The Impact of Cultural Differences on Health Literacy & Chronic Disease Outcomes

文化差异对健康素养的影响

• 批准号: 7900631
• 负责人: SUSAN J SHAW
• 金额: $ 0.96万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-27 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7900631
• 关键词: Accounting; Address; Adherence; Affect; Asthma; Bacteria; Behavior; Belief; Chronic Disease; Communication; Development; Diabetes Mellitus; Diet; Disease Management; Disease Outcome; Epidemiology; Ethnic group; Ethnography; Focus Groups; Health; Health Personnel; Healthcare; Home environment; Hospitalization; Human; Hygiene; Hypertension; Immigrant; Immigration; Indigenous; Informed Consent; Institution; Instruction; Interview; Knowledge; Language; Low income; Massachusetts; Medical; Methods; Outcome; Patient Education; Patients; Pattern; Population; Primary Health Care; Provider; Readability; Recommendation; Recruitment Activity; Research Design; Research Methodology; Role; Sampling; Shapes; Socioeconomic Status; Source; Surveys; Therapeutic; Treatment Protocols; Variant; Work; abstracting; compliance behavior; diaries; ethnic minority population; health literacy; literacy; meetings; prospective; social; socioeconomics

DESCRIPTION (provided by applicant): Health literacy, defined as the ability to understand or act on medical/therapeutic instructions, is increasingly recognized as an important factor in patient compliance and chronic disease outcomes. Health care providers are beginning to assess patient education and other materials from the perspective of readability and patient literacy. Less work has been done, however, to place health literacy in the broader context of socioeconomic and cultural differences among patients and between providers and patients that hinder communication and compliance. The proposed project aims to broaden our understanding of health literacy by identifying and accounting for the cultural factors that shape health literacy in low-income, ethnic minority and immigrant populations. To better understand the cultural influences on low health literacy and the effects of health literacy on health, the proposed project combines qualitative and quantitative methods to meet the following specific aims: 1. To assess variation in health literacy among native and non-native English speakers; 2. To identify factors associated with health literacy, including a) language spoken at home, b) recency of immigration, c) sources of health information, and d) other cultural beliefs and practices; 3. To use a prospective multimethod research design to explore the impact of health literacy on chronic disease outcomes (e.g., asthma, diabetes, and hypertension), including: a. the association between health literacy and patient compliance with therapeutic regimens, and b. the role of health literacy in patient-provider communication; 4. To identify effective ways to combine qualitative and quantitative research methods to further knowledge of health literacy; and 5. To develop recommendations for primary health care providers on chronic disease management for ethnically diverse patients with low health literacy. To achieve these aims, we propose to conduct epidemiological surveys with a targeted sample of 500 patients from 5 ethnic groups (100 per group) recruited from Caring Health Center, a Section 330 health center in western Massachusetts. Chart abstracts will collect chronic disease outcomes at baseline and two 12-month follow-ups. Focus groups, ethnographic interviews, chronic disease diaries and home observations with a subsample of patients will provide greater contextualization and detail, aiding in survey development and the interpretation of survey findings.

描述（由申请人提供）：越来越多地将健康素养定义为理解或采取医学/治疗指示的能力，越来越被认为是患者依从性和慢性疾病结果的重要因素。医疗保健提供者从可读性和患者素养的角度开始评估患者教育和其他材料。但是，在更大的工作中，将健康素养放在患者之间的社会经济和文化差异以及妨碍沟通和依从性的患者之间的更广泛背景下。拟议的项目旨在通过识别和计算塑造低收入，少数民族和移民人口健康素养的文化因素来扩大我们对健康素养的理解。为了更好地了解对低健康素养的文化影响以及健康素养对健康的影响，该项目结合了定性和定量方法，以满足以下特定目标： 1。评估本人和非母语英语者的健康素养差异； 2。确定与健康素养相关的因素，包括a）在家中使用的语言，b）移民的重新度，c）健康信息来源以及d）其他文化信仰和实践； 3。使用前瞻性的多动学研究设计来探索健康素养对慢性的影响 疾病结局（例如哮喘，糖尿病和高血压），包括：健康素养与患者遵守治疗方案之间的关联以及b。健康素养在患者提供者沟通中的作用； 4。确定有效的方法来结合定性和定量研究方法以进一步 健康素养知识；和 5。为初级卫生保健提供者提出有关慢性疾病管理的建议 较低的健康素养患者种族多样化。 为了实现这些目标，我们建议以500个目标样本进行流行病学调查 来自马萨诸塞州西部第330条健康中心的Caring Health Center招募了来自5个族裔（每组100个）的患者。图表摘要将在基线和两个12个月的随访中收集慢性疾病结果。焦点小组，民族志访谈，慢性病日记和家庭观察结果将提供更大的情境化和细节，有助于调查开发以及调查结果的解释。