Jamie A. Green|Maria K. Mor|Andrew Shields|Mary Ann Sevick|Paul M. Palevsky|Michael J. Fine|Robert M. Arnold|Steven D. Weisbord
Prevalence and Demographic and Clinical Associations of Health Literacy in Patients on Maintenance Hemodialysis
University of Pittsburgh|VA Pittsburgh Healthcare System|University of Pittsburgh|VA Pittsburgh Healthcare System|VA Pittsburgh Healthcare System|University of Pittsburgh|VA Pittsburgh Healthcare System|University of Pittsburgh|VA Pittsburgh Healthcare System|University of Pittsburgh|University of Pittsburgh|VA Pittsburgh Healthcare System|University of Pittsburgh
although limited health literacy estimated affect 90 million americans recognized important public health concern studies examining issue patients chronic kidney disease sought characterize prevalence associations demographic clinical characteristics limited health literacy patients receiving maintenance hemodialysisas part prospective clinical trial symptom management strategies 288 patients treated chronic hemodialysis assessed health literacy using rapid estimate adult literacy medicine realm defined limited health literacy realm score 60 evaluated independent associations demographic baseline clinical characteristics limited health literacy using multivariable logistic regressionof 260 patients completed realm 41 demonstrated limited health literacy africanamerican race lower educational level veteran status independently associated limited health literacy association limited health literacy age gender serologic values dialysis adequacy overall symptom burden quality life depressionlimited health literacy common among patients receiving chronic hemodialysis africanamerican race socioeconomic factors strong independent predictors limited health literacy findings help inform design implementation interventions improve health literacy hemodialysis population