H. Shonna Yin|Benard P. Dreyer|Karina L. Vivar|Suzanne P. MacFarland|Linda van Schaick|Alan L. Mendelsohn
Perceived Barriers to Care and Attitudes Towards Shared Decision-making Among Low Socioeconomic Status Parents: Role of Health Literacy
Bellevue Hospital Center|New York University|Bellevue Hospital Center|New York University|Bellevue Hospital Center|New York University|Bellevue Hospital Center|New York University|Bellevue Hospital Center|New York University|Bellevue Hospital Center|New York University
objective although low parent health literacy hl linked poor child health outcomes known whether differences perceptions related access care providerparent partnership care potential contributing factors sought assess whether parent hl associated differences perceived barriers care attitudes regarding participatory decisionmaking provider methods crosssectional analysis data collected parents presenting child urban public hospital pediatric clinic new york city dependent variables caregiverreported barriers care ability reach provider nighton weekends difficult travel clinic attitudes towards participatory decisionmaking feeling like partner relying doctors knowledge leaving decisions doctor given choicesasked opinion primary independent variable caregiver hl short test functional health literacy adults stohfla results total 823 parents assessed 1 4 270 categorized low hl parents low hl likely report barriers care adequate hl trouble reaching provider nightsweekends 649 vs 496 p 0001 adjusted odds ratio aor 17 95 confidence interval 95 ci 1224 difficult travel 153 vs 80 p 0004 aor 18 95 ci 1130 low hl also associated feeling like partner 288 vs 171 aor 20 95 ci 1430 preference relying doctors knowledge 689 vs 522 aor 17 95 ci 1224 preference leaving decisions doctor 577 vs 333 aor 22 95 ci 1631 conclusions addressing issues parent hl may helpful ameliorating barriers care promoting providerparent partnership care