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@article{Cabellos-Garcia:2020:10.3390/ijerph17062082,
author = {Cabellos-Garcia, A and Castro, Sanchez E and Martinez-Sabater, A and Diaz-Herrera, MA and Ocaña-Ortiz, A and Juarez-Vela, R and Gea-Caballero, V},
doi = {10.3390/ijerph17062082},
journal = {International Journal of Environmental Research and Public Health},
title = {Relationship between determinants of health, equity, and dimensions of health literacy in patients with cardiovascular disease},
url = {http://dx.doi.org/10.3390/ijerph17062082},
volume = {17},
year = {2020}
}

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TY  - JOUR
AB  - Background: Health literacy (HL) has been linked to empowerment, use of health services, and equity. Evaluating HL in people with cardiovascular health problems would facilitate the development of suitable health strategies care and reduce inequity. Aim: To investigate the relationship between different dimensions that make up HL and social determinants in patients with cardiovascular disease. Methods: Observational, descriptive, cross-sectional study in patients with cardiovascular disease, aged 50–85 years, accessing primary care services in Valencia (Spain) in 2018–2019. The Health Literacy Questionnaire was used. Results: 252 patients. Age was significantly related with the ability to participate with healthcare providers (p = 0.043), ability to find information (p = 0.022), and understanding information correctly to know what to do (p = 0.046). Level of education was significant for all HL dimensions. Patients without studies scored lower in all dimensions. The low- versus middle-class social relationship showed significant results in all dimensions. Conclusions: In patients with cardiovascular disease, level of education and social class were social determinants associated with HL scores. Whilst interventions at individual level might address some HL deficits, inequities in access to cardiovascular care and health outcomes would remain unjustly balanced unless structural determinants of HL are taken into account.
AU  - Cabellos-Garcia,A
AU  - Castro,Sanchez E
AU  - Martinez-Sabater,A
AU  - Diaz-Herrera,MA
AU  - Ocaña-Ortiz,A
AU  - Juarez-Vela,R
AU  - Gea-Caballero,V
DO  - 10.3390/ijerph17062082
PY  - 2020///
SN  - 1660-4601
TI  - Relationship between determinants of health, equity, and dimensions of health literacy in patients with cardiovascular disease
T2  - International Journal of Environmental Research and Public Health
UR  - http://dx.doi.org/10.3390/ijerph17062082
UR  - http://hdl.handle.net/10044/1/78743
VL  - 17
ER  -

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