Behavioral Health, Henry Ford Health System, 1 Ford Place, 3A, Detroit, MI, 48202, USA.
Department of Surgery, Henry Ford Health System, Detroit, MI, USA.
Obes Surg. 2019 Dec;29(12):4138-4141. doi: 10.1007/s11695-019-04149-z.
Inadequate health literacy or numeracy and probable cognitive impairment influence patients' medical outcomes. The study purpose was to examine the prevalence of inadequate health literacy, inadequate health numeracy, and probable cognitive impairment among bariatric surgery candidates and examine associations with undergoing bariatric surgery. Patients (N = 314) completed measures assessing these constructs during a required pre-surgical psychological evaluation. Approximately 9.6%, 24.2%, and 29.5% of the sample had inadequate health literacy, inadequate health numeracy, and probable cognitive impairment, respectively. In univariate analyses, those with inadequate levels of health literacy, inadequate health numeracy, and probable cognitive impairment were less likely to undergo surgery. In a multivariate model, inadequate health literacy independently predicted a lower likelihood of undergoing bariatric surgery. Findings underscore the importance of assessing these factors.
健康素养或计算能力不足以及可能存在的认知障碍会影响患者的医疗效果。本研究旨在调查肥胖症手术候选人群中健康素养不足、健康计算能力不足和可能存在认知障碍的发生率，并探讨其与接受肥胖症手术之间的关联。在一项必需的术前心理评估中，患者（N=314）完成了评估这些因素的措施。样本中分别约有 9.6%、24.2%和 29.5%的人存在健康素养不足、健康计算能力不足和可能存在认知障碍。在单变量分析中，健康素养、健康计算能力不足和可能存在认知障碍的患者不太可能接受手术。在多变量模型中，健康素养不足独立预测接受肥胖症手术的可能性降低。研究结果强调了评估这些因素的重要性。
