Health Literacy and Health-Related Quality of Life Among a Population-Based Sample of Cancer Patients

被引:120
作者
Halverson, Julie L. [1 ,2 ]
Martinez-Donate, Ana P. [1 ]
Palta, Mari [1 ]
Leal, Ticiana [1 ]
Lubner, Sam [1 ]
Walsh, Matthew C. [1 ]
Strickland, Jeanne Schaaf [1 ]
Smith, Paul D. [3 ]
Trentham-Dietz, Amy [1 ]
机构
[1] Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI 53706 USA
[2] Med Coll Wisconsin, Dept Emergency Med, Milwaukee, WI 53226 USA
[3] Univ Wisconsin, Dept Family Med, Madison, WI 53706 USA
基金
美国医疗保健研究与质量局;
关键词
FACT-G SCALE; FUNCTIONAL ASSESSMENT; COLORECTAL-CANCER; GENERAL-POPULATION; AMBULATORY CANCER; OUTCOMES; VALIDATION; DEPRESSION; MANAGEMENT; QUESTIONS;
D O I
10.1080/10810730.2015.1018638
中图分类号
G2 [信息与知识传播];
学科分类号
05 ; 0503 ;
摘要
Health-related quality of life is an important outcome in cancer care. A few studies indicate that health literacy influences cancer patients' health-related quality of life, but additional investigation is needed. The authors examined the relation between health literacy and health-related quality of life among cancer patients. A cross-sectional survey was conducted with cancer patients in Wisconsin during 2006-2007. Data on sociodemographics, clinical characteristics, health-related quality of life, and health literacy were obtained from the state's cancer registry and a mailed questionnaire. Regression analyses were used to characterize the association between health-related quality of life and health literacy. The study sample included 1,841 adults, newly diagnosed with lung, breast, colorectal, or prostate cancer in 2004 (response rate=68%). Health-related quality of life was measured with the Functional Assessment of Cancer Therapy-General. Adjusting for confounders, higher health literacy was associated with greater health-related quality of life (p<.0001). Controlling for covariates, we found significant differences between those in the highest and lowest health literacy categories (p<.0001) and in the physical (p<.0001), functional (p<.0001), emotional (p<.0001), and social (p=.0007) well-being subscales. These associations exceeded the minimally important difference threshold for overall health-related quality of life and functional well-being. Health literacy is positively and independently associated with health-related quality of life among cancer patients. These findings support adoption of health literacy best practices by cancer care systems.
引用
收藏
页码:1320 / 1329
页数:10
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