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Limited health literacy in advanced kidney disease

Limited health literacy in advanced kidney disease
Limited health literacy in advanced kidney disease
Limited health literacy may reduce the ability of patients with advanced kidney disease to understand their disease and treatment and take part in shared decision making. In dialysis and transplant patients, limited health literacy has been associated with low socioeconomic status, comorbidity, and mortality. Here, we investigated the prevalence and associations of limited health literacy using data from the United Kingdom–wide Access to Transplantation and Transplant Outcome Measures (ATTOM) program. Incident dialysis, incident transplant, and transplant wait-listed patients ages 18 to 75 were recruited from 2011 to 2013 and data were collected from patient questionnaires and case notes. A score >2 in the Single-Item Literacy Screener was used to define limited health literacy. Univariate and multivariate analyses were performed to identify patient factors associated with limited health literacy. We studied 6842 patients, 2621 were incident dialysis, 1959 were wait-listed, and 2262 were incident transplant. Limited health literacy prevalence was 20%, 15%, and 12% in each group, respectively. Limited health literacy was independently associated with low socioeconomic status, poor English fluency, and comorbidity. However, transplant wait-listing, preemptive transplantation, and live-donor transplantation were associated with increasing health literacy.
0085-2538
685-695
Taylor, Dominic M.
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Bradley, John A.
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Bradley, Clare
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Draper, Heather
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Johnson, Rachel
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Metcalfe, Wendy
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Oniscu, Gabriel
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Robb, Matthew
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Tomson, Charles
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Watson, Chris
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Ravanan, Rommel
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Roderick, Paul
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Taylor, Dominic M.
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Bradley, John A.
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Bradley, Clare
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Draper, Heather
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Johnson, Rachel
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Metcalfe, Wendy
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Oniscu, Gabriel
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Robb, Matthew
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Tomson, Charles
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Watson, Chris
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Ravanan, Rommel
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Roderick, Paul
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Taylor, Dominic M., Bradley, John A., Bradley, Clare, Draper, Heather, Johnson, Rachel, Metcalfe, Wendy, Oniscu, Gabriel, Robb, Matthew, Tomson, Charles, Watson, Chris, Ravanan, Rommel and Roderick, Paul (2016) Limited health literacy in advanced kidney disease. Kidney International, 90 (3), 685-695. (doi:10.1016/j.kint.2016.05.033). (PMID:27521115)

Record type: Article

Abstract

Limited health literacy may reduce the ability of patients with advanced kidney disease to understand their disease and treatment and take part in shared decision making. In dialysis and transplant patients, limited health literacy has been associated with low socioeconomic status, comorbidity, and mortality. Here, we investigated the prevalence and associations of limited health literacy using data from the United Kingdom–wide Access to Transplantation and Transplant Outcome Measures (ATTOM) program. Incident dialysis, incident transplant, and transplant wait-listed patients ages 18 to 75 were recruited from 2011 to 2013 and data were collected from patient questionnaires and case notes. A score >2 in the Single-Item Literacy Screener was used to define limited health literacy. Univariate and multivariate analyses were performed to identify patient factors associated with limited health literacy. We studied 6842 patients, 2621 were incident dialysis, 1959 were wait-listed, and 2262 were incident transplant. Limited health literacy prevalence was 20%, 15%, and 12% in each group, respectively. Limited health literacy was independently associated with low socioeconomic status, poor English fluency, and comorbidity. However, transplant wait-listing, preemptive transplantation, and live-donor transplantation were associated with increasing health literacy.

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Accepted/In Press date: 26 May 2016
e-pub ahead of print date: 10 August 2016
Published date: September 2016
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 399531
URI: http://eprints.soton.ac.uk/id/eprint/399531
ISSN: 0085-2538
PURE UUID: f2ddeb6d-9d56-464c-aa3c-a4fd9b3374f0
ORCID for Paul Roderick: ORCID iD orcid.org/0000-0001-9475-6850

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Date deposited: 19 Aug 2016 10:19
Last modified: 07 Oct 2020 01:38

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Contributors

Author: Dominic M. Taylor
Author: John A. Bradley
Author: Clare Bradley
Author: Heather Draper
Author: Rachel Johnson
Author: Wendy Metcalfe
Author: Gabriel Oniscu
Author: Matthew Robb
Author: Charles Tomson
Author: Chris Watson
Author: Rommel Ravanan
Author: Paul Roderick ORCID iD

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