Health literacy association with health behaviors and health care utilization in multiple sclerosis: a cross-sectional study.
Health literacy association with health behaviors and health care utilization in multiple sclerosis: a cross-sectional study.
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DOI：
10.2196/ijmr.2993
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发表时间：
2014-02-10
影响因子：
2
通讯作者：
Cutter GR
中科院分区：
文献类型：
--
作者：
Marrie RA;Salter A;Tyry T;Fox RJ;Cutter GR
低健康素养通常与不良的健康结果相关;然而，健康素养在多发性硬化症（MS）中很少受到关注。本研究的目的是调查的MS患者的健康素养使用北美多发性硬化症研究委员会（NARCOMS）注册。2012年，我们在NARCOMS参与者中进行了一项健康素养的横断面研究。受访者完成了医学术语识别测试（METER），评估区分医学和非医学词汇的能力，以及最新的生命体征（NVS）工具，评估阅读，解释和计算能力。受访者报告了他们过去6个月的社会人口统计学特征、健康行为、合并症、急诊室就诊次数和住院情况。我们使用逻辑回归来评估与功能性读写能力相关的特征，以及功能性读写能力与卫生保健利用之间的关联。在13，020名合格参与者中，8934名（68.6%）完成了问卷调查，并且是美国居民。其中81.04%（7066/8719）的学生对METER有功能性读写能力，74.62%（6666/8933）的学生对NVS有足够的读写能力。METER或NVS的低识字率与吸烟、超重或肥胖相关（均P<0.001）。调整后，METER上的低识字率与ER就诊（OR 1.28，95%CI 1.10-1.48）和住院（OR 1.19，95%CI 0.98-1.44）相关。NVS的结果相似。在NARCOMS队列中，功能性健康素养很高。然而，较低的健康素养水平与不良健康行为和更高的医疗保健利用率相关。
Low health literacy is generally associated with poor health outcomes; however, health literacy has received little attention in multiple sclerosis (MS). The aim of this study was to investigate the health literacy of persons with MS using the North American Research Committee on Multiple Sclerosis (NARCOMS) Registry. In 2012, we conducted a cross-sectional study of health literacy among NARCOMS participants. Respondents completed the Medical Term Recognition Test (METER) which assesses the ability to distinguish medical and nonmedical words, and the Newest Vital Sign (NVS) instrument which evaluates reading, interpretation, and numeracy skills. Respondents reported their sociodemographic characteristics, health behaviors, comorbidities, visits to the emergency room (ER), and hospitalizations in the last 6 months. We used logistic regression to evaluate the characteristics associated with functional literacy, and the association between functional literacy and health care utilization. Of 13,020 eligible participants, 8934 (68.6%) completed the questionnaire and were US residents. Most of them performed well on the instruments with 81.04% (7066/8719) having functional literacy on the METER and 74.62% (6666/8933) having adequate literacy on the NVS. Low literacy on the METER or the NVS was associated with smoking, being overweight or obese (all P<.001). After adjustment, low literacy on the METER was associated with ER visits (OR 1.28, 95% CI 1.10-1.48) and hospitalizations (OR 1.19, 95% CI 0.98-1.44). Findings were similar for the NVS. In the NARCOMS cohort, functional health literacy is high. However, lower levels of health literacy are associated with adverse health behaviors and greater health care utilization.