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Type: Journal article
Title: Risks associated with low functional health literacy in an Australian population
Author: Adams, R.
Appleton, S.
Hill, C.
Dodd, M.
Findlay, C.
Wilson, D.
Citation: Medical Journal of Australia, 2009; 191(10):530-534
Publisher: Australasian Med Publ Co Ltd
Issue Date: 2009
ISSN: 0025-729X
Statement of
Robert J Adams, Sarah L Appleton, Catherine L Hill, Mark Dodd, Christopher Findlay and David H Wilson
Abstract: Objective: To measure the level of functional health literacy (FHL) in an Australian population, and to explore the level of risk associated with level of FHL. Design, setting and participants: Cross-sectional, random population survey administered to 2824 South Australians aged ≥ 15 years, September – October 2008. Main outcome measures: Newest Vital Sign as a measure of FHL, self-reported general health status, and use of health services. Results: 24% of respondents were at risk of limited FHL, and 21% had a high likelihood of inadequate FHL; this increased with age (≥ 65 years, 50% v 25–44 years, 11%). In multiple logistic regression models, a high likelihood of inadequate FHL was significantly more common among those with lower education (left school ≤ 15 years of age, odds ratio [OR], 8.1; 95% CI, 4.8–13.6); with lower annual income (< $20 000, OR, 4.1; 95% CI, 2.3–7.4); who were born in countries other than Australia, New Zealand, the United Kingdom and Ireland; and with poorer health status (OR, 1.6; 95% CI, 1.2–2.2). Inadequate FHL was significantly less common among females (OR, 0.6; 95% CI, 0.5–0.8). People with inadequate or at-risk FHL were significantly more likely to report having diabetes, cardiac disease or stroke, and significantly less likely to have recently attended a doctor. Respondents aged ≥ 65 years with inadequate FHL were more likely to have been admitted to hospital (OR, 2.2; 95% CI, 1.1–4.5). Conclusion: Many Australians are likely to have limited health literacy, and this is a risk to effective health care delivery and health improvement across the community.
Keywords: Humans; Health Surveys; Risk Factors; Cross-Sectional Studies; Health Knowledge, Attitudes, Practice; Health Status; Residence Characteristics; Health Education; Socioeconomic Factors; Adolescent; Adult; Aged; Middle Aged; Health Services; Australia; Female; Male; Young Adult
RMID: 0020093786
DOI: 10.5694/j.1326-5377.2009.tb03304.x
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Appears in Collections:Medicine publications

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