BACKGROUND: Non-visual factors influence a person's vision-related quality of life (VRQoL). The purpose of this study was to assess the relationship between health literacy and VRQoL in glaucoma patients. METHODS: One hundred and ninety-five subjects with open-angle glaucoma participated in a cross-sectional patient survey and chart review. Subjects were administered a test of health literacy, an assessment of physical and mental well-being, and an assessment of VRQoL, the National Eye Institute 25-Item Visual Function Questionnaire (VFQ-25). Charts were reviewed for visual acuity and visual field results. RESULTS: In univariate analyses, older age (p<0.001), non-White race (p<0.001), worse visual acuity (p<0.001), worse visual field scores (p<0.001), lower level of education (p<0.001), worse health literacy (p<0.001) and worse score on the mental health component of the SF-12 (p = 0.005) were associated with worse VFQ-25 scores. In multivariate analyses, only older age was associated with worse total VFQ-25 scores (p<0.001), although the association between health literacy and the VFQ subscale of dependency remained significant (p = 0.04). CONCLUSIONS: Individuals with a lower health literacy do not appear to have a worse overall VRQoL compared with those with a higher literacy, but worse health literacy is associated with increased dependency.
BACKGROUND: Non-visual factors influence a person's vision-related quality of life (VRQoL). The purpose of this study was to assess the relationship between health literacy and VRQoL in glaucomapatients. METHODS: One hundred and ninety-five subjects with open-angle glaucoma participated in a cross-sectional patient survey and chart review. Subjects were administered a test of health literacy, an assessment of physical and mental well-being, and an assessment of VRQoL, the National Eye Institute 25-Item Visual Function Questionnaire (VFQ-25). Charts were reviewed for visual acuity and visual field results. RESULTS: In univariate analyses, older age (p<0.001), non-White race (p<0.001), worse visual acuity (p<0.001), worse visual field scores (p<0.001), lower level of education (p<0.001), worse health literacy (p<0.001) and worse score on the mental health component of the SF-12 (p = 0.005) were associated with worse VFQ-25 scores. In multivariate analyses, only older age was associated with worse total VFQ-25 scores (p<0.001), although the association between health literacy and the VFQ subscale of dependency remained significant (p = 0.04). CONCLUSIONS: Individuals with a lower health literacy do not appear to have a worse overall VRQoL compared with those with a higher literacy, but worse health literacy is associated with increased dependency.
Authors: Aurelia Macabasco-O'Connell; Darren A DeWalt; Kimberly A Broucksou; Victoria Hawk; David W Baker; Dean Schillinger; Bernice Ruo; Kirsten Bibbins-Domingo; George M Holmes; Brian Erman; Morris Weinberger; Michael Pignone Journal: J Gen Intern Med Date: 2011-03-03 Impact factor: 5.128
Authors: Stefan Nickels; Alexander K Schuster; Susanne Singer; Philipp S Wild; Dagmar Laubert-Reh; Andreas Schulz; Robert P Finger; Matthias Michal; Manfred E Beutel; Thomas Münzel; Karl J Lackner; Norbert Pfeiffer Journal: Health Qual Life Outcomes Date: 2017-08-08 Impact factor: 3.186
Authors: Rebecca Salowe; Julia Salinas; Neil H Farbman; Aishat Mohammed; Joshua Z Warren; Allison Rhodes; Alexander Brucker; Meredith Regina; Eydie Miller-Ellis; Prithvi S Sankar; Amanda Lehman; Joan M O'Brien Journal: J Clin Exp Ophthalmol Date: 2015-07-31