Andrea K. Morrison|David C. Brousseau|Ruta Brazauskas|Michael N. Levas
Health Literacy Affects Likelihood of Radiology Testing in the Pediatric Emergency Department
Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin|Medical College of Wisconsin
objective test hypothesis effect raceethnicity decreased radiologic testing pediatric emergency department ed varies caregiver health literacy study design secondary analysis crosssectional study caregivers accompanying children 12 years pediatric ed caregiver health literacy measured using newest vital sign blinded chart review determined whether radiologic testing utilized bivariate multivariate analyses adjusting ed triage level child insurance chronic illness used determine relationship raceethnicity health literacy radiologic testing stratified analyses caregiver health literacy conducted results five hundred four caregivers participated median age 31 years 47 white 37 black 10 hispanic 49 low health literacy black race low health literacy associated less radiologic testing p 01 stratified analysis minority race associated less radiologic testing caregiver low health literacy aor 05 95 ci 0309 difference existed adequate health literacy aor 07 95 ci 0413 conclusions caregiver low health literacy modifies whether minority raceethnicity associated decreased radiologic testing children minority caregivers low health literacy receiving fewer radiologic studies future interventions eliminate disparities healthcare resource utilization consider health literacy mutable factor test hypothesis effect raceethnicity decreased radiologic testing pediatric emergency department ed varies caregiver health literacy secondary analysis crosssectional study caregivers accompanying children 12 years pediatric ed caregiver health literacy measured using newest vital sign blinded chart review determined whether radiologic testing utilized bivariate multivariate analyses adjusting ed triage level child insurance chronic illness used determine relationship raceethnicity health literacy radiologic testing stratified analyses caregiver health literacy conducted five hundred four caregivers participated median age 31 years 47 white 37 black 10 hispanic 49 low health literacy black race low health literacy associated less radiologic testing p 01 stratified analysis minority race associated less radiologic testing caregiver low health literacy aor 05 95 ci 0309 difference existed adequate health literacy aor 07 95 ci 0413 caregiver low health literacy modifies whether minority raceethnicity associated decreased radiologic testing children minority caregivers low health literacy receiving fewer radiologic studies future interventions eliminate disparities healthcare resource utilization consider health literacy mutable factor