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Personal Health Literacy and Life Simple 7: The Multi-Ethnic Study of Atherosclerosis

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Bibliographic Details
Title: Personal Health Literacy and Life Simple 7: The Multi-Ethnic Study of Atherosclerosis
Language: English
Authors: Adam, Hamdi S. (ORCID 0000-0001-9655-7628), Merkin, Sharon Stein, Anderson, Madison D., Seeman, Teresa, Kershaw, Kiarri N., Magnani, Jared W., Everson-Rose, Susan A., Lutsey, Pamela L.
Source: American Journal of Health Education. 2023 54(6):451-462.
Availability: Routledge. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Page Count: 12
Publication Date: 2023
Sponsoring Agency: National Heart, Lung, and Blood Institute (NHLBI) (DHHS/NIH)
National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH)
Contract Number: 75N92020D00001
HHSN268201500003I
N01HC95159
75N92020D00005
N01HC95160
75N92020D00002
N01HC95161
75N92020D00003
N01HC95162
75N92020D00006
N01HC95163
75N92020D00004
N01HC95164
75N92020D00007
N01HC95165
N01HC95166
N01HC95167
N01HC95168
N01HC95169
UL1TR000040
UL1TR001079
UL1TR001420
Document Type: Journal Articles
Reports - Research
Descriptors: Health, Literacy, Heart Disorders, Risk, Health Behavior, Correlation, Questionnaires, Scores, Classification, Biochemistry, Physiology, Diagnostic Tests, Health Education
DOI: 10.1080/19325037.2023.2254354
ISSN: 1932-5037
2168-3751
Abstract: Background: Personal Health literacy (PHL) is essential in cardiovascular risk management. Hindrances in PHL can lead to poor cardiovascular outcomes. Purpose: To investigate whether limited PHL is associated with lower likelihoods of i) overall cardiovascular health and ii) individual cardiovascular health components as defined by the American Heart Association's Life Simple (LS7). Methods: Multi-Ethnic Study of Atherosclerosis participants (N = 3719; median age[range]: 59[45-84]) completed a PHL questionnaire in 2016-2018. PHL was classified as limited (score [greater than or equal to]10) or adequate (score <10). LS7 components were measured in 2000-2002. Robust Poisson regression was employed to compute prevalence ratios and 95% confidence intervals (PR[95%CI]) of LS7 measures. Results: 14.7% of participants had limited PHL. Limited PHL was associated with lower likelihoods of optimal LS7 (0.69[0.50, 0.95], p = 0.02) and average LS7 (0.95[0.88, 1.02], p = 0.15) after adjustment. Limited PHL was significantly associated with a 7% lower likelihood of ideal fasting blood glucose level after adjustment (0.93[0.89, 0.98], p < 0.01). Discussion: Limited PHL was modestly associated with suboptimal cardiovascular health and elevated blood glucose, independent of income and education. Translation to Health Education Practice: Health educators and providers should equitably address PHL barriers to improve cardiovascular management and quality of care for patients and communities.
Abstractor: As Provided
Entry Date: 2023
Accession Number: EJ1402151
Database: ERIC
Description
Abstract:Background: Personal Health literacy (PHL) is essential in cardiovascular risk management. Hindrances in PHL can lead to poor cardiovascular outcomes. Purpose: To investigate whether limited PHL is associated with lower likelihoods of i) overall cardiovascular health and ii) individual cardiovascular health components as defined by the American Heart Association's Life Simple (LS7). Methods: Multi-Ethnic Study of Atherosclerosis participants (N = 3719; median age[range]: 59[45-84]) completed a PHL questionnaire in 2016-2018. PHL was classified as limited (score [greater than or equal to]10) or adequate (score <10). LS7 components were measured in 2000-2002. Robust Poisson regression was employed to compute prevalence ratios and 95% confidence intervals (PR[95%CI]) of LS7 measures. Results: 14.7% of participants had limited PHL. Limited PHL was associated with lower likelihoods of optimal LS7 (0.69[0.50, 0.95], p = 0.02) and average LS7 (0.95[0.88, 1.02], p = 0.15) after adjustment. Limited PHL was significantly associated with a 7% lower likelihood of ideal fasting blood glucose level after adjustment (0.93[0.89, 0.98], p < 0.01). Discussion: Limited PHL was modestly associated with suboptimal cardiovascular health and elevated blood glucose, independent of income and education. Translation to Health Education Practice: Health educators and providers should equitably address PHL barriers to improve cardiovascular management and quality of care for patients and communities.
ISSN:1932-5037
2168-3751
DOI:10.1080/19325037.2023.2254354