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The correlates of chronic disease-related health literacy and its components among men: a systematic review.

Davey J, Holden CA, Smith BJ - BMC Public Health (2015)

Bottom Line: The evidence for all other correlates was graded as being of low quality.The limited body of research identified may have resulted from a lack of consensus about the definition of health literacy, and a concordant set of validated health literacy measures.However, addressing the broader knowledge gaps and controversy in the health literacy field will deliver policy and program benefits to address these major contributors to the burden of disease among men.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health and Preventive Medicine, Monash University, Lev 6, the Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia. jdavey@daveyco.net.

ABSTRACT

Background: Chronic diseases drive the burden of disease in many societies, particularly among men. Lifestyle behaviours are strongly associated with chronic disease development, and in a number of countries men tend to engage in more risky behaviours, and have lower health knowledge and attention to prevention, than women. This study investigated the correlates of men's health literacy and its components about major lifestyle-related diseases, namely ischaemic heart disease and type 2 diabetes mellitus, to gain evidence to guide the development of policy and programs to improve men's health.

Methods: A systematic review was undertaken of observational studies that investigated men's health literacy and its components related to ischaemic heart disease or type 2 diabetes mellitus, and their associated risk factors. The Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PsycINFO, Embase and the Cochrane Library databases were searched for articles published since 2003. The strength of the evidence was rated using the GRADE approach.

Results: After screening and review of 504 articles, the search elicited nine studies for inclusion: only one study examined health literacy (nutrition literacy). The majority of included studies focused on only one component of health literacy, namely knowledge (n = 7) and personal skills (confidence) (n = 1). Twenty correlates were identified, primarily relating to the knowledge component, with the strength of the evidence for only one correlate, education, graded as being of moderate quality. The evidence for all other correlates was graded as being of low quality.

Conclusions: The limited body of research identified may have resulted from a lack of consensus about the definition of health literacy, and a concordant set of validated health literacy measures. Despite these limitations, broadening the search to include components of health literacy has identified that several factors are associated with men's knowledge and awareness of ischaemic heart disease and type 2 diabetes mellitus that will assist in the development of men's health promotion strategies. However, addressing the broader knowledge gaps and controversy in the health literacy field will deliver policy and program benefits to address these major contributors to the burden of disease among men.

No MeSH data available.


Related in: MedlinePlus

Flow diagram for study identification
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Fig1: Flow diagram for study identification

Mentions: The search strategy yielded 647 citations, and an additional eight citations were located through reference checking. The number of articles excluded at each stage is shown at Fig. 1. Exclusions at the full text review stage were largely due to data tables not reporting male-specific results (83.6 %). Nine articles were included in the final review.Fig. 1


The correlates of chronic disease-related health literacy and its components among men: a systematic review.

Davey J, Holden CA, Smith BJ - BMC Public Health (2015)

Flow diagram for study identification
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4482294&req=5

Fig1: Flow diagram for study identification
Mentions: The search strategy yielded 647 citations, and an additional eight citations were located through reference checking. The number of articles excluded at each stage is shown at Fig. 1. Exclusions at the full text review stage were largely due to data tables not reporting male-specific results (83.6 %). Nine articles were included in the final review.Fig. 1

Bottom Line: The evidence for all other correlates was graded as being of low quality.The limited body of research identified may have resulted from a lack of consensus about the definition of health literacy, and a concordant set of validated health literacy measures.However, addressing the broader knowledge gaps and controversy in the health literacy field will deliver policy and program benefits to address these major contributors to the burden of disease among men.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health and Preventive Medicine, Monash University, Lev 6, the Alfred Centre, 99 Commercial Road, Melbourne, VIC, 3004, Australia. jdavey@daveyco.net.

ABSTRACT

Background: Chronic diseases drive the burden of disease in many societies, particularly among men. Lifestyle behaviours are strongly associated with chronic disease development, and in a number of countries men tend to engage in more risky behaviours, and have lower health knowledge and attention to prevention, than women. This study investigated the correlates of men's health literacy and its components about major lifestyle-related diseases, namely ischaemic heart disease and type 2 diabetes mellitus, to gain evidence to guide the development of policy and programs to improve men's health.

Methods: A systematic review was undertaken of observational studies that investigated men's health literacy and its components related to ischaemic heart disease or type 2 diabetes mellitus, and their associated risk factors. The Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PsycINFO, Embase and the Cochrane Library databases were searched for articles published since 2003. The strength of the evidence was rated using the GRADE approach.

Results: After screening and review of 504 articles, the search elicited nine studies for inclusion: only one study examined health literacy (nutrition literacy). The majority of included studies focused on only one component of health literacy, namely knowledge (n = 7) and personal skills (confidence) (n = 1). Twenty correlates were identified, primarily relating to the knowledge component, with the strength of the evidence for only one correlate, education, graded as being of moderate quality. The evidence for all other correlates was graded as being of low quality.

Conclusions: The limited body of research identified may have resulted from a lack of consensus about the definition of health literacy, and a concordant set of validated health literacy measures. Despite these limitations, broadening the search to include components of health literacy has identified that several factors are associated with men's knowledge and awareness of ischaemic heart disease and type 2 diabetes mellitus that will assist in the development of men's health promotion strategies. However, addressing the broader knowledge gaps and controversy in the health literacy field will deliver policy and program benefits to address these major contributors to the burden of disease among men.

No MeSH data available.


Related in: MedlinePlus