-
dc.identifier.uri	https://openscience.ub.uni-mainz.de/handle/20.500.12030/6704	-
dc.description.abstract	BACKGROUND Health literacy is a concept that refers to patients' ability to manage their disease and the health system's ability to guarantee access to services. There is evidence that health literacy impacts the health outcomes of patients with chronic diseases, but detailed information on this topic in patients with liver cirrhosis is scarce. It was the aim of this study to identify risk factors for poorer health literacy in patients with liver cirrhosis. METHODS 89 patients with liver cirrhosis were enrolled in this study and health literacy was measured using the Health Literacy Questionnaire (HLQ). Covert hepatic encephalopathy (CHE) was diagnosed clinically according to the West-Haven Criteria (HE grade 1) and the PHES (minimal HE). Depressive symptoms were assessed using the Hamilton Depression Rating Scale (HDRS). Based on the nine subscales of the HLQ, risk factors for poor health literacy were identified using linear regression models. RESULTS Normalized HLQ scores ranged between 65-76%, while appraisal of health information had lowest score (65%) and ability to actively engage with healthcare providers had highest score (76%). Multivariable regression analyses revealed an association of poorer health literacy and liver function as determined by MELD score and complications of liver cirrhosis such as a history of ascites or CHE. Additionally, we identified modifiable or preventable factors such as depressive symptoms, a history of falls, and active smoking as risk factors for poorer health literacy. CONCLUSION Multiple factors seem to impact on health literacy in patients with liver cirrhosis. Addressing modifiable and preventable factors may improve health literacy.	en_GB
dc.description.sponsorship	Open Access-Publizieren Universität Mainz / Universitätsmedizin Mainz	de
dc.language.iso	eng	de
dc.rights	CC BY	*
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/	*
dc.subject.ddc	610 Medizin	de_DE
dc.subject.ddc	610 Medical sciences	en_GB
dc.title	Risk factors for poorer health literacy in patients with liver cirrhosis	en_GB
dc.type	Zeitschriftenaufsatz	de
dc.identifier.doi	http://doi.org/10.25358/openscience-6694	-
jgu.type.contenttype	Scientific article	de
jgu.type.dinitype	article	en_GB
jgu.type.version	Published version	de
jgu.type.resource	Text	de
jgu.organisation.department	FB 04 Medizin	de
jgu.organisation.number	2700	-
jgu.organisation.name	Johannes Gutenberg-Universität Mainz	-
jgu.rights.accessrights	openAccess	-
jgu.journal.title	PLOS ONE	de
jgu.journal.volume	16	de
jgu.journal.issue	7	de
jgu.pages.alternative	e0255349	de
jgu.publisher.year	2021	-
jgu.publisher.name	PLOS	de
jgu.publisher.place	San Francisco, California, US	de
jgu.publisher.uri	https://doi.org/10.1371/journal.pone.0255349	de
jgu.publisher.issn	1932-6203	de
jgu.organisation.place	Mainz	-
jgu.subject.ddccode	610	de
jgu.publisher.doi	10.1371/journal.pone.0255349
jgu.organisation.ror	https://ror.org/023b0x485
Appears in collections:	JGU-Publikationen

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