Functional health literacy in hypertensive elders at primary health care

Rev Bras Enferm. 2019 Nov;72(suppl 2):266-273. doi: 10.1590/0034-7167-2018-0897.
[Article in English, Portuguese]

Abstract

Objective: to assess the relationship between inadequate functional health literacy and inadequate blood pressure control in older people with hypertension in Primary Health Care.

Method: a cross-sectional study with sample calculated at 392. SAHLPA-18 tool was used for functional health literacy; blood pressure was measured; sociodemographic and clinical data were collected. Hierarchical logistic regression was used.

Results: (high) inadequate blood pressure and (low) functional inadequate health literacy were present in 41.6% and 54.6% of the people, respectively. Factors associated with inadequate blood pressure were: inadequate functional health literacy, black-brown skin color, overweight-obesity, hypertension diagnosis time, non-adherence to exercise/diet, drug treatment. Schooling had no association with inadequate blood pressure.

Conclusion: hypertensive elderly people with inadequate health literacy were more likely to have inadequate blood pressure. Thus, health professionals need to value functional health literacy as a possible component to control blood pressure.

Publication types

  • Observational Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Blood Pressure / drug effects
  • Cross-Sectional Studies
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Literacy / standards*
  • Humans
  • Hypertension / drug therapy*
  • Hypertension / psychology
  • Male
  • Medication Adherence / psychology
  • Middle Aged
  • Primary Health Care / methods