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Functional health literacy and the risk of hospital admission among Medicare managed care enrollees

Author

Listed:
  • Baker, D.W.
  • Gazmararian, J.A.
  • Williams, M.V.
  • Scott, T.
  • Parker, R.M.
  • Green, D.
  • Ren, J.
  • Peel, J.

Abstract

Objectives. This study analyzed whether inadequate functional health literacy is an independent risk factor for hospital admission. Methods. We studied a prospective cohort of 3260 Medicare managed care enrollees. Results. Of the participants, 29.5% were hospitalized. The crude relative risk (RR) of hospitalization was higher for individuals with inadequate literacy (n=800; RR= 1.43; 95% confidence interval [Cl]=1.24, 1.65) and marginal literacy (n=366; RR=1.33; 95% Cl=1.09, 1.61) than for those with adequate literacy (n=2094). In multivariate analysis, the adjusted relative risk of hospital admission was 1.29 (95% Cl=1.07, 1.55) for individuals with inadequate literacy and 1.21 (95% Cl=0.97, 1.50) for those with marginal literacy. Conclusions. Inadequate literacy was an independent risk factor for hospital admission among elderly managed care enrollees.

Suggested Citation

  • Baker, D.W. & Gazmararian, J.A. & Williams, M.V. & Scott, T. & Parker, R.M. & Green, D. & Ren, J. & Peel, J., 2002. "Functional health literacy and the risk of hospital admission among Medicare managed care enrollees," American Journal of Public Health, American Public Health Association, vol. 92(8), pages 1278-1283.
    • Handle: RePEc:aph:ajpbhl:2002:92:8:1278-1283_1
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    Cited by:

    1. Takuya Aoki & Machiko Inoue, 2017. "Association between health literacy and patient experience of primary care attributes: A cross-sectional study in Japan," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-10, September.
    2. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    3. Kari Sand-Jecklin & Sue Coyle, 2014. "Efficiently Assessing Patient Health Literacy," Clinical Nursing Research, , vol. 23(6), pages 581-600, December.
    4. Kantapong Prabsangob, 2016. "Relationships of Health Literacy Diabetes Knowledge and Social Support to Self-Care Behavior among Type 2 Diabetic Patients," International Journal of Health and Medical Sciences, Mohammad A. H. Khan, vol. 2(3), pages 68-72.
    5. Bertha E. Flores & Gayle J. Acton, 2013. "Older Hispanic Women, Health Literacy, and Cervical Cancer Screening," Clinical Nursing Research, , vol. 22(4), pages 402-415, November.
    6. Amber E. Barnato & Hilary A. Llewellyn-Thomas & Ellen M. Peters & Laura Siminoff & E. Dale Collins & Michael J. Barry, 2007. "Communication and Decision Making in Cancer Care: Setting Research Priorities for Decision Support/Patients' Decision Aids," Medical Decision Making, , vol. 27(5), pages 626-634, September.
    7. Cindy Yue Tian & Richard Huan Xu & Phoenix Kit-Han Mo & Dong Dong & Eliza Lai-Yi Wong, 2020. "Generic Health Literacy Measurements for Adults: A Scoping Review," IJERPH, MDPI, vol. 17(21), pages 1-18, October.
    8. Fahad Riaz Choudhry & Long Chiau Ming & Khadeeja Munawar & Syed Tabish R. Zaidi & Rahul P. Patel & Tahir Mehmood Khan & Shandell Elmer, 2019. "Health Literacy Studies Conducted in Australia: A Scoping Review," IJERPH, MDPI, vol. 16(7), pages 1-32, March.
    9. Yan Zhang & Fan Zhang & Ping Hu & Wenjie Huang & Lu Lu & Ruixue Bai & Manoj Sharma & Yong Zhao, 2016. "Exploring Health Literacy in Medical University Students of Chongqing, China: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-10, April.
    10. Roter, Debra L. & Erby, Lori H. & Larson, Susan & Ellington, Lee, 2007. "Assessing oral literacy demand in genetic counseling dialogue: Preliminary test of a conceptual framework," Social Science & Medicine, Elsevier, vol. 65(7), pages 1442-1457, October.
    11. Leonard Kaps & Katharina Hildebrand & Michael Nagel & Maurice Michel & Wolfgang Maximilian Kremer & Max Hilscher & Peter R Galle & Jörn M Schattenberg & Marcus-Alexander Wörns & Christian Labenz, 2021. "Risk factors for poorer health literacy in patients with liver cirrhosis," PLOS ONE, Public Library of Science, vol. 16(7), pages 1-13, July.
    12. Erik Angner & Michael Miller & Midge Ray & Kenneth Saag & Jeroan Allison, 2010. "Health Literacy and Happiness: A Community-based Study," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 95(2), pages 325-338, January.
    13. Martie Gillen & Hongwei Yang & Hyungsoo Kim, 2020. "Health Literacy and Difference in Current Wealth Among Middle-Aged and Older Adults," Journal of Family and Economic Issues, Springer, vol. 41(2), pages 281-299, June.
    14. Sarah Mantwill & Silvia Monestel-Umaña & Peter J Schulz, 2015. "The Relationship between Health Literacy and Health Disparities: A Systematic Review," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-22, December.
    15. Wolf, Michael S. & Feinglass, Joseph & Thompson, Jason & Baker, David W., 2010. "In search of 'low health literacy': Threshold vs. gradient effect of literacy on health status and mortality," Social Science & Medicine, Elsevier, vol. 70(9), pages 1335-1341, May.
    16. Yoon K Loke & Ina Hinz & Xia Wang & Gill Rowlands & David Scott & Charlotte Salter, 2012. "Impact of Health Literacy in Patients with Chronic Musculoskeletal Disease–Systematic Review," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-8, July.
    17. Megan Freund & Natasha Noble & Allison Boyes & Matthew Clapham & David Adamson & Robert Sanson-Fisher, 2023. "How Does the Health Literacy of Adults Residing in Social Housing Compare with That of Those Living in Other Housing Tenures in Australia? A Secondary Analysis of the Australian National Health Survey," IJERPH, MDPI, vol. 20(18), pages 1-10, September.

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