Health Literacy Mediates Racial Disparities in Cardiopulmonary Resuscitation Knowledge among Chronic Kidney Disease Patients
Health Literacy Mediates Racial Disparities in Cardiopulmonary Resuscitation Knowledge among Chronic Kidney Disease Patients
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DOI：
10.1353/hpu.2018.0080
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发表时间：
2018-08-01
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.;Olaniran, Kabir;Paasche-Orlow, Michael K.
患有慢性肾脏疾病（CKD）的黑人患者比其他种族群体接受更多的心肺复苏（CPR），CPR的知识影响护理偏好。由于有限的健康素养对黑人的影响不成比例，并导致了临终关怀（EOL）的差异，我们调查了健康素养是否介导了心肺复苏知识的种族差异。黑人和白色成人晚期CKD患者完成了CPR知识调查。健康素养评估使用快速估计成人识字率在医学。在149名患者中，黑人患者的健康素养更可能有限，CPR知识得分低于白色患者。在调整后的分析中，健康素养介导了CPR知识的种族差异。与白色CKD患者相比，黑人的CPR知识较低，健康素养是这种差异的中介。未来的心肺复苏教育干预措施应针对健康素养障碍，以改善知情决策，减少生命结束时的种族差异。
Black patients with chronic kidney disease (CKD) receive more cardiopulmonary resuscitation (CPR) than other racial groups, and knowledge of CPR influences preferences for care. As limited health literacy disproportionately affects Blacks and contributes to disparities in end-of-life (EOL) care, we investigated whether health literacy mediates racial disparities in CPR knowledge. Black and White adult patients with advanced CKD completed CPR knowledge surveys. Health literacy was assessed using the Rapid Estimate of Adult Literacy in Medicine. Among 149 patients, Black patients were more likely to have limited health literacy and lower mean CPR knowledge scores than White patients. In adjusted analyses, health literacy mediated racial differences in CPR knowledge. Knowledge of CPR is lower among Black compared with White CKD patients and health literacy is a mediator of this difference. Future CPR educational interventions should target health literacy barriers to improve informed decision-making and decrease racial disparities at the end of life.