Factors associated with functional health literacy and the quality of life of riverside residents served by the primary care network in the Brazilian amazon: a cross-sectional study.

IF 2 Q2 MEDICINE, GENERAL & INTERNAL
Ana Kedma Correa Pinheiro, Carlos Eduardo Raymundo, Eliene do Socorro da Silva Santos, Marcio Yrochy Saldanha Dos Santos, Adriana de Oliveira Sarefino, Maria Helena do Nascimento Souza, Ingrid Bentes Lima, Raquel Gomes da Silva, Laura Maria Vidal Nogueira
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Abstract

Background: the riverside population lives in a vulnerable social situation, shaped by geographical, economic, social, and educational aspects that have repercussions on health literacy, the limitations of which can compromise Quality of Life. These specificities influence the actions of Primary Health Care, especially in the rural context. This study aimed to assess the factors associated with Functional Health Literacy and Quality of Life among riverside residents of the Brazilian Amazon who use Primary Health Care.

Methods: a cross-sectional study with 312 users of a riverside Family Health Team, using the Health Literacy Test, classified as adequate, limited, and inadequate, and the Study Short Form 12 Health Survey questionnaire, analyzing the physical and mental components in isolation. A theoretical model was built to assess the associations between sociodemographic and environmental variables and the Functional Health Literacy and Quality of Life outcomes. The Functional Health Literacy outcome was considered as two dichotomous variables (inadequate versus adequate; limited versus adequate), while the Quality of Life outcomes were considered as counts, with a Poisson distribution. Thus, a structural equation model was used to adjust the proposed theoretical model.

Results: there was a worsening in inadequate Functional Health Literacy, associated with females, aged over 40, elementary school education, living close to the health service, and using only a cell phone for communication. Factors that compromised physical Quality of Life: livelihood problems; inadequate literacy; age range 40-59; and having two children or more. And those that worsened mental Quality of Life: age over 40; having a family allowance; and being in control of their medication.

Conclusions: sociodemographic, environmental, and economic factors and adherence to medication by river communities have been shown to be associated with Health Literacy and Quality of Life. Knowing these implications is fundamental for health provision. These findings can support the formulation of strategies in health services to improve Health Literacy and Quality of Life.

与巴西亚马逊地区初级保健网络服务的河边居民的功能性健康素养和生活质量相关的因素:一项横断面研究。
背景:河边人口生活在一个脆弱的社会状况中,受地理、经济、社会和教育方面的影响,对卫生素养产生影响,其局限性可能损害生活质量。这些特点影响到初级保健的行动,特别是在农村地区。本研究旨在评估与巴西亚马逊河沿岸居民使用初级卫生保健的功能性健康素养和生活质量相关的因素。方法:对河滨家庭健康小组的312名用户进行横断面研究,使用健康素养测试,将其分为适当、有限和不充分,并使用研究简表12健康调查问卷,单独分析身体和心理成分。建立了一个理论模型来评估社会人口和环境变量与功能性健康素养和生活质量结果之间的关系。功能性健康素养结果被认为是两个二分类变量(不充分vs充分;有限vs充足),而生活质量结果被视为计数,具有泊松分布。因此,采用结构方程模型对提出的理论模型进行调整。结果:功能性健康素养不足的情况有所恶化,这与女性、40岁以上、小学教育程度、居住在卫生服务机构附近以及仅使用手机进行通信有关。影响身体生活质量的因素:生计问题;素养不足;年龄40-59岁;有两个或两个以上的孩子。精神生活质量恶化的人群:40岁以上;有家庭津贴的;控制他们的药物。结论:社会人口、环境和经济因素以及河流社区对药物的依从性已被证明与健康素养和生活质量有关。了解这些影响对提供卫生服务至关重要。这些发现可以支持卫生服务战略的制定,以提高健康素养和生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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