The Associations of Patient Demographic Characteristics and Health Information Recall: The Mediating Role of Health Literacy

The Associations of Patient Demographic Characteristics and Health Information Recall: The Mediating Role of Health Literacy
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DOI:
10.1080/13825580902741336
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发表时间:
2009-07-01
影响因子:
1.9
通讯作者:
Bosworth, Hayden
Bosworth, Hayden
中科院分区:
心理学4区
文献类型:
--
作者:
Ayotte, Brian J.;Allaire, Jason C.;Bosworth, Hayden

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我们考察了健康素养在参与者人口统计特征与健康信息回忆之间的关系中的中介作用。分析了两项针对成年高血压患者(N=1190;M=62.28岁,SD=11.98;35.5%女性;45.9%非裔美国人)的基线数据。根据招聘地点调整的最终模型表明,经济状况、种族和教育程度通过健康素养间接影响健康信息回忆。增加教育也与更好的健康信息记忆直接相关。年龄增长与健康素养无关,但与健康信息回忆能力较差有关。最终模型对数据的拟合很好,X_1(2)(3)=0.69,p=0.36,RMSEA=0.000(90%CI=0.000~0.024),CFI=1.00。结果表明,健康素养可能是参与者人口统计特征与不良健康结果之间关系的潜在机制之一,这是由于对指导的回忆不准确所致。
We examined the mediating role of health literacy in the relationships between participant demographic characteristics and health information recall. Baseline data from two studies that focused on hypertensive adults (N = 1190; M = 62.28 years, SD = 11.98; 35.5% female; 45.9% African-American) were analyzed. The final model, which adjusted for recruitment site, indicated that financial status, race, and education were indirectly related to health information recall through health literacy. Increasing education was also directly related to better health information recall. Increasing age was not related to health literacy, but was related to poorer health information recall. The final model fit the data very well, chi(2)(3) = 0.69, p = .36, RMSEA = .000 (90% CI = .000 to .024), CFI = 1.00. The results suggest that health literacy might be one of the mechanisms underlying the relationships between participant demographic characteristics and poor health outcomes due to inaccurate recall of instructions.