Health Literacy and Education as Mediators of Racial Disparities in Patient Activation Within an Elderly Patient Cohort
Health Literacy and Education as Mediators of Racial Disparities in Patient Activation Within an Elderly Patient Cohort
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DOI：
10.1353/hpu.2016.0133
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发表时间：
2016-08-01
影响因子：
1.4
通讯作者：
Paasche-Orlow, Michael K.
中科院分区：
文献类型：
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作者：
Eneanya, Nwamaka D.;Winter, Michael;Paasche-Orlow, Michael K.
患者激活测量(PAM)评估患者参与的各个方面，以确定主动的健康行为，是健康结果的重要预测因素。卫生知识和教育对于患者参与和成功引导卫生保健系统也很重要。由于健康素养、教育和患者激活与种族差异相关，我们试图调查健康素养和教育是否会在患者激活中调节种族差异。参与者是265名老年人，他们参加了一项基于计算机的运动干预研究。健康素养采用成人功能健康素养测验量表(TOFHLA)进行测评。在210名符合条件的参与者中，72%的人认为自己是黑人，28%的人认为是白人。在调整后的分析中，教育和健康素养分别显著减少了患者活动中的种族差异。当考虑到关于患者激活的重要性的新数据和增加患者参与度的新策略时，这些发现尤其重要。
The Patient Activation Measure (PAM) assesses facets of patient engagement to identify proactive health behaviors and is an important predictor of health outcomes. Health literacy and education are also important for patient participation and successful navigation of the health care system. Because health literacy, education, and patient activation are associated with racial disparities, we sought to investigate whether health literacy and education would mediate racial differences in patient activation. Participants were 265 older adults who participated in a computer-based exercise interventional study. Health literacy was assessed using the Test of Functional Health Literacy in Adults (TOFHLA). Of 210 eligible participants, 72% self-identified as Black and 28% as White. In adjusted analyses, education and health literacy each significantly reduced racial differences in patient activation. These findings are especially important when considering emerging data on the significance of patient activation and new strategies to increase patient engagement.