探讨成人化脓性汗腺炎患者的健康素养。

IF 3 3区医学 Q2 DERMATOLOGY

Dermatology Pub Date : 2025-01-03 DOI:10.1159/000543286

Nicole D K Koerts, Barbara Horváth

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引用次数: 0

摘要

背景：健康素养在慢性和衰弱性皮肤病如化脓性汗腺炎（HS）的管理中起着重要作用。充分的卫生知识使患者能够了解自己的疾病，有效地管理疾病，并就自己的健康做出知情决定。探索健康素养与卫生保健之间的相互作用对于改善这一人群的卫生保健结果至关重要。目的：本研究旨在评估HS患者有限健康素养的流行程度及其相关因素，这是以前从未研究过的。方法：在这项流行病学横断面研究中，通过荷兰生命线队列研究中的一项基于人口调查的研究收集了数据。将HS参与者的健康素养与非HS对照进行比较。健康素养采用六个有效问题进行测量，包括功能性、交际性和批判性健康素养。研究了HS组特征与有限健康素养之间的关系。结果：在56084名成年受访者中，有1156名参与者被确定患有HS。非HS组和HS组的有限功能健康素养患病率分别为24.5%和26.4%。我们的研究结果表明，HS患者健康知识有限与较高的BMI (26.9 vs 25.8) [OR 0.969, 95% CI 0.941-0.998]、较低的受教育程度（34.5% vs 19.9%） [OR 0.495, 95% CI 0.350-0.701]、较低的社会经济地位（-0.68 vs -0.58） [OR 1.194, 95% CI 1.029-1.386]、较严重的疾病分期（33.0% vs 25.8%） [OR 1.400, 95% CI 1.005-1.952]相关。结论：我们的研究强调了解决HS患者健康素养问题的重要性，因为这一群体中有限的健康素养非常普遍，并且与较高的BMI和更严重的疾病阶段有关。有限的健康素养可能导致较差的健康结果、次优的医疗保健利用、较高的医疗保健成本和健康差异。提高健康素养的有针对性的干预措施可以提高HS患者的护理质量和结果。

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Exploring Health Literacy among Adults with Hidradenitis Suppurativa.

Background: Health literacy plays an important role in the management of chronic and debilitating skin diseases like hidradenitis suppurativa (HS). Adequate health literacy empowers patients to understand their disease, manage it effectively, and make informed decisions about their health. Exploring the interplay between health literacy and HS is essential to improve healthcare outcomes in this population.

Objectives: This study aims to assess the prevalence of limited health literacy among HS patients and its associated factors which has never been studied before.

Methods: In this epidemiological cross-sectional study data were collected through a population-wide survey-based study within the Lifelines Cohort Study in the Netherlands. Health literacy of participants with HS were compared to non-HS controls. Health literacy was measured using six validated questions covering functional, communicative, and critical health literacy. Associations between the characteristics of the HS group and limited health literacy were examined.

Results: Out of 56,084 adult respondents, 1,156 participants with HS were identified. The prevalence of limited functional health literacy was 24.5% in the non-HS group and 26.4% in the HS group. Our findings indicate that limited health literacy among HS patients is associated with higher BMI (26.9 vs 25.8) [OR 0.969, 95% CI 0.941-0.998], lower education level (34.5% vs 19.9%) [OR 0.495, 95% CI 0.350-0.701], lower socioeconomic status (-0.68 vs -0.58) [OR 1.194, 95% CI 1.029-1.386]), and more severe disease stage according to the Hurley stage (33.0% vs. 25.8%) [OR 1.400, 95% CI 1.005-1.952].

Conclusions: Our study highlights the importance of addressing health literacy in HS patients, given the high prevalence of limited health literacy among this group and associations with higher BMI and more severe disease stage. Limited health literacy may contribute to poorer health outcomes, suboptimal healthcare utilization, elevated healthcare costs, and health disparities. Targeted interventions to improve health literacy could enhance care quality and outcomes for HS patients.

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来源期刊

Dermatology 医学-皮肤病学

CiteScore

6.40

自引率

2.90%

发文量

审稿时长

1 months

期刊介绍： Published since 1893, ''Dermatology'' provides a worldwide survey of clinical and investigative dermatology. Original papers report clinical and laboratory findings. In order to inform readers of the implications of recent research, editorials and reviews prepared by invited, internationally recognized scientists are regularly featured. In addition to original papers, the journal publishes rapid communications, short communications, and letters to ''Dermatology''. ''Dermatology'' answers the complete information needs of practitioners concerned with progress in research related to skin, clinical dermatology and therapy. The journal enjoys a high scientific reputation with a continually increasing impact factor and an equally high circulation.