Geriatric Research, Education and Clinical Center, Bruce W. Carter Miami VA Medical Center, 1201 NW 16th St, Miami, FL 33125. Email:
Am J Manag Care. 2020 May;26(5):200-206. doi: 10.37765/ajmc.2020.43152.
To determine whether health literacy, numeracy, and graph literacy are associated with all-cause hospitalizations or mortality in community-dwelling veterans.
Retrospective cohort study.
A total of 470 community-dwelling veterans underwent evaluations of health literacy, numeracy, and graph literacy with validated instruments in 2012 and were followed until 2018. At the end of follow-up, the associations with all-cause hospitalizations and mortality were determined with the Andersen-Gill model and Cox regression multivariate analysis, respectively.
There were no associations of health literacy, numeracy, or graph literacy with all-cause hospitalization or mortality after multivariate adjustment. In subgroup analysis, subjective numeracy was associated with hospitalizations in African Americans. Higher objective and subjective numeracy were associated with future hospitalizations only for those with a history of hospitalization. Higher graph literacy was associated with lower mortality in those with a history of hospitalization.
This study did not show associations of health literacy, numeracy, or graph literacy scores with lower risk of all-cause hospitalization or mortality. Further research is needed with random sampling in a broader spectrum of healthcare settings to better understand what roles health literacy, numeracy, and graph literacy might play in healthcare utilization and clinical outcomes.
确定健康素养、计算能力和图表素养是否与社区居住的退伍军人的全因住院或死亡相关。
回顾性队列研究。
共有 470 名社区居住的退伍军人在 2012 年接受了健康素养、计算能力和图表素养的评估，使用经过验证的工具进行评估，并随访至 2018 年。在随访结束时，使用 Andersen-Gill 模型和 Cox 回归多变量分析分别确定与全因住院和死亡率的相关性。
在多变量调整后，健康素养、计算能力或图表素养与全因住院或死亡率均无关联。在亚组分析中，主观计算能力与非裔美国人的住院有关。较高的客观和主观计算能力仅与有住院史的患者的未来住院有关。较高的图表素养与有住院史的患者的死亡率降低有关。
本研究未显示健康素养、计算能力或图表素养评分与全因住院或死亡率风险降低之间存在关联。需要在更广泛的医疗保健环境中进行随机抽样的进一步研究，以更好地了解健康素养、计算能力和图表素养在医疗保健利用和临床结果中可能发挥的作用。
