Skip to main content
Top
Published in: BMC Ophthalmology 1/2019

Open Access 01-12-2019 | Edema | Research article

Low health literacy levels in patients with chronic retinal disease

Authors: Sofie Jandorf, Marie Krogh Nielsen, Kristine Sørensen, Torben Lykke Sørensen

Published in: BMC Ophthalmology | Issue 1/2019

Login to get access

Abstract

Background

A patient’s health literacy is fundamental for navigating the health system and managing disease. This study aimed to compare the health literacy levels of patients with chronic retinal disease in Denmark.

Methods

This cross-sectional questionnaire study used the validated HLS-EU-Q16 questionnaire to determine the health literacy of 225 patients with age-related macular degeneration (AMD), diabetic macular edema (DME) or retinal vein occlusion (RVO), receiving intravitreal treatment at the retinal clinic, Zealand University Hospital, Denmark. Patients were consecutively included as participants for the study. All patients had the option of having the survey read aloud to them.

Results

Health literacy levels between the patient groups did not differ significantly, however, the proportion of patients with poor health literacy was high—65% of AMD patients, 73% of DME patients, and 63% of patients with RVO.

Conclusions

Low health literacy of patients with retinal disease signify a need for more health literacy research in the field of retinal diseases, to secure that patients have the timely and appropriate knowledge and competencies to manage their condition.
Literature
1.
go back to reference Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, Brand H. HLS-EU) Consortium health literacy project European. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80.CrossRef Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, Brand H. HLS-EU) Consortium health literacy project European. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80.CrossRef
2.
go back to reference Juzych MS, Randhawa S, Shukairy A, Kaushal P, Gupta A, Shalauta N. Functional health literacy in patients with glaucoma in urban settings. Arch Ophthalmol. 2008;126:718–24.CrossRef Juzych MS, Randhawa S, Shukairy A, Kaushal P, Gupta A, Shalauta N. Functional health literacy in patients with glaucoma in urban settings. Arch Ophthalmol. 2008;126:718–24.CrossRef
3.
go back to reference Muir KW, Santiago-Turla C, Stinnett SS, Herndon LW, Allingham RR, Challa P, Lee PP. Health literacy and adherence to glaucoma therapy. Am J Ophthalmol. 2006;142:223–6.CrossRef Muir KW, Santiago-Turla C, Stinnett SS, Herndon LW, Allingham RR, Challa P, Lee PP. Health literacy and adherence to glaucoma therapy. Am J Ophthalmol. 2006;142:223–6.CrossRef
4.
go back to reference Warren M, DeCarlo DK, Dreer LE. Health literacy in older adults with and without low vision. Am J Occup Ther. 2016;70:1–7.CrossRef Warren M, DeCarlo DK, Dreer LE. Health literacy in older adults with and without low vision. Am J Occup Ther. 2016;70:1–7.CrossRef
5.
go back to reference Chahardah-Cherik S, Gheibizadeh M, Jahani S, Cheraghian B. The relationship between health literacy and health promoting behaviors in patients with type 2 diabetes. Int J Community Based Nurs Midwifery. 2018;6:65–75. Chahardah-Cherik S, Gheibizadeh M, Jahani S, Cheraghian B. The relationship between health literacy and health promoting behaviors in patients with type 2 diabetes. Int J Community Based Nurs Midwifery. 2018;6:65–75.
6.
go back to reference Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, Palacios J, Sullivan GD, Bindman AB. Association of health literacy with diabetes outcomes. JAMA. 2002;288:475–82.CrossRef Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, Palacios J, Sullivan GD, Bindman AB. Association of health literacy with diabetes outcomes. JAMA. 2002;288:475–82.CrossRef
7.
go back to reference Muir KW, Lee PP. Health literacy and ophthalmic patient education. Surv Ophthalmol. 2010;55:454–9.CrossRef Muir KW, Lee PP. Health literacy and ophthalmic patient education. Surv Ophthalmol. 2010;55:454–9.CrossRef
8.
go back to reference The Ministry of Higher Education and Science. The Danish Education System. 2016. Available from ufm.Dk/en/publications. Assessed July 1 2019. The Ministry of Higher Education and Science. The Danish Education System. 2016. Available from ufm.Dk/en/publications. Assessed July 1 2019.
9.
go back to reference Agriculture and fisheries. The Danish rural development Programme 2007–2013, vol. 2012. Ministry of Food. p. 8–10. Agriculture and fisheries. The Danish rural development Programme 2007–2013, vol. 2012. Ministry of Food. p. 8–10.
10.
go back to reference Kaiser PK. Prospective evaluation of visual acuity assessment: a comparison of snellen versus ETDRS charts in clinical practice (an AOS thesis). Trans Am Ophthalmol Soc. 2009;107:311–24.PubMedPubMedCentral Kaiser PK. Prospective evaluation of visual acuity assessment: a comparison of snellen versus ETDRS charts in clinical practice (an AOS thesis). Trans Am Ophthalmol Soc. 2009;107:311–24.PubMedPubMedCentral
11.
go back to reference Beck RW, Moke PS, Turpin AH, Ferris FL 3rd, SanGiovanni JP, Johnson CA, Birch EE, Chandler DL, Cox TA, Blair RC, et al. A computerized method of visual acuity testing: adaptation of the early treatment of diabetic retinopathy study testing protocol. Am J Ophthalmol. 2003;135:194–205.CrossRef Beck RW, Moke PS, Turpin AH, Ferris FL 3rd, SanGiovanni JP, Johnson CA, Birch EE, Chandler DL, Cox TA, Blair RC, et al. A computerized method of visual acuity testing: adaptation of the early treatment of diabetic retinopathy study testing protocol. Am J Ophthalmol. 2003;135:194–205.CrossRef
12.
go back to reference Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–83.CrossRef Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–83.CrossRef
13.
go back to reference Lassen AT, Jørgensen H, Jørsboe HB, Odby A, Brabrand M, Steinmetz J, Mackenhauer J, Kirkegaard H, Christiansen CF. The Danish database for acute and emergency hospital contacts. Clin Epidemiol. 2016;8:469–74.CrossRef Lassen AT, Jørgensen H, Jørsboe HB, Odby A, Brabrand M, Steinmetz J, Mackenhauer J, Kirkegaard H, Christiansen CF. The Danish database for acute and emergency hospital contacts. Clin Epidemiol. 2016;8:469–74.CrossRef
14.
go back to reference Sørensen K, Van den Broucke S, Pelikan JM, Fullam J, Doyle G, Slonska Z, Kondilis B, Stoffels V, Osborne RH, Brand H, Consortium HLS-EU. Measuring health literacy in populations: illuminating the design and development process of the European health literacy survey questionnaire (HLS-EU-Q). BMC Public Health. 2013;13:948.CrossRef Sørensen K, Van den Broucke S, Pelikan JM, Fullam J, Doyle G, Slonska Z, Kondilis B, Stoffels V, Osborne RH, Brand H, Consortium HLS-EU. Measuring health literacy in populations: illuminating the design and development process of the European health literacy survey questionnaire (HLS-EU-Q). BMC Public Health. 2013;13:948.CrossRef
15.
go back to reference Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, Fullam J, Kondilis B, Agrafiotis D, Uiters E, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Pub Health. 2015;25:1053–8.CrossRef Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, Fullam J, Kondilis B, Agrafiotis D, Uiters E, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Pub Health. 2015;25:1053–8.CrossRef
16.
go back to reference Maindal HT, Kayser L, Norgaard O, Bo A, Elsworth GR, Osborne RH. Cultural adaptation and validation of the health literacy questionnaire (HLQ): robust nine-dimension Danish language confirmatory factor model. Springerplus. 2016;5:1232.CrossRef Maindal HT, Kayser L, Norgaard O, Bo A, Elsworth GR, Osborne RH. Cultural adaptation and validation of the health literacy questionnaire (HLQ): robust nine-dimension Danish language confirmatory factor model. Springerplus. 2016;5:1232.CrossRef
17.
go back to reference Levin-Zamir D, Baron-Epel OB, Cohen V, Elhayany A. The association of health literacy with health behavior, socioeconomic indicators, and self-assessed health from a national adult survey in Israel. J Health Commun. 2016;21:61–8.CrossRef Levin-Zamir D, Baron-Epel OB, Cohen V, Elhayany A. The association of health literacy with health behavior, socioeconomic indicators, and self-assessed health from a national adult survey in Israel. J Health Commun. 2016;21:61–8.CrossRef
18.
go back to reference Muir KW, Christensen L, Bosworth HB. Health literacy and glaucoma. Curr Opin Ophthalmol. 2013;24:119–24.CrossRef Muir KW, Christensen L, Bosworth HB. Health literacy and glaucoma. Curr Opin Ophthalmol. 2013;24:119–24.CrossRef
19.
go back to reference Mann BK, DeYcaza Singh SA, Dabas R, Davoudi S, Osvath J. Evaluation of effects of health literacy, numeracy skills, and English proficiency on health outcomes in the population of people with diabetes in East Harlem. Clin Diabetes. 2019;37:172–5.CrossRef Mann BK, DeYcaza Singh SA, Dabas R, Davoudi S, Osvath J. Evaluation of effects of health literacy, numeracy skills, and English proficiency on health outcomes in the population of people with diabetes in East Harlem. Clin Diabetes. 2019;37:172–5.CrossRef
20.
go back to reference Wittenberg E, Ferrell B, Kanter E, Buller H. Health literacy: exploring nursing challenges to providing support and understanding. Clin J Oncol Nurs. 2018;22:53–61.CrossRef Wittenberg E, Ferrell B, Kanter E, Buller H. Health literacy: exploring nursing challenges to providing support and understanding. Clin J Oncol Nurs. 2018;22:53–61.CrossRef
21.
go back to reference Berens EM, Vogt D, Messer M, Hurrelmann K, Schaeffer D. Health literacy among different age groups in Germany: results of a cross-sectional survey. BMC Public Health. 2016;16:1151.CrossRef Berens EM, Vogt D, Messer M, Hurrelmann K, Schaeffer D. Health literacy among different age groups in Germany: results of a cross-sectional survey. BMC Public Health. 2016;16:1151.CrossRef
22.
go back to reference Parker R, Ratzan SC. Health literacy: a second decade of distinction for Americans. J Health Commun. 2010;15:20–33.CrossRef Parker R, Ratzan SC. Health literacy: a second decade of distinction for Americans. J Health Commun. 2010;15:20–33.CrossRef
Metadata
Title
Low health literacy levels in patients with chronic retinal disease
Authors
Sofie Jandorf
Marie Krogh Nielsen
Kristine Sørensen
Torben Lykke Sørensen
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2019
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-019-1191-1

Other articles of this Issue 1/2019

BMC Ophthalmology 1/2019 Go to the issue