Evidence map›Paper›PMID 41682223›Full record

ArticleHealthcare (Basel, Switzerland)2026

Association of Health Literacy with Sociodemographic Factors and Medication Adherence Among Primary Health Care Users in Montenegro.

Amela Rastoder Celebic, Snezana Radovanovic, Ivana Simic Vukomanovic, Milos Stepovic, Jovana Radovanovic Selakovic, Viktor Selakovic, Olgica Mihaljevic, Katarina Janicijevic, Svetlana Radevic, Sanja Ilic and 6 more

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Social Marketing for Health Equity: Promoting Preventive Health Behavior Among Women in Rural Communities.International journal of environmental research and public health · 2026
    Article
  2. 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

16 authors.

Amela Rastoder CelebicFaculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Snezana RadovanovicDepartment of Social Medicine, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Ivana Simic VukomanovicDepartment of Social Medicine, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Milos StepovicDepartment of Anatomy, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.ORCID 0000-0002-6740-0215
Jovana Radovanovic SelakovicDepartment of Epidemiology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Viktor SelakovicDepartment of Communication Skills, Ethics, and Psychology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Olgica MihaljevicDepartment of Pathophysiology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.ORCID 0000-0002-5614-210X
Katarina JanicijevicDepartment of Social Medicine, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Svetlana RadevicDepartment of Social Medicine, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.ORCID 0000-0001-7329-1310
Sanja IlicFaculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Marija SorakDepartment of Gynecology and Obstetrics, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Nela DjonovicInstitute of Public Health Kragujevac, 34000 Kragujevac, Serbia.
Batric BabovicDepartment of Nephrology, Clinical Center of Montenegro, 81000 Podgorica, Montenegro.
Stefan MilojevicFaculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.ORCID 0000-0001-6240-6776
Mihael DjacicFaculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Radica Zivkovic ZaricDepartment of Pharmacology and Toxicology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesHealth literacy represents the ability to access, understand, appraise, and apply health information for making appropriate health decisions. It is closely linked to education, income, employment, and overall health outcomes. Limited health literacy is associated with poor self-care, inadequate treatment adherence, and increased healthcare utilization. This study aimed to assess the level of health and medication adherence behaviors among primary health care users in Montenegro and examine its association with key demographic and socioeconomic factors.

methodsA cross-sectional, multicenter study was conducted among 202 primary health care users at the Primary Healthcare Center Danilovgrad, Plav and Ulcinj, Montenegro. Data were collected using a demographic questionnaire, the standardized European Health Literacy Questionnaire (HLS-EU-Q-47), and the Attitudes towards Medication Adherence Self-Reported Questionnaire (ADHERE-7). Statistical analyses included descriptive statistics, χ

resultsThe mean HLS-EU-Q Index was 33.55 ± 8.05. Significant differences in literacy levels were observed by age (

conclusionsHealth literacy among primary care users in Montenegro is moderate, with a substantial proportion exhibiting limited literacy. Low income is a key determinant of limited literacy, and limited health literacy was associated with poorer medication adherence. Targeted educational and policy interventions are needed to improve health literacy and reduce health inequalities.

Indexed as

health literacymedication adherenceMontenegroprimary caresocioeconomic factors

Identifiers

PMID41682223
PMCPMC12897834

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Registered trials

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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.