Influence Of Health Literacy Of Mongolia-Chinese Elderly With Hypertension On Treatment Compliance And Health Status

Objective: To describe the status quo of health literacy, treatment compliance and health of Mongolia-Chinese elderly with hypertension; Analysis the influence factors of health literacy about hypertension, the relation of treatment compliance and health status of blood pressure, blood lipid and self-rated health; Clear the influence of health literacy about hypertension of Mongolia-Chinese elderly with hypertension on treatment compliance, health status on blood pressure, blood lipid and self-rated health.Methods:Structural interview about health literacy about hypertension, treatment compliance and self-rated health were conducted and physiological and biochemical parameter of the subjects including blood pressure and blood lipid were measured. The mean, standard deviation, constituent ratio was used in describing the status about general demographic information, health literacy, treatment compliance and health; analysis demographic differences on health literacy by One-way ANOVA and chi-square test; Pearsons’correlation analysis of treatment compliance and health status; Multiple linear regression were used to analysis affecting factors about health literacy and influence of health literacy to treatment compliance and health status.Results:(1) The average score of health literacy was 91.32±50.76, individuals with inadequate health literacy was concentrated in women, aged, relatively low education, farmers and herders, workers and those with level 2 or 3 grade hypertension crowd. (2) Social economic status, age, gender were influence factors of health literacy and amount health literacy 43.5 percent. (3) There were significantly difference in means including treatment compliance(F=17.221, P=0.000), medication taking (F=20.24, P=0.000), SBP (F=5.137,P=0.007),DBP (F=4.287,P=0.005),TC(F=10.487, P=0.000), TG(F=6.914,P=0.001), HDL-C (F=4.551, P=0.012), LDL-C(F=4.313, P=0.014) among the three districts,and no significantly difference on reduced sodium intake (F=1.382, P=0.253) appointment keeping (F=1.139,P=0.322), Self-assessment body health, self-assessment mental health. (4) Inadequate health literacy influenced therapy compliance (β=0.174,p=0.001), medication taking compliance(B=0.139,p=0.003),TC(β=0.148,p=0.003), TG(β=0.143,p=0.035) HDL-C (β=-0.353,p=0.000),LDL-C (β=0.142,p=0.003),SBP (β=-0.042,p=0.000;β=-0.203, p=0.010),DBP (β=-0.068,p=0.000;β=-0.197,p=0.009) after adjusting for relevant variables; marginal health literacy influenced medication taking compliance (β=0.039,p=0.023), SBP (β=-0.042,p=0.000;β=-0.203,p=0.010)、DBP (β=-0.068, p=0.000;β=-0.197,p=0.009),HDL-C (β=-0.217, p=0.000) after adjusting for relevant variables.Conclusion:(1) More than two third Mongolia-Chinese elderly with hypertension were inadequate health literacy,and especially in farmer and herdsmen. (2) SES,age and gender were the two important influencing factors of health literacy. (3) Treatment compliance related to blood pressure, blood lipid,and self-rated health is irrelevant. (4) Inadequate health literacy were worse than adequate health literacy of Mongolia-Chinese elderly with hypertension on treatment compliance, medication taking, blood pressure and blood lipid, there were no difference on self-rated health.