title: [Health literacy in patients with heart failure treated in primary care].
abstract: OBJECTIVE
  The level of health literacy is examined, as well as its conditioning factors in patients with heart failure who are seen routinely in a Primary Health Care Area.
  
  
  METHODS
  A multicentre cross-sectional study.
  
  
  METHODS
  10 Primary care centres from the metropolitan area of Barcelona.
  
  
  METHODS
  Patients diagnosed with heart failure.
  
  
  METHODS
  to have visited the Primary Health Care centre in the last year, being able to arrive at the primary care setting independently, and voluntarily participation.
  
  
  METHODS
  Health Literacy Survey-European Union - Questionnaire (HLS-EU-Q) and Spanish version of the European Heart Failure Self-care Behaviour Scale. An analysis was made of the relationships between health literacy, self-care practices, sociodemographic, and clinical variables using ANOVA test and a multiple linear regression model.
  
  
  RESULTS
  The study included 318 patients (51.2% women) with a mean age of 77.9±8.7 years. The index of health literacy of 79.6% (n=253) of the participants indicated problems in understanding healthcare information. Health literacy level was explained by academic level (P<.001), the extent of heart failure (P=.032), self-care, and age (P<.04).The academic level explained 61.6% of the health of literacy (95% bootstrap: 44.58%; 46.75%).
  
  
  CONCLUSIONS
  In patients with stable heart failure, it is important to consider all factors that help patients to understand the healthcare information. Health literacy explains patient self-care attitude in heart failure.
authors.affiliation: Escuela Universitaria de Enfermería, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Barcelona, España. Electronic address: RSantesmases@santpau.cat.
authors.forename: Rosalia
authors.initials: R
authors.lastname: Santesmases-Masana
authors.affiliation: Área de Epidemiología y Salud Pública, Facultad Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España; Consorci d'Atenció Primària de Salut Eixample (CAPSBE), Grup Transversal de Recerca en Atenció Primària, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, España.
authors.forename: Luis
authors.initials: L
authors.lastname: González-de Paz
authors.affiliation: Área de Epidemiología y Salud Pública, Facultad Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España; Unitat de Suport a la Recerca Lleida, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, España.
authors.forename: Jordi
authors.initials: J
authors.lastname: Real
authors.affiliation: Área de Epidemiología y Salud Pública, Facultad Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España; Instituto Albert J. Jovell de Salud Pública y Pacientes, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España.
authors.forename: Alicia
authors.initials: A
authors.lastname: Borràs-Santos
authors.affiliation: Consorci d'Atenció Primària de Salut Eixample (CAPSBE), Grup Transversal de Recerca en Atenció Primària, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, España.
authors.forename: Antoni
authors.initials: A
authors.lastname: Sisó-Almirall
authors.affiliation: Área de Epidemiología y Salud Pública, Facultad Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España; Instituto Albert J. Jovell de Salud Pública y Pacientes, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España.
authors.forename: Maria Dolors
authors.initials: MD
authors.lastname: Navarro-Rubio
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D057220:Health Literacy; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D008297:Male; D011320:Primary Health Care
keywords: Alfabetización en salud; Atención primaria; Health literacy; Heart failure; Insuficiencia cardiaca; Primary care; Prácticas de autocuidado; Self-care practices