Limited Literacy in Older People and Disparities in Health and Healthcare Access
- 2 May 2006
- journal article
- Published by Wiley in Journal of the American Geriatrics Society
- Vol. 54 (5), 770-776
- https://doi.org/10.1111/j.1532-5415.2006.00691.x
Abstract
OBJECTIVES: To determine the relationship between health literacy, demographics, and access to health care. DESIGN: Cross-sectional study, Health, Aging and Body Composition data (1999/2000). SETTING: Memphis, Tennessee, and Pittsburgh, Pennsylvania. PARTICIPANTS: Two thousand five hundred twelve black and white community-dwelling older people who were well functioning at baseline (without functional difficulties or dementia). MEASUREMENTS: Participants' health literacy was assessed using the Rapid Estimate of Adult Literacy in Medicine. Scores were categorized into 0 to sixth-, seventh- to eighth-, and ninth-grade and higher reading levels (limited health literacy defined as P<.02). After adjusting for sociodemographics, health status, and comorbidities, older people with a sixth-grade reading level or lower were twice as likely to have any of the three indicators of poor healthcare access (odds ratio=1.96, 95% confidence interval=1.34–2.88). CONCLUSION: Limited health literacy was prevalent and was associated with low socioeconomic status, comorbidities, and poor access to health care, suggesting that it may be an independent risk factor for health disparities in older people.Keywords
This publication has 31 references indexed in Scilit:
- The Metabolic Syndrome, Inflammation, and Risk of Cognitive DeclineJAMA, 2004
- Influence of Patient Literacy on the Effectiveness of a Primary Care–Based Diabetes Disease Management ProgramJAMA, 2004
- Are there Sex Differences in Emotional and Biological Responses in Spousal Caregivers of Patients with Alzheimer’s Disease?Biological Research For Nursing, 2004
- Functional health literacy and the quality of physician–patient communication among diabetes patientsPatient Education and Counseling, 2004
- A Controlled Trial of Inpatient and Outpatient Geriatric Evaluation and ManagementThe New England Journal of Medicine, 2002
- The relationship of patient reading ability to self-reported health and use of health services.American Journal of Public Health, 1997
- The health care experience of patients with low literacyArchives of Family Medicine, 1996
- Literacy skills and communication methods of low-income older personsPatient Education and Counseling, 1995
- Reading Deficiencies in Older PatientsThe American Journal of the Medical Sciences, 1994
- Effect of Insurance Status on Pain Medication Prescriptions in a Hematology/Oncology PracticeSouthern Medical Journal, 1993