Health literacy,multimorbidity, and patient-perceived treatment burden in individuals with cardiovascular disease. A Danish population-based study |
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| Institution: | 1. Department of Social and Welfare Studies, Faculty of Health Sciences, Linkoping, University, 581 83 Linkoping, Sweden;2. Faculty of Health, Science and Technology, Department of Health Sciences, Nursing, Karlstad University, 656 37 Karlstad, Sweden;3. Department of Geriatric Medicine and Department of Social and Welfare Studies, Linköping University, 581 83 Linköping, Sweden;4. Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, 104 35 Stockholm, Sweden;5. Ersta Skondal University College, 100 61 Stockholm, Sweden;1. University of Colorado Denver, United States;2. Cornell University, United States;3. Harvard Medical School, United States;1. The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China;2. Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, China |
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| Abstract: | ObjectiveThe aim was to investigate the association between: 1) multimorbidity and high treatment burden 2) health literacy and high treatment burden, and 3) the interaction between multimorbidity and health literacy in relation to high treatment burden.MethodsWe included respondents with cardiovascular disease who participated in a Danish population-based survey from 2017 (N = 2,111). Logistic regression analyses were used to study associations.ResultsThe study showed that multimorbid individuals with cardiovascular disease were more likely to experience a high treatment burden than individuals with cardiovascular disease only (2+ additional conditions OR 4.16 2.80–6.18]). Also, individuals with difficulties in understanding health information were more likely to report a high treatment burden than individuals who found it easy to understand information about health (OR 9.97 6.23–15.95]). Finally, individuals with multimorbidity and difficulties in understanding health information had markedly higher odds of experiencing a high treatment burden.ConclusionIf individuals find it difficult to understand health information, there is a risk they might feel overwhelmed by the treatment.Practice implicationsHealthcare professionals should be aware of health literacy challenges in planning medical treatment particularly for patients with both low health literacy levels and multimorbidity. |
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| Keywords: | Health literacy Multimorbidity Cardiovascular disease Treatment burden |
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