Prevalence and Predictors of Limited Literacy in Public Mental Health Care.
Prevalence and Predictors of Limited Literacy in Public Mental Health Care.
复制标题
公共心理卫生保健识字能力有限的患病率和预测因素。
DOI：
10.1007/s10597-020-00750-0
复制
发表时间：
2021
影响因子：
2.7
通讯作者：
Paasche-Orlow,Michael
中科院分区：
文献类型：
--
作者：
Lincoln,AlisaK;Eyllon,Mara;Prener,Christopher;Garverich,Suzanne;Griffith,John;Adams,Wallis;Arford,Tammi;Rosenfeld,Lindsay;Nykiel,Sherry;Johnson,Peggy;Guyer,Margaret;Leung,YJude;Paasche-Orlow,Michael
识字是卫生保健利用和结果的重要预测指标。我们检查了在国家资助的精神卫生诊所（地点1）和安全网医院诊所（地点2）寻求治疗的人的识字率。有限读写能力被定义为8年级或以下的读写能力。在Site 1, 53%的参与者有有限的阅读能力，78%的参与者有有限的听觉能力。在Site 2, 72%的人阅读能力有限，90%的人听觉能力有限。回归分析检验了读写能力有限与精神病学、神经认知和社会人口学特征之间的关系。精神病学和神经认知因素与读写能力之间几乎没有关联。在Site 2，黑人和“其他”种族的参与者与白人参与者相比，读写能力有限的几率更高，这表明读写能力有限可能是理解种族心理健康差异的一种未充分研究的机制。需要努力了解扫盲、心理健康和心理保健之间的关系。
Literacy is an important predictor of health care utilization and outcomes. We examine literacy among people seeking care in a state funded mental health clinic (Site 1) and a safety-net hospital clinic (Site 2). Limited literacy was defined as literacy at or below the 8th grade level. At Site 1, 53% of participants had limited reading literacy and 78% had limited aural literacy. At Site 2, 72% had limited reading and 90% had limited aural literacy. Regression analyses examined associations among limited literacy and psychiatric, neurocognitive and sociodemographic characteristics. Few associations among psychiatric and neurocognitive factors, and literacy were found. At Site 2, black and “other” race participants had higher odds for limited literacy compared to white participants suggesting that limited literacy may be an under-examined mechanism in understanding racial disparities in mental health. Work is needed to understand the relationships among literacy, mental health and mental health care.