Baldoni Nayara Ragi, Quintino Nayara Dornela, Ferreira Ariela Mota, da Silva José Luiz Padilha, Ribeiro Antonio Luiz Pinho, Oliveira Claudia Di Lorenzo, Sabino Ester Cerdeira, Cardoso Clareci Silva
University of Itaúna (UIT), Itaúna, Brazil.
Federal University of São João del-Rei (UFSJ), Divinópolis, Brazil.
BMC Infect Dis. 2024 Dec 18;24(1):1414. doi: 10.1186/s12879-024-10213-6.
Chagas disease (CD) is neglected that affects vulnerable individuals, whose majority has low ability to understand health information.
To assess health literacy and its association with sociodemographic, clinical, and quality of life (QoL) characteristics.
A cross-sectional study the participants with Chagas disease (ChD) were identified through serological diagnosis during blood donation, while those without the disease were seronegative blood donors.
Health literacy was assessed using the SALPHA-18 tool and grouped into three categories: adequate, inadequate, or illiterate. Descriptive analysis was performed for categorical and quantitative variables, and ordinal logistic regression models assuming proportional odds were used to evaluate the relationship between sociodemographic, clinical, and QoL variables.
A total of 611 participants were included, with 328 having ChD and 283 without the disease. The proportions of individuals with adequate (n = 323), inadequate (n = 200), and illiterate (n = 88) health literacy among those with ChD were 40.2% (130/323), 65.5% (131/200), and 76.1% (67/88), respectively, while among those without the disease, the proportions were 59.8% (193/323), 34.5% (69/200), and 23.9% (21/88), respectively. Better health literacy was associated with females, OR: 1.91 [1.34-2.71]; residents of São Paulo, OR: 3.15 [2.09-4.75]; age < 56 years, OR: 3.05 [2.12-4.39]; income ≥ R$2,200, OR: 2.93 [2.04-4.21]; white ethnicity, OR: 1.64 [1.10-2.44]; and individuals without ChD, OR: 3.78 [2.65-5.41].
The proportion of individuals with inadequate and illiterate health literacy was high, especially among those with positive serology for ChD.
恰加斯病（CD）受到忽视，影响着弱势群体，他们中的大多数人理解健康信息的能力较低。
评估健康素养及其与社会人口学、临床和生活质量（QoL）特征的关联。
一项横断面研究，通过献血时的血清学诊断确定患有恰加斯病（ChD）的参与者，而未患该病的参与者为血清学阴性的献血者。
使用SALPHA - 18工具评估健康素养，并分为三类：充分、不充分或文盲。对分类变量和定量变量进行描述性分析，并使用假定比例优势的有序逻辑回归模型来评估社会人口学、临床和QoL变量之间的关系。
共纳入611名参与者，其中328名患有ChD，283名未患该病。患有ChD的参与者中，健康素养充分（n = 323）、不充分（n = 200）和文盲（n = 88）的比例分别为40.2%（130/323）、65.5%（131/200）和76.1%（67/88），而在未患该病的参与者中，这些比例分别为59.8%（193/323）、34.5%（69/200）和23.9%（21/88）。更好的健康素养与女性相关，比值比（OR）：1.91 [1.34 - 2.71]；圣保罗居民，OR：3.15 [2.09 - 4.75]；年龄 < 56岁，OR：3.05 [2.12 - 4.39]；收入≥2200雷亚尔，OR：2.93 [2.04 - 4.21]；白人种族，OR：1.64 [1.10 - 2.44]；以及未患ChD的个体，OR：3.78 [2.65 - 5.41]。
健康素养不充分和文盲的个体比例较高，尤其是在ChD血清学呈阳性的人群中。
