Health literacy and knowledge of chronic disease
Health literacy and knowledge of chronic disease
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DOI：
10.1016/s0738-3991(02)00239-2
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发表时间：
2003-11-01
影响因子：
3.5
通讯作者：
Baker, DW
中科院分区：
文献类型：
--
作者：
Gazmararian, JA;Williams, MV;Baker, DW
我们试图检查健康素养和慢性疾病患者的疾病知识之间的关系。共有653名65岁或以上的新医保参保人完成了面对面和电话调查，他们至少患有一种慢性疾病（115名哮喘，266名糖尿病，166名充血性心力衰竭，214名高血压）。采用成人功能健康素养短测验（S-TOFHLA）测量健康素养，并在现场调查中收集人口统计信息。在电话调查中，通过基于教育材料中的关键要素的问题来评估疾病知识。总体而言，24%的患者缺乏卫生知识，12%的患者仅具备边缘卫生知识技能。卫生知识普及不足的应答者对自己疾病的了解明显少于知识普及的应答者。多因素分析表明，健康素养与疾病知识独立相关。有许多机会可以提高患者对其慢性疾病的认识，而且需要考虑到他们的卫生素养技能。(C) 2002爱思唯尔科学爱尔兰有限公司版权所有。
We sought to examine the relationship between health literacy and knowledge of disease among patients with a chronic disease. A total of 653 new Medicare enrollees aged 65 years or older who had at least one chronic disease (115 asthma, 266 diabetes, 166 congestive heart failure, 214 hypertension), completed both the in-person and telephone survey. Health literacy measured by the short test of functional health literacy in adults (S-TOFHLA) and demographic information were collected during the in-person survey. Knowledge of disease was assessed by questions based on key elements in educational materials during a telephone survey. Overall, 24% of patients had inadequate and 12% had marginal health literacy skills. Respondents with inadequate health literacy knew significantly less about their disease than those with adequate literacy. Multivariate analysis indicated that health literacy was independently related to disease knowledge. There are many opportunities to improve patients' knowledge of their chronic disease(s), and efforts need to consider their health literacy skills. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.