Health Literacy in Adolescents With Sickle Cell Disease

Health Literacy in Adolescents With Sickle Cell Disease
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DOI:
10.1016/j.pedn.2017.05.012
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发表时间:
2017-09-01
影响因子:
2.4
通讯作者:
Johnson, Karen E.
Johnson, Karen E.
中科院分区:
医学3区
文献类型:
--
作者:
Perry, Elizabeth L.;Carter, Patricia A.;Johnson, Karen E.

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目的:为了评估健康素养在一个队列中的75名青少年与镰状细胞病(SCD)设计和方法:这一横断面,描述性相关性研究包括评估人口统计学措施和评估的数据完成的REALM-青少年和最新的生命体征(NVS)仪器由75个黑人,非西班牙裔青少年与SCD。采用方便取样法。入选标准为SCD的四种主要基因型之一的诊断和年龄10-19 years.Results:37名男性和38名女性被招募的研究。他们的平均年龄为14.7岁(SD = 2.2;范围8.1)。他们的年级范围从4到12(平均8.7; SD = 2.2)。REALM-Teen评分范围为12 - 66(平均53.7; SD = 12.8)。NVS评分范围为0 - 6分(平均2.37; SD = 1.33)。与所有健康青少年和成人的得分相比,使用REALM-Teen和NVS工具的这些健康素养得分较低。当前年级水平与健康素养得分呈中度正相关(r = 0.52,p < 0.01)。健康素养得分与年龄(r = 0.49,p < 0.01)和收入(r = 0.37,p < 0.01)呈显著正相关。未来的研究应包括在更大的SCD青少年队列中确定健康素养水平的促进因素和障碍。(C)2017爱思唯尔公司All rights reserved.
Purpose: To evaluate health literacy in a cohort of 75 adolescents with sickle cell disease (SCD).Design and Methods: This cross-sectional, descriptive correlational study included assessment of demographic measures and appraisal of data resulting from completion of the REALM-Teen and Newest Vital Sign (NVS) instruments by 75 Black, non-Hispanic adolescents with SCD. Convenience sampling was utilized. Inclusion criteria were a diagnosis of one of the four primary genotypes of SCD and age 10-19 years.Results: Thirty-seven males and 38 females were recruited for the study. Their mean age was 14.7 years (SD = 2.2; range 8.1). Their grade level ranged from 4 to 12 (mean 8.7; SD = 2.2). Scores on the REALM-Teen ranged from 12 to 66 (mean 53.7; SD = 12.8). Scores on the NVS ranged from 0 to 6 (mean 2.37; SD = 1.33). These health literacy scores were lower using both the REALM-Teen and the NVS instruments when compared to scores in all healthy adolescents and adults. Current grade level and health literacy scores showed a moderately high positive correlation (r = 0.52, p < 0.01). Health literacy scores were also significantly positively correlated with age (r = 0.49, p < 0.01) and income (r = 0.37, p < 0.01).Conclusions: Health literacy in adolescents with SCD is suboptimal. Future research should include identifying facilitators and barriers to health literacy levels in a larger cohort of adolescents with SCD. (C) 2017 Elsevier Inc. All rights reserved.