Joann Seo|Melody S. Goodman|Mary C. Politi|Melvin Blanchard|Kimberly A. Kaphingst
Effect of Health Literacy on Decision-Making Preferences among Medically Underserved Patients
Washington University in St. Louis|University of Utah|Huntsman Cancer Institute|Washington University in St. Louis|University of Utah|Huntsman Cancer Institute|Washington University in St. Louis|University of Utah|Huntsman Cancer Institute|Washington University in St. Louis|University of Utah|Huntsman Cancer Institute|Washington University in St. Louis|University of Utah|Huntsman Cancer Institute
participation decisionmaking process health literacy may affect health outcomes data factors related among diverse groups limited study examined relationship health literacy decisionmaking preferences medically underserved populationwe analyzed sample 576 primary care patients multivariable logistic regression used examine independent association health literacy measured rapid estimate adult literacy medicinerevised patients decisionmaking preferences physician directed patient involved controlling age raceethnicity gender tested whether regular doctor modified associationadequate health literacy odds ratio 17p 0009 significantly associated preferring patientinvolved decision making controlling age raceethnicity gender regular doctor modify relationship males significantly less likely prefer patientinvolved decision making 065p 0024findings suggest health literacy affects decisionmaking preferences medically underserved patients research needed factors patient knowledge confidence may influence decisionmaking preferences particularly limited health literacy