Laurie T. Martin|Matthias Schonlau|Ann Haas|Kathryn Pitkin Derose|Rima Rudd|Eric B. Loucks|Lindsay Rosenfeld|Stephen L. Buka
Literacy Skills and Calculated 10-Year Risk of Coronary Heart Disease
RAND Corporation|German Institute for Economic Research|RAND Corporation|RAND Corporation|RAND Corporation|Harvard University|Brown University|Providence College|Northeastern University|Brown University|Providence College
coronary heart disease chd leading cause morbidity mortality reducing disease burden requires understanding factors associated prevention management chd literacy skills may one factorto examine independent interactive effects four literacy skills reading numeracy oral language speaking aural language listening calculated 10year risk chd determine whether relationships literacy skills chd risk similar men womenwe used multivariable linear regression assess individual combined interactive effects four literacy skills risk chd adjusting education racefour hundred nine englishspeaking adults boston providence ritenyear risk coronary heart disease calculated using framingham algorithm reading oral language aural language measured using woodcock johnson iii tests achievement numeracy assessed modified version numeracy scale lipkus colleagueswhen examined individually reading p 0007 numeracy p 0001 aural language p 0004 skills significantly associated chd risk among women literacy skills associated chd risk men examined together evidence interaction numeracy aural language among women suggesting higher skills one area eg aural language may compensate difficulties another resulting equally low risk chdresults study provide important insight independent interactive effects literacy skills risk chd also highlight need development easyto use assessments oral exchange health care setting need better understand literacy skills important given health outcome