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The impact of low health literacy on surgical practice
We sought to determine the prevalence of low health literacy (LHL) among patients in a preoperative clinic, the characteristics associated with LHL, and the association between LHL and adherence to preoperative instructions. We conducted a cohort study and interviewed patients at a VA preoperative c...
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| Published in: | The American journal of surgery 2004-09, Vol.188 (3), p.250-253 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c513t-ed4b1ce9b0d07c5f30dedc9d4bd2b6de0e9659c2be69d261c1ea87a1832be3983 |
| container_end_page | 253 |
| container_issue | 3 |
| container_start_page | 250 |
| container_title | The American journal of surgery |
| container_volume | 188 |
| creator | Chew, Lisa D. Bradley, Katharine A. Flum, David R. Cornia, Paul B. Koepsell, Thomas D. |
| description | We sought to determine the prevalence of low health literacy (LHL) among patients in a preoperative clinic, the characteristics associated with LHL, and the association between LHL and adherence to preoperative instructions.
We conducted a cohort study and interviewed patients at a VA preoperative clinic. We administered a health literacy test and collected sociodemographic information. When patients returned for their scheduled surgical procedures, adherence to preoperative instructions was assessed.
Of 332 participants, 12% (n = 40) had LHL. Low health literacy was more prevalent among older adults (more than 65 years) compared with those under age 65. Patients with LHL were more likely to be nonadherent to preoperative medication instructions (odds ratio = 1.9; 95% confidence interval: 0.8 to 4.8), but this was of borderline statistical significance.
Low health literacy was common among older patients and appeared to be associated with lower adherence to preoperative medication instructions. |
| doi_str_mv | 10.1016/j.amjsurg.2004.04.005 |
| format | article |
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We conducted a cohort study and interviewed patients at a VA preoperative clinic. We administered a health literacy test and collected sociodemographic information. When patients returned for their scheduled surgical procedures, adherence to preoperative instructions was assessed.
Of 332 participants, 12% (n = 40) had LHL. Low health literacy was more prevalent among older adults (more than 65 years) compared with those under age 65. Patients with LHL were more likely to be nonadherent to preoperative medication instructions (odds ratio = 1.9; 95% confidence interval: 0.8 to 4.8), but this was of borderline statistical significance.
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We conducted a cohort study and interviewed patients at a VA preoperative clinic. We administered a health literacy test and collected sociodemographic information. When patients returned for their scheduled surgical procedures, adherence to preoperative instructions was assessed.
Of 332 participants, 12% (n = 40) had LHL. Low health literacy was more prevalent among older adults (more than 65 years) compared with those under age 65. Patients with LHL were more likely to be nonadherent to preoperative medication instructions (odds ratio = 1.9; 95% confidence interval: 0.8 to 4.8), but this was of borderline statistical significance.
Low health literacy was common among older patients and appeared to be associated with lower adherence to preoperative medication instructions.</description><subject>Adherence to medication</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Ambulatory Surgical Procedures - education</subject><subject>Biological and medical sciences</subject><subject>Cognitive ability</subject><subject>Cohort Studies</subject><subject>Confidence intervals</subject><subject>Educational Status</subject><subject>Female</subject><subject>General aspects</subject><subject>Health care</subject><subject>Health care expenditures</subject><subject>Health care policy</subject><subject>Health education</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health literacy</subject><subject>Hospitals</subject><subject>Hospitals, Veterans</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Outpatient Clinics, Hospital</subject><subject>Patient Compliance</subject><subject>Patient Education as Topic - methods</subject><subject>Patients</subject><subject>Preoperative Care - methods</subject><subject>Preoperative instructions</subject><subject>Reading</subject><subject>Secondary schools</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>VA clinic</subject><subject>Veterans</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNqFkF9L5DAUxYO4rKPuR1AKsr51Nrdp0-RJRFZdEPZFn0Oa3Dop_TMmrTLf3pQpCD4oHAg5_O69h0PIGdA1UOB_mrXumjD553VGab6eRYsDsgJRyhSEYIdkRSnNUsmBHpHjEJr4BcjZT3IERV5QkckV4Y8bTFy31WZMhjpph7dkg7odN0nrRvTa7JKhT-Y7zug22UZndAZPyY9atwF_Le8Jebr9-3hznz78v_t3c_2QmgLYmKLNKzAoK2ppaYqaUYvWyOjarOIWKUpeSJNVyKXNOBhALUoNgkWLScFOyOV-79YPLxOGUXUuGGxb3eMwBcW5BCZARvDiE9gMk-9jNgV5nvMsSnxJUQYgJSshUsWeMn4IwWOttt512u8ipObyVaOW8tVcvppFizh3vmyfqg7tx9TSdgR-L4AOsc3a69648MFxyMq8nGNe7TmM1b469CoYh71B6zyaUdnBfRPlHa5ro2Q</recordid><startdate>20040901</startdate><enddate>20040901</enddate><creator>Chew, Lisa D.</creator><creator>Bradley, Katharine A.</creator><creator>Flum, David R.</creator><creator>Cornia, Paul B.</creator><creator>Koepsell, Thomas D.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20040901</creationdate><title>The impact of low health literacy on surgical practice</title><author>Chew, Lisa D. ; Bradley, Katharine A. ; Flum, David R. ; Cornia, Paul B. ; Koepsell, Thomas D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-ed4b1ce9b0d07c5f30dedc9d4bd2b6de0e9659c2be69d261c1ea87a1832be3983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adherence to medication</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Ambulatory Surgical Procedures - education</topic><topic>Biological and medical sciences</topic><topic>Cognitive ability</topic><topic>Cohort Studies</topic><topic>Confidence intervals</topic><topic>Educational Status</topic><topic>Female</topic><topic>General aspects</topic><topic>Health care</topic><topic>Health care expenditures</topic><topic>Health care policy</topic><topic>Health education</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health literacy</topic><topic>Hospitals</topic><topic>Hospitals, Veterans</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nurses</topic><topic>Outpatient Clinics, Hospital</topic><topic>Patient Compliance</topic><topic>Patient Education as Topic - methods</topic><topic>Patients</topic><topic>Preoperative Care - methods</topic><topic>Preoperative instructions</topic><topic>Reading</topic><topic>Secondary schools</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>VA clinic</topic><topic>Veterans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chew, Lisa D.</creatorcontrib><creatorcontrib>Bradley, Katharine A.</creatorcontrib><creatorcontrib>Flum, David R.</creatorcontrib><creatorcontrib>Cornia, Paul B.</creatorcontrib><creatorcontrib>Koepsell, Thomas D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Complete (ProQuest Database)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chew, Lisa D.</au><au>Bradley, Katharine A.</au><au>Flum, David R.</au><au>Cornia, Paul B.</au><au>Koepsell, Thomas D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of low health literacy on surgical practice</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2004-09-01</date><risdate>2004</risdate><volume>188</volume><issue>3</issue><spage>250</spage><epage>253</epage><pages>250-253</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>We sought to determine the prevalence of low health literacy (LHL) among patients in a preoperative clinic, the characteristics associated with LHL, and the association between LHL and adherence to preoperative instructions.
We conducted a cohort study and interviewed patients at a VA preoperative clinic. We administered a health literacy test and collected sociodemographic information. When patients returned for their scheduled surgical procedures, adherence to preoperative instructions was assessed.
Of 332 participants, 12% (n = 40) had LHL. Low health literacy was more prevalent among older adults (more than 65 years) compared with those under age 65. Patients with LHL were more likely to be nonadherent to preoperative medication instructions (odds ratio = 1.9; 95% confidence interval: 0.8 to 4.8), but this was of borderline statistical significance.
Low health literacy was common among older patients and appeared to be associated with lower adherence to preoperative medication instructions.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15450829</pmid><doi>10.1016/j.amjsurg.2004.04.005</doi><tpages>4</tpages></addata></record> |
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| ispartof | The American journal of surgery, 2004-09, Vol.188 (3), p.250-253 |
| issn | 0002-9610 1879-1883 |
| language | eng |
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| source | ScienceDirect Freedom Collection 2022-2024 |
| subjects | Adherence to medication Adolescent Adult Age Age Factors Aged Ambulatory Surgical Procedures - education Biological and medical sciences Cognitive ability Cohort Studies Confidence intervals Educational Status Female General aspects Health care Health care expenditures Health care policy Health education Health Knowledge, Attitudes, Practice Health literacy Hospitals Hospitals, Veterans Humans Male Medical sciences Middle Aged Nurses Outpatient Clinics, Hospital Patient Compliance Patient Education as Topic - methods Patients Preoperative Care - methods Preoperative instructions Reading Secondary schools Surgery Surgical outcomes VA clinic Veterans |
| title | The impact of low health literacy on surgical practice |
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