Health literacy in adolescents with sickle cell disease: The influence of caregiver health literacy
Health literacy in adolescents with sickle cell disease: The influence of caregiver health literacy
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DOI：
10.1111/jspn.12284
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发表时间：
2019-12-11
影响因子：
1.3
通讯作者：
Caldwell, Elizabeth P.
中科院分区：
文献类型：
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作者：
Caldwell, Elizabeth P.
目的镰状细胞病（SCD）患者从儿科转到成人护理后，发病率和死亡率显著增高。这一转变的成功或失败有许多可能的因素。一种假设是，健康素养影响了从儿科到成人医疗保健的转变。本研究的目的是双重的：(a)检查青少年SCD中照顾者与青少年健康素养水平之间的关系；(b)进一步描述试点数据所描述的影响SCD青少年健康素养水平的个人特征。设计和方法本横断面描述性相关研究包括对德克萨斯州达拉斯一家大型三级医疗中心的59对青少年SCD患者及其护理人员使用最新的生命体征（NVS）健康素养仪器。采用方便抽样进行招募。照顾者健康素养水平、年龄、当前年级水平、家庭年收入、照顾者教育水平、年度保健接触次数和青少年健康素养水平相关，以确定变量之间的关系。结果照护者与青少年健康素养水平之间无显著关系。青少年健康素养NVS得分与青少年年龄（r(58) = .468, p < .001）、照顾者收入（r(46) = .293, p = .023）、照顾者最高受教育程度（r(56) = .318, p = .008）呈正相关。只有青少年年龄是青少年健康素养NVS评分的显著预测因子，beta = .485（标准误差[SE] = .109）， p = .001。模型中的其他预测因子均不显著，包括照顾者与青少年健康素养NVS评分之间的关系，beta = 0.065 (SE = 0.131), p = 0.633。此外，尽管在双变量分析中，照顾者收入和最高教育水平与青少年健康素养NVS得分呈正相关，但在控制了彼此、青少年年龄和模型中的其他变量后，这些关系不显著。实践意义本研究提供了潜在的实践和研究倡议，以评估青少年的健康素养，有和没有SCD，无论是现在还是将来。
Purpose After patients with sickle cell disease (SCD) transfer from pediatric care to adult care, significant morbidity and mortality occurs. There are many possible contributors to the success or failure of this transition. One hypothesis is that health literacy influences this transition from pediatric to adult health care. The purpose of this study was twofold: (a) to examine the relationship between caregiver and adolescent health literacy levels in adolescents with SCD; and (b) to further describe individual traits contributing to health literacy levels in adolescents with SCD as described by pilot data. Design and Methods This cross-sectional, descriptive correlational study included the administration of the newest vital sign (NVS) health literacy instrument to 59 dyads of adolescent patients with SCD and their caregivers in a large, tertiary care center in Dallas, Texas. Convenience sampling was utilized for recruitment. Caregiver health literacy levels, age, current grade level, annual household income, caregiver education level, number of annual healthcare encounters, and adolescent health literacy levels were correlated to determine relationships amongst variables. Results There was no significant relationship between caregiver and adolescent health literacy levels in this population. Adolescent health literacy NVS scores were positively correlated with adolescent age, r(58) = .468, p < .001, caregiver income, r(46) = .293, p = .023, and caregiver highest education level, r(56) = .318, p = .008. Only adolescent age was a significant predictor of adolescent health literacy NVS scores, beta = .485 (standard error [SE] = .109), p = .001. None of the other predictors in the model were significant, including the relationship between caregiver and adolescent health literacy NVS scores, beta = .065 (SE = .131), p = .633. In addition, although caregiver income and highest education level were positively correlated with adolescent health literacy NVS scores in the bivariate analysis, these relationships were nonsignificant while controlling for each other, adolescent age, and the other variables in the model. Practice Implications This study gives insight on potential practice and research initiatives to evaluate the health literacy of adolescents, with and without SCD, both now and in the future.