Authors:	Kaps, Leonard Omogbehin, Lea Hildebrand, Katharina Gairing, Simon Johannes Schleicher, Eva Maria Moehler, Markus Rahman, Fareed Schattenberg, Jörn M. Wörns, Marcus-Alexander Galle, Peter Robert Labenz, Christian
Title:	Health literacy in gastrointestinal diseases : a comparative analysis between patients with liver cirrhosis, inflammatory bowel disease and gastrointestinal cancer
Online publication date:	13-Apr-2023
Year of first publication:	2022
Language:	english
Abstract:	Currently, there are only few data on health literacy in patients with chronic gastrointestinal diseases such as gastrointestinal cancer, inflammatory bowel disease (IBD) and, in particular, liver cirrhosis available. Moreover, head-to-head comparisons between patients with these different diseases are lacking. In this study, 379 patients were enrolled. Of these, 102 patients had gastrointestinal cancer, 86 had IBD, and 191 had cirrhosis. Health literacy was quantified using the Health Literacy Questionnaire (HLQ) developed by Osborne et al. (Swinburne University, Australia) and was compared between these three groups. Patients with cancer had the best health literacy across all nine subscales of the HLQ, while patients with cirrhosis had the poorest. In detail, patients with cirrhosis had significantly poorer health literacy than patients with cancer or IBD in subscales such as “feeling understood and supported by healthcare providers”, “having sufficient information to manage my health”, “appraisal of health information”, “ability to actively engage with healthcare providers” or “understanding health information well enough to know what to do” (p < 0.05 for cirrhosis versus IBD or cancer, respectively). In conclusion, health literacy differs remarkably between patients with chronic gastrointestinal diseases such as cirrhosis, IBD or gastrointestinal cancers.
DDC:	610 Medizin 610 Medical sciences
Institution:	Johannes Gutenberg-Universität Mainz
Department:	FB 04 Medizin
Place:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-8895
Version:	Published version
Publication type:	Zeitschriftenaufsatz
Document type specification:	Scientific article
License:	CC BY
Information on rights of use:	https://creativecommons.org/licenses/by/4.0/
Journal:	Scientific reports 12
Pages or article number:	21072
Publisher:	Nature Publishing Group
Publisher place:	London
Issue date:	2022
ISSN:	2045-2322
Publisher URL:	https://doi.org/10.1038/s41598-022-25699-w
Publisher DOI:	10.1038/s41598-022-25699-w
Appears in collections:	DFG-491381577-G