Functional health literacy and the risk of hospital admission among Medicare managed care enrollees
Functional health literacy and the risk of hospital admission among Medicare managed care enrollees
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DOI：
10.2105/ajph.92.8.1278
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发表时间：
2002-08-01
影响因子：
12.7
通讯作者：
Peel, J
中科院分区：
文献类型：
--
作者：
Baker, DW;Gazmararian, JA;Peel, J
目标.本研究分析了功能性健康素养不足是否是住院的独立危险因素。我们研究了一个前瞻性队列的3260名医疗保险管理护理登记。在参与者中，29.5%的人住院。粗相对危险度（RR）的住院是较高的个人识字不足（n = 800; RR = 1.43; 95%置信区间[CI] = 1.24，1.65）和边际识字（n = 366; RR = 1.33 95%CI = 1.09 1.61）比那些有足够的识字（n = 2094）。在多变量分析中，文化程度不高者入院的校正相对危险度为1.29（95%CI = 1.07，1.55），文化程度不高者为1.21（95%CI = 0.97，1.50）。识字不足是一个独立的风险因素，住院老年管理护理登记。
Objectives. This study analyzed whether inadequate functional health literacy is an independent risk factor for hospital admission.Methods. We studied a prospective cohort of 3260 Medicare managed care enrollees.Results. Of the participants, 29.5% were hospitalized. The crude relative risk (RR) of hospitalization was higher for individuals with inadequate literacy (n = 800; RR = 1.43; 95% confidence interval [CI] = 1.24, 1.65) and marginal literacy (n = 366; RR = 1.33 95% Cl = 1.09 1.61) than for those with adequate literacy (n = 2094). In multivariate analysis, the adjusted relative risk of hospital admission was 1.29 (95% Cl = 1.07, 1.55) for individuals with inadequate literacy and 1.21 (95% CI = 0.97, 1.50) for those with marginal literacy.Conclusions. Inadequate literacy was an independent risk factor for hospital admission among elderly managed care enrollees.