Format

Send to

Choose Destination
Patient Educ Couns. 2009 Jun;75(3):376-80. doi: 10.1016/j.pec.2009.03.016. Epub 2009 Apr 22.

Caregiver health literacy and adherence to a daily multi-vitamin with iron regimen in infants.

Author information

1
Department of Pediatrics, Boston Medical Center/Boston University School of Medicine, Boston, MA 02118, USA. lynn.hironaka@bmc.org

Abstract

OBJECTIVE:

To determine whether or not limited caregiver health literacy is associated with adherence to a daily multi-vitamin with iron regimen in infants.

METHODS:

110 caregiver/infant dyads were enrolled in a prospective study to assess the relationship between caregiver health literacy and adherence to a daily multi-vitamin with iron regimen for infants. Households were contacted biweekly over a 3-month period. Adherence was based upon caregiver report. High adherence, our primary outcome, was defined as the administration of the multi-vitamin with iron on 5-7 days over the past week.

RESULTS:

As measured by the Short Test of Functional Health Literacy in Adults (S-TOFHLA), 18% of caregivers had limited health literacy skills. Caregivers with limited health literacy skills were more likely to have higher adherence than caregivers with adequate health literacy, after adjusting for a number of possible confounding variables (AOR=2.13; 95% 1.20-3.78).

CONCLUSION:

Caregivers with limited health literacy were twice as likely to report high adherence to a daily multi-vitamin with iron regimen in infants as caregivers with adequate health literacy in adjusted analysis.

PRACTICE IMPLICATIONS:

Health literacy may exert a differential influence on adherence depending upon the complexity of the desired health behavior.

PMID:
19395227
DOI:
10.1016/j.pec.2009.03.016
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center