Alex D. Federman|Michael S. Wolf|Anastasia Sofianou|Elizabeth A. Wilson|Melissa Martynenko|Ethan A. Halm|Howard Leventhal|Juan P. Wisnivesky
The association of health literacy with illness and medication beliefs among older adults with asthma
Icahn School of Medicine at Mount Sinai|Northwestern University|Icahn School of Medicine at Mount Sinai|Northwestern University|Icahn School of Medicine at Mount Sinai|The University of Texas Southwestern Medical Center|Institute on Aging|Icahn School of Medicine at Mount Sinai
suboptimal health literacy hl asthma beliefs associated poor asthma selfmanagement outcomes tested hypothesis low hl associated inaccurate beliefs asthmatics 60 recruited hospital community practices new york ny chicago il n 420 hl measured short test functional health literacy adults validated instruments derived self regulation model used assess beliefs association beliefs hl evaluated multivariate models thirtysix percent patients low hl 54 believed asthma symptoms present 29 believed always asthma 20 believed doctor cure asthma hl associated beliefs asthma time asthma cured 184 95 ci 12282 222 95 ci 129382 respectively patients low hl also likely concerned medication use 092 p 05 despite recognizing necessity 136 p 01 older asthmatics low hl endorse erroneous asthma beliefs health communications improving selfmanagement behaviors asthma employ health literacyappropriate strategies messages counter illnessrelated misconceptions