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Health literacy and ethnic disparities in health-related quality of life among rural women: results from a Chinese poor minority area
Wang, Cuili1,2; Li, Hui2; Li, Lingui3; Xu, Dongjuan1,4; Kane, Robert L.4; Meng, Qingyue2,5
关键词Health-related Quality Of Life Eq-5d Health Literacy Race/ethnicity Equity China
刊名HEALTH AND QUALITY OF LIFE OUTCOMES
2013-09-11
DOI10.1186/1477-7525-11-153
11
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Health Care Sciences & Services ; Health Policy & Services
资助者China Medical Board ; China Medical Board
研究领域[WOS]Health Care Sciences & Services
关键词[WOS]OLDER-ADULTS ; GENERAL-POPULATION ; LIMITED LITERACY ; SOCIAL SUPPORT ; THE-LITERATURE ; PUBLIC-HEALTH ; EQ-5D ; IMPACT ; OUTCOMES ; CARE
英文摘要

Background: We examined the relationship between health literacy (HL) and health-related quality of life (HRQoL) as well as relationship differentials by ethnicity among rural women from a Chinese poor minority area.

Methods: We conducted in-person interviews with 913 rural women aged 23 - 57 (57.5% Hui minorities/42.5% Han ethnicity) enrolled in the Ningxia Women Health Project, gathering data on EQ-5D, self-designed HL, socio-demographic characteristics, and chronic diseases. The extent of impairments in the five dimensions of the EQ-5D was used to measure HRQoL. Factor analysis yielded a single HL factor, which was used as a dichotomous variable in multivariate log-binomial regression models that examined the adjusted association of HL with HRQoL.

Results: Nearly half of the women had no formal education. The most prevalent impairments were pain/discomfort and anxiety/depression (42.42% and 32.09%, respectively). The Hui minorities had 1.65 times higher rates of low HL (defined as less than mean of the factor score for HL) and 1.22 and 1.25 times for pain/discomfort and anxiety/depression impairments, respectively. Low HL was associated with poor HRQoL, with a 23% increase in the prevalence of pain/discomfort impairments after adjusting for socio-demographics. This association was significant in the Hui group (PR=1.30, 95% CI=1.06-1.58) but not for the Han group (PR=0.99, 95% CI=0.76-1.30). HL-stratified analysis revealed modification for ethnic disparities in HRQoL; for pain/discomfort impairments, high HL-PR=0.88 (95% CI=0.71-1.08), low HL-PR=1.24 (95% CI = 1.01-1.52); for anxiety/depression impairments, high HL-PR=0.98 (95% CI=0.73-1.32), low HL-PR=1.44 (95% CI = 1.05-1.98).

Conclusions: Low HL is associated with poor HRQoL across the entire sample and the association may be modified by ethnicity. Similarly, ethnic disparities in HRQoL may be modified by HL, larger in low HL group. Health services should address HL in vulnerable minority women to improve their HRQoL.

语种英语
所属项目编号09-947
资助者China Medical Board ; China Medical Board
WOS记录号WOS:000324526700001
引用统计
被引频次:14[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/53154
专题北京大学中国卫生发展研究中心
作者单位1.Shandong Univ, Sch Nursing, Jinan 250012, Peoples R China
2.Shandong Univ, Ctr Hlth Management & Policy, Jinan 250012, Peoples R China
3.Ningxia Med Univ, Coll Management, Yinchuan 750004, Peoples R China
4.Univ Minnesota, Sch Publ Hlth, Minneapolis, MN 55455 USA
5.Peking Univ, China Ctr Hlth Dev Studies, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Wang, Cuili,Li, Hui,Li, Lingui,et al. Health literacy and ethnic disparities in health-related quality of life among rural women: results from a Chinese poor minority area[J]. HEALTH AND QUALITY OF LIFE OUTCOMES,2013,11.
APA Wang, Cuili,Li, Hui,Li, Lingui,Xu, Dongjuan,Kane, Robert L.,&Meng, Qingyue.(2013).Health literacy and ethnic disparities in health-related quality of life among rural women: results from a Chinese poor minority area.HEALTH AND QUALITY OF LIFE OUTCOMES,11.
MLA Wang, Cuili,et al."Health literacy and ethnic disparities in health-related quality of life among rural women: results from a Chinese poor minority area".HEALTH AND QUALITY OF LIFE OUTCOMES 11(2013).
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