Hyo Jin Kim, Hongyeul Lee, Ji Young Yang, Jae Ha Lee, Seung Won Ra, SungMin Hong, Ho Young Lee, Sung Hyun Kim, Mi-Yeong Kim, Hyun-Kyung Lee
Perception of Long-Term Oxygen Therapy for Chronic Lung Diseases May Affect Poor Adherence in Korea
Tuberculosis and respiratory diseases
limited health literacy exacerbates health inequity serious implications patient care hinders successful communication comprehension relevant health information lead suboptimal care despite evidence regarding significance health literacy topic received little consideration orthopedic spine patients investigate prevalence factors associated limited health literacy among outpatients presenting tertiary urban academic hospitalbased orthopedic spine center crosssectionals patients 18 years age older seen tertiary urban academic hospitalbased multisurgeon outpatient spine center newest vital sign nvs health literacy assessment december 2021 march 2022 447 consecutive englishspeaking patients age 18 years new outpatient spine clinic approached participation crosssectional survey study 405 agreed participate patients completed newest vital sign nvs health literacy assessment tool rapid estimation adult literacy medicine short form realmsf sociodemographic survey including raceethnicity level education employment status income marital status nvs scores divided limited 03 adequate 46 health literacy realmsf scores classified reading levels ninth grade 06 least ninth grade 7 additional demographic data extracted patient records online mapping tools used collect social vulnerability index svi area deprivation index adi patient subsequently multivariable regression modeling performed identify independent factors associated limited health literacy prevalence limited health literacy patients presenting urban academic outpatient spine center 33 135405 unadjusted analysis found patients socioeconomically disadvantaged eg unemployed lower household income publicly insured higher svi unfavorable social determinant health features eg housing concerns higher adi less years education ninth grade reading level unmarried high rates limited health literacy adjusted regression analysis demonstrated limited health literacy independently associated higher adi state decile living less 10 years current address housing concerns employed nonnative english speaking less years education ninth grade reading level study found substantial portion patients presenting outpatient spine center limited health literacy socially disadvantaged future efforts investigate impact limited health literacy access care treatment outcomes health care utilization orthopedic patients neighborhood social vulnerability measures may feasible way identify patients risk limited health literacy clinical practice offer opportunities tailored patient care may contribute prioritizing mitigation disparities aid development meaningful interventions improve health equity orthopedics