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Association between health literacy and self-care behaviors among patients with chronic kidney disease

Overview of attention for article published in BMC Nephrology, August 2018
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Title
Association between health literacy and self-care behaviors among patients with chronic kidney disease
Published in
BMC Nephrology, August 2018
DOI 10.1186/s12882-018-0988-0
Pubmed ID
Authors

Karen K. Wong, Alexandra Velasquez, Neil R. Powe, Delphine S. Tuot

Abstract

We explored the association between health literacy and self-care behaviors among low-income patients with chronic kidney disease (CKD). We used baseline data from the Kidney Awareness Registry and Education trial (n = 137 patients with CKD) and multivariable logistic regressions to cross-sectionally examine the association between health literacy, defined by a validated questionnaire, and healthy behaviors. Study participants had a mean age of 55 years, were racially diverse (6% White, 36% Hispanic, 43% Black, 15% Asian) and 26% had low health literacy. Over one-third (38%) had hypertension, 51% had diabetes, and 67% had CKD stage 3 or 4. Compared to individuals with adequate health literacy, those with low health literacy had non-statistically significant higher tobacco use (adjusted odds ratio [aOR] = 2.33; 95% CI 0.90-6.06) and lower consumption of sugary beverages (aOR = 0.50; 0.20-1.23) and statistically significant decreased fast food intake (aOR = 0.38; 0.16-0.93). Health literacy was not associated with differences in medication adherence (0.84; 0.38-1.89) or physical activity (aOR = 2.39; 0.54-10.53). Health literacy was not uniformly associated with all self-care behaviors important for CKD management. A more nuanced understanding of the association of health literacy and self-care may be necessary to promote participation in behaviors known to slow CKD progression.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 250 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 250 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 40 16%
Student > Bachelor 23 9%
Student > Ph. D. Student 18 7%
Student > Doctoral Student 16 6%
Student > Postgraduate 10 4%
Other 43 17%
Unknown 100 40%
Readers by discipline Count As %
Nursing and Health Professions 45 18%
Medicine and Dentistry 44 18%
Social Sciences 11 4%
Psychology 8 3%
Pharmacology, Toxicology and Pharmaceutical Science 8 3%
Other 31 12%
Unknown 103 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 July 2019.
All research outputs
#17,987,106
of 23,099,576 outputs
Outputs from BMC Nephrology
#1,732
of 2,501 outputs
Outputs of similar age
#237,752
of 330,726 outputs
Outputs of similar age from BMC Nephrology
#45
of 61 outputs
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We're also able to compare this research output to 61 others from the same source and published within six weeks on either side of this one. This one is in the 21st percentile – i.e., 21% of its contemporaries scored the same or lower than it.