OBJECTIVE: To determine whether health literacy is lower in rural populations. METHOD: We analyzed health, prose, document, and quantitative literacy from the National Assessment of Adult Literacy study. Metropolitan Statistical Area designated participants as rural or urban. RESULTS: Rural populations had lower literacy levels for all literacy types (P<0.001 for each). After adjusting for known confounders, there was no longer a difference in health or prose literacy (P>0.05). However, rural populations had higher document (P=0.04) and quantitative (P=0.01) literacy. CONCLUSION: Health literacy is lower in the rural population although this difference is explained by known confounders.
OBJECTIVE: To determine whether health literacy is lower in rural populations. METHOD: We analyzed health, prose, document, and quantitative literacy from the National Assessment of Adult Literacy study. Metropolitan Statistical Area designated participants as rural or urban. RESULTS: Rural populations had lower literacy levels for all literacy types (P<0.001 for each). After adjusting for known confounders, there was no longer a difference in health or prose literacy (P>0.05). However, rural populations had higher document (P=0.04) and quantitative (P=0.01) literacy. CONCLUSION: Health literacy is lower in the rural population although this difference is explained by known confounders.
Authors: Stacey L Schepens Niemiec; Jeanine Blanchard; Cheryl L P Vigen; Jenny Martínez; Laura Guzmán; Michelle Fluke; Mike Carlson Journal: OTJR (Thorofare N J) Date: 2018-03-07
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