癌症老年患者及其年轻患者的健康素养与数字工具使用情况：一项多中心全国性研究。

Health literacy and the use of digital tools in older patients with cancer and their younger counterparts: A multicenter, nationwide study.

作者信息

Paillaud Elena, Galvin Angéline, Doublet Solène, Poisson Johanne, Gay Pierre, Perrin Christophe, Boudou-Rouquette Pascaline, Grellety Thomas, Teyssonneau Diego, Ayati Siavoshe, Saint-Lezer Arnaud, Culine Stéphane, Annonay Mylène, Solem-Laviec Heidi, Boulahssass Rabia, Baldini Capucine, Tchalla Achille, Lalet Caroline, Hue Lucas, Pulido Marina, Mathoulin-Pélissier Simone

机构信息

Université Paris Cité, Department of Geriatrics, European Georges Pompidou Hospital, Paris Cancer Institute CARPEM, Assistance-Publique Hôpitaux de Paris (AP-HP), F-75015 Paris, France; Paris Est Créteil University, INSERM, IMRB, F-94010 Creteil, France.

Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, Epicene team, UMR, 1219, Bordeaux, France.

出版信息

Patient Educ Couns. 2025 Jan;130:108420. doi: 10.1016/j.pec.2024.108420. Epub 2024 Sep 13.

DOI:10.1016/j.pec.2024.108420

PMID:39303502

Abstract

OBJECTIVES

To evaluate health literacy (HL), assess the use of digital tools/sources, and identify factors associated with low or moderate HL in older (aged ≥65) and younger (18-64) patients with cancer.

METHODS

A cross-sectional multicenter study including patients with cancer was conducted in 26 centers in France. HL was assessed using the Functional, Communicative and Critical Health Literacy (FCCHL) scale. Factors associated with low/moderate HL (score<median) were studied using logistic regression models.

RESULTS

The population comprised 669 patients aged 18-64 and 658 patients aged 65 + . The older patients used digital tools less than younger patients did. The median overall HL score was: 3.7 and 3.6, for younger and older patients respectively. The need for help to fill out the questionnaire was associated with low/moderate HL in both age groups. Then, older age and living in rural area were associated with low/moderate HL in younger patients only, and rare internet use in older patients.

CONCLUSION

This article highlights the importance of considering HL in care management, as well as whom patients may present higher risk of low HL.

PRACTICE IMPLICATIONS

It is crucial to assess HL in patients with cancer, and then to seize every opportunity to enhance HL.

摘要

目的

评估健康素养（HL），评估数字工具/资源的使用情况，并确定老年（年龄≥65岁）和年轻（18 - 64岁）癌症患者中与低或中等健康素养相关的因素。

方法

在法国的26个中心进行了一项包括癌症患者的横断面多中心研究。使用功能、沟通和批判性健康素养（FCCHL）量表评估健康素养。使用逻辑回归模型研究与低/中等健康素养（得分<中位数）相关的因素。

结果

研究人群包括669名18 - 64岁的患者和658名65岁及以上的患者。老年患者使用数字工具的频率低于年轻患者。年轻患者和老年患者的总体健康素养得分中位数分别为3.7和3.6。两个年龄组中，填写问卷时需要帮助均与低/中等健康素养相关。此外，年龄较大和居住在农村地区仅与年轻患者的低/中等健康素养相关，而老年患者使用互联网的频率较低。