Access to health information, health literacy and health-related quality of life among women living with breast cancer: Depression and anxiety as mediators

Kugbey, Nuworza; Meyer-Weitz, Anna; Asante, Kwaku Oppong

doi:10.1016/j.pec.2019.02.014

Cited by 81 publications

(68 citation statements)

References 42 publications

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“…In the symptom scales, those with adequate HL were more likely to have minor symptoms compared with those with limited HL. This is largely because the information needs and understanding of person living with chronic conditions are critical to optimal management 8. Kim et al 43 indicated that low HL among patients with prostate cancer may have hindered patients’ involvement in shared decision-making with physicians.…”

Section: Discussionmentioning

confidence: 99%

“…Higher levels of HL within populations yield social benefits,3 4 and HL is an important factor in ensuring significant health outcomes 5 6. Previous studies indicated that poor or limited HL can make it difficult for patients to function effectively in the healthcare system, and that it is associated with several negative outcomes, such as poor health status, decreased comprehension of medical information, lack of engagement with doctors, higher cost of healthcare and so forth 7 8…”

Section: Introductionmentioning

confidence: 99%

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Relationship between health literacy and quality of life among cancer survivors in China: a cross-sectional study

Xia

Deng

et al. 2019

BMJ Open

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ObjectiveTo evaluate the association between health literacy (HL) and quality of life (QOL) among cancer survivors in China.DesignCross-sectional study in China.Setting and participantsThis is a cross-sectional observational study of 4589 cancer survivors aged 18 years and older from the Shanghai Cancer Rehabilitation Club. Participants were enrolled and completed the questionnaires between May and July 2017.MeasurementHL was assessed by three established screening questions and QOL was evaluated using the simplified Chinese version of the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire-Core 30 items. Answers to all questionnaires were collected through face-to-face interviews or through self-administered questionnaires for literate participants. Participants were excluded if they did not answer any one of the HL questions. Baseline characteristics were compared by levels of HL using χ2 test for categorical variables and Wilcoxon rank-sum test for non-normal continuous variables. The item response theory (IRT) was used to evaluate the existing measure of HL. Linear regression and logistic regression models were used to investigate the association between HL and QOL. SAS V.9.4 and MULTILOG V.7.03 were used in the analysis.ResultsThere were 4589 participants included in the study. The calculated results of IRT scale parameters of HL entries indicate that the entries have better discrimination and difficulty. Of the 4589 respondents, 159 (3.5%) had low HL. After adjusting for sociodemographic characteristics, treatment regimen and years with cancers, for each one-point decrement in HL score the QOL score increased by 2.07 (p<0.001). Cancer survivors with low HL were less likely than those with adequate HL to achieve better QOL. In logistic regression, low HL was independently associated with poor QOL (adjusted OR, 2.81; 95% CI 1.94 to 4.06; p<0.001).ConclusionsLow HL was independently associated with poor QOL among cancer survivors of the Shanghai Cancer Rehabilitation Club.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Relationship between health literacy and quality of life among cancer survivors in China: a cross-sectional study

Xia

Deng

et al. 2019

BMJ Open

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“…Improving health literacy is a strategic approach to preventing and controlling diseases [33]. Therefore, health professionals need to understand patients' health literacy before delivering interventions or education [34], in order to improve health-related quality of life [35,36].…”

Section: Backgroundsmentioning

confidence: 99%

“…Health-related quality of life (HRQoL) was assessed using the 36-Item Short Form Survey (SF- 36) which was developed at RAND as part of the Medical Outcomes Study [49]. This was also used in Vietnamese Americans [50].…”

Section: Health-related Quality Of Lifementioning

confidence: 99%

People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy

Nguyen

Binh

et al. 2020

JCM

466

467

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The coronavirus disease 2019 (COVID-19) epidemic affects people’s health and health-related quality of life (HRQoL), especially in those who have suspected COVID-19 symptoms (S-COVID-19-S). We examined the effect of modifications of health literacy (HL) on depression and HRQoL. A cross-sectional study was conducted from 14 February to 2 March 2020. 3947 participants were recruited from outpatient departments of nine hospitals and health centers across Vietnam. The interviews were conducted using printed questionnaires including participants’ characteristics, clinical parameters, health behaviors, HL, depression, and HRQoL. People with S-COVID-19-S had a higher depression likelihood (OR, 2.88; p < 0.001), lower HRQoL-score (B, −7.92; p < 0.001). In comparison to people without S-COVID-19-S and low HL, those with S-COVID-19-S and low HL had 9.70 times higher depression likelihood (p < 0.001), 20.62 lower HRQoL-score (p < 0.001), for the people without S-COVID-19-S, 1 score increment of HL resulted in 5% lower depression likelihood (p < 0.001) and 0.45 higher HRQoL-score (p < 0.001), while for those people with S-COVID-19-S, 1 score increment of HL resulted in a 4% lower depression likelihood (p = 0.004) and 0.43 higher HRQoL-score (p < 0.001). People with S-COVID-19-S had a higher depression likelihood and lower HRQoL than those without. HL shows a protective effect on depression and HRQoL during the epidemic.

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“…A prospective cohort study demonstrated that depressive symptoms were associated with an increased risk of becoming frail after adjusting for antidepressant use and other important covariates in women 65 and older (35). In addition, evidence has linked higher depression levels with limited or poor health literacy in older adults, and depression is found to mediate the relationship between health literacy and health outcomes among breast cancer patients (36,37).…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China

Liu

Meng

et al. 2020

Front. Public Health

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Population aging is one of the major challenges facing modern society and has attracted global attention. With population aging becoming a global phenomenon, the impact of age-related diseases on health is increasing rapidly. Frailty is one of the most pressing issues facing older adults. The purpose of this study was to explore the interrelationship between health literacy, social support, depression, and frailty among older patients with hypertension and diabetes in China. No studies have investigated the mediating effects of social support and depression between health literacy and frailty. The findings of this study can be applied to help ameliorate frailty in older hypertensive and diabetic patients. Data were collected from 637 older hypertensive and diabetic patients aged 65 years and older in Sichuan Province, China. We used structural equation modeling (SEM) to test the hypothesized relationship among the variables. The results showed that 42.4% of the participants suffered from frailty. The mean scores for health literacy, social support, depression, and frailty were 13.6 ± 5.7, 35.7 ± 6.5, 4.0 ± 3.4, and 3.5 ± 2.1, respectively. Social support had a direct negative association with frailty (β = −0.128, 95%CI: [−0.198, −0.056]), and depression had a direct positive association with frailty (β = 0.326, 95%CI: [0.229, 0.411]), while social support had no direct association with depression. Health literacy had a direct positive association with social support (β = 0.151, 95%CI: [0.077, 0.224]) and a direct negative association with depression (β = −0.173, 95%CI: [−0.246, −0.1]), while health literacy had an indirect negative association with frailty through the mediating effect of social support and depression. To mitigate frailty in older patients with hypertension and diabetes, measures that provide social support, and enhance health literacy, while alleviating depression, should be considered, along with greater attention to patients who are divorced, widowed, or unmarried, those with comorbidities, and those with lower socioeconomic status.

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Access to health information, health literacy and health-related quality of life among women living with breast cancer: Depression and anxiety as mediators

Cited by 81 publications

References 42 publications

Relationship between health literacy and quality of life among cancer survivors in China: a cross-sectional study

Relationship between health literacy and quality of life among cancer survivors in China: a cross-sectional study

People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy

The Relationship Between Health Literacy, Social Support, Depression, and Frailty Among Community-Dwelling Older Patients With Hypertension and Diabetes in China

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