title: Socio-economic correlates of functional health literacy among patients of primary health care in Kosovo.
abstract: OBJECTIVE
  Functional health literacy (FHL) has been related to individual characteristics, ill-health and disease knowledge. However, the information about FHL in Kosovo is very limited and thus the aim of this study was to assess the demographic and socio-economic correlates of FHL among users of primary health care in Kosovo, a postconflict country in the Western Balkans.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  A cross-sectional study was conducted in Kosovo between November 2012-February 2013, including a representative sample of 1035 consecutive primary care users aged ≥18 years (60% females; overall mean age: 44.3 ± 16.9 years; overall response rate: 86%). Test of Functional Health Literacy in Adults (TOFHLA) was used to assess FHL. General linear model and logistic regression were used to assess the association of TOFHLA score with demographic and socio-economic characteristics.
  
  
  RESULTS
  Overall, four out of five participants exhibited inadequate or marginal FHL in this Kosovo sample. FHL score was independently and inversely related to age, but positively associated with educational attainment and being in a situation other than unemployed.
  
  
  CONCLUSIONS
  Limited or marginal FHL was very common among primary care users in Kosovo and considerably higher than in the neighbouring Serbia. The low health literacy levels in Kosovo may provide an additional barrier towards achievement of health care goals. There is a need to design and implement suitable and effective educational and health system interventions in the Kosovo context.
authors.affiliation: Department of International Health, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands; Faculty of Public Health, University of Medicine, Tirana, Albania. Electronic address: ervintoci@yahoo.com.
authors.forename: E
authors.initials: E
authors.lastname: Toçi
authors.affiliation: Department of International Health, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands; Faculty of Public Health, University of Medicine, Tirana, Albania.
authors.forename: G
authors.initials: G
authors.lastname: Burazeri
authors.affiliation: Regional Hospital "Isa Grezda", Gjakove, Republic of Kosovo.
authors.forename: H
authors.initials: H
authors.lastname: Kamberi
authors.affiliation: Department of International Health, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands; Institute of Public Health, Pristine, Republic of Kosovo.
authors.forename: N
authors.initials: N
authors.lastname: Jerliu
authors.affiliation: Department of International Health, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands.
authors.forename: K
authors.initials: K
authors.lastname: Sørensen
authors.affiliation: Department of International Health, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands.
authors.forename: H
authors.initials: H
authors.lastname: Brand
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D057220:Health Literacy / Q000706:statistics & numerical data*; D006801:Humans; D063826:Kosovo; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: Functional health literacy; Kosovo; Primary health care; TOFHLA