Towards a Better Understanding of MASLD: Patient Health Literacy, Illness Perception, and Awareness
OBJECTIVES: The objective of this study was to investigate metabolic dysfunction-associated steatotic liver disease (MASLD)-related awareness, health literacy (HL), and illness perception among patients at risk of MASLD in European primary care settings. METHODS: Participants aged ≥50 years with either obesity, metabolic syndrome (MetS), or type 2 diabetes mellitus (T2DM), and attending general practices (GPs) in Greece, Spain, or The Netherlands were included in the study. The participants completed surveys to collect data on their socio-demographic characteristics and health habits, including the European Health Literacy Survey (HLS-E-Q16), the Brief Illness Perception Questionnaire [B-IPQ], and the Public Awareness of NAFLD Questionnaire. RESULTS: = 0.028) scores. CONCLUSIONS: Despite being at risk, a significant proportion of the study participants were unaware of MASLD, its risk factors, and their personal susceptibility. This study underscores the importance of enhancing patient HL and promoting prevention and risk reduction, particularly among high-risk patient populations.
Authors
- Irini Gergianaki
- Christos Lionis (ORCID: https://orcid.org/0000-0002-9324-2839)
- Leen Heyens (ORCID: https://orcid.org/0000-0003-4850-6011)
- Marilena Anastasaki (ORCID: https://orcid.org/0000-0003-2306-1626)
- Jean Muris (ORCID: https://orcid.org/0000-0002-8780-476X)
- Sophia Papadakis (ORCID: https://orcid.org/0009-0005-2414-7036)
- Manolis Linardakis (ORCID: https://orcid.org/0000-0003-3849-3907)
- Foteini Anastasiou (ORCID: https://orcid.org/0000-0002-7771-9895)
- Juan Mendive
- Ger Koek
Institutions
- University of Crete (GR)
- Cyprus University of Technology (CY)
- Maastricht University (NL)
- Limassol General Hospital (CY)
- Science and Technology Park of Crete (GR)
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (ES)
- Primary Health Care (QA)
- Ziekenhuis Oost-Limburg (BE)
- Hasselt University (BE)
Publication Details
- Journal
- Diseases
- Published
- 2026-04-17
- DOI
- https://doi.org/10.3390/diseases14040147
- Primary Topic
- Health Literacy and Information Accessibility
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Gilead Sciences
- Fonds Wetenschappelijk Onderzoek
- University of Crete