Evidence map›Paper›PMID 32368074›Full record

ArticleVascular health and risk management2020

Gender Differences in the Associations Between Health Literacy and Medication Adherence in Hypertension: A Population-Based Survey in Heris County, Iran.

Haleh Heizomi, Zeynab Iraji, Rogayeh Vaezi, Devender Bhalla, Donald E Morisky, Haidar Nadrian

Open access · goldAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Vascular health and risk management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  16. Health Literacy, Social Networks, and Health Outcomes among Mental Health Clubhouse Members in Hawai'i.International journal of environmental research and public health · 2023
    Article
  17. Review
  18. Gender and Tobacco Consumption among University Students.International journal of environmental research and public health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Haleh HeizomiDepartment of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0001-6665-5497
Zeynab IrajiDepartment of Statistics and Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0002-3844-6599
Rogayeh VaeziDepartment of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
Devender BhallaPôle Universitaire Euclide, Intergovernmental UN Treaty 49006/49007®, Bangui, Central African Republic.
Donald E MoriskyDepartment of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USA.ORCID 0000-0003-1338-2231
Haidar NadrianDepartment of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0003-3129-2475
Tabriz University of Medical Sciences · IRUCLA Health · USUniversity of Bangui · CF

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe examined the gender-based associations of health literacy (HL) with self-reported medication adherence (MEDA) among patients with primary hypertension (pHTN). PATIENTS AND

methodsThe subjects were recruited from the general population through all health centers of the Heris county, east Azarbaijan. They were to be adults (30+ years age), with pHTN of any stage, of any gender, and without comorbid illness. All underwent detailed face-to-face interview. We used valid questionnaires for HL and MEDA. Hierarchical regression was done to establish the association between MEDA, socio-demographic variables, and nine HL domains by gender. Other statistical procedures were also done.

resultsA total of 300 (48.6% males, mean age: 56.7±9.3) subjects participated; 43.0% were uneducated, 73.0% had moderate socioeconomic status, 68.0% had poor HL, and 7.0% maintained high adherence. Men were better in reading skills (p=0.002), and accessing (p=0.01) and using (p=0.02) health information, but women were better in health knowledge (p=0.004). The average regression estimate (±standard deviation) between HL and MEDA was 0.37±0.09, lower among men (0.361±0.11) than women (0.396±0.08), p=0.003. Upon hierarchical regression, the association between HL and MEDA was significant for communication and decision-making skills alone among both men (34.5%) and women (40.6%), individually.

conclusionHL had substantial association with MEDA among those with HTN, for both men and women, particularly the communication and decision-making. With considerations on gender differences, this association should be confirmed through interventional studies to help make HL a formal mitigating strategy for MEDA and other public health goals.

Indexed as

Health LiteracyMedication AdherenceAdultAgedAged, 80 and overAntihypertensive AgentsBlood PressureCross-Sectional StudiesFemaleHumansHypertensionIranMaleMiddle AgedSex FactorsAntihypertensive Agentsgenderhealth literacyhypertensionmedication adherence

Identifiers

PMID32368074
PMCPMC7186197
OpenAlexW3020103898

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.