Cuili Wang|Robert L Kane|Dongjuan Xu|Qingyue Meng
Health literacy as a moderator of health-related quality of life responses to chronic disease among Chinese rural women
Shandong University|University of Minnesota|Shandong University|Peking University
chronic disease leading global health threat impairs patients healthrelated quality life hrqol low health literacy linked chronic diseases prevalence poor hrqol however interaction health literacy chronic disease hrqol remains unknown therefore examined health literacy might modify association chronic disease hrqol impacts conducted health survey 913 poor rural women aged 2357 years northwestern china assessed health literacy hrqol using revised chinese adult health literacy questionnaire rcahlq euroqol5d eq5d respectively low health literacy indicated cutoff less mean factor score selfreported preexisting physiciandiagnosed chronic disease sociodemographic characteristics also included fitted logbinomial regression models dimension eq5d examine association health literacy chronic disease also ran linear regression models eq vas scores utility scores low health literacy group 133 times likely chronic disease high health literacy group paindiscomfort prevalent impairment common low health literacy group pr prevalence ratio 123 95 ci 101 150 chronic disease strongly predicted impairments eq5d dimensions prs ranging 214 407 association chronic disease paindiscomfort varied health literacy level health literacy chronic disease p 0033 less pronounced low health literacy group pr 215 95 ci 176 264 high health literacy group pr 319 95 ci 252 405 low health literacy group lower vas scores utility scores slightly less decrement vas scores utility scores associated chronic disease health literacy modified impacts chronic disease hrqol low health literacy group reported less hrqol impacts related chronic disease research address health literacy issues well root causes health disparities vulnerable populations