Prevalence and Demographic and Clinical Associations of Health Literacy in Patients on Maintenance Hemodialysis
Prevalence and Demographic and Clinical Associations of Health Literacy in Patients on Maintenance Hemodialysis
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DOI：
10.2215/cjn.09761110
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发表时间：
2011-06-01
影响因子：
9.8
通讯作者：
Weisbord, Steven D.
中科院分区：
文献类型：
--
作者：
Green, Jamie A.;Mor, Maria K.;Weisbord, Steven D.
背景和目的虽然有限的健康素养估计影响超过9000万美国人，并被认为是一个重要的公共卫生问题，有很少的研究探讨这个问题的慢性肾脏疾病患者。我们试图描述的患病率和协会的人口统计学和临床特征与有限的健康素养的患者接受维持性hemodialys.Design，设置，参与者和测量作为一个前瞻性临床试验的一部分，症状管理策略在288例慢性血液透析治疗，我们评估健康素养使用快速评估成人医学素养（REALM）。我们将有限的健康素养定义为REALM评分，并使用多变量logistic regression.Results评估了人口统计学和基线临床特征与有限健康素养的独立关联。非裔美国人的种族，较低的教育水平和退伍军人地位独立与有限的健康素养。有限的健康素养与年龄，性别，血清学值，透析充分性，整体症状负担，生活质量，或depression.Conclusions有限的健康素养是常见的慢性血液透析患者。非裔美国人的种族和社会经济因素是有限的健康素养的强大的独立预测因子。这些发现有助于为干预措施的设计和实施提供信息，以提高血液透析人群的健康素养。Clin J Am Soc Nephrol 6：1354-1360，2011. doi：10.2215/gN.09761110
Background and objectives Although limited health literacy is estimated to affect over 90 million Americans and is recognized as an important public health concern, there have been few studies examining this issue in patients with chronic kidney disease. We sought to characterize the prevalence of and associations of demographic and clinical characteristics with limited health literacy in patients receiving maintenance hemodialysis.Design, setting, participants, & measurements As part of a prospective clinical trial of symptom management strategies in 288 patients treated with chronic hemodialysis, we assessed health literacy using the Rapid Estimate of Adult Literacy in Medicine (REALM). We defined limited health literacy as a REALM score and evaluated independent associations of demographic and baseline clinical characteristics with limited health literacy using multivariable logistic regression.Results Of the 260 patients who completed the REALM, 41 demonstrated limited health literacy. AfricanAmerican race, lower educational level, and veteran status were independently associated with limited health literacy. There was no association of limited health literacy with age, gender, serologic values, dialysis adequacy, overall symptom burden, quality of life, or depression.Conclusions Limited health literacy is common among patients receiving chronic hemodialysis. AfricanAmerican race and socioeconomic factors are strong independent predictors of limited health literacy. These findings can help inform the design and implementation of interventions to improve health literacy in the hemodialysis population. Clin J Am Soc Nephrol 6: 1354-1360, 2011. doi: 10.2215/gN.09761110