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

被引：679
作者：
Baker, DW
Gazmararian, JA
Williams, MV
Scott, T
Parker, RM
Green, D
Ren, JL
Peel, J
机构：
[1] Case Western Reserve Univ, MetroHlth Med Ctr, Ctr Hlth Care Res & Policy, Cleveland, OH 44106 USA
[2] Case Western Reserve Univ, MetroHlth Med Ctr, Dept Med, Cleveland, OH 44106 USA
[3] Case Western Reserve Univ, Sch Med, Dept Biostat & Epidemiol, Cleveland, OH 44106 USA
[4] US Qual Algorithms Ctr Hlth Care Res, Atlanta, GA USA
[5] Emory Univ, Sch Med, Dept Med, Atlanta, GA USA
来源：
AMERICAN JOURNAL OF PUBLIC HEALTH | 2002年 / 92卷 / 08期
关键词：
D O I：
10.2105/AJPH.92.8.1278
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
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 [CI] = 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% CI = 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.
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收藏
页码：1278 / 1283
页数：6
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