Does Depression and Anxiety Mediate the Relation between Limited Health Literacy and Diet Non-Adherence

Bibliographic Data

ID15479533
AuthorsIvana Skoumalová (0000-0001-6893-4158, University Medical Center Groningen, corresponding author), Andrea Madarasova Geckova (0000-0003-2993-3798, University Medical Center Groningen), Jaroslav Rosenberger (0000-0001-7201-889X, University of Pavol Jozef Šafárik), Mária Majerníková (0000-0003-0023-9081, FMC-Dialysis Services Slovakia, Trieda SNP 1, 040 01 Kosice, Slovakia), Peter Kolarcik (0000-0003-4504-5256, University Medical Center Groningen), Daniel Klein (0000-0002-9565-4968, University of Pavol Jozef Šafárik), Andrea F De Winter (0000-0002-9380-4889, University Medical Center Groningen), Jitse P Van Dijk (0000-0003-0225-6811, University Medical Center Groningen), Sijmen A Reijneveld (0000-0002-1206-7523, University Medical Center Groningen)
Year2020
Volume17
Issue21
Pages7913-7913
Publication date2020-10-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17217913
PMID33126638
OpenAlexW3095173386
LanguageEN
Citations received7
References cited44

Limited health literacy (HL), depression and anxiety are common in dialyzed patients and affect health outcomes and self-management. We explored whether depression and anxiety mediate the association of HL with diet non-adherence (DN-A) in dialyzed patients. We performed a cross-sectional study in 20 dialysis clinics in Slovakia ( n = 452; mean age: 63.6 years; males: 60.7%). Hierarchical cluster analysis was performed to create three HL groups. Logistic regression adjusted for age, gender and education was used to explore whether depression and anxiety mediate the association of HL with DN-A. Patients in the moderate HL group were more likely to be non-adherent to diet (OR (Odds Ratio)/95% CI: 2.19/1.21-3.99) than patients in the high HL group. Patients in the low HL and moderate HL group more likely reported depression or anxiety. Patients reporting depression (OR/95% CI: 1.94/1.26-2.98) or anxiety (OR/95% CI: 1.81/1.22-2.69) were more likely to be non-adherent with diet. Adjustment for depression reduced the association between moderate HL and DN-A by 19.5%. Adjustment for anxiety reduced the association between moderate HL and DN-A by 11.8%. Anxiety and depression partly mediated the association of HL with DN-A. More attention should be paid to treating patients' psychological distress to ensure adequate adherence with recommended diet

Affect (linguistics · Anxiety · Association (psychology · Cross-sectional study · Depression (economics · Distress · Logistic regression · Odds ratio · Psychiatry · Clinical Psychology · Health Literacy and Information Accessibility · Maternal Mental Health During Pregnancy and Postpartum · Medication Adherence and Compliance · Medicine · Psychology · Internal Medicine

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