Discipline of Psychiatry, School of Medicine, University of Adelaide, SA, Australia.
Nurs Outlook. 2012 Sep-Oct;60(5):316-21. doi: 10.1016/j.outlook.2012.01.003. Epub 2012 Feb 21.
Health literacy is understudied in the mentally ill population, yet it is clear that a high level of health literacy is essential for successful management of illnesses such as schizophrenia and depression. To investigate health literacy in people with mental illness living in urban Australia, and to evaluate the relationships between medication adherence and health literacy.
Thirty people with schizophrenia and 30 with major depression were assessed with Test of Functional Health Literacy in Adults (TOFHLA).
The level of health literacy in our mentally ill participants was comparable with that of the general Australian public, and considerably higher than the rates of health literacy reported in US studies. There appear to be national differences in health literacy, which limit comparison between studies undertaken in different countries. There was no association between health literacy and medication compliance. Our results suggest that poor health literacy does not explain medication nonadherence in people with schizophrenia or depression living in Australia.
健康素养在精神疾病患者群体中研究不足，但很明显，高水平的健康素养对于成功管理精神分裂症和抑郁症等疾病至关重要。本研究旨在调查居住在澳大利亚城市的精神疾病患者的健康素养，并评估药物依从性与健康素养之间的关系。
对 30 名精神分裂症患者和 30 名重度抑郁症患者进行成人功能性健康素养测试（TOFHLA）评估。
我们的精神疾病患者的健康素养水平与澳大利亚普通公众相当，明显高于美国研究报告的健康素养率。健康素养似乎存在国家差异，这限制了不同国家开展的研究之间的比较。健康素养与药物依从性之间没有关联。我们的研究结果表明，在澳大利亚居住的精神分裂症或抑郁症患者中，药物依从性差并不能用健康素养差来解释。
