背景:健康素养会影响患者的健康结果,作为他们的阅读能力,解释和应用与健康相关决策相关的健康信息。这些决策技能需要由被诊断患有慢性病的患者-也是说塞索托语的患者在公共初级卫生保健环境中接受治疗。
目的:该研究旨在评估被诊断患有慢性病的讲塞索托语的患者的健康素养,并建立患者的社会人口统计学数据与健康素养测试项目之间的关联。
方法:这项研究是在自由州的公共医疗保健(PHC)设施中进行的,南非。
方法:定量描述性横断面设计包括在Setsoto分区的PHC设施(n=12)接受治疗的慢性病患者(n=264),并在结构化访谈中完成了Sesotho健康素养测试。每组计算描述性统计量,并通过卡方或Fisher精确检验和Kruskal-Wallis检验进行比较。
结果:测试结果表明,识字率较高,为35.6%(n=94),43.6%(n=115)的中等健康素养水平和20.8%(n=55)的低健康素养水平。在健康素养水平与性别或慢性病之间,或在健康素养水平与由于视力不良而无法阅读的参与者之间没有发现关联(p=0.14)(p=0.21)。健康素养水平与年龄之间以及健康素养水平与教育之间建立了正相关(p≤0.01):南非学校9-12年级(p≤0.01)的参与者的健康素养水平更高。
结论:照顾塞索托语患者的医疗保健提供者需要对患者的健康素养水平保持敏感,因为它可能在他们的健康结果中发挥作用。贡献:报告的发现的价值在于可以迅速评估被诊断患有慢性病的南非大量土著人口的健康素养水平。
BACKGROUND: Health literacy influences patients\' health outcomes, as their ability to read, interpret and apply health information associated with health-related decision-making. These decision-making skills need to be made up by patients diagnosed with chronic conditions - also Sesotho-speaking patients receiving treatment in public primary health care environments.
OBJECTIVE: The study aimed to assess the health literacy of Sesotho-speaking patients diagnosed with chronic conditions and to establish the associations between the sociodemographic data of patients and items of a health literacy test.
METHODS: This study was conducted in public healthcare (PHC) facilities in the Free State province, South Africa.
METHODS: A quantitative descriptive cross-sectional design involved conveniently sampled patients with chronic conditions (n = 264) who were being treated at PHC facilities (n = 12) in the Setsoto subdistrict and who completed the Sesotho Health Literacy test during a structured interview. Descriptive statistics were calculated per group and compared by means of chi-square or Fisher\'s exact test and Kruskal-Wallis test.
RESULTS: Test results indicate high literacy levels in 35.6% (n = 94), moderate health literacy levels in 43.6% (n = 115) and low health literacy levels in 20.8% (n = 55) of participants. No association (p = 0.14) was found between health literacy level and gender or chronic conditions or between health literacy level and the participants\' inability to read due to poor eyesight (p = 0.21). Positive associations (p ≤ 0.01) were established between a health literacy level and age and between health literacy level and education: participants with a South African School Grade Level 9-12 (p ≤ 0.01) had higher health literacy levels.
CONCLUSIONS: Healthcare providers caring for Sesotho-speaking patients need to be sensitive about their patients\' health literacy levels, as it may play a role in their health outcomes.Contribution: The value of the findings reported lies in the possibility of rapidly appraising the health literacy levels of a large indigenous population in South Africa diagnosed with chronic conditions.