Evidence map›Paper›PMID 33594447›Full record

ArticleEuropean journal of clinical pharmacology2021

The impact of health literacy on beliefs about medication in a Dutch medication-using population.

B B Boudewijn Visscher, B Bas Steunenberg, H Hanneke Zwikker, E R Rob Heerdink, J Jany Rademakers

Open access · greenAbstract read
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In one paragraph

Article in European journal of clinical pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. A Quantitative Study Exploring and Comparing Key Factors in Medication Management in the Irish Healthcare Setting.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  3. Article
  4. Article
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

5 authors at 3 institutions in 1 country.

B B Boudewijn VisscherUniversity of Applied Sciences Utrecht, Heidelberglaan 7, 3584, Utrecht, CS, Netherlands. boudewijn.visscher@hu.nl.ORCID http://orcid.org/0000-0003-3206-5952
B Bas SteunenbergUniversity of Applied Sciences Utrecht, Heidelberglaan 7, 3584, Utrecht, CS, Netherlands.
H Hanneke ZwikkerDutch Institute for Rational Use of Medicine, Churchilllaan 11, 3527, Utrecht, GV, Netherlands.
E R Rob HeerdinkUniversity of Applied Sciences Utrecht, Heidelberglaan 7, 3584, Utrecht, CS, Netherlands.
J Jany RademakersNIVEL (Netherlands Institute for Health Services Research), Otterstraat 118, 3513, Utrecht, CR, Netherlands.
University of Applied Sciences Utrecht · NLInstituut voor Verantwoord Medicijngebruik · NLMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMedication beliefs are likely contingent on aspects of health literacy: knowledge, motivation, and competences to access, understand, appraise, and apply health information. An association between medication beliefs and health literacy is expected as they both influence self-management. The aim of this study was to examine the association between health literacy and the beliefs about overuse and harmful effects of medication and to examine modifying effects of age, gender, and number of medications on this association.

methodsThe data were collected using the online "Medication panel" of the Dutch Institute for Rational Use of Medicine. A linear regression model was used to examine the association between health literacy and beliefs about medication and the modifying effects of age, gender, and number of medications on this association.

resultsRespondents with a lower level of health literacy had more concerns about overuse (β adj.= -.174, p<.001) and harmful (β adj.= -.189, p<.001) effects of medication. This study found no modifying effects.

conclusionsA lower health literacy level is associated with more concerns about the overuse and harmful effects of medication. The results of this study suggest that extra attention should be given to persons with low health literacy level by healthcare professionals, to decrease their concerns about overuse and harmful effects, and improve adherence to self-management behavior.

Indexed as

Drug MonitoringHealth Knowledge, Attitudes, PracticeAgedAge FactorsCross-Sectional StudiesFemaleHealth LiteracyHumansMaleMiddle AgedNetherlandsPrescription Drug OveruseSelf-ManagementSex FactorsSocioeconomic FactorsAdherenceAgeBeliefs about medicationGenderHealth literacyNumber of medications

Identifiers

PMID33594447
OpenAlexW3130187224

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.