ArticleBMC public health2021
Health literacy levels and its determinants among people with asthma in Malaysian primary healthcare settings: a cross-sectional study.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Asthma is under-recognized and undermanaged in the Malaysian university population: A comparison of findings from Malaysia against Singapore from the Singapore/Malaysia cross-sectional genetic epidemiology study.The World Allergy Organization journal · 2026Article
- Asthma management among Arabic-speaking migrants and refugees in Australia: a cross-sectional study exploring knowledge, perceptions and resource use.BMJ public health · 2026Article
- Article
- Implementation of written asthma action plan among asthma patients in Türkiye: a multicenter, cross-sectional, descriptive study.Turkish journal of medical sciences · 2024Article
- A self-management app to improve asthma control in adults with limited health literacy: a mixed-method feasibility study.BMC medical informatics and decision making · 2023Article
- The development of a novel, multilingual IBD knowledge questionnaire for Asian patients with inflammatory bowel disease.BMC gastroenterology · 2023Article
- Feasibility of supported self-management with a pictorial action plan to improve asthma control.NPJ primary care respiratory medicine · 2022Article
- Insights into how Malaysian adults with limited health literacy self-manage and live with asthma: A Photovoice qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Health literacy and health outcomes among older patients suffering from chronic diseases: A moderated mediation model.Frontiers in public health · 2022Article
- Developing an Asthma Self-management Intervention Through a Web-Based Design Workshop for People With Limited Health Literacy: User-Centered Design Approach.Journal of medical Internet research · 2021Article
- eHealth literacy of patients attending a primary care clinic in Malaysia and its associated factors: A cross-sectional study.Digital healthArticle
- Breast cancer prevention and treatment misinformation on Twitter: An analysis of two languages.Digital healthArticle
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Authors and funding
7 authors.
Funding
Abstract
backgroundLimited health literacy among people with asthma is associated with poor adherence to self-management activities, thus poor clinical outcomes. This study aimed to determine the prevalence of health literacy level and its determinants among people with asthma in the Malaysian primary healthcare settings.
methodA cross-sectional study was conducted among participants aged > 18 years with asthma who attended five primary health clinics in Malaysia. Systematic random sampling was employed with a final sample of 550 participants. The questionnaires included the validated Malay version of Health Literacy Scale (HLS) and asthma control questionnaire (ACQ). Statistical analysis was done using SPSS version 25. Multiple logistic regression was performed to determine the determinants for limited health literacy.
resultsThe participants mean age of the participants was 48 (SD15.4) years. Most of the participants were women (64%) and of Malay ethnicity (51.1%). Nearly half had a secondary level of education, n = 112, (45.8%). Mean duration of asthma diagnosis is 20.6 (SD 15.9) years. More than half (62.5%) had a family history of asthma. About half (50.9%) had uncontrolled asthma, with 87.3% self-rated themselves as having controlled asthma. About a third (29.1%) received education on of asthma action plan, but only 7.1% of these owned a written version an asthma action plan. Limited health literacy accounts for 60.5% of the participants. The significant determinants for limited health literacy included lower educational attainment (p < 0.001), family history of asthma (p = 0.034), < 20 years duration of asthma diagnosis (p = 0.031) and not receiving asthma action plan education (p < 0.001).
conclusionIn this study population, more than half of the people living with asthma were found to have limited health literacy, which was associated with not having received self-management education supported by an asthma action plan. Future interventions should include strategies that ensure they meet the needs of people with limited health literacy.
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