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学科主题: 公共卫生
题名:
Health literacy as a moderator of health-related quality of life responses to chronic disease among Chinese rural women
作者: Wang, Cuili1; Kane, Robert L.2; Xu, Dongjuan1,2; Meng, Qingyue3
关键词: China ; Health-related quality of life ; EQ-5D ; Health literacy ; Chronic disease
刊名: BMC WOMENS HEALTH
发表日期: 2015-04-15
DOI: 10.1186/s12905-015-0190-5
卷: 15
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Public, Environmental & Occupational Health ; Obstetrics & Gynecology
研究领域[WOS]: Public, Environmental & Occupational Health ; Obstetrics & Gynecology
关键词[WOS]: OLDER-ADULTS ; OUTCOMES ; DISPARITIES ; POPULATION ; EQ-5D ; RECOMMENDATIONS ; CHALLENGES ; MORTALITY ; VALIDITY ; EUROQOL
英文摘要:

Background: Chronic disease is the leading global health threat and impairs patients′ health-related quality of life (HRQoL). Low health literacy is linked with chronic diseases prevalence and poor HRQoL. However, the interaction of health literacy with chronic disease on HRQoL remains unknown. Therefore, we examined how health literacy might modify the association between chronic disease and their HRQoL impacts.

Methods: We conducted a health survey of 913 poor rural women aged 23-57 years in Northwestern China. We assessed health literacy and HRQol using the revised Chinese Adult Health Literacy Questionnaire (R-CAHLQ) and Euroqol-5D (EQ-5D), respectively. Low health literacy was indicated by a cut-off of less than the mean of the factor score. Self-reported preexisting physician-diagnosed chronic disease and socio-demographic characteristics were also included. We fitted log-binomial regression models for each dimension of EQ-5D to examine its association with health literacy and chronic disease. We also ran linear regression models for EQ VAS scores and utility scores.

Results: The low health literacy group was 1.33 times more likely to have a chronic disease than the high health literacy group. Pain/discomfort was the most prevalent impairment, and was more common in the low health literacy group (PR [prevalence ratio] = 1.23; 95% CI = 1.01, 1.50). Chronic disease strongly predicted impairments in all the EQ-5D dimensions, with PRs ranging from 2.14 to 4.07. The association between chronic disease and pain/discomfort varied by health literacy level (health literacy x chronic disease: P = 0.033), and was less pronounced in the low health literacy group (PR = 2.15; 95% CI = 1.76, 2.64) than in the high health literacy group (PR = 3.19; 95% CI = 2.52, 4.05). The low health literacy group had lower VAS scores and utility scores, and slightly less decrement of VAS scores and utility scores associated with chronic disease.

Conclusions: Health literacy modified the impacts of chronic disease on HRQoL, and low health literacy group reported less HRQoL impacts related to chronic disease. Research should address health literacy issues as well as root causes of health disparities for vulnerable populations.

语种: 英语
所属项目编号: 71303138
项目资助者: National Natural Science Foundation of China
WOS记录号: WOS:000353018200001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56360
Appears in Collections:北京大学中国卫生发展研究中心_期刊论文

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作者单位: 1.Shandong Univ, Sch Nursing, Jinan 250012, Peoples R China
2.Univ Minnesota, Sch Publ Hlth, Minneapolis, MN 55455 USA
3.Peking Univ, China Ctr Hlth Dev Studies, Beijing 100191, Peoples R China

Recommended Citation:
Wang, Cuili,Kane, Robert L.,Xu, Dongjuan,et al. Health literacy as a moderator of health-related quality of life responses to chronic disease among Chinese rural women[J]. BMC WOMENS HEALTH,2015,15.
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