Health Literacy, Health Numeracy, and Trust in Doctor: Effects on Key Patient Health Outcomes
Health Literacy, Health Numeracy, and Trust in Doctor: Effects on Key Patient Health Outcomes
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DOI：
10.1111/joca.12267
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发表时间：
2019-07-17
影响因子：
2.8
通讯作者：
Taylor, Herman
中科院分区：
文献类型：
--
作者：
Netemeyer, Richard G.;Dobolyi, David G.;Taylor, Herman
本研究探讨了健康素养、健康算术和对医生的信任在以下方面的作用：（1）患者咨询医生时的焦虑;（2）医生咨询的频率;（3）患者主观幸福感（SWB）。我们的样本包括4,040名在年龄、收入和教育方面代表美国的成年人，但白色/高加索人（50%）和黑人/非洲裔美国人（50%）的受访者各占一半。结果发现，功能性健康素养、沟通性健康素养和对医生的信任与就医焦虑之间存在线性和曲线关系。健康算术没有影响。咨询医生时的焦虑与较低的医生咨询次数和较低的主观幸福感相关。我们观察到健康素养、健康算术和对医生的信任对医生咨询频率和主观幸福感的直接线性效应，以及一些曲线效应。我们发现，健康算术和主观幸福感呈负相关。我们讨论了这些发现对健康和公共政策的影响。
This research examines the roles of health literacy, health numeracy, and trust in doctor on: (1) patient anxiety when consulting a doctor; (2) frequency of physician consultations; and (3) patient subjective well-being (SWB). Our sample consisted of 4,040 adults representative of the United States in terms of age, income, and education, but equally split among White/Caucasian (50%) and Black/African American (50%) respondents. We found that functional and communicative health literacy and trust in doctor have linear and curvilinear relationships with anxiety when consulting a doctor. Health numeracy had no effect. Anxiety when consulting a doctor was associated with a lower number of physician consultations and lower SWB. We observed direct linear effects of health literacy, health numeracy, and trust in doctor on frequency of physician consultations and SWB, as well as some curvilinear effects. We found a negative relationship between health numeracy and SWB. We discuss implications of these findings for health and public policy.