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Effect of Health Literacy on Decision-Making Preferences among Medically Underserved Patients

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  • Joann Seo
  • Melody S. Goodman
  • Mary Politi
  • Melvin Blanchard
  • Kimberly A. Kaphingst

Abstract

Introduction . Participation in the decision-making process and health literacy may both affect health outcomes; data on how these factors are related among diverse groups are limited. This study examined the relationship between health literacy and decision-making preferences in a medically underserved population. Methods . We analyzed a sample of 576 primary care patients. Multivariable logistic regression was used to examine the independent association of health literacy (measured by the Rapid Estimate of Adult Literacy in Medicine–Revised) and patients’ decision-making preferences (physician directed or patient involved), controlling for age, race/ethnicity, and gender. We tested whether having a regular doctor modified this association. Results . Adequate health literacy (odds ratio [OR] = 1.7; P = 0.009) was significantly associated with preferring patient-involved decision making, controlling for age, race/ethnicity, and gender. Having a regular doctor did not modify this relationship. Males were significantly less likely to prefer patient-involved decision making (OR = 0.65; P = 0.024). Discussion . Findings suggest health literacy affects decision-making preferences in medically underserved patients. More research is needed on how factors, such as patient knowledge or confidence, may influence decision-making preferences, particularly for those with limited health literacy.

Suggested Citation

  • Joann Seo & Melody S. Goodman & Mary Politi & Melvin Blanchard & Kimberly A. Kaphingst, 2016. "Effect of Health Literacy on Decision-Making Preferences among Medically Underserved Patients," Medical Decision Making, , vol. 36(4), pages 550-556, May.
    • Handle: RePEc:sae:medema:v:36:y:2016:i:4:p:550-556
    DOI: 10.1177/0272989X16632197
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    References listed on IDEAS

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    1. Smith, Sian K. & Dixon, Ann & Trevena, Lyndal & Nutbeam, Don & McCaffery, Kirsten J., 2009. "Exploring patient involvement in healthcare decision making across different education and functional health literacy groups," Social Science & Medicine, Elsevier, vol. 69(12), pages 1805-1812, December.
    2. Marie-Anne Durand & Lewis Carpenter & Hayley Dolan & Paulina Bravo & Mala Mann & Frances Bunn & Glyn Elwyn, 2014. "Do Interventions Designed to Support Shared Decision-Making Reduce Health Inequalities? A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-13, April.
    3. Peek, Monica E. & Odoms-Young, Angela & Quinn, Michael T. & Gorawara-Bhat, Rita & Wilson, Shannon C. & Chin, Marshall H., 2010. "Race and shared decision-making: Perspectives of African-Americans with diabetes," Social Science & Medicine, Elsevier, vol. 71(1), pages 1-9, July.
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    Cited by:

    1. Caleiro, António, 2020. "About some evidences of health literacy," MPRA Paper 101064, University Library of Munich, Germany, revised 12 Jun 2020.
    2. Ryuichi Ohta & Yoshinori Ryu & Jun Kitayuguchi & Chiaki Sano & Karen D. Könings, 2021. "Educational Intervention to Improve Citizen’s Healthcare Participation Perception in Rural Japanese Communities: A Pilot Study," IJERPH, MDPI, vol. 18(4), pages 1-11, February.

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