Health literacy of people living with mental illness or substance use disorders: A systematic review

Degan, Tayla; Kelly, Peter J.; Robinson, Laura; Deane, Frank P.; Smith, Anna Marie

doi:10.1111/eip.13090

Cited by 25 publications

(29 citation statements)

References 33 publications

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“…This could be of benefit to investigate the effects of psychosis on education attainment, general literacy, alongside the consequences of transgenerational trauma, underemployment and social disadvantage to inform development of targeted psychiatric and social interventions in this group [ 57 ]. Finally, another area for focus given the current paucity of literature, as highlighted by the recent systematic review, is the impact of low HL in those living with SMI on health care utilisation and civic engagement [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…A recent systematic review of health literacy in people living with mental illness, identified a paucity of studies. This is complicated in interpretation by small studies and further limited by the use of a broad variety of measures which cannot be compared, ranging from functional HL assessments, such as the S-TOFHLA and The Rapid Estimate of Adult Literacy in Medicine (REALM), to multidimensional surveys [ 38 ].…”

Section: Introductionmentioning

confidence: 99%

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Associations between health literacy, cognitive function and general literacy in people with schizophrenia attending community mental health clinics in Australia

et al. 2022

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Background Health literacy (HL) has been defined as the ability of individuals to access, understand, and utilise basic health information. HL is crucial to patient engagement in treatment through supporting patient autonomy, informed consent and collaborative care. In people with physical disorders, poor HL is associated with poor health outcomes, but less is known about HL in people with severe mental illness. This study aimed to assess HL and investigate the associations between education, cognitive function, general literacy, and HL in participants with schizophrenia attending community mental health clinics. Method Fifty-two outpatients with schizophrenia attending a public community mental health clinic in Adelaide, Australia completed the Test of Functional Health Literacy in Adults—Short Form (S-TOFHLA) along with tests of cognition, aural and reading literacy and numeracy including Digit Symbol Coding (DSC), verbal fluency, the Wechsler Adult Intelligence Scale (WAIS-IV), Woodcock-Johnson III (Part 4 and 9) and the Lipkus numeracy scale. Sixty-one percent of participants were male. Participants had a mean age of 41.2 (SD 9.9) years and a mean of 11.02 (SD 1.5) years of education. Results The majority of participants had very poor aural and verbal literacy and poorer literacy correlated with fewer years of education. On the S-TOFHLA, 81% of participants had adequate HL; 6% were marginal and 13% were inadequate. There was a positive correlation between education and HL, with those with more years of education scoring higher for HL. There was also a significant association between better HL and better working memory and attention. Conclusions Consistent with previous research in schizophrenia, our participants had reduced educational attainment, aural and reading literacy and cognitive function compared to population norms. However, HL was better than expected given that previous research has found that people with psychiatric disorders tend to have lower HL, compared to the general population. This may reflect effective case management of our participants whilst attending the community clinics and supports ongoing research and intervention regarding HL in people living with mental illness.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Associations between health literacy, cognitive function and general literacy in people with schizophrenia attending community mental health clinics in Australia

et al. 2022

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“…Community-based studies from LMICs have revealed the relationship between low socioeconomic status (SES) and common mental disorders [20][21][22][23]. Recent literature revealed that low socioeconomic status was linked to lower health literacy with higher stigma [24,25] and lack of mental health help-seeking [26]. Additionally, low-income individuals' perceptions of the structural issues attributed to inefficient government or discrimination may subsequently influence their decision-making and mental health [27].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial factors associated with mental health and quality of life during the COVID-19 pandemic among low-income urban dwellers in Peninsular Malaysia

et al. 2022

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Background and aims Mental well-being among low-income urban populations is arguably challenged more than any other population amid the COVID-19 pandemic. This study investigates factors associated with depression and anxiety symptoms and quality of life among Malaysia’s multi-ethnic urban lower-income communities. Methods This is a community-based house-to-house survey conducted from September to November 2020 at the Petaling district in Selangor, Malaysia. Five hundred and four households were identified using random sampling, and heads of eligible households were recruited. Inclusion criteria were age ≥18 years with a monthly household income ≤RM6960 (estimated $1600) without acute psychiatric illness. The PHQ-9, GAD-7 and EQ-5D were used for depression, anxiety, and quality of life, respectively. Multivariable logistic regression was performed for the final analysis. Results A total of 432 (85.7%) respondents with a mean age of 43.1 years completed the survey. Mild to severe depression was detected in 29.6%, mild to severe anxiety in 14.7%, and problematic quality of life in 27.8% of respondents. Factors associated with mild to severe depression were younger age, chronic health conditions, past stressful events, lack of communication gadgets and lack of assets or commercial property. While respiratory diseases, marital status, workplace issues, financial constraints, absence of investments, substance use and lack of rental income were associated with mild to severe anxiety. Attributing poverty to structural issues, help-seeking from professionals, and self-stigma were barriers, while resiliency facilitated good psychological health. Problematic quality of life was associated with depression, older age, unemployment, cash shortage, hypertension, diabetes, stressful life events and low health literacy. Conclusions A high proportion of the sampled urban poor population reported mild to severe anxiety and depression symptoms. The psychosocial determinants should inform policymakers and shape future work within this underserved population.

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“…Recent literature revealed that low socioeconomic status was linked to lower health literacy with higher stigma (24,25) and lack of mental health help-seeking (26). Additionally, low-income individuals' perceptions of the structural issues they encountered may subsequently influence their decision-making, thus influencing mental health (27).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial factors associated with mental health and quality of life during the COVID-19 pandemic among low-income urban dwellers in Peninsular Malaysia

Fui

Majid

Ismail

et al. 2022

Preprint

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Background and aims The mental well-being among low-income urban populations is arguably challenged more than any other population amid the COVID-19 pandemic. This study investigates factors associated with depression and anxiety symptoms, and quality of life among Malaysia’s multi-ethnic urban lower-income communities. Methods This is a community-based house-to-house survey conducted from September to November 2020 at the Petaling district in Selangor, Malaysia. Five hundred and four households were identified using random sampling, and heads of eligible households were recruited. Inclusion criteria were age 18 years with monthly household income <=RM6960 (estimated USD 1600) without acute psychiatric illness. The PHQ-9, GAD-7 and EQ-5D were used for depression, anxiety, and quality of life. Multivariable logistic regression was performed for the final analysis. Results A total of 432 (85.7%) respondents with a mean age of 43.1 years completed the survey. Mild to severe depression was detected in 29.6%, mild to severe anxiety in 14.7%, and problematic quality of life in 27.8% of respondents. Factors associated with mild to severe depression were younger age, chronic health conditions, past stressful events, lack of communication gadgets and lack of assets or commercial property. While respiratory diseases, marital status, workplace issues, financial constraints, absence of investments, substance use and lack of rental income were associated with mild to severe anxiety. Not attributing poverty to structural issues, help-seeking from professionals, and self-stigma were barriers, while resiliency facilitated good psychological health. Problematic quality of life was associated with depression, older age, unemployment, cash shortage, hypertension, diabetes, stressful life events and low health literacy. Conclusions A higher proportion had reported mild to severe anxiety and depression symptoms in the sampled urban poor population than previous pre-pandemic reports. The psychosocial determinants should inform policy and direct future research within this underserved population.

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Health literacy of people living with mental illness or substance use disorders: A systematic review

Cited by 25 publications

References 33 publications

Associations between health literacy, cognitive function and general literacy in people with schizophrenia attending community mental health clinics in Australia

Associations between health literacy, cognitive function and general literacy in people with schizophrenia attending community mental health clinics in Australia

Psychosocial factors associated with mental health and quality of life during the COVID-19 pandemic among low-income urban dwellers in Peninsular Malaysia

Psychosocial factors associated with mental health and quality of life during the COVID-19 pandemic among low-income urban dwellers in Peninsular Malaysia

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