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Assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study

OBJECTIVE: Healthy behaviours are important for people with polycystic ovary syndrome (PCOS). However, adopting and maintaining lifestyle changes involves a complex set of behavioural changes, which most patients fail to adhere to. The current research on health literacy, which includes individual a...

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Autores principales: Liu, Ying, Guo, Yunmei, Yan, Xin, Ding, Rui, Tan, Huiwen, Wang, Yousha, Wang, Xueting, Wang, Lianhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680007/
https://www.ncbi.nlm.nih.gov/pubmed/38000817
http://dx.doi.org/10.1136/bmjopen-2022-071051
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author Liu, Ying
Guo, Yunmei
Yan, Xin
Ding, Rui
Tan, Huiwen
Wang, Yousha
Wang, Xueting
Wang, Lianhong
author_facet Liu, Ying
Guo, Yunmei
Yan, Xin
Ding, Rui
Tan, Huiwen
Wang, Yousha
Wang, Xueting
Wang, Lianhong
author_sort Liu, Ying
collection PubMed
description OBJECTIVE: Healthy behaviours are important for people with polycystic ovary syndrome (PCOS). However, adopting and maintaining lifestyle changes involves a complex set of behavioural changes, which most patients fail to adhere to. The current research on health literacy, which includes individual and social skills needed in health self-management, in patients with PCOS is limited. Therefore, this study aimed to explore health literacy, health behaviours and the relationship between the two to expand research on PCOS management. DESIGN: Cross-sectional study. SETTING: A gynaecological outpatient clinic. PARTICIPANTS: A total of 286 patients with PCOS (≥18 years, diagnosed via Rotterdam criteria, able to self-report and give informed consent) were recruited from March to June 2022. OUTCOME MEASURES: Health literacy and health behaviours in patients with PCOS were assessed using the Health Literacy Management Scale and the Health Promoting Lifestyle Profile (Chinese version). Multiple logistic regression was used to analyse the factors influencing health literacy, and linear regression to assess the relationship between health literacy and health behaviours, with an F-significance test; p<0.05 was considered statistically significant. RESULTS: Overall, most patients with PCOS had insufficient health literacy (55.9%). The influencing factors of health literacy in patients with PCOS were age (β=0.154, p<0.05), Body Mass Index (β=−0.140, p<0.05), income (β=1.228, p<0.05), duration of illness (β=0.110, p<0.05) and educational level (β=1.552, p<0.05). Moreover, 40.6% of patients with poor health behaviours, and 31.8% with moderate health behaviours, needed to improve their health behaviours. Health literacy was positively correlated with health behaviours in patients with PCOS (r=0.473, p<0.05). CONCLUSION: The positive correlation between health literacy and health behaviour in patients with PCOS indicates that promoting health literacy in future treatment and management of PCOS may be beneficial.
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spelling pubmed-106800072023-11-24 Assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study Liu, Ying Guo, Yunmei Yan, Xin Ding, Rui Tan, Huiwen Wang, Yousha Wang, Xueting Wang, Lianhong BMJ Open Obstetrics and Gynaecology OBJECTIVE: Healthy behaviours are important for people with polycystic ovary syndrome (PCOS). However, adopting and maintaining lifestyle changes involves a complex set of behavioural changes, which most patients fail to adhere to. The current research on health literacy, which includes individual and social skills needed in health self-management, in patients with PCOS is limited. Therefore, this study aimed to explore health literacy, health behaviours and the relationship between the two to expand research on PCOS management. DESIGN: Cross-sectional study. SETTING: A gynaecological outpatient clinic. PARTICIPANTS: A total of 286 patients with PCOS (≥18 years, diagnosed via Rotterdam criteria, able to self-report and give informed consent) were recruited from March to June 2022. OUTCOME MEASURES: Health literacy and health behaviours in patients with PCOS were assessed using the Health Literacy Management Scale and the Health Promoting Lifestyle Profile (Chinese version). Multiple logistic regression was used to analyse the factors influencing health literacy, and linear regression to assess the relationship between health literacy and health behaviours, with an F-significance test; p<0.05 was considered statistically significant. RESULTS: Overall, most patients with PCOS had insufficient health literacy (55.9%). The influencing factors of health literacy in patients with PCOS were age (β=0.154, p<0.05), Body Mass Index (β=−0.140, p<0.05), income (β=1.228, p<0.05), duration of illness (β=0.110, p<0.05) and educational level (β=1.552, p<0.05). Moreover, 40.6% of patients with poor health behaviours, and 31.8% with moderate health behaviours, needed to improve their health behaviours. Health literacy was positively correlated with health behaviours in patients with PCOS (r=0.473, p<0.05). CONCLUSION: The positive correlation between health literacy and health behaviour in patients with PCOS indicates that promoting health literacy in future treatment and management of PCOS may be beneficial. BMJ Publishing Group 2023-11-24 /pmc/articles/PMC10680007/ /pubmed/38000817 http://dx.doi.org/10.1136/bmjopen-2022-071051 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Obstetrics and Gynaecology
Liu, Ying
Guo, Yunmei
Yan, Xin
Ding, Rui
Tan, Huiwen
Wang, Yousha
Wang, Xueting
Wang, Lianhong
Assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study
title Assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study
title_full Assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study
title_fullStr Assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study
title_full_unstemmed Assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study
title_short Assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study
title_sort assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study
topic Obstetrics and Gynaecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680007/
https://www.ncbi.nlm.nih.gov/pubmed/38000817
http://dx.doi.org/10.1136/bmjopen-2022-071051
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