Cuili Wang|Hui Li|Lingui Li|Dongjuan Xu|Robert L Kane|Qingyue Meng
Health literacy and ethnic disparities in health-related quality of life among rural women: results from a Chinese poor minority area
Shandong University|Shandong Management University|Shandong University|Ningxia Medical University|Shandong University|University of Minnesota|Shandong Management University|Shandong University
examined relationship health literacy hl healthrelated quality life hrqol well relationship differentials ethnicity among rural women chinese poor minority areawe conducted inperson interviews 913 rural women aged 23 57 575 hui minorities425 han ethnicity enrolled ningxia women health project gathering data eq5d selfdesigned hl sociodemographic characteristics chronic diseases extent impairments five dimensions eq5d used measure hrqol factor analysis yielded single hl factor used dichotomous variable multivariate logbinomial regression models examined adjusted association hl hrqolnearly half women formal education prevalent impairments paindiscomfort anxietydepression 4242 3209 respectively hui minorities 165 times higher rates low hl defined less mean factor score hl 122 125 times paindiscomfort anxietydepression impairments respectively low hl associated poor hrqol 23 increase prevalence paindiscomfort impairments adjusting sociodemographics association significant hui group pr130 95 ci106158 han group pr099 95 ci076130 hlstratified analysis revealed modification ethnic disparities hrqol paindiscomfort impairments high hlpr088 95 ci071108 low hlpr124 95 ci 101152 anxietydepression impairments high hlpr098 95 ci073132 low hlpr144 95 ci 105198low hl associated poor hrqol across entire sample association may modified ethnicity similarly ethnic disparities hrqol may modified hl larger low hl group health services address hl vulnerable minority women improve hrqol