OBJECTIVES: The objective of this study was to investigate the impact of health literacy (HL) on health-related quality of life (HRQoL) and utility assessment among patients with rheumatic diseases. METHODS: HL was measured by the rapid estimate of adult literacy in medicine (REALM) and was characterized as low or adequate. HRQoL and utility scores were assessed using the SF-36, SF-6D, and EQ-5D. Comparisons of sociodemographics and HRQoL in patients with low or adequate HL were made using t test, chi-square, or Mann-Whitney U tests. Spearman's correlation and partial correlations were used to study the relationship between HL, HRQoL, and utility scores, with significant correlations further explored using multiple linear regression models. RESULTS: Data were analyzed from 199 subjects. Patients with adequate HL had significantly higher education levels, better dwelling status, lower disease activity, and better physical functioning (PF). There was a significant although weak correlation between HL level and PF. After adjustment, HL level was shown to independently explain 3.7% of the variance in the PF score. Nevertheless, there was no impact of HL on utility assessment or other HRQoL domains. CONCLUSION: HL did not impact HRQoL in general, but was found to have a weak impact on the PF of patients with rheumatic diseases.
OBJECTIVES: The objective of this study was to investigate the impact of health literacy (HL) on health-related quality of life (HRQoL) and utility assessment among patients with rheumatic diseases. METHODS: HL was measured by the rapid estimate of adult literacy in medicine (REALM) and was characterized as low or adequate. HRQoL and utility scores were assessed using the SF-36, SF-6D, and EQ-5D. Comparisons of sociodemographics and HRQoL in patients with low or adequate HL were made using t test, chi-square, or Mann-Whitney U tests. Spearman's correlation and partial correlations were used to study the relationship between HL, HRQoL, and utility scores, with significant correlations further explored using multiple linear regression models. RESULTS: Data were analyzed from 199 subjects. Patients with adequate HL had significantly higher education levels, better dwelling status, lower disease activity, and better physical functioning (PF). There was a significant although weak correlation between HL level and PF. After adjustment, HL level was shown to independently explain 3.7% of the variance in the PF score. Nevertheless, there was no impact of HL on utility assessment or other HRQoL domains. CONCLUSION: HL did not impact HRQoL in general, but was found to have a weak impact on the PF of patients with rheumatic diseases.
Authors: Edimansyah Abdin; Mythily Subramaniam; Janhavi Ajit Vaingankar; Nan Luo; Siow Ann Chong Journal: Qual Life Res Date: 2014-11-14 Impact factor: 4.147
Authors: Edimansyah Abdin; Mythily Subramaniam; Janhavi Ajit Vaingankar; Nan Luo; Siow Ann Chong Journal: Qual Life Res Date: 2013-04-03 Impact factor: 4.147
Authors: Cuili Wang; Hui Li; Lingui Li; Dongjuan Xu; Robert L Kane; Qingyue Meng Journal: Health Qual Life Outcomes Date: 2013-09-11 Impact factor: 3.186
Authors: Santosh Kumar Tadakamadla; Mir Faeq Ali Quadri; Amir H Pakpour; Abdulaziz M Zailai; Mohammed E Sayed; Mohammed Mashyakhy; Aadil S Inamdar; Jyothi Tadakamadla Journal: BMC Oral Health Date: 2014-09-29 Impact factor: 2.757
Authors: Lindsay C Kobayashi; Jane Wardle; Michael S Wolf; Christian von Wagner Journal: J Gerontol B Psychol Sci Soc Sci Date: 2014-12-11 Impact factor: 4.077