Mancuso Carol A, Rincon Melina
Stanford School of Medicine, Stanford, California, USA.
J Asthma. 2006 Jan-Feb;43(1):41-4. doi: 10.1080/02770900500447052.
The objectives of this cross-sectional study were to measure health literacy and its associations with asthma patients' assessments of care and their desire to participate in making decisions about their treatment. A total of 175 patients completed the Test of Functional Health Literacy in Adults and questions about satisfaction with asthma status, access to care, quality of care, and the desire to participate in treatment decisions. Patients' mean age was 42 years and 83% were women. Lower literacy was associated with less satisfaction with asthma status and worse assessment of quality of care received for asthma and other medical conditions (p < or = .005). Patients with lower literacy also were more likely not to want to participate in decisions about their care (OR .29, 95% CI .13, .65). These relationships persisted after controlling for demographic and asthma characteristics. These results provide additional incentives for physicians to find better ways to explain asthma treatments to low literacy patients.
这项横断面研究的目的是测量健康素养及其与哮喘患者对医疗护理的评估以及他们参与治疗决策意愿之间的关联。共有175名患者完成了成人功能性健康素养测试，以及关于哮喘状况满意度、医疗服务可及性、护理质量和参与治疗决策意愿的问题。患者的平均年龄为42岁，83%为女性。较低的健康素养与对哮喘状况的较低满意度以及对哮喘和其他医疗状况所接受护理质量的较差评估相关（p≤0.005）。健康素养较低的患者也更有可能不想参与其护理决策（比值比0.29，95%置信区间0.13，0.65）。在控制了人口统计学和哮喘特征后，这些关系依然存在。这些结果为医生寻找更好的方法向健康素养较低的患者解释哮喘治疗提供了更多动力。
