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  1. Health Literacy among Medicare enrollees in a managed care organization.

    Article - En anglais

    Context Elderly patients may have limited ability to read and comprehend medical information pertinent to their health.

    Objective To determine the prevalence of low functional health literacy among community-dwelling Medicare enrollees in a national managed care organization.

    Design Cross-sectional survey.

    Setting Four Prudential HealthCare plans (Cleveland, Ohio ; Houston, Tex ; south Florida ; Tampa, Fla).

    Participants A total of 3260 new Medicare enrollees aged 65 years or older were interviewed in person between June and December 1997 (853 in Cleveland, 498 in Houston, 975 in south Florida, 934 in Tampa) ; 2956 spoke English and 304 spoke Spanish as their native language.

    Main Outcome Measure Functional health literacy as measured by the Short Test of Functional Health Literacy in Adults.

    Results Overall, 33.9% of English-speaking and 53.9% of Spanish-speaking respondents had inadequate or marginal health literacy.

    The prevalence of inadequate or marginal functional health literacy among English speakers ranged from 26.8% to 44.0%. In multivariate analysis, study location, race/language, age, years of school completed, occupation, and cognitive impairment were significantly associated with inadequate or marginal literacy.

    Reading ability declined dramatically with age, even after adjusting for years of school completed and cognitive impairment.

    The adjusted odds ratio for having inadequate or marginal health literacy was 8.62 (95% confidence interval, 5.55-13. (...)

    Mots-clés Pascal : Personne âgée, Homme, Education santé, Littérature, Médecine, Exploration, Compréhension, Position malade

    Mots-clés Pascal anglais : Elderly, Human, Health education, Literature, Medicine, Exploration, Comprehension, Patient position

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0129021

    Code Inist : 002B30A03B. Création : 16/11/1999.