Andrea J. Apter|Fei Wan|Susan Reisine|Bruce G. Bender|Cynthia S. Rand|Daniel K. Bogen|Ian M. Bennett|Tyra Bryant-Stephens|Jason Roy|Rodalyn Gonzalez|Chantel Priolo|Thomas Ten Have|Knashawn H. Morales
The association of health literacy with adherence and outcomes in moderate-severe asthma
University of Pennsylvania|University of Pennsylvania|University of Connecticut Health Center|National Jewish Health|University of Colorado Denver|Johns Hopkins University|University of Pennsylvania|University of Pennsylvania Health System|University of Pennsylvania|University of Pennsylvania|Children's Hospital of Philadelphia|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania
low health literacy associated poor outcomes asthma diseases mechanisms governing relationship well definedwe sought assess whether literacy related subsequent asthma selfmanagement measured adherence inhaled steroids asthma outcomesin prospective longitudinal cohort study numeric asthma numeracy questionnaire print literacy short test functional health literacy adults assessed baseline adults moderate severe asthma impact subsequent electronically monitored adherence asthma outcomes asthma control asthmarelated quality life fev1 26 weeks using mixedeffects linear regression modelsa total 284 adults participated age 48 14 years 71 females 70 african american 6 latino mean fev1 66 19 86 30 hospitalizations 148 52 emergency department visits asthma prior year mean asthma numeracy questionnaire score 23 12 range 04 mean short test functional health literacy adults score 31 8 range 036 unadjusted analyses numeric print literacy associated better adherence p 01 p 08 respectively asthma control p 005 p 001 respectively quality life p 001 p 001 respectively controlling age sex raceethnicity associations diminished quality life numeric p 03 print p 006 asthma control print p 005 remained significantly associated literacy raceethnicity income educational attainment correlated p 001while relationship literacy health complex interventions account address literacy needs patients may improve asthma outcomes