Self-Management Behaviors in Older Adults with Asthma: Associations with Health Literacy
Self-Management Behaviors in Older Adults with Asthma: Associations with Health Literacy
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DOI：
10.1111/jgs.12797
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发表时间：
2014-05-01
影响因子：
6.3
通讯作者：
Wisnivesky, Juan P.
中科院分区：
文献类型：
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作者：
Federman, Alex D.;Wolf, Michael S.;Wisnivesky, Juan P.
ObjectivesTo examine self-management behaviors，including medicine adherence and inhaler technique，in older adults with asthma and their association with health literacy.DesignObservational cohort study.SettingPrimary care and pulmonary specialty practices in two tertiary academic medical centers and three federal qualified health centers in纽约，纽约，和芝加哥，60岁及以上中度或重度持续性哮喘的成年人（N=433）。测量结果是对哮喘控制药物、定量吸入器（MDI）和干粉吸入器（DPI）技术的依从性，有一个普通的哮喘医生，避免四个常见的触发器。健康素养进行了评估，使用功能性健康素养在Adults.ResultsThe平均年龄为67，和36%的参与者有边际或低健康素养的短期测试。总体而言，依从性较低（38%），健康素养低的个体（22%）比健康素养高的个体（47%，P
ObjectivesTo examine self-management behaviors, including medication adherence and inhaler technique, in older adults with asthma and their association with health literacy.DesignObservational cohort study.SettingPrimary care and pulmonary specialty practices in two tertiary academic medical centers and three federally qualified health centers in New York, New York, and Chicago, Illinois.ParticipantsAdults with moderate or severe persistent asthma aged 60 and older (N=433).MeasurementsOutcomes were adherence to asthma controller medications, metered dose inhaler (MDI) and dry powder inhaler (DPI) techniques, having a usual asthma physician, and avoidance of four common triggers. Health literacy was assessed using the Short Test of Functional Health Literacy in Adults.ResultsThe mean age was 67, and 36% of participants had marginal or low health literacy. Adherence was low (38%) overall and worse in individuals with low health literacy (22%) than in those with adequate literacy (47%, P