Chisom Odoh, Jennifer I Vidrine, Michael S Businelle, Darla E Kendzor, Pooja Agrawal, Lorraine R Reitzel
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Logistic regression was used to assess the association between health literacy (confidence completing medical forms: extremely/quite a bit vs somewhat/little bit/not at all) and self-rated health (poor/fair vs good/very good/excellent) controlling for age, subjective social status, education, race, sex, income, health insurance, employment, social security recipient status, diabetes diagnosis, high blood pressure diagnosis, and high cholesterol diagnosis. In the adjusted model, health literate homeless individuals had greater odds of endorsing good/very good/excellent self-rated health compared to those somewhat/a little bit/not at all confident completing medical forms (AOR = 2.02, [CI<sub>95%</sub> = 1.35-3.02]). Interventions targeted at adjusting reading level and comprehensibility of health information are needed for homeless individuals with poor/limited health literacy, which may ultimately impact their self-rated health. Shelters and homeless-serving agencies could host classes focused on practical skills for enhancing health literacy and/or provide navigation services.</p>","PeriodicalId":73205,"journal":{"name":"Health behavior research","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8218643/pdf/nihms-1601682.pdf","citationCount":"0","resultStr":"{\"title\":\"Health Literacy and Self-Rated Health among Homeless Adults.\",\"authors\":\"Chisom Odoh, Jennifer I Vidrine, Michael S Businelle, Darla E Kendzor, Pooja Agrawal, Lorraine R Reitzel\",\"doi\":\"10.4148/2572-1836.1055\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Poor health literacy reduces the efficacy of behavior change interventions, hampers management of health conditions, and attenuates understanding of the prevention and treatment of diseases. 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Logistic regression was used to assess the association between health literacy (confidence completing medical forms: extremely/quite a bit vs somewhat/little bit/not at all) and self-rated health (poor/fair vs good/very good/excellent) controlling for age, subjective social status, education, race, sex, income, health insurance, employment, social security recipient status, diabetes diagnosis, high blood pressure diagnosis, and high cholesterol diagnosis. In the adjusted model, health literate homeless individuals had greater odds of endorsing good/very good/excellent self-rated health compared to those somewhat/a little bit/not at all confident completing medical forms (AOR = 2.02, [CI<sub>95%</sub> = 1.35-3.02]). Interventions targeted at adjusting reading level and comprehensibility of health information are needed for homeless individuals with poor/limited health literacy, which may ultimately impact their self-rated health. 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引用次数: 0
摘要
健康素养差会降低行为改变干预措施的效果,妨碍对健康状况的管理,削弱对疾病预防和治疗的理解。在有住所的样本中,健康素养差也与自我评价健康状况一般/差有关;然而,关于无家可归成年人健康素养差与自我评价健康状况之间关系的研究却很少,因为他们承受着不成比例的疾病和残疾负担,需要高水平的护理和医疗服务。在此,我们研究了方便抽样的无家可归成年人的健康素养与自评健康之间的关系。参与者来自俄克拉荷马市的六个无家可归者服务机构(N = 575;63% 为男性,Mage = 43.6±12.3)。采用逻辑回归法评估健康素养(填写医疗表格的信心:非常有信心/相当有信心 vs 有一点信心/一点信心/完全没有信心)与自评健康状况(差/一般 vs 好/非常好/极好)之间的关系,并对年龄、主观社会地位、教育程度、种族、性别、收入、医疗保险、就业、社会保障领取者身份、糖尿病诊断、高血压诊断和高胆固醇诊断进行了控制。在调整后的模型中,与那些对填写医疗表格有些/有点/完全没有信心的人相比,对健康知识有所了解的无家可归者认可 "好/非常好/极好 "自我健康评价的几率更大(AOR = 2.02,[CI95% = 1.35-3.02])。对于健康素养较差/有限的无家可归者,需要采取有针对性的干预措施来调整他们的阅读水平和健康信息的可理解性,这可能会最终影响他们的自我健康评价。庇护所和无家可归者服务机构可以举办以提高健康素养的实用技能为重点的课程,并/或提供导航服务。
Health Literacy and Self-Rated Health among Homeless Adults.
Poor health literacy reduces the efficacy of behavior change interventions, hampers management of health conditions, and attenuates understanding of the prevention and treatment of diseases. Poor health literacy has also been linked to fair/poor self-rated health in domiciled samples; however, there is a paucity of studies on the relation amongst homeless adults, who bear a disproportionate burden of disease and disability and require high level of care and access to health services. Here, we examined the association between health literacy and self-rated health among a convenience sample of homeless adults. Participants were recruited from six homeless-serving agencies in Oklahoma City (N = 575; 63% men, Mage = 43.6±12.3). Logistic regression was used to assess the association between health literacy (confidence completing medical forms: extremely/quite a bit vs somewhat/little bit/not at all) and self-rated health (poor/fair vs good/very good/excellent) controlling for age, subjective social status, education, race, sex, income, health insurance, employment, social security recipient status, diabetes diagnosis, high blood pressure diagnosis, and high cholesterol diagnosis. In the adjusted model, health literate homeless individuals had greater odds of endorsing good/very good/excellent self-rated health compared to those somewhat/a little bit/not at all confident completing medical forms (AOR = 2.02, [CI95% = 1.35-3.02]). Interventions targeted at adjusting reading level and comprehensibility of health information are needed for homeless individuals with poor/limited health literacy, which may ultimately impact their self-rated health. Shelters and homeless-serving agencies could host classes focused on practical skills for enhancing health literacy and/or provide navigation services.