David Stewart|Miguel Ángel Cano|Virmarie Correa-Fernández|Claire A. Spears|Yisheng Li|Andrew J. Waters|David W. Wetter|Jennifer Irvin Vidrine
Lower health literacy predicts smoking relapse among racially/ethnically diverse smokers with low socioeconomic status
The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|University of America|Catholic University of America|The University of Texas MD Anderson Cancer Center|Uniformed Services University of the Health Sciences|Rice University|The University of Texas MD Anderson Cancer Center
nearly half us adults difficulties health literacy hl defined ability adequately obtain process understand basic health information lower hl associated negative health behaviors poor health outcomes racialethnic minorities low socioeconomic status ses disproportionately affected poor hl also higher smoking prevalence difficulty quitting smoking thus lower hl may uniquely associated poorer cessation outcomes populationthis study investigated association hl smoking cessation outcomes among 200 lowses raciallyethnically diverse smokers enrolled smoking cessation treatment logistic regression analyses adjusted demographics ie age gender raceethnicity relationship status sesrelated characteristics ie education income nicotine dependence conducted investigate associations hl smoking relapse end treatment 3 weeks post quit dayresults indicated smokers lower hl score 645 rapid estimate adult literacy medicine realm significantly likely higher hl score 645 realm relapse end treatment even controlling established predictors cessation including demographics ses nicotine dependence 326 95 ci 114 926findings suggest lower hl may serve independent risk factor smoking relapse among lowses raciallyethnically diverse smokers enrolled treatment future research needed investigate longitudinal relations hl cessation outcomes potential mechanisms relationship