Korean J Adult Nurs.  2015 Jun;27(3):251-261. 10.7475/kjan.2015.27.3.251.

Health Literacy and Health Behavior Compliance in Patients with Coronary Artery Disease

• Jung EY
• Hwang SK

• KMID: 2298115
• DOI: http://doi.org/10.7475/kjan.2015.27.3.251

Abstract

PURPOSE
The aim of this study was to identify the levels of and the related factors to health literacy and health behavior compliance in patients with coronary artery disease.
METHODS
A cross-sectional survey was conducted with a convenience sample of 121 hospitalized patients with coronary artery disease. The structured questionnaires were used to measure the levels of health literacy and health behavior compliance.
RESULTS
The average linguistic health literacy score was 32.23+/-21.46, the functional health literacy score was 6.51+/-5.08, and the health behavior compliance score was 61.66+/-15.53. The levels of education (beta=.35), income (beta=.27), and perceived health status (beta=.21) were found significant, explaining 41.8% of the variance in linguistic health literacy. The levels of education (beta=.23), income (beta=.27), age (beta=-.24), and family support (beta=.22) were found to be significant, explaining 50.9% of the variance in functional health literacy. The levels of education (beta=.27), family support (beta=.20), and linguistic health literacy (beta=.40) were found to be the significant factors, which explained 45.1% of the variance in health behavior compliance. Linguistic health literacy specifically explained 9.5% of health behavior compliance.
CONCLUSION
Health literacy was associated with health behavior compliance, influencing the factors of health behavior compliance. These findings suggest that the interventions for improving health literacy are necessary to enhance health behavior compliance in patients with coronary artery disease.

MeSH Terms

Compliance*
Coronary Artery Disease*
Cross-Sectional Studies
Education
Health Behavior*
Health Literacy*
Humans
Linguistics
Patient Compliance
Surveys and Questionnaires

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