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dc.contributor.authorHagger, Martin S
dc.contributor.authorHardcastle, Sarah J
dc.contributor.authorHu, Miao
dc.contributor.authorKwok, See
dc.contributor.authorLin, Jie
dc.contributor.authorNawawi, Hapizah M
dc.contributor.authorPang, Jing
dc.contributor.authorSantos, Raul D
dc.contributor.authorSoran, Handrean
dc.contributor.authorSu, Ta-Chen
dc.contributor.authorTomlinson, Brian
dc.contributor.authorWatts, Gerald F
dc.date.accessioned2019-07-04T12:39:07Z
dc.date.available2019-07-04T12:39:07Z
dc.date.issued2018
dc.identifier.issn2047-4873
dc.identifier.doi10.1177/2047487318766954
dc.identifier.urihttp://hdl.handle.net/10072/380166
dc.description.abstractBackground: High rates of inadequate health literacy are associated with maladaptive health outcomes in chronic disease including increased mortality and morbidity rates, poor treatment adherence and poor health. Adequate health literacy may be an important factor in the effective treatment and management of familial hypercholesterolemia, and may also be implicated in genetic screening for familial hypercholesterolemia among index cases. The present study examined the prevalence and predictors of health literacy in familial hypercholesterolemia patients attending clinics in seven countries. Design: Cross-sectional survey. Methods: Consecutive FH patients attending clinics in Australia, Brazil, China, Hong Kong, Malaysia, Taiwan and the UK completed measures of demographic variables (age, gender, household income and highest education level) and a brief three-item health literacy scale. Results: Rates of inadequate health literacy were lowest in the UK (7.0%), Australia (10.0%), Hong Kong (15.7%) and Taiwan (18.0%) samples, with higher rates in the Brazil (22.0%), Malaysia (25.0%) and China (37.0%) samples. Income was an independent predictor of health literacy levels, accounting for effects of age. Health literacy was also independently related to China national group membership. Conclusions: Findings indicate non-trivial levels of inadequate health literacy in samples of familial hypercholesterolemia patients. Consistent with previous research in chronic illness, inadequate health literacy is related to income as an index of health disparities. Chinese familial hypercholesterolemia patients are more likely to have high rates of inadequate health literacy independent of income. Current findings highlight the imperative of education interventions targeting familial hypercholesterolemia patients with inadequate health literacy
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSage Publications Ltd.
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrom936
dc.relation.ispartofpageto943
dc.relation.ispartofissue9
dc.relation.ispartofjournalEuropean Journal of Preventive Cardiology
dc.relation.ispartofvolume25
dc.subject.fieldofresearchClinical sciences not elsewhere classified
dc.subject.fieldofresearchcode320299
dc.titleHealth literacy in familial hypercholesterolemia: A cross-national study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.facultyGriffith Health, School of Applied Psychology
gro.rights.copyrightMartin S Hagger et al, Health literacy in familial hypercholesterolemia: A cross-national study, European Journal of Preventive Cardiology, 2018, Vol. 25(9) 936–943. Copyright 2018 The Authors. Reprinted by permission of SAGE Publications.
gro.hasfulltextFull Text
gro.griffith.authorHagger, Martin S.


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