Institute of Primary Care and Public Health, Faculty of Health and Social Care, London South Bank University, London, UK.
BMJ Open. 2013 Jan 3;3(1):e001503. doi: 10.1136/bmjopen-2012-001503.
To explore characteristics associated with, and prevalence of, low health literacy in patients recruited to investigate the role of depression in patients on General Practice (GP) Coronary Heart Disease (CHD) registers (the Up-Beat UK study).
Cross-sectional cohort. The health literacy measure was the Rapid Estimate of Health Literacy in Medicine (REALM). Univariable analyses identified characteristics associated with low health literacy and compared health service use between health literacy statuses. Those variables where there was a statistically significant/borderline significant difference between health literacy statuses were entered into a multivariable model.
16 General Practices in South London, UK.
Inclusion: patients >18 years, registered with a GP and on a GP CHD register. Exclusion: patients temporarily registered.
REALM.
Of the 803 Up-Beat cohort participants, 687 (85.55%) completed the REALM of whom 106 (15.43%) had low health literacy. Twenty-eight participants could not be included in the multivariable analysis due to missing predictor variable data, leaving a sample of 659. The variables remaining in the final model were age, gender, ethnicity, Indices of Multiple Deprivation score, years of education, employment; body mass index and alcohol intake, and anxiety scores (Hospital Anxiety and Depression Scale). Univariable analysis also showed that people with low health literacy may have more, and longer, practice nurse consultations than people with adequate health literacy.
There is a disadvantaged group of people on GP CHD registers with low health literacy. The multivariable model showed that patients with low health literacy have significantly higher anxiety levels than people with adequate health literacy. In addition, the univariable analyses show that such patients have more, and longer, consultations with practice nurses. We will collect 4-year longitudinal cohort data to explore the impact of health literacy in people on GP CHD registers and the impact of health literacy on health service use.
探讨招募来调查抑郁在全科医生冠心病（CHD）登记患者中作用的患者中，与低健康素养相关的特征和低健康素养的流行率（英国 Up-Beat 研究）。
横断面队列研究。健康素养的测量方法是快速评估医学健康素养（REALM）。单变量分析确定了与低健康素养相关的特征，并比较了健康素养状况之间的卫生服务利用情况。在健康素养状况之间存在统计学显著/边缘显著差异的变量被纳入多变量模型。
英国伦敦南部的 16 家全科医生诊所。
纳入标准：年龄> 18 岁，登记在全科医生处且在全科医生 CHD 登记处登记的患者。排除标准：暂时登记的患者。
REALM。
在 803 名 Up-Beat 队列参与者中，有 687 名（85.55%）完成了 REALM，其中 106 名（15.43%）有低健康素养。由于预测变量数据缺失，有 28 名参与者无法纳入多变量分析，因此样本量为 659 名。最终模型中保留的变量为年龄、性别、种族、多种剥夺指数评分、受教育年限、就业状况；体重指数和酒精摄入量以及焦虑评分（医院焦虑和抑郁量表）。单变量分析还表明，低健康素养的人可能比健康素养足够的人进行更多、更长时间的执业护士咨询。
在全科医生 CHD 登记处有一个处于不利地位的低健康素养人群。多变量模型显示，低健康素养患者的焦虑水平明显高于健康素养足够的患者。此外，单变量分析表明，此类患者与执业护士的咨询次数更多、时间更长。我们将收集 4 年的纵向队列数据，以探讨健康素养在全科医生 CHD 登记处患者中的影响，以及健康素养对卫生服务利用的影响。
