Influencing factors of medication literacy among community-dwelling older adult patients with hypertension: a study based on social learning theory

健康素养 婚姻状况 社会支持 医学 读写能力 结构方程建模 老年学 干预(咨询) 比例(比率) 疾病 心理学 环境卫生 人口 精神科 医疗保健 社会心理学 物理 经济 病理 统计 量子力学 经济增长 数学 教育学
作者
Tingting Lu,Zhen Yang,Ping Chen,Jingyan Li,Zheng Chen,Linghui Kong,Huijun Zhang
出处
期刊:Frontiers in Pharmacology [Frontiers Media SA]
卷期号:14 被引量:1
标识
DOI:10.3389/fphar.2023.1184701
摘要

Objective: This study aimed to examine the factors affecting medication literacy in community-dwelling older adults with hypertension, guided by social learning theory. It sought to analyze the pathways these factors influenced and provide a theoretical foundation for designing targeted intervention programs. Study design: This is a cross-sectional study. Methods: From October 2022 to February 2023, a total of 432 community-dwelling older adults with hypertension from Linghe District, Guta District, and Taihe District, Jinzhou City, Liaoning Province, China, were selected using convenience sampling. Data were collected using a socio-demographic questionnaire, a medication literacy questionnaire, the Brief Illness Perception Questionnaire, the General Self-efficacy Scale, and the Perceived Social Support Scale. The collected data were analyzed with Kruskal-Wallis and Mann-Whitney tests, correlation analysis, multiple stepwise regression analysis, and structural equation modeling (SEM). Results: The medication literacy score among the participants was 3.83 ± 1.91. Multi-factor analysis revealed key factors affecting their medication literacy, including blood pressure-control status, utilization of community health education resources, receiving guidance for medication usage, marital status, number of annual visits, social support, self-efficacy, and disease perception. The SEM based on social learning theory showed that general self-efficacy mediated the relationship between social support, disease perception, and medication literacy. Conclusion: The present study developed a model and provided potential intervention strategies to improve medication literacy, knowledge, and safety among community-dwelling older adults with hypertension, considering the relationships between the identified variables.
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