Health Literacy and Pregnancy Preparedness in Pregestational Diabetes

Endres, Loraine; Sharp, Lisa K.; Haney, Elaine I.; Dooley, Sharon L.

doi:10.2337/diacare.27.2.331

Cited by 147 publications

(49 citation statements)

References 22 publications

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“…However, they used a different target group (women who had unintended pregnancies), a different health literacy assessment tool (the Test of Rapid Estimate of Adult Literacy in Medicine), as well as a different numeracy scale for assessment [14]. Also, in a study conducted by Loraine, a significant correlation was found between unintended pregnancy and low health literacy, which is consistent with our study finding [15] although they targeted pregnant patients with diabetes using short TOFHLA.…”

Section: Discussionsupporting

confidence: 79%

Health literacy and unintended pregnancy among rural Iranian women

et al. 2016

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Health literacy is a significant element in the ability of a woman to engage in health promotion and preventive activities both for herself and her children. This study aimed to evaluate health literacy and the rate of unintended pregnancies, as well as the relationship between health literacy and unintended pregnancies among rural Iranian married women. This study was conducted on 240 rural married women aged 18 to 45 years. To collect data, the Persian version of the test of functional health literacy in adults and a checklist of demographic characteristics and unintended pregnancy were used. Approximately, 62% of the women studied had low literacy level (marginal and inadequate) and the rate of unintended pregnancies was 35%. A significant correlation was observed between health literacy level and education level, age, number of children, and unintended pregnancy. Then, the level of health literacy was low among rural married women and this factor was associated with their unintended pregnancies.

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Section: Discussionsupporting

confidence: 79%

Health literacy and unintended pregnancy among rural Iranian women

et al. 2016

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“…Compared with individuals with adequate health literacy, those with limited health literacy have poorer understanding of their chronic diseases, [2][3][4][5] physicians' instructions, [6][7][8] and health-related Web sites 9 ; poorer disease management skills 2 ; higher levels of disease indicators 10,11 ; and worse self-reported health. 12,13 Limited health literacy is also associated with less use of certain preventive services, 14,15 increased hospitalizations, 12,16 and increased health care costs. 17 Not all of these associations have been found with perfect consistency, however.…”

Section: Introductionmentioning

confidence: 99%

Screening Questions to Predict Limited Health Literacy: A Cross-Sectional Study of Patients With Diabetes Mellitus

Jeppesen¹,

Coyle²,

Miser³

2009

The Annals of Family Medicine

113

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PURPOSE Limited health literacy is increasingly recognized as a barrier to receiving adequate health care. Identifying patients at risk of poor health outcomes secondary to limited health literacy is currently the responsibility of clinicians. Our objective was to identify which screening questions and demographics independently predict limited health literacy and could thus help clinicians individualize their patient education. METHODSBetween August 2006 and July 2007, we asked 225 patients being treated for diabetes at an academic primary care offi ce several questions regarding their reading ability as part of a larger study (57% response rate). We built a logistic regression model predicting limited health literacy to determine the independent predictive properties of these questions and demographic variables. Patients were classifi ed as having limited health literacy if they had a Short Test of Functional Health Literacy in Adults (S-TOFHLA) score of less than 23. The potential predictors evaluated were self-rated reading ability, highest education level attained, Single-Item Literacy Screener (SILS) result, patients' reading enjoyment, age, sex, and race.RESULTS Overall, 15.1% of the patients had limited health literacy. In the fi nal model, 5 of the potential predictors were independently associated with increased odds of having limited health literacy. Specifi cally, patients were more likely to have limited health literacy if they had a poorer self-rated reading ability (odds ratio [OR] per point increase in the model = 3.37; 95% confi dence interval [CI], 1.71-6.63), more frequently needed help reading written health materials (assessed by the SILS) (OR = 2.03; 95% CI, 1.26-3.26), had a lower education level (OR = 1.89; 95% CI, 1.12-3.18), were male (OR = 4.46; 95% CI, 1.53-12.99), and were of nonwhite race (OR = 3.73; 95% CI, 1.04-13.40). These associations were not confounded by age. The area under the receiver operating characteristic curve was 0.9212. CONCLUSIONS Self-rated reading ability, SILS result, highest education level attained, sex, and race independently predict whether a patient has limited health literacy. Clinicians should be aware of these associations and ask questions to identify patients at risk. We propose an "SOS" mnemonic based on these fi ndings to help clinicians wishing to individualize patient education. 17 Not all of these associations have been found with perfect consistency, however. [18][19][20] We refer the interested reader to larger literature reviews and summary analyses for a more comprehensive look at the effects of literacy on health-related outcomes. 21,22 Interventions exist to aid persons with limited health literacy. Simplifying instruction forms is an effective means of ensuring better comprehension for entire patient populations. [23][24][25] Patients' health care teams may be of assistance by providing simplifi ed education and ensuring that patients understand and retain what is being said. [26][27][28] Although the use of such strategies should ...

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“…Como señalamos al inicio, los especialistas han estudiado la relación entre salud sexual y reproductiva, y el empleo de fuentes de información [6][7][8]11,12 . Ellos encontraron que el manejo adecuado del material impreso depende de las competencias lectoras y específicamente del llamado 'conocimiento de salud' (health literacy).…”

Section: N V E S T I G a C I ó Nunclassified

“…Dichas mujeres tienen mayor probabilidad de tener embarazos no planificados (p =0,002) y mucha menor probabilidad de informarse con un endocrinólogo u obstetriz (p =0,01) 6 . Desde una perspectiva diferente, Margaret Freda y su equipo de colaboradoras analizaron la legibilidad de 100 folletos -escritos en inglés-sobre educación en ginecología y obstetricia.…”

Section: N V E S T I G a C I ó Nunclassified