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The Relationship between Health Literacy and Rehospitalization among Patients with Myocardial Infarction

Document Type : Original Article

Authors

1 Department of Community Medicine, School of Medicine, Children Growth Research Center, Research Institute for Non Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran

2 Department of Community and family Medicine, Social Determinants of Health Research Center, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran

3 Clinical Epidemiology (U.W, Seattle), Department of Community and Family Medicine, School of Medicine, Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran

4 Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

Abstract

Background: Cardiovascular disease, the first leading cause of death worldwide, is associated with different consequences, including rehospitalization. Health literacy (HL) is a factor with potential effects on rehospitalization. This study aimed to examine the relationship between HL and rehospitalization among patients with myocardial infarction (MI).
Methods: This prospective cohort study was conducted in 2015–2017. Participants were 366 hospitalized patients with MI who were conveniently recruited from four teaching hospitals in Tehran, Iran. A demographic questionnaire and the Health Literacy for Iranian Adults instrument were completed for participants at the time of their hospital discharge. One month after hospital discharge, thirty-day rehospitalization was assessed over telephone. The SPSS program (v. 16.0) was used to analyze the data through the Chi-square test, independent-sample t test, one-way analysis of variance, Pearson’s correlation analysis, and logistic regression analysis.
Results: T he t otal m ean s core o f H L w as 5 3.08±16.64 ( in the possible range of 0–100). Most participants (78.6%) had inadequate or barely adequate HL. At the time of rehospitalization assessment, fifteen participants were inaccessible. Among the remaining 351 participants, 28 (8%) reported thirty-day rehospitalization. The mean scores of HL among the participants with and without rehospitalization were 55.36±19.06 and 53.08±16.53, respectively. Logistic regression analysis showed that after adjusting the effects of potential confounders, HL had a significant relationship with rehospitalization (odds ratio=1.05; 95% confidence interval: 1.007–1.1; P=0.024).
Conclusion: Most hospitalized patients with MI have limited HL, and their HL has a significant relationship with rehospitalization.

Keywords

References
  1. Mendis S, Thygesen K, Kuulasmaa K, Giampaoli S, Mahonen M, Ngu Blackett K, et al. World Health Organization definition of myocardial infarction: 2008-09 revision. International journal of epidemiology. 2011;40(1):139-46. org/10.1093/ije/dyq165.PubMed PMID: 20926369
  2. Ahmadi A, Soori H, Mehrabi Y, Etemad K, Samavat T, Khaledifar A. Incidence of acute myocardial infarction in Islamic Republic of Iran: a study using national registry data in 2012. Eastern Mediterranean health journal. 2015;21(1):5-12.doi: 26719/2015.21.1.5, pubmed PMID: 25907187
  3. Baghaei R, Parizad N, AliNejad V, Khademvatan K. Epidemiological study of patients with acute myocardial infarction In Seyyed Al Shohada Hospital in Urmia. The Journal of Urmia University of Medical Sciences. 2013;24(10):763-70.
  4. Thygesen K, Alpert JS, Jaffe AS, Simoons ML, Chaitman BR, White HD, et al. Third universal definition of myocardial infarction. European heart journal. 2012;33(20):2551-67. doi: 10.1093/eurheartj/ehs184 PubMed PMID: 22922414
  5. McIlvennan CK, Eapen ZJ, Allen LA. Hospital readmissions reduction program. Circulation. 2015;131(20):1796-1803. org/10.1161/CIRCULATIONAHA.114.010270. PubMedPMID: 25986448
  6. Cloonan P, Wood J, Riley JB. Reducing 30-day readmissions: health literacy strategies. The Journal of nursing administration. 2013;43(7-8):382-7.doi:10/1097/NNA.0b013e31829d6082. PubMed PMID: 23892303
  7. Stevens S. Preventing 30-day readmissions. The Nursing clinics of North America. 2015;50(1):123-37. DOI:https://doi.org/10.1016/j.cnur.2014.10.010.PubMed PMID: 25680492
  8. Kanj M, Mitic W. Health Literacy and Health Promotion: Definitions, Concepts and Examples in the Eastern Mediterranean Region. Individual Empowerment–Conference Working Document. World Health Organization. 2009.
  9. ILLITERATE AF. Recognizing and overcoming inadequate health literacy, a barrier to care. Cleveland Clinic journal of medicine. 2002;69(5):415. doi: 3949/ccjm.69.5.415.PubMed PMID: 12022385 
  10. Razazi R, Aliha JM, Amin A, Taghavi S, Ghadrdoost B, Naderi N. The relationship between health literacy and knowledge about heart failure with recurrent admission of heart failure patients. Research in Cardiovascular Medicine. 2018 Jul 1;7(3):123. doi: 10.4103/rcm.rcm_12_18
  11. Moser DK, Robinson S, Biddle MJ, Pelter MM, Nesbitt TS, Southard J, et al. Health Literacy Predicts Morbidity and Mortality in Rural Patients With Heart Failure. Journal of cardiac failure. 2015;21(8):612-8. DOI: 1016/j.cardfail.2015.04.004. PubMed PMID: 25908018
  12. Mayo-Gamble TL, Mouton C. Examining the Association Between Health Literacy and Medication Adherence Among Older Adults. Health communication. 2018;33(9):1124-1130.doi:10.1080/10410236.2017.1331311. PubMed PMID: 28636404
  13. Bailey SC, Fang G, Annis IE, O'Conor R, Paasche-Orlow MK, Wolf MS. Health literacy and 30-day hospital readmission after acute myocardial infarction. BMJ open. 2015;5(6):e006975. doi:10.1136/bmjopen-2014- 006975. PubMedPMID: 26068508
  14. Mitchell SE, Sadikova E, Jack BW, Paasche-Orlow MK. Health literacy and 30-day postdischarge hospital utilization. Journal of health communication. 2012;17: Suppl3:325-38. doi: 10.1080/10810730.2012.715233. PubMedPMID: 23030580
  15. Cox SR, Liebl MG, McComb MN, Chau JQ, Wilson AA, Achi M, et al. Association between health literacy and 30-day healthcare use after hospital discharge in the heart failure population. Research in social & administrative pharmacy : RSAP. 2017;13(4):754-8. doi: 10.1016/j.sapharm.2016.09.003.PubMed PMID:28277275
  16. Berens EM, Vogt D, Ganahl K, Weishaar H, Pelikan J, Schaeffer D. Health Literacy and Health Service Use in Germany. Health literacy research and practice. 2018;2(2):e115-e22. doi: 3928/24748307-20180503-01.PubMed PMID: 31294284
  17. Raeisi M, Javadzade H, Mostafavi F, Tavassoli E, Sharifirad G. Health literacy and health promoting behaviors among older adults. J Health Syst Res. 2013;9(8):827-36. doi: 4103/2277-9531.145925.PubMed PMID:  25540792
  18. Miri A, Ghanbari MA, Najafi A. The relationship between health literacy and the recovery rate of cardiovascular patients after bypass surgery. Journal of Health Literacy. 2016;1(2):83-91.doi: 22038/JHL.2016.10968
  19. Rymer JA, Chen AY, Thomas L, Fonarow GC, Peterson ED, Wang TY. Readmissions After Acute Myocardial Infarction: How Often Do Patients Return to the Discharging Hospital? Journal of the

American Heart Association. 2019;8(19):e012059.doi: : 10.1161/JAHA.119.012059.PubMed PMID: 31537135

  1. Montazeri A, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): development and psychometric properties. Payesh (Health Monitor). 2014;13(5):589-99.
  2. Malekzadeh S, Azami M, Mirzaei M, Motamedi F. Comparative Investigation of Health Literacy Level of Cardiovascular Patients Hospitalized in Private and Educational Hospitals of Kerman City, Iran. Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH. 2016;24(1):56-60. doi: 5455/aim.2016.24.56-60. PubMed PMID: 27041812
  3. Borji M, Tarjoman A, Otaghi M, Salimi E, Naseri A. Health literacy level and its related factors among the elderlies in Ilam in 2015. Iran Journal of Nursing. 2017;30(108):33-43.
  4. Banihashemi S-AT, Amirkhani MA. Health literacy and the influencing factors: a study in five provinces of Iran. Journal of Medical Education Development Center. 2007; 4(1): 1-9.
  5. Tiller D, Herzog B, Kluttig A, Haerting J. Health literacy in an urban elderly East-German population - results from the population-based CARLA study. BMC public health. 2015;15:883. DOI: 1186/s12889-015-2210-7.PubMed PMID: 26357978
  6. McNaughton CD, Cawthon C, Kripalani S, Liu D, Storrow AB, Roumie CL. Health literacy and mortality: a cohort study of patients hospitalized for acute heart failure. Journal of the American Heart Association. 2015;4(5). DOI: 1161/JAHA.115.001799.PubMed PMID: 25926328
  7. Rymer JA, Kaltenbach LA, Anstrom KJ, Fonarow GC, Erskine N, Peterson ED, et al. Hospital evaluation of health literacy and associated outcomes in patients after acute myocardial infarction. American heart journal. 2018;198:97-107. DOI: 1016/j.ahj.2017.08.024.PubMed PMID: 29653654
  8. Sterling MR, Safford MM, Goggins K, Nwosu SK, Schildcrout JS, Wallston KA, et al. Numeracy, Health Literacy, Cognition, and 30-Day Readmissions among Patients with Heart Failure. Journal of hospital medicine. 2018;13(3):145-51. DOI: 12788/jhm.2932.PubMed PMID: 29455228

 

 

Journal of Health Sciences & Surveillance System
Volume 11, Issue 1
January 2023
Pages 70-76
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