{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T21:22:40Z","timestamp":1778880160238,"version":"3.51.4"},"reference-count":40,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T00:00:00Z","timestamp":1555027200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Health literacy (HL) has become an important area of research. The aim of this study was to evaluate the HL of primary healthcare patients in the Republic of Srpska (RS), Bosnia and Herzegovina (B&amp;H) and to identify socioeconomic and health factors associated with HL. This cross-sectional study among 768 patients was conducted in two healthcare centres between March and May 2017, using the Short Test of Functional Health Literacy in Adults (S-TOFHLA). Analysis was done using descriptive and inferential statistics (a chi-squared test and logistic regression). Inadequate and marginal HL was found in 34,6% of respondents. Socioeconomic and self-reported health factors were significantly related to HL. An age of 55 years and over (OR 1.02), living in a rural environment (OR 2.25), being divorced (OR 3.32), being insufficiently physically active (OR 1.29), having poor income (OR 1.96), having more than three chronic diseases (OR 1.94), and poor health (OR 1.59) were significantly corelated with inadequate and marginal HL. The results of our study indicate that a low level of HL is related to the elderly, having a divorce, having a rural residence, poor income, having more than three chronic diseases, poor health, and insufficient physical activity. Further evaluation, monitoring, and activities to improve HL are of great importance for patients\u2019 health outcomes.<\/jats:p>","DOI":"10.3390\/ijerph16081324","type":"journal-article","created":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T12:55:04Z","timestamp":1555073704000},"page":"1324","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Health Literacy: Current Status and Challenges in the Work of Family Doctors in Bosnia and Herzegovina"],"prefix":"10.3390","volume":"16","author":[{"given":"Nevena","family":"Todorovic","sequence":"first","affiliation":[{"name":"Family Medicine Department, Faculty of Medicine, University of Banja Luka, Save Mrkalja 14, 78 000 Banja Luka, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9023-4024","authenticated-orcid":false,"given":"Aleksandra","family":"Jovic-Vranes","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Dr. Subotica 8, 11000 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bosiljka","family":"Djikanovic","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Dr. Subotica 8, 11000 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5038-1978","authenticated-orcid":false,"given":"Natasa","family":"Pilipovic-Broceta","sequence":"additional","affiliation":[{"name":"Family Medicine Department, Faculty of Medicine, University of Banja Luka, Save Mrkalja 14, 78 000 Banja Luka, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1548-5560","authenticated-orcid":false,"given":"Nadja","family":"Vasiljevic","sequence":"additional","affiliation":[{"name":"Institute of Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, Dr. Subotica 8, 11000 Belgrade, Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6165-9130","authenticated-orcid":false,"given":"Maja","family":"Racic","sequence":"additional","affiliation":[{"name":"Department for Primary Health Care, Faculty of Medicine, University of East Sarajevo, Studentska 5, 73300 Foca, Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2019,4,12]]},"reference":[{"key":"ref_1","unstructured":"WHO (2019, January 19). Health Promotion. Available online: http:\/\/www.who.int\/healthpromotion\/conferences\/9gchp\/resources\/en\/."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Sorensen, K., van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., and Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12, Available online: https:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/1471-2458-12-80.","DOI":"10.1186\/1471-2458-12-80"},{"key":"ref_3","first-page":"1074","article-title":"Accelerating the health literacy agenda in Europe","volume":"32","author":"Quaglio","year":"2016","journal-title":"Health Promot. Int."},{"key":"ref_4","unstructured":"U.S. Department of Health and Human Services (2019, February 19). Office of Disease Prevention and Health Promotion. National Action Plan to Improve Health Literacy. Washington, Available online: https:\/\/health.gov\/communication\/HLActionPlan\/pdf\/Health_Lit_Action_Plan_Summary.pdf."},{"key":"ref_5","first-page":"29","article-title":"Breaking through the invisible barrier of low functional literacy: Implications for health communication","volume":"5","author":"Eagle","year":"2006","journal-title":"Stud. Commun. Sci. Spec. Issue Health Lit."},{"key":"ref_6","unstructured":"Osborne, H. (2013). Health Literacy from A to Z: Practical Ways to Communicate your Health Message, Jones and Bartlett Learning. [2nd ed.]. Available online: http:\/\/samples.jbpub.com\/9781449600532\/00532_FMxx_PASS03.pdf."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1001\/jama.2011.512","article-title":"Health Literacy and Outcomes Among Patients with Heart Failure","volume":"305","author":"Peterson","year":"2011","journal-title":"JAMA"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"583","DOI":"10.3325\/cmj.2009.50.583","article-title":"Illness perception and cardiovascular risk factors in patients with type 2 diabetes: Cross-sectional questionnaire study","volume":"50","author":"Petricek","year":"2009","journal-title":"Croat. Med. J."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/0738-3991(95)00787-3","article-title":"Shame and health literacy: The unspoken connection","volume":"27","author":"Parikh","year":"1996","journal-title":"Patient Educ. Couns."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1007\/BF02640361","article-title":"The test of functional health literacy in adults: A new instrument for measuring patient\u2019s literacy skills","volume":"10","author":"Parker","year":"1995","journal-title":"J. Gen. Intern. Med."},{"key":"ref_11","unstructured":"Health Literacy Tool Shed (2018, December 10). A Database of Health Literacy Measures. Available online: http:\/\/healthliteracy.bu.edu\/all."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/s00038-010-0181-0","article-title":"Health literacy in a population primary health-care patients in Belgrade, Serbia","volume":"56","author":"Marinkovic","year":"2011","journal-title":"Int. J. Public Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1080\/13814788.2019.1571579","article-title":"Assessment of health literacy in the adult population registered to family medicine physicians in the Republic of Srpska, Bosnia and Herzegovina","volume":"25","author":"Todorovic","year":"2019","journal-title":"Eur. J. Gen. Pract."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1093\/eurpub\/ckv043","article-title":"Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU)","volume":"25","author":"Sorensen","year":"2015","journal-title":"Eur. J. Public Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1007\/s40520-018-1104-9","article-title":"Assessment of health literacy among older Finns","volume":"31","author":"Eronen","year":"2018","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_16","first-page":"905","article-title":"\u201cSo that each patient may comprehend\u201d: Measuring health literacy in Hungary","volume":"157","author":"Schulz","year":"2016","journal-title":"Orv. Hetil."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1093\/pubmed\/fdp049","article-title":"Functional health literacy among primary health-care patients: Data from the Belgrade pilot study","volume":"31","author":"Marinkovic","year":"2009","journal-title":"J. Public Health"},{"key":"ref_18","unstructured":"Marmot, M., and Wilkinson, R. (2003). Social Determinants of Health, WHO Library. [2nd ed.]. Available online: http:\/\/www.euro.who.int\/__data\/assets\/pdf_file\/0005\/98438\/e81384.pdf."},{"key":"ref_19","unstructured":"(2018, October 05). The European Health Literacy Project 2009-2012 (HLS-EU), Final Report. Available online: www.health-literacy.eu."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1007\/s00038-009-0058-2","article-title":"The costs of limited health literacy: A systematic review","volume":"54","author":"Eichler","year":"2009","journal-title":"Int. J. Public Health"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Zotti, P., Cocchi, S., Polesel, J., Cipolat, M.C., Bragatto, D., Cavuto, S., Conficconi, A., Costanzo, C., De Giorgi, M., and Christina, A. (2017). Cross-cultural validation of health literacy measurement tools in Italian oncology patients. BMC Health Serv. Res., 17, Available online: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5477151\/.","DOI":"10.1186\/s12913-017-2359-0"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1007\/s11606-015-3206-9","article-title":"Cognitive Function and Health Literacy Decline in a Cohort of Aging English Adults","volume":"30","author":"Kobayashi","year":"2015","journal-title":"J. Gen. Intern Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e001503","DOI":"10.1136\/bmjopen-2012-001503","article-title":"Characteristics of people with low health literacy on coronary heart disease GP registers in South London: A cross-sectional study","volume":"3","author":"Rowlands","year":"2013","journal-title":"BMJ Open"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e007222","DOI":"10.1136\/bmjopen-2014-007222","article-title":"The role of cognitive function in the relationship between age and health literacy: A cross-sectional analysis of older adults in Chicago, USA","volume":"5","author":"Kobayashi","year":"2015","journal-title":"BMJ Open"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.pec.2012.08.018","article-title":"Functional health literacy in Switzerland\u2013validation of a German, Italian, and French health literacy test","volume":"90","author":"Connor","year":"2013","journal-title":"Patient Educ. Couns."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Geboers, B., Brainard, J.S., Loke, Y.K., Jansen, C.J.M., Salter, C., Reijneveld, S.A., and de Winter, A.F. (2015). Erratum to: The association of health literacy with adherence in older adults, and its role in interventions: A systematic meta-review. BMC Public Health, 15, Available online: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4573285\/.","DOI":"10.1186\/s12889-015-2419-5"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1093\/heapro\/dat071","article-title":"Health literacy, socioeconomic status and self-rated health in Japan","volume":"30","author":"Furuya","year":"2015","journal-title":"Health Promot. Int."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1093\/geronb\/gbu161","article-title":"Aging and Functional Health Literacy: A Systematic Review and Meta-Analysis","volume":"71","author":"Kobayashi","year":"2016","journal-title":"J. Gerontol. B Psychol. Sci. Soc. Sci."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Jessup, R.L., Osborne, R.H., Beauchamp, A., Bourne, A., and Buchbinder, R. (2017). Health literacy of recently hospitalised patients: A cross-sectional survey using the Health Literacy Questionnaire (HLQ). BMC Health Serv. Res., 17, Available online: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5244731\/.","DOI":"10.1186\/s12913-016-1973-6"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Jessup, R.L., Osborne, R.H., Beauchamp, A., Bourne, A., and Buchbinder, R. (2018). Differences in health literacy profiles of patients admitted to a public and a private hospital in Melbourne, Australia. BMC Health Serv. Res., 18, Available online: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5824469\/.","DOI":"10.1186\/s12913-018-2921-4"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Nakayama, K., Osaka, W., Togari, T., Ishikawa, H., Yonekura, Y., Sekido, A., and Matsumoto, M. (2015). Comprehensive health literacy in Japan is lower than in Europe: A validated Japanese-language assessment of health literacy. BMC Public Health, 15, Available online: https:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-015-1835-x.","DOI":"10.1186\/s12889-015-1835-x"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"e018281","DOI":"10.1136\/bmjopen-2017-018281","article-title":"Factors associated with health literacy in multimorbid patients in primary care: A cross-sectional study in Switzerland","volume":"8","author":"Pasquier","year":"2018","journal-title":"BMJ Open"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1007\/s11606-009-1105-7","article-title":"Developing Predictive Models of Health Literacy","volume":"24","author":"Martin","year":"2009","journal-title":"J. Gen. Intern. Med."},{"key":"ref_34","unstructured":"Parker, R.M., Davis, T.C., Williams, M.V., Bateman, W.B., Kramer, E.J., and Glassman, K.S. (1999). Patients with limited health literacy. Patient and Family Education in Managed in Managed Care and Beyond: Seizing the Teachable Moment, Springer. Available online: https:\/\/archive.org\/stream\/understandinghe00nati\/understandinghe00nati_djvu.txt."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1177\/1010539515607962","article-title":"Health literacy in Taiwan: A population-based study","volume":"27","author":"Duong","year":"2015","journal-title":"Asia Pac. J. Public Health"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.je.2016.09.005","article-title":"Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries","volume":"27","author":"Duong","year":"2017","journal-title":"J. Epidemiol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1136\/jech-2015-206910","article-title":"Health literacy and the use of healthcare services in Belgium","volume":"70","author":"Vandenbosch","year":"2016","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Shih, S.F., Liu, C.H., Liao, L.L., and Osborne, R. (2016). Health literacy and the determinants of obesity: A population-based survey of sixth grade school children in Taiwan. BMC Public Health, 16, Available online: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4802836\/.","DOI":"10.1186\/s12889-016-2879-2"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"327","DOI":"10.2105\/AJPH.2015.302901","article-title":"Health Literacy, Pedometer, and Self-Reported Walking Among Older Adults","volume":"106","author":"Johnson","year":"2016","journal-title":"Am. J. Public Health"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/j.gerinurse.2016.12.003","article-title":"The impact of inadequate health literacy on patient satisfaction, healthcare utilization, and expenditures among older adults","volume":"38","author":"MacLeod","year":"2017","journal-title":"Geriatr. Nurs."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/8\/1324\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T12:45:01Z","timestamp":1760186701000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/8\/1324"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,12]]},"references-count":40,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2019,4]]}},"alternative-id":["ijerph16081324"],"URL":"https:\/\/doi.org\/10.3390\/ijerph16081324","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,12]]}}}