Screening for oral health literacy in an urban dental clinic
Screening for oral health literacy in an urban dental clinic
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DOI：
10.1111/j.1752-7325.2010.00181.x
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发表时间：
2010-09-01
影响因子：
2.3
通讯作者：
Der-Martirosian, Claudia
中科院分区：
文献类型：
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作者：
Atchison, Kathryn A.;Gironda, Melanie W.;Der-Martirosian, Claudia
目的：研究表明，一般人未能充分理解和使用卫生保健相关材料。本研究的目的是评估基于成人医学素养快速评估（REALM）的健康素养工具，该工具将牙科和医学术语纳入84项成人医学和牙科素养快速评估（REALM-D）措施，并确定其与文化多样性牙科诊所人群的患者特征的关联。一个84项牙科/医疗健康素养词汇表和一个48-本研究采用健康信念与态度问卷调查方法，对200名初次就诊的成年口腔门诊患者进行了调查结果：在全部样本中，154名参与者正确地阅读了列表1，141名正确地阅读了列表2，只有38名正确地阅读了列表3。与白色参与者相比，非白色参与者在每个难度级别的REALM-D评分以及总量表评分均显著较低。报告英语不是他们主要语言的参与者的REALM-D分数显着较低。REALM-D评分也因受教育程度的不同而存在显著差异，随着受教育程度的提高，口腔健康素养也在提高。在二元水平上，种族，教育和英语作为一种主要语言仍然预测健康素养的回归模型。教育和英语作为主要语言之间的互动是显着的。结论：REALM-D是一种有效的工具，用于医疗和牙科临床医生在检测不同背景的人之间的差异，英语不是他们的主要语言。
Objective:Studies show that the average person fails to understand and use health care related materials to their full potential. The goal of this study was to evaluate a health literacy instrument based on the Rapid Estimate of Adult Literacy in Medicine (REALM) that incorporates dental and medical terms into one 84-item Rapid Estimate of Adult Literacy in Medicine and Dentistry (REALM-D) measure and determine its association with patient characteristics of a culturally diverse dental clinic population.Methods:An 84-item dental/medical health literacy word list and a 48-item health beliefs and attitudes survey was provided to a sample of 200 adult patients seeking treatment for the first time at an oral diagnosis clinic located in a large urban medical center in Los Angeles, California.Results:Of the total sample, 154 participants read all of list 1 correctly, 141 read list 2 correctly, and only 38 read list 3 correctly. Nonwhite participants had significantly lower REALM-D scores at each level of difficulty as well as the total scale score compared to white participants. Participants who reported English as not their main language had significantly lower REALM-D scores. REALM-D scores also varied significantly by level of education among participants where as level of education increased, oral health literacy increased. At a bivariate level, race, education, and English as a main language remain predictive of health literacy in a regression model. An interaction between education and English as a main language was significant.Conclusions:The REALM-D is an effective instrument for use by medical and dental clinicians in detecting differences among people of different backgrounds and for whom English was not their primary language.