ArticleInternal and emergency medicine2017
Association between health literacy and hypertension management in a Chinese community: a retrospective cohort study.
Article in Internal and emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Associations of Health Literacy with Blood Pressure and Dietary Salt Intake among Adults: A Systematic Review.Nutrients · 2021Pooled it
- The relationship between health literacy and quality of life: a systematic review and meta-analysis.Health and quality of life outcomes · 2018Pooled it
- Hypertension Education, Provider, and Cardio-Cerebrovascular Symptom Awareness: 2024 Korea Community Health Survey.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026Article
- Health literacy and urban-rural disparities: a cross-sectional study of access, adherence, and quality of life across the neurological spectrum.Frontiers in public health · 2026Article
- Network meta analysis of contributions by different healthcare practitioners in digital self care for hypertension.NPJ digital medicine · 2025Review
- A cross-sectional study of the relationship between health literacy and health-promoting lifestyles in patients with hypertension in northwest Iran.BMC primary care · 2025Article
- Online Health Information Seeking, eHealth Literacy, and Health Behaviors Among Chinese Internet Users: Cross-Sectional Survey Study.Journal of medical Internet research · 2024Article
- Why is there a gap in self-rated health among people with hypertension in Zambia? A decomposition of determinants and rural‒urban differences.BMC public health · 2024Article
- The Effect of Health Literacy on Disease Management Self-Efficacy in Chronic Disease Patients: The Mediating Effects of Social Support and the Moderating Effects of Illness Perception.Patient preference and adherence · 2024Article
- Coping with identity threat and health literacy on the quality of life and mental health in students: Structural equation modeling.Neuropsychopharmacology reports · 2023Article
- Impact of health literacy and social support on medication adherence in patients with hypertension: a cross-sectional community-based study.BMC cardiovascular disorders · 2023Article
- Surgeon compassion may mitigate quality of life disparities associated with health literacy.Trauma surgery & acute care open · 2023Article
- Adherence Behaviors and Related Factors Among Elderly Hypertensive Patients in China: Evidence from the China Health and Retirement Longitudinal Study.Patient preference and adherence · 2023Article
- Questionnaire and LGBM Model for Assessing Health Literacy levels of Mongolians in China.BMC public health · 2022Article
- Associations between Socio-Demographic Factors and Hypertension Management during the COVID-19 Pandemic: Preliminary Findings from Malaysia.International journal of environmental research and public health · 2021Article
- Article
- Linking Health Literacy to Self-Care in Hypertensive Patients with Physical Disabilities: A Path Analysis Using a Multi-Mediation Model.International journal of environmental research and public health · 2021Article
- The Relationship between Subjective Cognitive Decline and Health Literacy in Healthy Community-Dwelling Older Adults.Healthcare (Basel, Switzerland) · 2020Article
- Cost-effectiveness analysis of different hypertension management strategies in a community setting.Internal and emergency medicine · 2020Article
- Physical Comorbidity and Health Literacy Mediate the Relationship Between Social Support and Depression Among Patients With Hypertension.Frontiers in public health · 2020Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Low health literacy is associated with poor clinical outcomes. The relationship between literacy and blood pressure (BP) has been inconsistent. We investigated the determinants of health literacy and the potential relationship between health literacy and hypertension management. We conducted a retrospective cohort trial of 360 hypertensive patients. Scale measurements, physical examination, and laboratory tests were performed based on a standard protocol. To determine factors associated with health literacy, multiple logistic regression analysis was performed and the discriminatory power of the scale score for hypertension control was assessed by the area under the receiver operating curve. After adjusting for potential confounders, our findings show that the level of education, home blood pressure measurement, regular medication, and systolic blood pressure are significantly associated with health literacy. Moreover, patients with high health literacy have better hypertension control, a lower risk of ischemic cardiovascular disease (ICVD), lower brachial ankle pulse wave velocity values, and better health-related quality of life. In addition, our study also demonstrates that we can identify the health literacy level of hypertensive patients using the Chinese Health Literacy Scale for Hypertension. At a cut-off value of 13.5, we predict that patients will achieve long-term hypertension control. Adequate health literacy is a contributing factor to better blood pressure (BP) control and better perceived quality of life in hypertensive patients. Low health literacy increases the 10-year risk of ICVD and incidence of artery stiffness in hypertensive patients. Improving health literacy should be considered an important part of the management of hypertension.
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