ArticleFrontiers in public health2025
An objective and subjective health literacy analysis among heart transplant recipients.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Health literacy (HL) is associated with patient adherence, healthcare utilization, patient self-management, however there is limited data available on how it should be interpreted and measured among heart transplant recipients. Methods: In a cross-sectional study among heart transplant recipients ( Results: The HLS-EU-Q47, a measure for subjective HL, showed that 49.5% of heart transplant recipients had excellent, 35.1% sufficient, 14.4% problematic and 1% inadequate HL. For objective HL, measured with the NVS test, the frequency of HL categories (adequate HL 49%, possibility of limited HL 26.5%, high likelihood of limited HL 24.5%) was significantly different. We were not able to identify a significant predictor of subjective HL. However, objective HL showed a significant association with both age ( Conclusion: The results of our research indicate that subjective and objective (performance-based) HL are two different concepts and should be treated separately. Finding ways to improve HL among heart transplant recipients should be a priority and requires a complex assessment process, a multi-faceted approach both for caregivers and stakeholders.
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