{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T01:50:09Z","timestamp":1783561809218,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2025,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n The aim of this study was to determine whether health literacy predicts self\u2010careamong patients with chronic kidney disease (CKD) in a low\u2010resource setting.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n The study was a cross\u2010sectional study conducted among 196 patients with CKD attending an urban facility in Kampala, Uganda.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Data were collected using the adopted health literacy scale (HLS\u201014 tool) and CKD self\u2010care questionnaire. Descriptive statistics and linear regression were used in the data analyses. The statistical significance level was set at\n p<\/jats:italic>\n \u2009<\u20090.05.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean age of the participants was 47.2 (13.3)\u2009years. Most participants were male (60%), and about 72% were at stage 5 of CKD. Only 6% had health insurance whereas 20% were employed. The participants had a mean self\u2010care score of 65.39 (SD \u00b17.1) and a mean score of health literacy of 49.48 (SD \u00b111.2). Based on the bivariate analysis, self\u2010care was associated with sex (\n p<\/jats:italic>\n \u2009=\u20090.005), employment status (\n p<\/jats:italic>\n \u2009=\u20090.003) and health literacy (\n p<\/jats:italic>\n \u2009=\u20090.005). Results from the multivariable regression model show that self\u2010care has a statistically significant positive association with health literacy (\n \u03b2<\/jats:italic>\n \u2009=\u20090.167,\n t<\/jats:italic>\n \u2009=\u20093.65,\n p<\/jats:italic>\n \u2009\u2264\u20090.001) and employment (\n \u03b2\u2009=<\/jats:italic>\n \u20094.45,\n t<\/jats:italic>\n \u2009=\u20093.43,\n p<\/jats:italic>\n \u2009\u2264\u20090.001) while controlling for other variables.\n <\/jats:p>\n <\/jats:sec>\n \n Patient or Public Contribution<\/jats:title>\n Our findings suggest that higher levels of health literacy are associated with improved self\u2010care practices which are crucial for managing CKD efficiently. Health education should be provided as early as possible. This work can serve as a basis for future related studies in low\u2010income settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/nop2.70375","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T04:40:07Z","timestamp":1763008807000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Health Literacy and Self\u2010Care Among Patients Living With Chronic Kidney Disease in a Low\u2010Resource Setting"],"prefix":"10.1002","volume":"12","author":[{"given":"Racheal Nakimuli","family":"Mwesigwa","sequence":"first","affiliation":[{"name":"Mulago Hospital Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9147-4559","authenticated-orcid":false,"given":"Joyce","family":"Nankumbi","sequence":"additional","affiliation":[{"name":"Department of Nursing Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom Denis","family":"Ngabirano","sequence":"additional","affiliation":[{"name":"Department of Nursing Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia","family":"Kabiri","sequence":"additional","affiliation":[{"name":"Department of Nursing Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1439-0236","authenticated-orcid":false,"given":"Connie","family":"Olwit","sequence":"additional","affiliation":[{"name":"School of Nursing Augusta University Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0274454"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2019.1613471"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2010.499985"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2008.01.006"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.12425"},{"key":"e_1_2_9_7_1","unstructured":"Dhand N. 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