Yenupini Joyce Adams, Lynn Sladek
A descriptive, cross-sectional study of postpartum education: midwives' self-reported knowledge and teaching of postpartum complications in Ghana
Reproductive health
parental health literacy neighborhood socioeconomic disadvantage associated adverse health outcomes increased healthcare resource utilization children sought evaluate association communitylevel health literacy neighborhood socioeconomic disadvantage relationships outcomes pediatric patients undergoing gastrostomy tube gt placement pediatric patients underwent gt placement 2000 2019 identified using ibm marketscan research database claims data merged health literacy index hli area deprivation index adi measures communitylevel health literacy neighborhood socioeconomic disadvantage respectively used multivariate logistic regression estimate factors associated postoperative 30 90day ed visits evs 30day readmissions total 4374 pediatric patients underwent gt placement cohort 61 114 30day 90day ev 30day readmissions 1975 hli lower 302446 61 versus 2454 61 p 00482 902445 58 versus 2455 61 p 0001 day ev 30day readmission 2445 556 versus 2454 61 p 0001 related gt adi lower 90day ev 551 131 versus 559 146 p 00244 hli associated decreased odds 30 adjusted odds ratio 0968 95 confidence interval 09410997 90day adjusted odds ratio 0975 95 confidence interval 09540998 ev following gt placement adi also significantly associated 30 90day ev following gt placement pediatric patients undergoing gt placement higher ecologicallymeasured health literacy neighborhood socioeconomic disadvantage associated decreased healthcare resource utilization evidenced decreased ed visits future studies focus role individual parental health literacy outcomes pediatric surgical patients