Marie Fanelli Kuczmarski|Erica Adams|Nancy Cotugna|Ryan T. Pohlig|May A. Beydoun|Alan B. Zonderman|Michele K. Evans
Health Literacy and Education Predict Nutrient Quality of Diet of Socioeconomically Diverse, Urban Adults
University of Delaware|University of Delaware|University of Delaware|University of Delaware|National Institute on Aging|National Institute on Aging|National Institute on Aging
research shown health literacy may stronger predictor health age employment status education level race income evidence supports strong link low health literacy poor dietary management chronic diseasesthe aim evaluate relationship micronutrient quality diet health numeracy health literacy white african american adults randomly selected 13 baltimore neighborhoodscrosssectional analysis wave 3 20092013 longitudinal healthy aging neighborhoods diversity across life span handls study initiated 2004health literacy measured using rapid estimate adult literacy medicine realm health numeracy measured using numeracy subscale test functional health literacy adults tofhla nutrientbased diet quality measured using mean adequacy ratio mars scores calculated 17 micronutrients diet plus dietary supplement intakethe relationship mars scores health literacy measures explored multiple ordinary least square regression models adjusting number potential confoundersrealm numeracy associated mars significant covariates included age current cigarette smoking status energy intake interactions race educational attainment realm educational attainment significant relationship realm mars becoming stronger education level increasedthere synergistic relationship health literacy educational attainment predicting nutrientbased diet quality education stronger predictor whites compared african americans emphasizing need health professionals focus education literacy creating providing diet healthrelated interventions resources