Paula Jo Belice1, Giselle Mosnaim2, Stanley Galant3, Yoonsang Kim4, Hye-Won Shin5, Naomi Pires-Barracosa6, Julianne P Hall7, Rabia Malik8, Ellen Becker9. 1. College of Health Sciences, Rush University, Chicago, IL, USA. 2. Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, NorthShore University HealthSystem, Evanston, IL, USA. 3. Allergy/Immunology, Children's Hospital of Orange County, Orange, CA, USA. 4. Health Research and Policy, NORC, Chicago, IL, USA. 5. Department of Pediatrics, University of California Irvine, Irvine, CA, USA. 6. Medical Devices, Glaukos Corp, Laguna Hills, CA, USA. 7. Internal Medicine-Neurology Preliminary, Rush University Medical Center, Chicago, IL, USA. 8. Primary Care, AMITA Health Adventist Medical Center La Grange, La Grange, TX, USA. 9. Cardiopulmonary Sciences, Rush University, Chicago, IL, USA.
Abstract
Objectives: The aim of this exploratory study was to assess the impact of caregiver health literacy (HL) on health care outcomes for their child with asthma. Methods: Caregiver dyads across two different healthcare delivery systems completed a battery of validated asthma outcome instruments, including the Newest Vital Sign™ as a measure of HL for the caregivers of children ages 7-18 y. Utilization history was obtained through the electronic medical record. Descriptive analysis with bivariate associations was conducted. Results: There was no direct relationship between HL and asthma outcomes in the 34 Hispanic and African American caregiver-child dyads. However, caregiver health literacy was significantly related to language (p = 0.02). African American English-speaking caregivers, seen in an urban emergency department, demonstrated adequate health literacy. Hispanic Spanish-speaking caregivers, seeking care in a mobile asthma van, showed limited health literacy. There was no significant association between caregivers' HL and routine asthma care visits when language and child age were controlled.Conclusions: Assessing patient factors can identify persons at risk who need additional support to negotiate the healthcare system when providing care for a child with asthma.
Objectives: The aim of this exploratory study was to assess the impact of caregiver health literacy (HL) on health care outcomes for their child with asthma. Methods: Caregiver dyads across two different healthcare delivery systems completed a battery of validated asthma outcome instruments, including the Newest Vital Sign™ as a measure of HL for the caregivers of children ages 7-18 y. Utilization history was obtained through the electronic medical record. Descriptive analysis with bivariate associations was conducted. Results: There was no direct relationship between HL and asthma outcomes in the 34 Hispanic and African American caregiver-child dyads. However, caregiver health literacy was significantly related to language (p = 0.02). African American English-speaking caregivers, seen in an urban emergency department, demonstrated adequate health literacy. Hispanic Spanish-speaking caregivers, seeking care in a mobile asthma van, showed limited health literacy. There was no significant association between caregivers' HL and routine asthma care visits when language and child age were controlled.Conclusions: Assessing patient factors can identify persons at risk who need additional support to negotiate the healthcare system when providing care for a child with asthma.
Entities:
Keywords:
Health literacy; asthma; caregivers; children; health care utilization