Low Literacy and Asthma Prescription Errors in African-American and Caucasian Adults

2.50
Hdl Handle:
http://hdl.handle.net/10755/148947
Type:
Presentation
Title:
Low Literacy and Asthma Prescription Errors in African-American and Caucasian Adults
Abstract:
Low Literacy and Asthma Prescription Errors in African-American and Caucasian Adults
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:George, Maureen, PhD, RN, AE-C
P.I. Institution Name:Johns Hopkins
Title:Post-doctoral Fellow
Co-Authors:C. Albert, BA; D. G. Fein, BS; A. J. Apter, MD, MSc
Background. Having adequate health literacy means that one obtains, interprets, comprehends and acts on health advice to promote wellness. Low health literacy is associated with a variety of negative clinical outcomes (1-4). African Americans (AAs) with asthma experience a disproportionate disease burden compared with Caucasians (5). Methods. One hundred twelve adults with asthma (29% White, 66% AA; 82% female; 63% with Results. The mean REALM score was 56.3 + 13.6 (range 1-66) with 43% of the sample falling at or below the 8th grade reading level (low literacy; REALM score < 60). Twenty (18%) of the subjects were either unable to read the prescriptions or made errors in interpreting the prescriptions. Thirty-five percent of the low literacy group had difficulty reading or interpreting Rx compared to 5% of the literate group (p=.000). AAs were more likely to have low REALM scores (p=.001)and to make errors in reading or interpreting inhaler RX (p=.04) than Caucasians although this may be a function of AAs lower educational attainment compared to Caucasians (p=.000). Conclusions: AA adults with asthma had lower health literacy than Caucasians; the inability to read or follow Rx directions may lead to inadequate self-management thereby contributing to the greater health disparities seen in AAs with asthma. 1. Williams JAMA, 1995; Chest 1998; Arch Int Med, 1998; 2. Weiss et al J Am Board Fam Pract, 1992; 3. Baker et al, AJPH, 1997;4. Rimer et al, Am J Prev Med, 1991; 5. National Asthma Education and Prevention Program, 1997. Funding: NHLBI, Bach Foundation
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleLow Literacy and Asthma Prescription Errors in African-American and Caucasian Adultsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148947-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Low Literacy and Asthma Prescription Errors in African-American and Caucasian Adults</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">George, Maureen, PhD, RN, AE-C</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Johns Hopkins</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Post-doctoral Fellow</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mgeorg16@jhem.jhmi.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">C. Albert, BA; D. G. Fein, BS; A. J. Apter, MD, MSc</td></tr><tr><td colspan="2" class="item-abstract">Background. Having adequate health literacy means that one obtains, interprets, comprehends and acts on health advice to promote wellness. Low health literacy is associated with a variety of negative clinical outcomes (1-4). African Americans (AAs) with asthma experience a disproportionate disease burden compared with Caucasians (5). Methods. One hundred twelve adults with asthma (29% White, 66% AA; 82% female; 63% with Results. The mean REALM score was 56.3 + 13.6 (range 1-66) with 43% of the sample falling at or below the 8th grade reading level (low literacy; REALM score &lt; 60). Twenty (18%) of the subjects were either unable to read the prescriptions or made errors in interpreting the prescriptions. Thirty-five percent of the low literacy group had difficulty reading or interpreting Rx compared to 5% of the literate group (p=.000). AAs were more likely to have low REALM scores (p=.001)and to make errors in reading or interpreting inhaler RX (p=.04) than Caucasians although this may be a function of AAs lower educational attainment compared to Caucasians (p=.000). Conclusions: AA adults with asthma had lower health literacy than Caucasians; the inability to read or follow Rx directions may lead to inadequate self-management thereby contributing to the greater health disparities seen in AAs with asthma. 1. Williams JAMA, 1995; Chest 1998; Arch Int Med, 1998; 2. Weiss et al J Am Board Fam Pract, 1992; 3. Baker et al, AJPH, 1997;4. Rimer et al, Am J Prev Med, 1991; 5. National Asthma Education and Prevention Program, 1997. Funding: NHLBI, Bach Foundation</td></tr></table>en_GB
dc.date.available2011-10-26T09:53:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:53:23Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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