Kontakt 2018, 20(4):e394-e400 | DOI: 10.1016/j.kontakt.2018.09.003

Health literacy in people undergoing treatment for alcohol abuse - A pilot studySocial Sciences in Health - Original article

Gabriela Rolováa,*, Miroslav Bartáka, Vladimír Rogalewicza, Beáta Gavurováb
a Charles University in Prague and General University Hospital in Prague, First Faculty of Medicine, Department of Addictology, Prague, Czech Republic
b University of Košice, Faculty of Economics, Research and Innovation Centre Bioinformatics, Košice, Slovak Republic

The evidence suggests that limited health literacy (HL) may be associated with health risk behaviour such as smoking, alcohol drinking, or substance use. The aim of this study was to examine the level of HL in people undergoing treatment for alcohol abuse and to determine the most problematic domain of HL. The cross-sectional survey included 113 participants from two facilities in Prague (Department of Addictology and Bohnice Psychiatric Hospital). HL was measured using the HLS-EU-Q questionnaire developed by the European Health Literacy Consortium. The mean general health literacy (GHL) score of the sample was 34.1, indicating a sufficient level of HL. However, almost half of the sample showed a limited level of HL. Health promotion was identified as the most problematic domain of HL, with fifty percent of participants having a limited level. Outpatients achieved overall better scores than inpatients, although the difference was not significant. We found no statistical differences between tested variables. The results suggest that the prevalence of limited HL in people undergoing treatment for alcohol abuse is relatively high. Interventions should be carried out to increase the overall level of HL. An adequate level of HL may improve overall health, as well as the treatment outcomes of people addicted to alcohol.

Keywords: Health literacy; Alcohol abuse; HLS-EU-Q; Addiction treatment; Public health

Received: July 16, 2018; Accepted: September 11, 2018; Published: November 30, 2018  Show citation

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Rolová G, Barták M, Rogalewicz V, Gavurová B. Health literacy in people undergoing treatment for alcohol abuse - A pilot study. Kontakt. 2018;20(4):e394-400. doi: 10.1016/j.kontakt.2018.09.003.
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References

  1. Bostock S, Steptoe A. Association between low functional health literacy and mortality in older adults: Longitudinal cohort study. BMJ 2012;344. Doi: 10.1136/bmj.e1602. Go to original source... Go to PubMed...
  2. Kickbusch I, Pelikan J, Apfel F, Tsouros A. Health literacy: The solid facts. Copenhagen: WHO; 2013.
  3. Barták M. Zdravotní gramotnost. In: Miovský M (Ed.). Výkladový slovník základních pojmů školské prevence rizikového chování II. Praha: Lidové noviny; 2015, pp. 217-24.
  4. Nutbeam D. Health literacy as a population strategy for health promotion. Jap J Health Educ Prom 2017;25(3):210-22. Doi: 10.1093/heapro/dax015. Go to original source... Go to PubMed...
  5. Sørensen K, Van Den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health 2012;12(1). Doi: 10.1186/1471-2458-12-80. Go to original source... Go to PubMed...
  6. Ratzan S, Parker R. Introduction. In: Selden C, Zorn M, Ratzan S, Parker R (Eds). National Library of Medicine Current Bibliographies in Medicine: Health literacy. Bethesda, MD: National Institutes of Health, U.S. HHS; 2000.
  7. WHO 2018. European Health Information Gateway. [online] [cit. 2018-07-10]. Available from: https://gateway.euro.who.int/en/hfa-explorer/#wIvQpgBBSf
  8. Váňová A, Skývová M, Csémy L. Užívání tabáku a alkoholu v České republice 2016. Praha: Státní zdravotní ústav; 2017.
  9. Room R, Babor T, Rehm J. Alcohol and public health. Lancet 2005;365(9458):519-30. Doi: 10.1016/S0140-6736(05)17870-2. Go to original source...
  10. Schomerus G, Lucht M, Holzinger A, Matschinger H, Carta MG, Anger-Meyer MC. The stigma of alcohol dependence compared with other mental disorders: A review of population studies. Alcohol Alcohol 2010;46(2):105-12. Doi: 10.1093/alcalc/agq089. Go to original source... Go to PubMed...
  11. Kodl M. Zpráva o zdraví obyvatel České republiky. Praha: Ministerstvo zdravotnictví České republiky; 2014.
  12. Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinner-Sley P, et al. Shared decision making: A model for clinical practice. J Gen Int Med 2012;27(10):1361-7. Doi: 10.1007/ s11606-012-2077-6. Go to original source... Go to PubMed...
  13. Suka M, Odajima T, Okamoto M, Sumitani M, Igarashi A, Ishikawa H, et al. Relationship between health literacy, health information access, health behavior, and health status in Japanese people. Patient Educ Coun 2015;98(5):660-8. Doi: 10.1016/j.pec.2015.02.013. Go to original source... Go to PubMed...
  14. Ishikawa H, Nomura K, Sato M, Yano E. Developing a measure of communicative and critical health literacy: A pilot study of Japanese office workers. Health Promot Int 2008;23(3):269-74. Doi: 10.1093/ heapro/dan017. Go to original source... Go to PubMed...
  15. Coulter A, Parsons S, Askham J. Where are the patients in decision making about their own care? Copenhagen: WHO Regional Office for Europe; 2008.
  16. Schulz PJ, Nakamoto K. Health literacy and patient empowerment in health communication: The importance of separating conjoined twins. Patient Educ Coun 2013;90(1):4-11. Doi: 10.1016/j.pec.2012.09.006. Go to original source... Go to PubMed...
  17. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). Europ J Pub Health 2015;25(6):1053-8. Doi: 10.1093/eurpub/ckv043. Go to original source... Go to PubMed...
  18. Kučera Z, Pelikan J, Šteflová A. Zdravotní gramotnost obyvatel ČR - výsledky komparativního reprezentativního šetření. Čas lék čes 2016;155:233-41.
  19. Levin-Zamir D, Baron-Epel OB, Cohen V, Elhayany A. The Association of Health Literacy with Health Behavior, Socio-economic indicators, and self-assessed health from a National Adult Survey in Israel. J Health Com 2016;21:61-8. Doi: 10.1080/10810730.2016.1207115. Go to original source... Go to PubMed...
  20. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: An updated systematic review. Ann Int Med 2011;155(2):97-107. Doi: 10.7326/ 0003-4819-155-2-201107190-00005. Go to original source... Go to PubMed...
  21. DeWalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP. Literacy and health outcomes: A systematic review of the literature. J Gen Int Med 2004;19(12):1228-39. Doi: 10.1111/j.1525-1497.2004.40153.x. Go to original source... Go to PubMed...
  22. Gazmararian JA, Williams MV, Peel J, Baker DW. Health literacy and knowledge of chronic disease. Patient Educ Coun 2003;51(3):267-75. Doi: 10.1016/S0738-3991(02)00239-2. Go to original source... Go to PubMed...
  23. Wolf MS, Gazmararian JA, Baker DW. Health literacy and functional health status among older adults. Arch Int Med 2005;165(17):1946-52. Doi: 10.1001/archinte.165.17.1946. Go to original source... Go to PubMed...
  24. Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health care use among medicare enrollees in a man-aged care organization. Med Care 2002;40(5):395-404. Doi: 10.1097/00005650-200205000-00005. Go to original source... Go to PubMed...
  25. Adams RJ, Piantadosi C, Ettridge K, Miller C, Wilson C, Tucker G, et al. Functional health literacy mediates the relationship between socio-economic status, perceptions and lifestyle behaviors related to cancer risk in an australian population. Patient Educ Coun 2013;91(2):206-12. Doi: 10.1016/j.pec.2012.12.001. Go to original source... Go to PubMed...
  26. Baker DW, Wolf MS, Feinglass J, Thompson JA, Gazmararian JA, Huang J. Health literacy and mortality among elderly persons. Arch Int Med 2007;167(14):1503-9. Doi: 10.1001/archinte.167.14.1503. Go to original source... Go to PubMed...
  27. Duong VT, Lin I, Sorensen K, Pelikan JM, Van Den Broucke S, Lin Y, et al. Health literacy in Taiwan: A population-based study. Asia-Pac J Pub Health 2015;27(8):871-80. Doi: 10.1177/1010539515607962. Go to original source... Go to PubMed...
  28. Geboers B, Reijneveld SA, Jansen CJM, de Winter AF. Health literacy is associated with health behaviors and social factors among older adults: Results from the lifelines cohort study. J Health Com 2016;21:45-53. Doi: 10.1080/10810730.2016.1201174. Go to original source... Go to PubMed...
  29. Hoffman S, Marsiglia FF, Nevarez L, Porta M. Health literacy among youth in Guatemala city. Soc Work Pub Health 2017;32(1):30-7. Doi: 10.1080/19371918.2016.1188741. Go to original source... Go to PubMed...
  30. Hoover DS, Vidrine JI, Shete S, Spears CA, Cano MA, Correa-Fernandez V, et al. Health literacy, smoking, and health indicators in African American adults. J Health Com 2015;20:24-33. Doi: 10.1080/10810730.2015.1066465. Go to original source... Go to PubMed...
  31. Husson O, Mols F, Fransen MP, Van De Poll-Franse LV, Ezendam NPM. Low subjective health literacy is associated with adverse health behaviors and worse health-related quality of life among colorectal cancer survivors: Results from the profiles registry. Psychooncology 2015;24(4):478- 86. Doi: 10.1002/pon.3678. Go to original source... Go to PubMed...
  32. Jayasinghe UW, Harris MF, Parker SM, Litt J, van Driel M, Mazza D, et al. The impact of health literacy and life style risk factors on health-related quality of life of Australian patients. Health Qual Life Outcom 2016;14(1). Doi: 10.1186/s12955-016-0471-1. Go to original source... Go to PubMed...
  33. Liu Y, Liu L, Li Y, Chen Y. Relationship between health literacy, health-related behaviors and health status: A survey of elderly Chinese. Int J Environ Res Pub Health 2015;12(8):9714-25. Doi: 10.3390/ijerph120809714. Go to original source... Go to PubMed...
  34. Morris NS, MacLean CD, Littenberg B. Literacy and health outcomes: A cross-sectional study in 1002 adults with diabetes. BMC Family Practice 2006;7. Doi: 10.1186/1471-2296-7-49. Go to original source... Go to PubMed...
  35. Rowlands GP, Mehay A, Hampshire S, Phillips R, Williams P, Mann A, et al. Characteristics of people with low health literacy on coronary heart disease GP registers in South London: A cross-sectional study. BMJ Open 2013;3(1). Doi: 10.1136/bmjopen-2012-001503. Go to original source... Go to PubMed...
  36. Smith SG, Jackson SE, Kobayashi LC, Steptoe A. Social isolation, health literacy, and mortality risk: Findings from the English longitudinal study of ageing. Health Psych 2018;37(2):160-9. Doi: 10.1037/hea0000541. Go to original source... Go to PubMed...
  37. Sudore RL, Yaffe K, Satterfield S, Harris TB, Mehta KM, Simonsick EM, et al. Limited literacy and mortality in the elderly: The health, aging, and body composition study. J Gen Int Med 2006;21(8):806-12. Doi: 10.1111/j.1525-1497.2006.00539.x. Go to original source... Go to PubMed...
  38. Von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behaviour in a national sample of British adults. J Epidem Com Health 2007;61(12):1086-90. Doi: 10.1136/jech.2006.053967. Go to original source... Go to PubMed...
  39. Wolf MS, Gazmararian JA, Baker DW. Health literacy and health risk behaviors among older adults. Am J Prev Med 2007;32(1):19-24. Doi: 10.1016/j.amepre.2006.08.024. Go to original source... Go to PubMed...
  40. Lee YJ, Boden-Albala B, Jia H, Wilcox A, Bakken S. The association between online health information-seeking behaviors and health behaviors among hispanics in New York city: A community-based cross-sectional study. J Med Int Res 2015;17(11). Doi: 10.2196/ jmir.4368. Go to original source... Go to PubMed...
  41. Pelikan J, Röthlin F, Ganahl K. Comparative report of health literacy in eight EU member states; 2012. [online] [cit. 2018-04-23]. Available from: http://ec.europa.eu/chafea/documents/news/Comparative_report_on_health_literacy_in_eight_EU_member_states.pdf
  42. WHO. Ottawa charter for health promotion; 1986. [online] [cit. 2018-06-02]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0004/129532/Ottawa_Charter.pdf
  43. Huerta MC, Borgonovi F. Education, alcohol use and abuse among young adults in Britain. Soc Sci Med 2010;71(1):143-51. Doi: 10. 1016/j. socscimed.2010.03.022. Go to original source... Go to PubMed...