Health literacy and uptake of anti-fracture medications in a population-based sample of Australian women
Health literacy and uptake of anti-fracture medications in a population-based sample of Australian women
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DOI：
10.1016/j.sapharm.2018.05.002
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发表时间：
2018-09-01
影响因子：
3.9
通讯作者：
Pasco, Julie A.
中科院分区：
文献类型：
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作者：
Hosking, Sarah M.;Brennan-Olsen, Sharon L.;Pasco, Julie A.
本研究调查了患有骨质疏松症的女性的健康素养与使用抗骨折药物之间的关系。收集了参与澳大利亚吉朗骨质疏松症研究的女性的数据。使用健康素养问卷 (HLQ) 和双 X 射线骨密度测定法确定健康素养。使用 MIMS 代码对自我报告的当前药物进行分类，“影响钙和骨代谢的药物”类别表明骨质疏松症治疗。通过方差分析（p 值 < 0.1 表示趋势）和 Cohen d 效应大小 (ES [95%CI])（分类；小 > 0.2-< 0.5，中 > 0.5-0.8，大 > 0.8）计算了自我报告药物使用的参与者与未自我报告药物使用的参与者之间 HLQ 量表评分的差异。在 620 名女性中，134 名 (21.6%)患有骨质疏松症，其中 14 人（10.5%）自我报告目前正在使用抗骨折药物。小/中度 ES 表明服用药物的女性在“医疗保健系统导航”、“查找健康信息的能力”和“理解健康信息”的量表中 HLQ 得分较低（ES 分别为 0.36 [0.25-0.79]、0.41 [0.29-0.87] 和 0.64 [0.54-1.03]）。观察到“了解健康信息”量表评分和药物使用的趋势（p = 0.09）。这些数据表明，对自己查找和理解健康信息的能力缺乏信心的女性可能会遵循医疗保健提供者的建议，并更容易地使用抗骨折药物。
This study investigated associations between health literacy and use of anti-fracture medications in women with osteoporosis.Data were collected for women participating in the population-based Geelong Osteoporosis Study in Australia. Health literacy was ascertained using the Health Literacy Questionnaire (HLQ) and bone mineral density by dual x-ray absorptiometry. Self-reported current medications were classified using MIMS codes, with the category 'Agent affecting calcium and bone metabolism' indicating osteoporosis treatment. Analysis of Variance (p-value < 0.1 indicating a trend) and Cohen's d effect sizes (ES [95%CI]) (categorised; Small > 0.2-< 0.5, Moderate > 0.5-0.8, Large > 0.8) were calculated for differences in HLQ scale scores between participants who did vs. did not self-report medication use.Among 620 women, 134 (21.6%) had osteoporosis, 14 (10.5%) of whom self-reported current anti-fracture medication use. Small/moderate ES indicated women taking medication had lower HLQ scores in scales 'Navigating the healthcare system', 'Ability to find health information' and 'Understand health information' (ES 0.36 [0.25-0.79], 0.41 [0.29-0.87] and 0.64 [0.54-1.03], respectively). A trend was observed (p = 0.09) for 'Understand health information' scale scores and utilisation of medication. These data suggest women with less confidence in their ability to find and understand health information may follow healthcare provider recommendations and utilise anti-fracture medications more readily.