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Health literacy as a moderator of health-related quality of life responses to chronic disease among Chinese rural women
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
2015-04-15
DOI10.1186/s12905-015-0190-5
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
WOS记录号WOS:000353018200001
Citation statistics
Cited Times:5[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/56360
Collection北京大学中国卫生发展研究中心
北京大学医学部管理机构_医学部
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
GB/T 7714
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.
APA Wang, Cuili,Kane, Robert L.,Xu, Dongjuan,&Meng, Qingyue.(2015).Health literacy as a moderator of health-related quality of life responses to chronic disease among Chinese rural women.BMC WOMENS HEALTH,15.
MLA Wang, Cuili,et al."Health literacy as a moderator of health-related quality of life responses to chronic disease among Chinese rural women".BMC WOMENS HEALTH 15(2015).
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