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01-12-2021 | Acenocoumarol | Research article

Health literacy of patients on oral anticoagulation treatment- individual and social determinants and effect on health and treatment outcomes

Authors: Ana Cristina Cabellos-García, Antonio Martínez-Sabater, Miguel Ángel Díaz-Herrera, Vicente Gea-Caballero, Enrique Castro-Sánchez

Published in: BMC Public Health | Issue 1/2021

Abstract

Background

Assessment health literacy in people with cardiovascular health problems would facilitate the development of appropriate health strategies for the care and reduction of complications associated with oral anticoagulation therapy. Aim: To evaluate the relationship between health literacy and health and treatment outcomes (concordance with oral anticoagulants, Normalized Ratio control and occurrence of complications) in patients with cardiovascular pathology.

Methods

Observational, analytic and cross-sectional study carried out on 252 patients with cardiovascular pathology (atrial fibrillation, flutter or valve prosthesis), aged 50–85 years, accessing primary care services in Valencia (Spain) in 2018–2019. Variables referring to anticoagulant treatment with vitamin K antagonists (years of treatment, adequate control, polypharmacy and occurrence of complications, among others) and health literacy (Health Literacy Questionnaire) were analysed.

Results

All dimensions of health literacy were significantly related to the level of education (p < 0.02), social class (p < 0.02), an adequate control of acenocoumarol (p < 0.001), frequentation of health services (p < 0.001), information by patients to health professionals about anticoagulant treatment (p < 0.03), emergency care visits (p < 0.001) and unscheduled hospital admissions (p < 0.001).

Conclusion

Health literacy has a relevant influence on the adequate self-management of anticoagulation treatment and the frequency of complications. The different dimensions that comprise health literacy play an important role, but the “social health support” dimension seems to be essential for such optimal self-management.

Trial registration

ACC-ACE-2016-01. Registration date: December 2015.

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Title: Health literacy of patients on oral anticoagulation treatment- individual and social determinants and effect on health and treatment outcomes
Authors: Ana Cristina Cabellos-García
Antonio Martínez-Sabater
Miguel Ángel Díaz-Herrera
Vicente Gea-Caballero
Enrique Castro-Sánchez
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Acenocoumarol
Anticoagulant
Oral Anticoagulant
Published in: BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-021-11259-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Health literacy of patients on oral anticoagulation treatment- individual and social determinants and effect on health and treatment outcomes

Abstract

Background

Methods

Results

Conclusion

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Trial registration

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