The Relationship between Health Literacy and Good Serum Lipid Level of the Population at Risk for Ischemic Heart Disease in The Northeast, Thailand

Main Article Content

Issaree Padphai
Duangruedee Chotklang
อัจฉรา ชนะบุญ

Abstract

This cross-sectional analytic research study was designed to determine the relationship between health literacy and good serum lipid levels in the population at risk for ischemic heart disease. Data were collected from October 2020 to January 2021. A sample of 510 at-risk people with type 2 diabetes and/or hypertension who visited four health promotion hospitals in the Northeast was selected by the multistage stratified cluster sampling method. Data were collected using questionnaires on general information, clinical information and health literacy for prevention of ischemic heart disease (HL). Descriptive statistics for categorical data were analyzed using logistic regression and generalized linear mixed model. The results showed that the mean scores of the samples’ six categories of HL regarding the ischemic heart disease prevention skills namely Access, Cognitive, Communication, Self-Management, Media Literacy, and Decision were at a moderate level. In addition, the those who had high cognitive ability (adjusted OR =3.43, 95% CI=1.82 to 6.47), high communication ability (adjusted OR =3.05, 95% CI=1.41 to 6.59), high media literacy (adjusted OR =7.02, 95% CI=3.40 to 14.50) had statistically significant higher level of good serum lipid levels than those who had low and moderate levels (p <.05). In conclusion, 73.92% of the study participants had poor serum lipid levels and also had moderate levels in the six skills of HL. Based on the findings of this study, health care providers should promote HL for prevention of ischemic heart disease in people who are at high risk.

Article Details

How to Cite
1.
Padphai I, Chotklang D, ชนะบุญ อ. The Relationship between Health Literacy and Good Serum Lipid Level of the Population at Risk for Ischemic Heart Disease in The Northeast, Thailand. NJPH (วารสาร พ.ส.) [Internet]. 2021 Dec. 30 [cited 2024 Mar. 28];31(2):125-37. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/255647
Section
บทความวิจัย

References

1. World Health organization. The top 10 causes of death [internet]. 2016 [cited 2020 May 6]. Available from : https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death

2. Strategy and Planning Division, Office of the Permanent Secretary, Ministry of Public Health. Public health statistics [internet]. 2017. [cited 2020 May 6]. Available from : http://bps.moph.go.th/new_bps/sites/default/files/stratistics60.pdf

3. Thai Health Promotion Foundation [internet]. 2014 [cited 2021 January 17]. Available from : https://www.thaihealth.or.th/Content/36090.html

4. The Heart Foundation of Thailand [internet]. 2019 [cited 2020 May 6]. Available from: http://thaincd.com/document/file/download/knowledge/ World Heart Day Campaign Issues_62.pdf

5. Health System Research institute. Survey of Thai public health by physical examination No.5 [internet]. 2014 [cited 2020 May 6]. Available from https://kb.hsri.or.th/dspace/handle/11228/4626

6. Division of non communicable disease. Department of disease control, Office of Policy and strategy office of the permanent secretary ministry of public health. An individual patient database Universal health coverage and welfare. Medical treatment for government officials and their families[internet]. 2016[cited 2021 January 17]. Available from : http:// www.thaincd.com/2016/mission/documents-detail.php?id=1368 4&tid=32&gid=1-020

7. Cardiovascular Risk Assessment Guide for Public Health Volunteers. Division of Non Communicable Disease [internet].2016 [cited 2020 May 6]. Available from: http://thaincd.com/document/file/download/knowledge/pdf

8. Thongtang N. Thai subspecialty board of endocrinology and metabolism [internet].2021 [cited 2021 Febuary 18]. Available from : https://www.si.mahidol.ac.th/ department/medicine/home/healthcare/diabetesandlipid.asp

9. Riangkam C, Wattanakitkrileart D, Ketcham A, Sriwijitkamol A. Health literacy, self-efficiency, age and visual acuity predicting on self-care behaviors in patients with type 2 diabetes. Journal of Nursing Science 2016;34(4):35-46.(in Thai).

10. Chantra R, Heetaksorn C, Kunlaka S, Sarakshetrin A, Rongmuang D. Health literacy of the population at risk for diabetes and hypertension. Nursing Journal of The Ministry of Public Health 2020;17-89.(in Thai).

11. Wongnisanatakul K. Health literacy among diabetic patients at the family practice center of Phra Nakhon Si Ayutthaya Hospital. Journal of Preventive Medicine Association of Thailand 2018;49-61.(in Thai).

12. Hsieh FY, Bloch DA, Larsen MD. A simple method of sample size calculation for linear and logistic regression. Stat med Publishing;1998.

13. Rakchim A, Luekiatbundit S, Sangcharoen W. Factors affecting blood sugar control in patients with type 2 diabetes mellitus, Pak Phanang Hospital, Nakhon Si Thammarat Province. Walailak Procedia 2018;195. (in Thai).

14. Clinical Practice Guideline for Diabetes [internet].2017 [cited 2021 August 9]. Available from : https://www.dmthai.org/index.php/knowledge/healthcare-providers/cpg/443-guideline-diabetes-care-2017

15. Thai Guidelines on The Treatment of Hypertension [internet]. 2015 [cited 2020 August 9]. Available
from : http://www.thaihypertension.org/files/GL%20HT%202015.pdf

16. Nutbeam D. The evolving concept of health literacy. Social Science & Medicine [internet]. 2008 [cited
2021 August 9]. Available from : https://pubmed.ncbi.nlm.nih.gov/18952344/

17. Tengamnuay P. People do not want to get old. Wanida Publishing;2010.

18. Hyperlipidemia risk of cardiovascular disease Siriraj Hospital Piyamaharajkarun [internet]. 2020 [cited 2021 June 26]. Available from: https://www.siphhospital.com /th/news/article/share/dyslipidemia

138-150……11.ผลของโปรแกรมการพัฒนาสมรรถนะการพัฒนาคุณภาพทางการพยาบาลของนักศึกษาพยาบาล
Effect of Competencies Development Program on Nursing Quality Improvement of Nursing Students