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Open AccessArticle

Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease

1
Hospital Universitari I Politècnic La Fe, Health Research Institut La Fe, Research Group GREIACC, 46026 Valencia, Spain
2
National Institute for Health Research, Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at Imperial College, London SW7 2AZ, UK
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Nursing Department, Universitat de València, Hospital Clínico Universitario, 46010 València, Spain
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Equipo de Atención Primaria Sant Ildefons-Cornella 2, Institut Català de la Salut, 08004 Barcelona, Spain
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Hospital Universitari General de Catalunya, Grupo Quirónsalud, 08195, Barcelona, Spain
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Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana FISABIO, 46035 València, Spain
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International Univeristy of La Roja, Instituto de Investigación Sanitaria de Aragón, 26006 Logroño, Spain
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Health Research Institute of Aragon, 50009 Zaragoza, Spain
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Escuela de Enfermería La Fe, Adscript Center of Universitat de Valencia, Health Research Institut La Fe, Research Group GREIACC, 46026 Valencia, Spain
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(6), 2082; https://doi.org/10.3390/ijerph17062082
Received: 29 January 2020 / Revised: 9 March 2020 / Accepted: 10 March 2020 / Published: 20 March 2020
Background: Health literacy (HL) has been linked to empowerment, use of health services, and equity. Evaluating HL in people with cardiovascular health problems would facilitate the development of suitable health strategies care and reduce inequity. Aim: To investigate the relationship between different dimensions that make up HL and social determinants in patients with cardiovascular disease. Methods: Observational, descriptive, cross-sectional study in patients with cardiovascular disease, aged 50–85 years, accessing primary care services in Valencia (Spain) in 2018–2019. The Health Literacy Questionnaire was used. Results: 252 patients. Age was significantly related with the ability to participate with healthcare providers (p = 0.043), ability to find information (p = 0.022), and understanding information correctly to know what to do (p = 0.046). Level of education was significant for all HL dimensions. Patients without studies scored lower in all dimensions. The low- versus middle-class social relationship showed significant results in all dimensions. Conclusions: In patients with cardiovascular disease, level of education and social class were social determinants associated with HL scores. Whilst interventions at individual level might address some HL deficits, inequities in access to cardiovascular care and health outcomes would remain unjustly balanced unless structural determinants of HL are taken into account. View Full-Text
Keywords: health literacy; cardiovascular diseases; social determinants of health; health status disparities; equity health literacy; cardiovascular diseases; social determinants of health; health status disparities; equity
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Cabellos-García, A.C.; Castro-Sánchez, E.; Martínez-Sabater, A.; Díaz-Herrera, M.Á.; Ocaña-Ortiz, A.; Juárez-Vela, R.; Gea-Caballero, V. Relationship between Determinants of Health, Equity, and Dimensions of Health Literacy in Patients with Cardiovascular Disease. Int. J. Environ. Res. Public Health 2020, 17, 2082.

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