Abstract
Studies reveal high levels of inadequate health literacy and numeracy in African Americans and older veterans. The authors aimed to investigate the distribution of health literacy, numeracy, and graph literacy in these populations. They conducted a cross-sectional survey of veterans receiving outpatient care and measured health literacy, numeracy, graph literacy, shared decision making, and trust in physicians. In addition, the authors compared subgroups of veterans using analyses of covariance. Participants were 502 veterans (22-82 years). Low, marginal, and adequate health literacy were found in, respectively, 29%, 26%, and 45% of the veterans. The authors found a significant main effect of race qualified by an age and race interaction. Inadequate health literacy was more common in African Americans than in Whites. Younger African Americans had lower health literacy (p <.001), graph literacy (p <.001), and numeracy (p <.001) than did Whites, even after the authors adjusted for covariates. Older and younger participants did not differ in health literacy, objective numeracy, or graph literacy after adjustment. The authors found no health literacy or age-related differences regarding preferences for shared decision making. African Americans expressed dissatisfaction with their current role in decision making (p =.03). Older participants trusted their physicians more than younger participants (p =.01). In conclusion, African Americans may be at a disadvantage when reviewing patient education materials, potentially affecting health care outcomes.
| Original language | English |
|---|---|
| Pages (from-to) | 273-289 |
| Number of pages | 17 |
| Journal | Journal of Health Communication |
| Volume | 18 |
| Issue number | SUPPL. 1 |
| DOIs | |
| State | Published - Dec 4 2013 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Health(social science)
- Library and Information Sciences
- Communication
Cite this
Health literacy, numeracy, and graphical literacy among veterans in primary care and their effect on shared decision making and trust in physicians. / Rodríguez, Vanessa; Andrade, Allen D.; García-Retamero, Rocio; Anam, Ramanakumar; Rodríguez, Remberto; Lisigurski, Miriam; Sharit, Joseph; Ruiz, Jorge G.
In: Journal of Health Communication, Vol. 18, No. SUPPL. 1, 04.12.2013, p. 273-289.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Health literacy, numeracy, and graphical literacy among veterans in primary care and their effect on shared decision making and trust in physicians
AU - Rodríguez, Vanessa
AU - Andrade, Allen D.
AU - García-Retamero, Rocio
AU - Anam, Ramanakumar
AU - Rodríguez, Remberto
AU - Lisigurski, Miriam
AU - Sharit, Joseph
AU - Ruiz, Jorge G.
PY - 2013/12/4
Y1 - 2013/12/4
N2 - Studies reveal high levels of inadequate health literacy and numeracy in African Americans and older veterans. The authors aimed to investigate the distribution of health literacy, numeracy, and graph literacy in these populations. They conducted a cross-sectional survey of veterans receiving outpatient care and measured health literacy, numeracy, graph literacy, shared decision making, and trust in physicians. In addition, the authors compared subgroups of veterans using analyses of covariance. Participants were 502 veterans (22-82 years). Low, marginal, and adequate health literacy were found in, respectively, 29%, 26%, and 45% of the veterans. The authors found a significant main effect of race qualified by an age and race interaction. Inadequate health literacy was more common in African Americans than in Whites. Younger African Americans had lower health literacy (p <.001), graph literacy (p <.001), and numeracy (p <.001) than did Whites, even after the authors adjusted for covariates. Older and younger participants did not differ in health literacy, objective numeracy, or graph literacy after adjustment. The authors found no health literacy or age-related differences regarding preferences for shared decision making. African Americans expressed dissatisfaction with their current role in decision making (p =.03). Older participants trusted their physicians more than younger participants (p =.01). In conclusion, African Americans may be at a disadvantage when reviewing patient education materials, potentially affecting health care outcomes.
AB - Studies reveal high levels of inadequate health literacy and numeracy in African Americans and older veterans. The authors aimed to investigate the distribution of health literacy, numeracy, and graph literacy in these populations. They conducted a cross-sectional survey of veterans receiving outpatient care and measured health literacy, numeracy, graph literacy, shared decision making, and trust in physicians. In addition, the authors compared subgroups of veterans using analyses of covariance. Participants were 502 veterans (22-82 years). Low, marginal, and adequate health literacy were found in, respectively, 29%, 26%, and 45% of the veterans. The authors found a significant main effect of race qualified by an age and race interaction. Inadequate health literacy was more common in African Americans than in Whites. Younger African Americans had lower health literacy (p <.001), graph literacy (p <.001), and numeracy (p <.001) than did Whites, even after the authors adjusted for covariates. Older and younger participants did not differ in health literacy, objective numeracy, or graph literacy after adjustment. The authors found no health literacy or age-related differences regarding preferences for shared decision making. African Americans expressed dissatisfaction with their current role in decision making (p =.03). Older participants trusted their physicians more than younger participants (p =.01). In conclusion, African Americans may be at a disadvantage when reviewing patient education materials, potentially affecting health care outcomes.
UR - http://www.scopus.com/inward/record.url?scp=84885675547&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84885675547&partnerID=8YFLogxK
U2 - 10.1080/10810730.2013.829137
DO - 10.1080/10810730.2013.829137
M3 - Article
C2 - 24093361
AN - SCOPUS:84885675547
VL - 18
SP - 273
EP - 289
JO - Journal of Health Communication
JF - Journal of Health Communication
SN - 1081-0730
IS - SUPPL. 1
ER -