Evaluation of health literacy levels and COVID-19 awareness among tuberculosis patients.

Introduction: For Tuberculosis (TB) and COVID-19 infections, whose transmission modes and preventive measures are similar, compliance with preventive measures and treatment is closely related to Health Literacy (HL) levels. This study aimed to evaluate the HL levels, and COVID-19 awareness of TB patients treated and followed up in TB Dispensaries serving under the Çankaya District Health Directorate of Ankara Province.

Methodology: A questionnaire including socio-demographic characteristics, COVID-19 knowledge level questions, and Health literacy scale-European union-Q16 questions were applied face-to-face to the registered TB patients. Mann-Whitney U and Spearman Correlation tests were used in the analysis.

Results: The mean age of the 107 participants (response rate: 89.1%) was 48.4 years; 42.1% were women. 56.5% of the patients were newly diagnosed, and 11.1% had resistant TB. 43.5% of the participants have had COVID-19; 23.1% thought they had disruptions in their TB treatment period due to the pandemic. The HL level of 23.1% was adequate. There was a moderate positive correlation between the HL scale score and the COVID-19 knowledge level questions (r = 0.468; p < 0.001). COVID-19 knowledge level was higher in those with adequate HL levels (p < 0.001).

Conclusions: The higher level of knowledge about COVID-19 in TB patients with sufficient HL levels suggests the importance of increasing the HL order in the effective fight against the pandemic and possible new outbreaks.