title: Functional health literacy among primary health care users in transitional Kosovo.
abstract: OBJECTIVE
  Adequate functional health literacy is considered as a basic prerequisite for a proper health-seeking behavior of adult individuals. Our aim was to assess the levels and socioeconomic correlates of functional health literacy among adult primary care users in transitional Kosovo.
  
  
  METHODS
  A cross-sectional study was conducted in Kosovo in November 2012-February 2013 including a representative sample of 1035 primary health care users aged > or = 18 years (60% females; overall mean age: 44.3 +/- 16.9 years; overall response rate: 86%). The cross-culturally adapted long version of TOFHLA test (an instrument assessing reading comprehension and numerical abilities) was used to assess functional health literacy among study participants. TOFHLA scores range between 0-100 with higher scores implying better functional health literacy. The analysis of variance (ANOVA) was used to assess the association of functional health literacy with demographic and socioeconomic characteristics.
  
  
  RESULTS
  Mean score of the functional health literacy was significantly higher among younger participants, in men, in highly educated individuals and participants with better self-reported income level.
  
  
  CONCLUSIONS
  Our findings indicate that vulnerable socioeconomic individuals exhibit lower functional health literacy levels in post-war Kosovo. Health care professionals and particularly policy makers in Kosovo must be aware of the excess risk among the low socioeconomic groups and should tailor intervention programs accordingly.
authors.affiliation: Regional Hospital lsa Grezda, Gjakove, Kosovo. kamberi.dr@gmail.com
authors.forename: Haxhi
authors.initials: H
authors.lastname: Kamberi
authors.forename: Bajram
authors.initials: B
authors.lastname: Hysa
authors.forename: Ervin
authors.initials: E
authors.lastname: Toçi
authors.forename: Naim
authors.initials: N
authors.lastname: Jerliu
authors.forename: Gentiana
authors.initials: G
authors.lastname: Qirjako
authors.forename: Genc
authors.initials: G
authors.lastname: Burazeri
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D057220:Health Literacy / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D063826:Kosovo; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012923:Social Class; D011795:Surveys and Questionnaires; D055815:Young Adult