Health literacy in hand surgery patients: a cross-sectional survey

The Journal of Hand Surgery
Mariano E MenendezDavid Ring

Abstract

To determine the prevalence of and factors associated with limited health literacy among outpatients presenting to an urban academic hospital-based hand surgeon. A cohort of 200 English- and Spanish-speaking patients completed the Newest Vital Sign (NVS) health literacy assessment tool, a sociodemographic survey, and 2 Patient-Reported Outcomes Measurement Information System-based computerized adaptive testing questionnaires: Patient-Reported Outcomes Measurement Information System Pain Interference and Upper-Extremity Function. The NVS scores were divided into limited (0-3) and adequate (4-6) health literacy. Multivariable regression modeling was used to identify independent predictors of limited health literacy. A total of 86 patients (43%) had limited health literacy (English-speaking: 33%; Spanish-speaking: 100%). Factors associated with limited health literacy were advanced age, lower income, and being publicly insured or uninsured. Increasing years of education was a protective factor. Primary language was not included in the logistic regression model because all Spanish-speaking patients had limited health literacy. When evaluating health literacy on a continuum, primary language was the factor that most influenced the N...Continue Reading

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Citations

Feb 18, 2016·The Journal of Hand Surgery·Mariano E MenendezDavid Ring
Jan 1, 2016·The Journal of Hand Surgery·Raymond C ParrishDavid Ring
Aug 2, 2015·The Journal of Hand Surgery·Mariano E MenendezDavid Ring
Jun 20, 2016·The Journal of Arthroplasty·Mariano E MenendezC Lowry Barnes
Jun 14, 2016·The Journal of Hand Surgery·Kristie HaddenTheresa O Wyrick
Oct 19, 2016·The Journal of Hand Surgery·Sezai ÖzkanDavid Ring
Oct 22, 2016·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Young Hak RohGoo Hyun Baek
May 18, 2017·Hand : Official Journal of the American Association for Hand Surgery·Aaron AlokozaiRobin N Kamal
Feb 14, 2020·Health Literacy Research and Practice·Michelle E ChangDaniel I Chu
Mar 5, 2020·Journal of Advanced Nursing·Gian Carlo S TorresJosefina A Tuazon
Jul 14, 2018·Wiener klinische Wochenschrift·Christian SmolleGernot Brunner
Dec 6, 2018·The Journal of Hand Surgery, European Volume·Dafang ZhangPhilip Blazar
Dec 12, 2018·Journal of American College Health : J of ACH·Tyler G JamesGuy Nicolette
Sep 19, 2019·Hand : Official Journal of the American Association for Hand Surgery·Bastiaan T van HoornDavid Ring
Jul 14, 2020·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Ali ParsaScott D Martin
Mar 30, 2018·Quality Management in Health Care·Kristie HaddenC Lowry Barnes
Oct 7, 2020·ANZ Journal of Surgery·Giuseppe PastoreSimon Platt
Sep 15, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Charlie Dee Wilson, Robert A Probe
Oct 6, 2020·The Journal of Hand Surgery·Matthew TarabochiaDavid Ring
Nov 1, 2016·Clinical Orthopaedics and Related Research·Mariano E MenendezDavid Ring
Jan 25, 2021·The Journal of Surgical Research·Elisa Camille CalabreseBellal Joseph
Feb 25, 2021·Clinical Orthopaedics and Related Research·Bastiaan T van HoornDavid Ring
Apr 5, 2021·The Journal of Arthroplasty·Arvind S NarayananDaniel J Del Gaizo
May 9, 2021·Journal of the National Medical Association·Mariano E MenendezDavid Ring
May 25, 2021·Journal of Orthopaedics·Charles S SchumacherHarry E Rubash
Jul 15, 2021·Hand : Official Journal of the American Association for Hand Surgery·Monica Yu, Herbert P von Schroeder

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