Zhaoya Fan|Yuan Yang|Zhongjie Fan
Association between health literacy and mortality: a systematic review and meta-analysis
Chongqing Public Health Medical Center|Chongqing Medical University|First Affiliated Hospital of Chongqing Medical University|Chongqing Medical University|Chongqing Public Health Medical Center|Chongqing Medical University
identify relationship health literacy hl mortality based systematic review metaanalysisliterature published database inception july 2020 searched using pubmed web science databases using relevant keywords clear inclusion exclusion criteria search limited english language articles two reviewers independently selected studies extracted data pooled correlation coefficients 95 confidence intervals ci hl mortality estimated using stata 150 software potential sources heterogeneity explored using subgroup analysis sensitivity analysis metaregression quality original studies included metaanalysis evaluated using newcastleottawa scale funnel plot eggers test used determine whether significant publication bias presentoverall 19 articles included reporting total 41149 subjects eleven prospective cohort studies articles considered good quality used screening instruments short test functional health literacy stofhla adults brief health literacy screen bhls among 39423 subjects two articles report number patients low hl approximately 9202 23 inadequate marginal hl correlation coefficient hl mortality 125 95ci 025044lower hl associated increased risk death finding considered carefully confirmed research