Effect of Health Literacy on Help-seeking Behavior in Morbidly Obese Patients Agreeing to Bariatric Surgery


Cayci H. M., Erdogdu U. E., DEMİRCİ H., Ardic A., Topak N. Y., Taymur İ.

Obesity Surgery, cilt.28, sa.3, ss.791-797, 2018 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 28 Sayı: 3
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1007/s11695-017-2882-4
  • Dergi Adı: Obesity Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.791-797
  • Anahtar Kelimeler: Morbid obesity, Health literacy, Bariatric surgery, HLS-EU-Q47
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background: We aimed to evaluate the effect of health literacy on agreement for bariatric surgery among morbidly obese patients. Methods: The data of 242 morbidly obese patients (body mass index—BMI ≥ 40 kg/m2) were evaluated in a cross-sectional case-control pattern. The patients were classified into two groups as those who were attending the clinic for the purpose of receiving bariatric surgery (n = 138) and those who did not (n = 104). The Turkish version of the European Health Literacy Survey Questionnaire (HLS-EU-Q47), consisting of 47 questions, was used for the health literacy evaluation. Results: It was seen that patients who accepted bariatric surgery were younger and had higher weight and BMI values (p < 0.001). HLS-EU-Q47 index results were 33.33 (15.63–50) in the group who agreed to bariatric surgery and 26.04 (8.33:46.88) in the group who did not agree to bariatric surgery, and a statistically significant difference was determined between the two groups (p < 0.001). From the HLS-EU-Q47 questionnaire, an insufficient level (0–25) was found for 2.9% of the group who agreed to bariatric surgery and 45.2% of the group who did not (p < 0.001). The problematic-limited level was similar in the two groups (> 25–33) (respectively, 36.2%, 37.5%, p = 0.840). A sufficient level (> 33–42) and a perfect level were higher in the group who agreed to bariatric surgery (respectively, 42.8%, 18.1%, p < 0.001). Conclusion: There is a relationship between health literacy and acceptance of bariatric surgery in morbidly obese patients. The higher the health literacy level, the more the agreement to bariatric surgery increased.