Quality of life, health status, and health service utilization related to a new measure of health literacy: FLIGHT/VIDAS.

Quality of life, health status, and health service utilization related to a new measure of health literacy: FLIGHT/VIDAS.
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DOI:
10.1016/j.pec.2014.05.005
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发表时间:
2014-09
影响因子:
3.5
通讯作者:
Waldrop-Valverde D
Waldrop-Valverde D
中科院分区:
医学2区
文献类型:
--
作者:
Ownby RL;Acevedo A;Jacobs RJ;Caballero J;Waldrop-Valverde D

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研究人员已经确定了目前使用的一些健康素养衡量标准的显著局限性。这篇文章的目的是提供非患者人群中与健康相关的生活质量、健康状况和健康服务利用与健康素养的新测量结果之间的关系的数据。这项新措施对475名讲英语和西班牙语的社区居住志愿者进行了评估,同时还对现有的健康素养以及与健康相关的生活质量、健康状况和医疗服务利用情况进行了评估。通过相关性和健康状况评估措施之间的关系,并使用ANCOVA模型测试健康素养水平的利用率。新的健康素养措施与现有的健康素养措施以及参与者与健康相关的生活质量密切相关。健康素养水平较低的人报告的健康状况更好,身体症状更频繁,医疗服务利用率更高。健康素养的新测量是有效的,并显示出与生活质量和健康行为等概念相关概念的测量之间的关系。实践意义:对于对计算机管理和评分的健康素养测量感兴趣的研究人员和临床医生来说,飞行/VIDAS可能是有用的。
Researchers have identified significant limitations in some currently-used measures of health literacy. The purpose of this paper is to present data on the relation of health-related quality of life, health status, and health service utilization to performance on a new measure of health literacy in a nonpatient population. The new measure was administered to 475 English- and Spanish-speaking community-dwelling volunteers along with existing measures of health literacy and assessments of health-related quality of life, health status, and healthcare service utilization. Relations among measures were assessed via correlations and health status and utilization was tested across levels of health literacy using ANCOVA models. The new health literacy measure is significantly related to existing measures of health literacy as well as to participants’ health-related quality of life. Persons with lower levels of health literacy reported more health conditions, more frequent physical symptoms, and greater healthcare service utilization. The new measure of health literacy is valid and shows relations to measures of conceptually-related constructs such as quality of life and health behaviors. Practice Implications: FLIGHT/VIDAS may be useful to researchers and clinicians interested in a computer administered and scored measure of health literacy.