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.
685-695
Taylor, Dominic M.
d5431234-2e04-4888-b61f-d86b01b65679
Bradley, John A.
2eb3ecb6-bd48-415f-aa61-72c90132e34c
Bradley, Clare
35f55ae9-4f28-4c20-9266-a8640c6406fa
Draper, Heather
d3efb1a7-0556-4685-8c4b-482a29de0f96
Johnson, Rachel
459cd229-73a0-48a3-88cc-718ec64116f1
Metcalfe, Wendy
dcad3fd9-b47d-415a-aeca-97db8d212b88
Oniscu, Gabriel
eb2a779d-3e33-41cc-98e8-cf05042c762a
Robb, Matthew
fc558d84-af0b-427f-bacf-1d6cc5efdadd
Tomson, Charles
d9044890-5faf-4d0c-b685-5cfa41929c44
Watson, Chris
901c8cb4-c9dc-466e-855e-5db7eb5c7360
Ravanan, Rommel
478a10c3-977c-448e-8551-1437edba2acd
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
September 2016
Taylor, Dominic M.
d5431234-2e04-4888-b61f-d86b01b65679
Bradley, John A.
2eb3ecb6-bd48-415f-aa61-72c90132e34c
Bradley, Clare
35f55ae9-4f28-4c20-9266-a8640c6406fa
Draper, Heather
d3efb1a7-0556-4685-8c4b-482a29de0f96
Johnson, Rachel
459cd229-73a0-48a3-88cc-718ec64116f1
Metcalfe, Wendy
dcad3fd9-b47d-415a-aeca-97db8d212b88
Oniscu, Gabriel
eb2a779d-3e33-41cc-98e8-cf05042c762a
Robb, Matthew
fc558d84-af0b-427f-bacf-1d6cc5efdadd
Tomson, Charles
d9044890-5faf-4d0c-b685-5cfa41929c44
Watson, Chris
901c8cb4-c9dc-466e-855e-5db7eb5c7360
Ravanan, Rommel
478a10c3-977c-448e-8551-1437edba2acd
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
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), .
(doi:10.1016/j.kint.2016.05.033).
(PMID:27521115)
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.
Text
Final manuscript for website.docx
- Accepted Manuscript
More information
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
Catalogue record
Date deposited: 19 Aug 2016 10:19
Last modified: 15 Mar 2024 02:49
Export record
Altmetrics
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
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics