Low Health Literacy (LHL): A Conniving Opponent of Patient Treatment Compliance

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Abdul Kader Mohiuddin


In order to access, comprehend, and use information to make decisions about their health, people must possess certain personal traits and social resources, which are referred to as health literacy. Patients' ability to engage in complex disease management and self-care is strongly related to their level of health literacy. It can help us stay healthy by preventing illness and effectively managing existing illnesses. Personal health literacy refers to a person's ability to locate, comprehend, and apply information and services to support health-related decisions and actions for themselves and others. The World Health Organization recommends health literacy as a tool for achieving several key targets outlined in the Sustainable Development Goals. Low health literacy (LHL) is most commonly associated with mature patients with chronic health conditions who have limited education and are not necessarily from a lower income group. Furthermore, being literate in general does not imply being literate in health.  


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Abdul Kader Mohiuddin. (2023). Low Health Literacy (LHL): A Conniving Opponent of Patient Treatment Compliance. SIASAT, 8(1), 33-39. https://doi.org/10.33258/siasat.v8i1.141


Abdullah, A., Liew, S. M., Salim, H., Ng, C. J., & Chinna, K. (2019). Prevalence of limited health literacy among patients with type 2 diabetes mellitus: A systematic review. PLOS ONE, 14(5), e0216402. https://doi.org/10.1371/journal.pone.0216402
Achstetter, K., Köppen, J., Haltaufderheide, M., Hengel, P., Blümel, M., & Busse, R. (2022). Health literacy of people with substitutive private health insurance in Germany and their assessment of the health system performance according to Health Literacy Levels: Results from a survey. International Journal of Environmental Research and Public Health, 19(24), 16711. https://doi.org/10.3390/ijerph192416711
Bosle, C., Orth, B., Reibling, N., Merkel, C., Muschalik, C., & von Rüden, U. (2022). Health information behaviour and health literacy on COVID-19 vaccination of the general population in Germany-findings from the CoSiD study (Article in German). Federal Health Gazette (Springer), 65(12), 1289–1298. https://doi.org/10.1007/s00103-022-03617-9
Cheng, B. T., & Tanna, A. P. (2022). Association of Health Literacy and healthcare utilization among glaucoma patients. Journal of Glaucoma, Publish Ahead of Print. https://doi.org/10.1097/ijg.0000000000002133
Gan, W., Zhang, Q., Yang, D., Yin, J., Wang, Y., Song, L., Chen, T., & Qi, H. (2022). A behavior change wheel-based Interactive Pictorial Health Education Program for hypertensive patients with low blood pressure health literacy: Study protocol for a randomized controlled trial. Trials (BMC), 23(1), 369. https://doi.org/10.1186/s13063-022-06300-1
Griffey, R. T., Kennedy, S. K., McGownan, L., Goodman, M., & Kaphingst, K. A. (2014). Is low health literacy associated with increased emergency department utilization and recidivism? Academic Emergency Medicine, 21(10), 1109–1115. https://doi.org/10.1111/acem.12476
Hickey, K. T., Masterson Creber, R. M., Reading, M., Sciacca, R. R., Riga, T. C., Frulla, A. P., & Casida, J. M. (2018). Low health literacy: Implications for managing cardiac patients in practice. The Nurse Practitioner, 43(8), 49–55. https://doi.org/10.1097/01.npr.0000541468.54290.49
Kanejima, Y., Shimogai, T., Kitamura, M., Ishihara, K., & Izawa, K. P. (2022). Impact of health literacy in patients with cardiovascular diseases: A systematic review and meta-analysis. Patient Education and Counseling, 105(7), 1793–1800. https://doi.org/10.1016/j.pec.2021.11.021
Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., García-Elorrio, E., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., … Pate, M. (2018). High-quality health systems in the Sustainable Development Goals Era: Time for a revolution. The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/s2214-109x(18)30386-3
Lau, S. S., Shum, E. N., Man, J. O., Cheung, E. T., Amoah, P. A., Leung, A. Y., Dadaczynski, K., & Okan, O. (2022). Covid-19-related health literacy of school leaders in Hong Kong: A cross-sectional study. International Journal of Environmental Research and Public Health, 19(19), 12790. https://doi.org/10.3390/ijerph191912790
Li, Y., Lv, X., Liang, J., Dong, H., & Chen, C. (2022). The development and progress of Health Literacy in China. Frontiers in Public Health, 10, 1034907. https://doi.org/10.3389/fpubh.2022.1034907
Lorini, C., Buscemi, P., Mossello, E., Schirripa, A., Giammarco, B., Rigon, L., Albora, G., Giorgetti, D., Biamonte, M. A., Fattorini, L., Bruno, R. M., Giusti, G., Longobucco, Y., Ungar, A., & Bonaccorsi, G. (2022). Health literacy of informal caregivers of older adults with dementia: Results from a cross-sectional study conducted in Florence (Italy). Aging Clinical and Experimental Research, 35(1), 61–71. https://doi.org/10.1007/s40520-022-02271-0
Lovrić, B., Placento, H., Farčić, N., Lipič Baligač, M., Mikšić, Š., Mamić, M., Jovanović, T., Vidić, H., Karabatić, S., Cviljević, S., Zibar, L., Vukoja, I., Barać, I. (2022). Association between health literacy and prevalence of obesity, arterial hypertension, and diabetes mellitus. International Journal of Environmental Research and Public Health, 19(15), 9002. https://doi.org/10.3390/ijerph19159002
Meldgaard, M., Gamborg, M., & Terkildsen Maindal, H. (2022). Health literacy levels among women in the prenatal period: A systematic review. Sexual & Reproductive Healthcare, 34, 100796. https://doi.org/10.1016/j.srhc.2022.100796
Mohiuddin, A. K. (2020). Chapter 11. The Enigma of Patient Behavior. In The role of the pharmacist in patient care: Achieving high quality, cost-effective and accessible healthcare through a team-based, patient-centered approach (pp. 189–210). Universal-Publishers. ISBN-10: 1627343083, ISBN-13: 9781627343084
Mohiuddin, A. K. (December 19, 2022). Low Health Literacy: Treacherous Foe of Patient Compliance in Developed Countries. Annals of Epidemiology & Public Health, 5(2), 1097.
Mohiuddin, A. K. (December 10, 2022). Medication adherence: Fact or fictions? Current Research in Public Health, 2(1), 18–21. https://doi.org/10.31586/crph.2022.533
Murugesu, L., Heijmans, M., Rademakers, J., & Fransen, M. P. (2022). Challenges and solutions in communication with patients with low health literacy: Perspectives of Healthcare Providers. PLOS ONE, 17(5), e0267782. https://doi.org/10.1371/journal.pone.0267782
O’Mara, C. S., Young, J. P., & Winkelmann, Z. K. (2022). Financial Health Literacy and the shared decision-making process in healthcare. International Journal of Environmental Research and Public Health, 19(11), 6510. https://doi.org/10.3390/ijerph19116510
Rong, H., Lu, L., Wang, L., Liu, C., Zhang, L., Li, F., Yi, D., Lei, E., Zheng, C., Meng, Q., & Chen, J.-an. (2023). Investigation of health literacy status and related influencing factors in military health providers of Chinese People’s Liberation Army, a cross-sectional study. BMC Public Health, 23(1), 4. https://doi.org/10.1186/s12889-022-14958-0
Shahid, R., Shoker, M., Chu, L. M., Frehlick, R., Ward, H., & Pahwa, P. (2022). Impact of low health literacy on patients’ health outcomes: A multicenter cohort study. BMC Health Services Research, 22(1), 1148. https://doi.org/10.1186/s12913-022-08527-9
Shebehe, J., Montgomery, S., Hansson, A., & Hiyoshi, A. (2022). Low health literacy and multiple medications in community-dwelling older adults: A population-based Cohort Study. BMJ Open, 12(2), e055117. https://doi.org/10.1136/bmjopen-2021-055117
Šulinskaitė, K., Zagurskienė, D., & Blaževičienė, A. (2022). Patients’ health literacy and Health Behaviour Assessment in primary health care: Evidence from a cross-sectional survey. BMC Primary Care, 23(1), 223. https://doi.org/10.1186/s12875-022-01809-5
Tajdar, D., Schäfer, I., Lühmann, D., Fertmann, R., Steinberg, T., van den Bussche, H., & Scherer, M. (2022). The link between health literacy and three conditions of metabolic syndrome: Obesity, diabetes and hypertension. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 15, 1639–1650. https://doi.org/10.2147/dmso.s363823
UCL Institute of Health Equity/Public Health England. (2015, September). Local action on health inequalities-Improving health literacy to reduce health inequalities. UK Government Publishing Service. Retrieved January 16, 2023, from https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/460710/4b_Health_Literacy-Briefing.pdf
US CDC. (2021, May 21). Health Literacy Basics-Talking points about health literacy. Centers for Disease Control and Prevention. Retrieved January 16, 2023, from https://www.cdc.gov/healthliteracy/shareinteract/TellOthers.html
van der Heide, I., Wang, J., Droomers, M., Spreeuwenberg, P., Rademakers, J., & Uiters, E. (2013). The relationship between health, education, and Health Literacy: Results from the Dutch adult literacy and Life Skills Survey. Journal of Health Communication, 18(sup1), 172–184. https://doi.org/10.1080/10810730.2013.825668
Weerakoon, S. M., Henson-Garcia, M., Valerio-Shewmaker, M. A., Messiah, S. E., & Knell, G. (2022). Contributions of trustworthiness, health literacy, and self-efficacy in communicating with COVID-19 vaccine–hesitant audiences: Web-based survey study. JMIR Formative Research, 6(8), e38076. https://doi.org/10.2196/38076
Zaidman, E. A., Scott, K. M., Hahn, D., Bennett, P., & Caldwell, P. H. Y. (2022). Impact of parental health literacy on the health outcomes of children with chronic disease globally: A systematic review. Journal of Pediatrics and Child Health, 59(1), 12–31. https://doi.org/10.1111/jpc.16297