ArticleRheumatology advances in practice2026
Health literacy and control of inflammatory activity in patients with recent-onset rheumatoid arthritis.
Article in Rheumatology advances in practice, 2026. 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
Objective: To determine the association between health literacy (HL) and disease activity in patients with recent-onset rheumatoid arthritis. Methods: Cross-sectional study of patients with rheumatoid arthritis (RA) of ≤ 5 years' duration. Demographic, clinical and laboratory data were collected during routine follow-up visits. HL was assessed using the SAHLSA questionnaire, a validated measure of functional health literacy. A multivariate model was developed to evaluate the association between HL level and disease activity, measured by DAS28. Results: A total of 210 patients (81% women) were included with a mean age of 53.9 (14.1) years and a median disease duration of 1.6 [0.4-4.28] years. Low health literacy scores (SAHLSA ≤37) were identified in 10.9% ( Conclusion: Low SAHLSA health literacy scores are independently associated with poorer control of inflammatory activity in patients with RA of ≤5 years' duration. Adapting healthcare communication and support strategies to patients' health literacy needs early in the disease course may contribute to improved RA management and outcomes.
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