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- Title
Functional Health Literacy and the Risk of Hospital Admission Among Medicare Managed Care Enrollees.
- Authors
Baker, David W.; Gazmararian, Julie A.; Williams, Mark V.; Scott, Tracy; Parker, Ruth M.; Green, Diane; Ren, Junling; Peel, Jennifer
- Abstract
Objectives. This study analyzed whether inadequate functional health literacy is an independent risk factor for hospital admission. Methods. We studied a prospective cohort of 3260 Medicare managed care enrollees. Results. Of the participants, 29.5% were hospitalized. The crude relative risk (RR) of hospitalization was higher for individuals with inadequate literacy (n=800; RR=1.43; 95% confidence interval [CI]=1.24, 1.65) and marginal literacy (n=366; RR=1.33; 95% CI=1.09, 1.61) than for those with adequate literacy (n=2094). In multivariate analysis, the adjusted relative risk of hospital admission was 1.29 (95% CI=1.07, 1.55) for individuals with inadequate literacy and 1.21 (95% CI=0.97, 1.50) for those with marginal literacy. Conclusions. Inadequate literacy was an independent risk factor for hospital admission among elderly managed care enrollees. (Am J Public Health. 2002;92:1278-1283)
- Subjects
HOSPITAL admission &; discharge; LITERACY; MANAGED care programs; HOSPITAL care; MULTIVARIATE analysis
- Publication
American Journal of Public Health, 2002, Vol 92, Issue 8, p1278
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.92.8.1278