Effect of Health Literacy on Decision Delay in Patients With Acute Myocardial Infarction

Background: Health literacy (HL) is a risk factor for adverse outcomes in patients with cardiovascular disease, and shorter pre-hospital delay time is crucial for successful treatment of acute myocardial infraction (AMI) patients. Most previous studies focused on the influencing factors of pre-hospi...

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Autores principales:	Zhao-ya Fan, Yuan Yang, Ruo-yun Yin, Lei Tang, Fan Zhang
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	acute myocardial infarction decision delay health literacy patient decision making pre-hospital delay Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/9348810ffb06468b8fcef9eafe88db40
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spelling	oai:doaj.org-article:9348810ffb06468b8fcef9eafe88db402021-12-01T15:45:25ZEffect of Health Literacy on Decision Delay in Patients With Acute Myocardial Infarction2297-055X10.3389/fcvm.2021.754321https://doaj.org/article/9348810ffb06468b8fcef9eafe88db402021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.754321/fullhttps://doaj.org/toc/2297-055XBackground: Health literacy (HL) is a risk factor for adverse outcomes in patients with cardiovascular disease, and shorter pre-hospital delay time is crucial for successful treatment of acute myocardial infraction (AMI) patients. Most previous studies focused on the influencing factors of pre-hospital delay but ignore the essential contribution of decision delay.Aims: Therefore, the purpose of this study was to explore the effect of HL on decision delay.Methods: Continuously included AMI patients admitted to a grade A class three hospital in Chongqing. HL level was assessed using Brief Health Literacy Screen and categorized as adequate or inadequate. Mann-Whitney U-test and Chi-square test were used to compare the differences between groups, and binary logistic regression was used to analyze the association between HL and decision delay.Results: A total of 217 AMI patients were enrolled in this study, including 166 males (76.5%) and 51 females (23.5%), with the median age was 68 years old; 135 (62.2%) patients had delayed decision-making while 82 (37.8%) did not; 157 (72.7%) patients had inadequate HL and 59 (27.3%) had adequate HL. The total HL score of non-delayed group was higher than that in delayed group (9.22 vs. 7.02, P < 0.000).Conclusion: After adjusting for covariates, HL was significantly negatively associated with decision time. AMI patients with inadequate HL were more likely to delay seeking timely medical care.Zhao-ya FanYuan YangRuo-yun YinLei TangFan ZhangFrontiers Media S.A.articleacute myocardial infarctiondecision delayhealth literacypatient decision makingpre-hospital delayDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute myocardial infarction decision delay health literacy patient decision making pre-hospital delay Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	acute myocardial infarction decision delay health literacy patient decision making pre-hospital delay Diseases of the circulatory (Cardiovascular) system RC666-701 Zhao-ya Fan Yuan Yang Ruo-yun Yin Lei Tang Fan Zhang Effect of Health Literacy on Decision Delay in Patients With Acute Myocardial Infarction
description	Background: Health literacy (HL) is a risk factor for adverse outcomes in patients with cardiovascular disease, and shorter pre-hospital delay time is crucial for successful treatment of acute myocardial infraction (AMI) patients. Most previous studies focused on the influencing factors of pre-hospital delay but ignore the essential contribution of decision delay.Aims: Therefore, the purpose of this study was to explore the effect of HL on decision delay.Methods: Continuously included AMI patients admitted to a grade A class three hospital in Chongqing. HL level was assessed using Brief Health Literacy Screen and categorized as adequate or inadequate. Mann-Whitney U-test and Chi-square test were used to compare the differences between groups, and binary logistic regression was used to analyze the association between HL and decision delay.Results: A total of 217 AMI patients were enrolled in this study, including 166 males (76.5%) and 51 females (23.5%), with the median age was 68 years old; 135 (62.2%) patients had delayed decision-making while 82 (37.8%) did not; 157 (72.7%) patients had inadequate HL and 59 (27.3%) had adequate HL. The total HL score of non-delayed group was higher than that in delayed group (9.22 vs. 7.02, P < 0.000).Conclusion: After adjusting for covariates, HL was significantly negatively associated with decision time. AMI patients with inadequate HL were more likely to delay seeking timely medical care.
format	article
author	Zhao-ya Fan Yuan Yang Ruo-yun Yin Lei Tang Fan Zhang
author_facet	Zhao-ya Fan Yuan Yang Ruo-yun Yin Lei Tang Fan Zhang
author_sort	Zhao-ya Fan
title	Effect of Health Literacy on Decision Delay in Patients With Acute Myocardial Infarction
title_short	Effect of Health Literacy on Decision Delay in Patients With Acute Myocardial Infarction
title_full	Effect of Health Literacy on Decision Delay in Patients With Acute Myocardial Infarction
title_fullStr	Effect of Health Literacy on Decision Delay in Patients With Acute Myocardial Infarction
title_full_unstemmed	Effect of Health Literacy on Decision Delay in Patients With Acute Myocardial Infarction
title_sort	effect of health literacy on decision delay in patients with acute myocardial infarction
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/9348810ffb06468b8fcef9eafe88db40
work_keys_str_mv	AT zhaoyafan effectofhealthliteracyondecisiondelayinpatientswithacutemyocardialinfarction AT yuanyang effectofhealthliteracyondecisiondelayinpatientswithacutemyocardialinfarction AT ruoyunyin effectofhealthliteracyondecisiondelayinpatientswithacutemyocardialinfarction AT leitang effectofhealthliteracyondecisiondelayinpatientswithacutemyocardialinfarction AT fanzhang effectofhealthliteracyondecisiondelayinpatientswithacutemyocardialinfarction
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Effect of Health Literacy on Decision Delay in Patients With Acute Myocardial Infarction

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