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耳鼻喉科门诊患者的健康素养评估

Health Literacy Assessment in an Otolaryngology Clinic Population.

作者信息

Megwalu Uchechukwu C, Lee Jennifer Y

机构信息

Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, USA

Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, USA.

出版信息

Otolaryngol Head Neck Surg. 2016 Dec;155(6):969-973. doi: 10.1177/0194599816664331. Epub 2016 Aug 23.

DOI:10.1177/0194599816664331
PMID:27554512
Abstract

OBJECTIVE

To assess health literacy in an adult tertiary care otolaryngology clinic population and to explore potential determinants of inadequate health literacy.

STUDY DESIGN

Cross-sectional study.

SETTING

Tertiary care otolaryngology clinic.

SUBJECTS AND METHODS

The study population included all adult patients treated at 3 of Stanford University's adult otolaryngology clinic sites between March 1 and 11, 2016. Data were collected via an anonymous questionnaire. Health literacy was assessed with the Brief Health Literacy Screen.

RESULTS

Ten percent of patients had inadequate health literacy. White race (odds ratio [OR], 0.23) and having English as the primary language (OR, 0.12) were associated with adequate health literacy, while high school or lower level of education (OR, 3.2) was associated with inadequate health literacy. Age, sex, and Hispanic ethnicity were not associated with health literacy.

CONCLUSION

Our study highlights the need for health literacy screening in the otolaryngology clinic setting and identifies sociodemographic risk factors for inadequate health literacy. Further studies are needed to assess the impact of health literacy on patient outcomes and to test specific interventions to address health literacy and health outcomes.

摘要

目的

评估成人三级医疗耳鼻喉科门诊患者的健康素养,并探讨健康素养不足的潜在决定因素。

研究设计

横断面研究。

研究地点

三级医疗耳鼻喉科门诊。

研究对象与方法

研究人群包括2016年3月1日至11日在斯坦福大学3个成人耳鼻喉科门诊接受治疗的所有成年患者。通过匿名问卷收集数据。采用简易健康素养筛查工具评估健康素养。

结果

10%的患者健康素养不足。白人(优势比[OR],0.23)和以英语为主要语言(OR,0.12)与具备充足健康素养相关,而高中及以下教育水平(OR,3.2)与健康素养不足相关。年龄、性别和西班牙裔种族与健康素养无关。

结论

我们的研究强调了在耳鼻喉科门诊进行健康素养筛查的必要性,并确定了健康素养不足的社会人口学风险因素。需要进一步研究以评估健康素养对患者结局的影响,并测试针对健康素养和健康结局的具体干预措施。

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