TY - JOUR
T1 - Health literacy, multimorbidity, and patient-perceived treatment burden in individuals with cardiovascular disease. A Danish population-based study
AU - Friis, Karina
AU - Lasgaard, Mathias
AU - Pedersen, Marie Hauge
AU - Duncan, Polly
AU - Maindal, Helle Terkildsen
N1 - Copyright © 2019. Published by Elsevier B.V.
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Objective: The aim was to investigate the association between: 1) multimorbidity and high treatment burden 2) health literacy and high treatment burden, and 3) the interaction between multimorbidity and health literacy in relation to high treatment burden. Methods: We included respondents with cardiovascular disease who participated in a Danish population-based survey from 2017 (N = 2,111). Logistic regression analyses were used to study associations. Results: The study showed that multimorbid individuals with cardiovascular disease were more likely to experience a high treatment burden than individuals with cardiovascular disease only (2+ additional conditions OR 4.16 [2.80–6.18]). Also, individuals with difficulties in understanding health information were more likely to report a high treatment burden than individuals who found it easy to understand information about health (OR 9.97 [6.23–15.95]). Finally, individuals with multimorbidity and difficulties in understanding health information had markedly higher odds of experiencing a high treatment burden. Conclusion: If individuals find it difficult to understand health information, there is a risk they might feel overwhelmed by the treatment. Practice implications: Healthcare professionals should be aware of health literacy challenges in planning medical treatment particularly for patients with both low health literacy levels and multimorbidity.
AB - Objective: The aim was to investigate the association between: 1) multimorbidity and high treatment burden 2) health literacy and high treatment burden, and 3) the interaction between multimorbidity and health literacy in relation to high treatment burden. Methods: We included respondents with cardiovascular disease who participated in a Danish population-based survey from 2017 (N = 2,111). Logistic regression analyses were used to study associations. Results: The study showed that multimorbid individuals with cardiovascular disease were more likely to experience a high treatment burden than individuals with cardiovascular disease only (2+ additional conditions OR 4.16 [2.80–6.18]). Also, individuals with difficulties in understanding health information were more likely to report a high treatment burden than individuals who found it easy to understand information about health (OR 9.97 [6.23–15.95]). Finally, individuals with multimorbidity and difficulties in understanding health information had markedly higher odds of experiencing a high treatment burden. Conclusion: If individuals find it difficult to understand health information, there is a risk they might feel overwhelmed by the treatment. Practice implications: Healthcare professionals should be aware of health literacy challenges in planning medical treatment particularly for patients with both low health literacy levels and multimorbidity.
KW - Cardiovascular disease
KW - Health literacy
KW - Multimorbidity
KW - Treatment burden
UR - http://www.scopus.com/inward/record.url?scp=85066248583&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2019.05.013
DO - 10.1016/j.pec.2019.05.013
M3 - Article (Academic Journal)
C2 - 31151781
VL - 102
SP - 1932
EP - 1938
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 10
ER -