Individual and organizational health literacies: moderating psychological distress for individuals with chronic conditions.
Background People with chronic conditions experience high psychological distress. Methods Using the National Health Survey in Australia during 2017–18, the study assessed whether and which health literacies moderated the relationship between chronic conditions and psychological distress for diabetes...
| Publicado en: | Journal of Public Health Vol. 44; no. 3; pp. 651 - 663 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
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Oxford University Press / USA
Sep2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158805008&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158805008 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Sep2022 vid: 44 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 158805008 158805008 158805008 10.1093/pubmed/fdab133 158805008 ppf: 651 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Individual and organizational health literacies: moderating psychological distress for individuals with chronic conditions. aug: au: Li, Ang affil: Centre for Health Policy , Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Victoria 3010, Australia sug: subj: Health Literacy Organizational Culture Psychological Distress Chronic Disease Human Diabetes Mellitus Australia Kidney Failure, Chronic Cardiovascular Diseases Asthma Neoplasms Socioeconomic Factors Descriptive Statistics Young Adult Adult Middle Age Aged Support, Social Self Care Questionnaires Scales Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: Background People with chronic conditions experience high psychological distress. Methods Using the National Health Survey in Australia during 2017–18, the study assessed whether and which health literacies moderated the relationship between chronic conditions and psychological distress for diabetes, chronic kidney disease (CKD), cardiovascular disease (CVD), arthritis, other musculoskeletal conditions, asthma, other chronic lower respiratory diseases and cancer. Psychological distress was regressed on chronic diseases, health literacy domains and their interactions, controlling for demographic, socioeconomic and health factors. Results Of 5790 adults, 4212 (72.75%) aged 18–64; 846 (14.6%) had high or very high psychological distress, 1819 (31.4%) had diabetes, CKD or CVD, 2645 (45.7%) musculoskeletal conditions, and 910 (15.7%) lower respiratory conditions. Having sufficient information from healthcare providers was associated with the lowest level of psychological distress for CKD and cancer. Social support was associated with significantly lower levels of psychological distress for cardiovascular, musculoskeletal and lower respiratory conditions. Understanding health information was associated with the largest improvement in psychological distress for diabetes. Conclusions Higher health literacies were associated with reduced risks of psychological distress among individuals managing chronic conditions. Interventions for improving self-management and health inequalities should incorporate disease-specific health literacy enhancement strategies at individual and organizational levels. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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