ArticlePloS one2018
Health literacy in men and women with cardiovascular diseases and its association with the use of health care services - Results from the population-based GEDA2014/2015-EHIS survey in Germany.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- What is the Prevalence of Low Health Literacy in European Union Member States? A Systematic Review and Meta-analysis.Journal of general internal medicine · 2021Pooled it
- Results from the "Me & My Heart" (eMocial) Study: a Randomized Evaluation of a New Smartphone-Based Support Tool to Increase Therapy Adherence of Patients with Acute Coronary Syndrome.Cardiovascular drugs and therapy · 2023Trial
- Cardiovascular risk factors, exercise capacity and health literacy in patients with chronic ischaemic heart disease and type 2 diabetes mellitus in Germany: Baseline characteristics of the Lifestyle Intervention in Chronic Ischaemic Heart Disease and Type 2 Diabetes study.Diabetes & vascular disease researchTrial
- Article
- Evaluating Cardiovascular Patient Support Groups: A Cross-Sectional Control-Group Questionnaire Study of Patients and Healthcare Providers.Healthcare (Basel, Switzerland) · 2025Article
- Health literacy and motivation to change health behavior among cardiovascular patients.BMC cardiovascular disorders · 2025Article
- A critical analysis of online patient-directed resources on catheter ablation for ventricular arrhythmias.Journal of arrhythmia · 2025Article
- Assessment of communication environment and health literacy of patients on chronic hemodialysis: a multicenter observational study (SMEL-HD study).Clinical and experimental nephrology · 2025Observational
- The effect of sociodemographic, socioeconomic, and health factors on healthcare utilization in cardiovascular patients in Serbia: a part of National Health Survey.Frontiers in public health · 2025Article
- Article
- Evaluation of a digital patient education programme in patients with coronary artery disease, a survey-based study.BMC health services research · 2024Article
- Sex differences in early-onset atrial fibrillation in Norwegian primary care: a retrospective national database analysis.Open heart · 2024Article
- Association between health literacy and Framingham risk score.Scientific reports · 2024Article
- Does health literacy influence health-related lifestyle behaviors among specialists of health management? A cross-sectional study.BMC primary care · 2024Article
- Observational
- World Heart Federation Roadmap for Secondary Prevention of Cardiovascular Disease: 2023 Update.Global heart · 2024Article
- Relationship between microbiota awareness, nutrition literacy, and health literacy among adolescents.Turkish journal of medical sciences · 2024Article
- The combined effect of socioeconomic position and C-reactive protein for predicting incident cardiometabolic disease: Findings from a 14-year follow-up study of the English Longitudinal Study of Ageing (ELSA).SSM - population health · 2023Article
- Education Level and Self-Reported Cardiovascular Disease in Norway-The Tromsø Study, 1994-2016.International journal of environmental research and public health · 2023Article
- "We are in the forgotten corner!" a qualitative study of experiences and challenges among Chinese older women at the onset of acute myocardial infarction.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth literacy (HL), defined as the ability to access, understand, appraise and apply health information, offers a promising approach to reduce the development of cardiovascular diseases (CVD) and to improve the management of CVD in populations.
designWe used data from nationwide cross-sectional German Health Update (GEDA2014/2015-EHIS) survey. 13,577 adults ≥ 40 years completed a comprehensive standardized paper or online questionnaire including the short form of the European Health Literacy Survey Questionnaire (HLS-EU-Q16).
methodsWe compared participants with and without CVD with regard to their HL. We also analyzed the association between HL level and health care outcomes among individuals with CVD, i.e. frequency of general practitioner or specialist consultations, hospitalization and treatment delay.
resultsThe percentage of "problematic" or "inadequate" HL, defined as "not sufficient" HL, was significantly higher in individuals with CVD compared to without CVD (men 41.8% vs. 33.6%, women 46.7% vs. 33.4%). Having CVD was independently associated with "not sufficient" HL after adjusting for age, education, income, health consciousness and social support (adjusted OR: men 1.36, women 1.64). Among participants with CVD, individuals with "inadequate" HL were more likely to have more than 6 general practitioner consultations (49.3% vs. 28.7%), hospitalization (46.6% vs. 36.0%) in the last 12 months and to experience delay in getting health care because of long waiting lists for an appointment (30.7% vs. 18.5%) compared to participants with "sufficient" HL.
conclusion"Problematic" or "inadequate" HL is independently associated with CVD and health care use. This is a challenge and an opportunity for both CVD prevention and treatment.
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