Relationship of literacy and heart failure in adults with diabetes.
Relationship of literacy and heart failure in adults with diabetes.
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DOI：
10.1186/1472-6963-7-98
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发表时间：
2007-07-02
影响因子：
2.8
通讯作者：
Littenberg B
中科院分区：
文献类型：
--
作者：
Laramee AS;Morris N;Littenberg B
尽管阅读能力可能会影响心力衰竭 (HF) 的教育策略和治疗，但心力衰竭患者识字能力有限的患病率尚不清楚。受试者来自佛蒙特州糖尿病信息系统实地调查，这是一项针对初级保健成人糖尿病患者的横断面研究。对参与者的自我报告特征进行逻辑回归，以估计心力衰竭和识字率的关联，同时控制社会和经济因素。功能健康素养简短测试用于衡量素养。在 172 名患有心力衰竭和糖尿病的受试者中，27% 的人识字能力有限，而 826 名无心力衰竭的受试者中这一比例为 15%（OR 2.05；95% CI 1.39, 3.02；P < 0.001）。调整年龄、性别、种族、收入、婚姻状况和健康保险后，心衰仍然与识字率有限显着相关（OR 1.55，95% CI 1.00、2.41，P = .05）。然而，在根据教育程度进行调整后，心力衰竭不再与识字率独立相关（OR 1.31；95% CI 0.82 – 2.08；P = 0.26）。超过四分之一的患有心力衰竭的糖尿病成人识字能力有限。尽管根据教育程度进行调整后，这种关联不再具有统计显着性，但临床医生应该意识到，许多患者在处理书面材料方面存在重要局限性。
Although reading ability may impact educational strategies and management of heart failure (HF), the prevalence of limited literacy in patients with HF is unknown. Subjects were drawn from the Vermont Diabetes Information System Field Survey, a cross-sectional study of adults with diabetes in primary care. Participants' self-reported characteristics were subjected to logistic regression to estimate the association of heart failure and literacy while controlling for social and economic factors. The Short Test of Functional Health Literacy was used to measure literacy. Of 172 subjects with HF and diabetes, 27% had limited literacy compared to 15% of 826 subjects without HF (OR 2.05; 95% CI 1.39, 3.02; P < 0.001). Adjusting for age, sex, race, income, marital status and health insurance, HF continued to be significantly associated with limited literacy (OR 1.55, 95% CI 1.00, 2.41, P = .05). After adjusting for education, however, HF was no longer independently associated with literacy (OR 1.31; 95% CI 0.82 – 2.08; P = 0.26). Over one quarter of diabetic adults with HF have limited literacy. Although this association is no longer statistically significant when adjusted for education, clinicians should be aware that many of their patients have important limitations in dealing with written materials.
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影响因子：
3
作者：
Scott, TL;Gazmararian, JA;Baker, DW
通讯作者：
Baker, DW
影响因子：
16.2
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DOI：
10.1111/j.1532-5415.1990.tb03450.x
发表时间：
1990-12-01
影响因子：
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通讯作者：
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