Limited literacy in older people and disparities in health and healthcare access
Limited literacy in older people and disparities in health and healthcare access
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DOI：
10.1111/j.1532-5415.2006.00691.x
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发表时间：
2006-05-01
影响因子：
6.3
通讯作者：
Yaffe, Kristine
中科院分区：
文献类型：
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作者：
Sudore, Rebecca L.;Mehta, Kala M.;Yaffe, Kristine
研究对象：田纳西州孟菲斯和宾夕法尼亚州匹兹堡。研究对象：2,512名居住在社区的黑人和白人老年人，他们在基线状态下功能良好(无功能障碍或痴呆症)。分数被分为0到6年级、7到8年级和9年级和更高的阅读水平(有限的健康素养定义为9年级)。研究对象的人口学特征、社会经济状况、合并症以及医疗保健可获得性的三项指标(是否有医生/正规医疗场所、是否在年内接种过流感疫苗、是否有药物保险)也被评估。结果：参与者的平均年龄为75.6岁，52%为女性，38%为黑人，24%的人健康素养有限。在调整了社会人口统计学因素后，有限的健康素养与男性、黑人、低收入和低教育程度、糖尿病、抑郁症状以及自评健康状况一般/差之间仍然存在关联(P
OBJECTIVES: To determine the relationship between health literacy, demographics, and access to health care.DESIGN: Cross-sectional study, Health, Aging and Body Composition data (1999/2000).SETTING: Memphis, Tennessee, and Pittsburgh, Pennsylvania.PARTICIPANTS: Two thousand five hundred twelve black and white community-dwelling older people who were well functioning at baseline (without functional difficulties or dementia).MEASUREMENTS: Participants' health literacy was assessed using the Rapid Estimate of Adult Literacy in Medicine. Scores were categorized into 0 to sixth-, seventh- to eighth-, and ninth-grade and higher reading levels (limited health literacy defined as < 9th grade). Participants' demographics, socioeconomic status, comorbidities, and three indicators of healthcare access (whether they had a doctor/ regular place of medical care, an influenza vaccination within the year, or insurance for medications) were also assessed.RESULTS: Participants' mean age was 75.6, 52% were female, 38% were black, and 24% had limited health literacy. After adjusting for sociodemographics, associations remained between limited health literacy and being male, being black, and having low income and education, diabetes mellitus, depressive symptoms, and fair/poor self-rated health (P