Social Disconnectedness in Individuals with Cardiovascular Disease: Associations with Health Literacy and Treatment Burden

Julie Christiansen; Mathias Lasgaard; Susanne S. Pedersen; Marie Hauge Pedersen; Karina Friis

doi:10.1007/s12529-024-10263-9

Social Disconnectedness in Individuals with Cardiovascular Disease: Associations with Health Literacy and Treatment Burden

Julie Christiansen^*, Mathias Lasgaard, Susanne S. Pedersen, Marie Hauge Pedersen, Karina Friis

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

1 Citation (Scopus)

Abstract

Background: Knowledge is limited on associations between social disconnectedness (i.e. loneliness and social isolation), health literacy and perceived treatment burden in individuals with cardiovascular disease (CVD). However, understanding these associations may be important for clinical practice. Methods: This study used cross-sectional self-reported data from the 2017 Danish health and morbidity survey entitled ‘How are you?’, investigating the associations of loneliness and social isolation with low health literacy and high treatment burden in individuals with CVD (n = 2521; mean age = 65.7 years). Results: Logistic regression analysis showed that loneliness and social isolation were associated with low health literacy in terms of difficulties in ‘understanding health information’ (loneliness: adjusted odds ratio (AOR) = 1.32, 95% confidence intervals (CI) [1.16, 1.50]; social isolation: AOR = 1.47, 95% CI [1.24, 1.73]) and ‘engaging with healthcare providers’ (loneliness: AOR = 1.53, 95% CI [1.37, 1.70]; social isolation: AOR = 1.21, 95% CI [1.06, 1.40]) and associated with high treatment burden (loneliness: AOR = 1.49, 95% CI [1.35, 1.65]; social isolation: AOR = 1.20, 95% CI [1.06, 1.37]). Conclusions: Our findings show that loneliness and social isolation coexisted with low health literacy and high treatment burden in individuals with CVD. These findings are critical as socially disconnected individuals experience more health issues. Low health literacy and a high treatment burden may potentially exacerbate these issues.

Original language	English
Journal	International Journal of Behavioral Medicine
Volume	31
Issue	3
Pages (from-to)	363-371
Number of pages	9
ISSN	1070-5503
DOIs	https://doi.org/10.1007/s12529-024-10263-9
Publication status	Published - Jun 2024

Keywords

Cardiovascular disease
Health literacy
Loneliness
Social isolation
Treatment burden

Access to Document

10.1007/s12529-024-10263-9Licence: CC BY

Cite this

@article{24eec7707b1641ed8cb248650c0ba98a,

title = "Social Disconnectedness in Individuals with Cardiovascular Disease: Associations with Health Literacy and Treatment Burden",

abstract = "Background: Knowledge is limited on associations between social disconnectedness (i.e. loneliness and social isolation), health literacy and perceived treatment burden in individuals with cardiovascular disease (CVD). However, understanding these associations may be important for clinical practice. Methods: This study used cross-sectional self-reported data from the 2017 Danish health and morbidity survey entitled {\textquoteleft}How are you?{\textquoteright}, investigating the associations of loneliness and social isolation with low health literacy and high treatment burden in individuals with CVD (n = 2521; mean age = 65.7 years). Results: Logistic regression analysis showed that loneliness and social isolation were associated with low health literacy in terms of difficulties in {\textquoteleft}understanding health information{\textquoteright} (loneliness: adjusted odds ratio (AOR) = 1.32, 95% confidence intervals (CI) [1.16, 1.50]; social isolation: AOR = 1.47, 95% CI [1.24, 1.73]) and {\textquoteleft}engaging with healthcare providers{\textquoteright} (loneliness: AOR = 1.53, 95% CI [1.37, 1.70]; social isolation: AOR = 1.21, 95% CI [1.06, 1.40]) and associated with high treatment burden (loneliness: AOR = 1.49, 95% CI [1.35, 1.65]; social isolation: AOR = 1.20, 95% CI [1.06, 1.37]). Conclusions: Our findings show that loneliness and social isolation coexisted with low health literacy and high treatment burden in individuals with CVD. These findings are critical as socially disconnected individuals experience more health issues. Low health literacy and a high treatment burden may potentially exacerbate these issues.",

keywords = "Cardiovascular disease, Health literacy, Loneliness, Social isolation, Treatment burden",

author = "Julie Christiansen and Mathias Lasgaard and Pedersen, {Susanne S.} and Pedersen, {Marie Hauge} and Karina Friis",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2024.",

year = "2024",

month = jun,

doi = "10.1007/s12529-024-10263-9",

language = "English",

volume = "31",

pages = "363--371",

journal = "International Journal of Behavioral Medicine",

issn = "1070-5503",

publisher = "Routledge Worlds",

number = "3",

}

Social Disconnectedness in Individuals with Cardiovascular Disease: Associations with Health Literacy and Treatment Burden. / Christiansen, Julie; Lasgaard, Mathias; Pedersen, Susanne S. et al.
In: International Journal of Behavioral Medicine, Vol. 31, No. 3, 06.2024, p. 363-371.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Social Disconnectedness in Individuals with Cardiovascular Disease

T2 - Associations with Health Literacy and Treatment Burden

AU - Christiansen, Julie

AU - Lasgaard, Mathias

AU - Pedersen, Susanne S.

AU - Pedersen, Marie Hauge

AU - Friis, Karina

N1 - Publisher Copyright: © The Author(s) 2024.

PY - 2024/6

Y1 - 2024/6

N2 - Background: Knowledge is limited on associations between social disconnectedness (i.e. loneliness and social isolation), health literacy and perceived treatment burden in individuals with cardiovascular disease (CVD). However, understanding these associations may be important for clinical practice. Methods: This study used cross-sectional self-reported data from the 2017 Danish health and morbidity survey entitled ‘How are you?’, investigating the associations of loneliness and social isolation with low health literacy and high treatment burden in individuals with CVD (n = 2521; mean age = 65.7 years). Results: Logistic regression analysis showed that loneliness and social isolation were associated with low health literacy in terms of difficulties in ‘understanding health information’ (loneliness: adjusted odds ratio (AOR) = 1.32, 95% confidence intervals (CI) [1.16, 1.50]; social isolation: AOR = 1.47, 95% CI [1.24, 1.73]) and ‘engaging with healthcare providers’ (loneliness: AOR = 1.53, 95% CI [1.37, 1.70]; social isolation: AOR = 1.21, 95% CI [1.06, 1.40]) and associated with high treatment burden (loneliness: AOR = 1.49, 95% CI [1.35, 1.65]; social isolation: AOR = 1.20, 95% CI [1.06, 1.37]). Conclusions: Our findings show that loneliness and social isolation coexisted with low health literacy and high treatment burden in individuals with CVD. These findings are critical as socially disconnected individuals experience more health issues. Low health literacy and a high treatment burden may potentially exacerbate these issues.

AB - Background: Knowledge is limited on associations between social disconnectedness (i.e. loneliness and social isolation), health literacy and perceived treatment burden in individuals with cardiovascular disease (CVD). However, understanding these associations may be important for clinical practice. Methods: This study used cross-sectional self-reported data from the 2017 Danish health and morbidity survey entitled ‘How are you?’, investigating the associations of loneliness and social isolation with low health literacy and high treatment burden in individuals with CVD (n = 2521; mean age = 65.7 years). Results: Logistic regression analysis showed that loneliness and social isolation were associated with low health literacy in terms of difficulties in ‘understanding health information’ (loneliness: adjusted odds ratio (AOR) = 1.32, 95% confidence intervals (CI) [1.16, 1.50]; social isolation: AOR = 1.47, 95% CI [1.24, 1.73]) and ‘engaging with healthcare providers’ (loneliness: AOR = 1.53, 95% CI [1.37, 1.70]; social isolation: AOR = 1.21, 95% CI [1.06, 1.40]) and associated with high treatment burden (loneliness: AOR = 1.49, 95% CI [1.35, 1.65]; social isolation: AOR = 1.20, 95% CI [1.06, 1.37]). Conclusions: Our findings show that loneliness and social isolation coexisted with low health literacy and high treatment burden in individuals with CVD. These findings are critical as socially disconnected individuals experience more health issues. Low health literacy and a high treatment burden may potentially exacerbate these issues.

KW - Cardiovascular disease

KW - Health literacy

KW - Loneliness

KW - Social isolation

KW - Treatment burden

UR - http://www.scopus.com/inward/record.url?scp=85187697364&partnerID=8YFLogxK

U2 - 10.1007/s12529-024-10263-9

DO - 10.1007/s12529-024-10263-9

M3 - Journal article

C2 - 38480621

AN - SCOPUS:85187697364

SN - 1070-5503

VL - 31

SP - 363

EP - 371

JO - International Journal of Behavioral Medicine

JF - International Journal of Behavioral Medicine

IS - 3

ER -

Social Disconnectedness in Individuals with Cardiovascular Disease: Associations with Health Literacy and Treatment Burden

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this