The Association of Health Literacy Domains With Hospitalization and Mortality
The Association of Health Literacy Domains With Hospitalization and Mortality
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DOI：
10.37765/ajmc.2020.43152
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发表时间：
2020-05-01
影响因子：
3.2
通讯作者：
Ruiz, Jorge G.
中科院分区：
文献类型：
--
作者：
Ferri-Guerra, Juliana;Mohammed, Y. Nadeem;Ruiz, Jorge G.
目的：研究设计：回顾性队列研究方法：共有470名社区居住的退伍军人在2012年接受了健康素养，计算能力，图形素养与验证工具的评估，并随访至2018年。在随访结束时，与全因住院和死亡率的关联被确定与Andersen-Gill模型和考克斯回归多变量analysis，respectively.RESULTS：有没有协会的健康素养，算术，或图形素养与全因住院或死亡率后，多变量调整。在亚组分析中，主观算术能力与非裔美国人的住院相关。较高的客观和主观计算能力与未来的住院治疗，只有那些住院史。较高的图形识字率与较低的死亡率在那些有住院hospitalis.CONCLUSIONS的历史：这项研究并没有显示协会的健康素养，算术，或图形识字分数较低的风险，全因住院或死亡率。需要在更广泛的医疗保健环境中进行随机抽样的进一步研究，以更好地了解健康素养，算术和图形素养在医疗保健利用和临床结局中可能发挥的作用。
OBJECTIVES: To determine whether health Literacy, numeracy, and graph literacy are associated with all-cause hospitalizations or mortality in community-dwelling veterans.STUDY DESIGN: Retrospective cohort study.METHODS: A total of 470 community-dwelling veteran underwent evaluations of health literacy, numeracy, an graph literacy with validated instruments in 2012 and were followed until 2018. At the end of follow-up, the associations with all-cause hospitalizations and mortality were determined with the Andersen-Gill model and Cox regression multivariate analysis, respectively.RESULTS: There were no associations of health literacy, numeracy, or graph literacy with all-cause hospitalization or mortality after multivariate adjustment. In subgroup analysis, subjective numeracy was associated with hospitalizations in African Americans. Higher objective and subjective numeracy were associated with future hospitalizations only for those with a history of hospitalization. Higher graph Literacy was associated with lower mortality in those with a history of hospitalization.CONCLUSIONS: This study did not show associations of health literacy, numeracy, or graph literacy scores with Lower risk of all-cause hospitalization or mortality. Further research is needed with random sampling in a broader spectrum of healthcare settings to better understand what roles health literacy, numeracy, and graph literacy might play in healthcare utilization and clinical outcomes.