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Am J Public Health. 2002 Aug;92(8):1278-83.

Functional health literacy and the risk of hospital admission among Medicare managed care enrollees.

Author information

  • 1Center for Health Care Research and Policy, Case Western Reserve University at MetroHealth Medical Center, USA. dwbaker@northwestern.edu

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.

PMID:
12144984
[PubMed - indexed for MEDLINE]
PMCID:
PMC1447230
Free PMC Article
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