Next Article in Journal
Preparation and Characterization of Fe-Mn Binary Oxide/Mulberry Stem Biochar Composite Adsorbent and Adsorption of Cr(VI) from Aqueous Solution
Previous Article in Journal
Anthropometric Characteristics, Body Composition and Somatotype of Elite Male Young Runners
Open AccessArticle

Does Health Literacy of Hemodialyzed Patients Predict the Type of Their Vascular Access? A Cross-Sectional Study on Slovak Hemodialyzed Population

1
Vascular Surgery Clinic, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
2
Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
3
Graduate School Kosice Institute for Society and Health, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
4
Olomouc University Social Health Institute, Palacky University in Olomouc, Univerzitni 22, 771 11 Olomouc, Czech Republic
5
FMC—Dialysis Services Slovakia, Trieda SNP 1, 040 11 Kosice, Slovakia
6
II. Internal Clinic, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
7
I. Surgery Clinic, Faculty of Medicine, P. J. Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(2), 675; https://doi.org/10.3390/ijerph17020675
Received: 10 December 2019 / Revised: 17 January 2020 / Accepted: 19 January 2020 / Published: 20 January 2020
Effective vascular access (VA) is an essential condition for providing hemodialysis, affecting patients’ health outcomes. We aim to explore how health literacy (HL) as a non-clinical factor is associated with the decision-making process regarding VA type selection. Using data from 20 dialysis centers across Slovakia (n = 542, mean age = 63.6, males = 60.7%), the association of HL with type of VA (arteriovenous fistula (AVF) vs. central venous catheter (CVC)) was analyzed using a logistic regression model adjusted for sociodemographic characteristics and comorbidity. Sociodemographic data and data on nine domains of HL were collected by questionnaire. Data on VA and comorbidity were obtained from a medical records. Patients with a greater ability to engage with healthcare providers (odds ratio (OR): 1.34; 95% confidence interval (CI): 1.00–1.78), those with a better ability to navigate the healthcare system (OR: 1.41; 95% CI: 1.08–1.85), those more able to find good health information (OR: 1.52; 95% CI: 1.15–2.03), and those who understand it well enough to know what to do (OR: 1.52; 95% CI: 1.12–2.06) are more likely to have AVF. Patients’ HL is associated with the type of VA; therefore, it should be considered in the decision-making process regarding the selection of the type of VA, thereby informing strategies for improving patients’ HL and doctor–patient communication. View Full-Text
Keywords: health literacy; vascular access; central venous catheter; arteriovenous fistula; dialyzed patients; chronic kidney disease (CKD-5) health literacy; vascular access; central venous catheter; arteriovenous fistula; dialyzed patients; chronic kidney disease (CKD-5)
Show Figures

Figure 1

MDPI and ACS Style

Zavacka, M.; Skoumalova, I.; Madarasova Geckova, A.; Rosenberger, J.; Zavacky, P.; Pobehova, J.; Majernikova, M. Does Health Literacy of Hemodialyzed Patients Predict the Type of Their Vascular Access? A Cross-Sectional Study on Slovak Hemodialyzed Population. Int. J. Environ. Res. Public Health 2020, 17, 675.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop