Health literacy explains racial disparities in diabetes medication adherence.
Health literacy explains racial disparities in diabetes medication adherence.
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DOI：
10.1080/10810730.2011.604388
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发表时间：
2011
影响因子：
4.4
通讯作者：
White RO
中科院分区：
文献类型：
--
作者：
Osborn CY;Cavanaugh K;Wallston KA;Kripalani S;Elasy TA;Rothman RL;White RO
虽然低健康素养和次优药物依从性在种族/少数民族群体中比白人更普遍，但对糖尿病成人患者中这些因素之间的关系知之甚少，以及健康素养或计算能力是否可以解释糖尿病药物依从性的种族/民族差异。先前在艾滋病毒方面的工作表明，健康素养介导了抗逆转录病毒治疗依从性的种族差异，但迄今为止还没有研究探索计算能力作为种族/民族与药物依从性之间关系的中介。这项研究测试了健康素养和/或计算能力是否与糖尿病药物依从性有关，以及这两个因素是否解释了依从性的种族差异。使用路径分析模型，我们探索了种族地位、健康素养、糖尿病相关计算能力、一般计算能力和糖尿病药物依从性之间的预测路径。调整协变量后，非裔美国人种族与药物依从性差相关（r= - 0.10, p<0.05）。健康素养与依从性相关（r= 0.12, p<0.02），但与糖尿病相关的计算能力和一般计算能力与依从性无关。此外，健康素养将种族对依从性的影响降低到无显著性，因此非裔美国人种族不再与较低的药物依从性直接相关（r= - 0.09, p=.14）。糖尿病药物依从性促进干预措施应解决患者健康素养的局限性。
While low health literacy and suboptimal medication adherence are more prevalent in racial/ethnic minority groups than Whites, little is known about the relationship between these factors in adults with diabetes, and whether health literacy or numeracy might explain racial/ethnic disparities in diabetes medication adherence. Previous work in HIV suggests health literacy mediates racial differences in adherence to anti-retroviral treatment, but no study to date has explored numeracy as a mediator of the relationship between race/ethnicity and medication adherence. This study tested whether health literacy and/or numeracy were related to diabetes medication adherence, and whether either factor explained racial differences in adherence. Using path analytic models, we explored the predicted pathways between racial status, health literacy, diabetes-related numeracy, general numeracy and adherence to diabetes medications. After adjustment for covariates, African American race was associated with poor medication adherence (r=−0.10, p<0.05). Health literacy was associated with adherence (r=.12, p<0.02), but diabetes-related numeracy and general numeracy were not related to adherence. Furthermore, health literacy reduced the effect of race on adherence to non-significance, such that African American race was no longer directly associated with less medication adherence (r=−0.09, p=.14). Diabetes medication adherence promotion interventions should address patient health literacy limitations.
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影响因子：
--
作者：
Heisler, Michele;Faul, Jessica D.;Weir, David
通讯作者：
Weir, David
影响因子：
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作者：
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作者：
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作者：
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通讯作者：
Rask, Kimberly