Relationships of Knowledge, Health Literacy, and Preventive Behaviors among Persons at Risk for Coronary Artery Disease
DOI:
https://doi.org/10.60099/jtnmc.v39i03.269064Keywords:
knowledge, health literacy , preventive behaviors, persons at risk, coronary artery diseaseAbstract
Introduction Coronary artery disease is a leading cause of premature death. Promoting healthy behaviors is crucial for reducing risks associated with coronary artery disease.
Objective This study aimed to investigate the relationships between demographic factors, knowledge of coronary artery disease, health literacy, and preventive behaviors in people at risk for coronary artery disease.
Design This study employed a descriptive correlational design, applying Nutbeam’s health literacy concept.
Methodology Through purposive sampling, the participants included 226 people at risk for coronary artery disease, selected from three health-promoting hospitals in a province in the central region of Thailand. Data were collected via self-administered questionnaires, which included demographic characteristics, knowledge about coronary artery disease, health literacy, and preventive behaviors for coronary artery disease. The data were analyzed using descriptive statistics, Pearson’s product-moment correlation, and Point-biserial correlation.
Results Most participants were female (70.8%), with an average age of 63.6 years (SD = 9.7). A majority were married (61.5%), had a primary education (83.2%), and were diagnosed with hypertension (75.7%). Factors significantly correlated with preventive behaviors for coronary artery disease included gender (rpb = .351, p < .001), knowledge about coronary artery disease prevention (r = .153, p = .022), and critical health literacy (r = .194, p = .003). However, functional and interactive health literacy did not reveal a statistically significant correlation with preventive behaviors for coronary artery disease.
Recommendations The study findings highlight the importance of providing education and promoting critical health literacy particularly for males at risk of coronary artery disease. These efforts can foster critical thinking and decision-making, resulting in improved preventive behaviors for coronary artery disease.
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