Currently Viewing:
The American Journal of Managed Care September 2018
Food Insecurity, Healthcare Utilization, and High Cost: A Longitudinal Cohort Study
Seth A. Berkowitz, MD, MPH; Hilary K. Seligman, MD, MAS; James B. Meigs, MD, MPH; and Sanjay Basu, MD, PhD
Language Barriers and LDL-C/SBP Control Among Latinos With Diabetes
Alicia Fernandez, MD; E. Margaret Warton, MPH; Dean Schillinger, MD; Howard H. Moffet, MPH; Jenna Kruger, MPH; Nancy Adler, PhD; and Andrew J. Karter, PhD
Hepatitis C Care Cascade Among Persons Born 1945-1965: 3 Medical Centers
Joanne E. Brady, PhD; Claudia Vellozzi, MD, MPH; Susan Hariri, PhD; Danielle L. Kruger, BA; David R. Nerenz, PhD; Kimberly Ann Brown, MD; Alex D. Federman, MD, MPH; Katherine Krauskopf, MD, MPH; Natalie Kil, MPH; Omar I. Massoud, MD; Jenni M. Wise, RN, MSN; Toni Ann Seay, MPH, MA; Bryce D. Smith, PhD; Anthony K. Yartel, MPH; and David B. Rein, PhD
“Precision Health” for High-Need, High-Cost Patients
Dhruv Khullar, MD, MPP, and Rainu Kaushal, MD, MPH
From the Editorial Board: A. Mark Fendrick, MD
A. Mark Fendrick, MD
Currently Reading
Health Literacy, Preventive Health Screening, and Medication Adherence Behaviors of Older African Americans at a PCMH
Anil N.F. Aranha, PhD, and Pragnesh J. Patel, MD
Economic Evaluation of Patient-Centered Care Among Long-Term Cancer Survivors
JaeJin An, BPharm, PhD, and Adrian Lau, PharmD
Fragmented Ambulatory Care and Subsequent Healthcare Utilization Among Medicare Beneficiaries
Lisa M. Kern, MD, MPH; Joanna K. Seirup, MPH; Mangala Rajan, MBA; Rachel Jawahar, PhD, MPH; and Susan S. Stuard, MBA
High-Touch Care Leads to Better Outcomes and Lower Costs in a Senior Population
Reyan Ghany, MD; Leonardo Tamariz, MD, MPH; Gordon Chen, MD; Elissa Dawkins, MS; Alina Ghany, MD; Emancia Forbes, RDCS; Thiago Tajiri, MBA; and Ana Palacio, MD, MPH
Adjusting Medicare Advantage Star Ratings for Socioeconomic Status and Disability
Melony E. Sorbero, PhD, MS, MPH; Susan M. Paddock, PhD; Cheryl L. Damberg, PhD; Ann Haas, MS, MPH; Mallika Kommareddi, MPH; Anagha Tolpadi, MS; Megan Mathews, MA; and Marc N. Elliott, PhD

Health Literacy, Preventive Health Screening, and Medication Adherence Behaviors of Older African Americans at a PCMH

Anil N.F. Aranha, PhD, and Pragnesh J. Patel, MD
A health literacy study of older African Americans aimed to establish whether associations exist between health literacy and preventive health screening behaviors, disease control, and medication adherence.
Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
ABSTRACT

Objectives: To determine the health literacy (HL) of older African Americans (AAs) and establish whether associations exist between HL and preventive health screening (PHS) behaviors, disease control (DC), and medication adherence (MA).

Study Design: A prospective study using a clustered sampling of older AAs.

Methods: A total of 99 older AAs seeking care at a patient-centered medical home were given the Newest Vital Sign (NVS), Short Test of Functional Health Literacy in Adults (STOFHLA), and Morisky Medication Adherence Scale (MMAS). Sociodemographic and clinical data were obtained.

Results: The group was 75.8% female, with means of 75 years of age, 12.7 years education, and 29.5 kg/m2 body mass index and good control over disease markers: For blood pressure, 62.6% had good control; for blood glucose, 82.8%; and for total lipids/cholesterol, 63.6% (high-density lipoprotein, 81.8%; low-density lipoprotein, 73.7%). Compliance rates for primary PHS behaviors were 61.6% for influenza vaccine and 57.7% for pneumococcal vaccine. For secondary PHS behaviors, compliance rates for mammography were 97.3% among women; for colonoscopy, 84%; and for bone densitometry (BD), 62.8%. Performance differences were observed on HL scales, with 31.3% and 73.7% obtaining an adequate NVS score and STOFHLA score, respectively, but no gender differences were noted. HL scales showed positive association among themselves (= .001), patient education (NVS, P = .001; STOFHLA, P = .004), MMAS (P = .001 and P = .563, respectively), anthropometry measurements, primary PHS procedures, and 1 secondary PHS procedure (mammography), but they exhibited negative association with colonoscopy and BD. DC achieved using a PHS approach to clinical care was not associated with HL.

Conclusions: HL was positively associated with patient education, some PHS behaviors, and MA. Performance on HL scales may not enable positive identification of PHS behaviors, DC, and MA. Thus, HL may have limited efficacy as a tool to assess PHS behaviors and DC among older AAs.

Am J Manag Care. 2018;24(9):428-432

Become a Member to see the rest of this article and get access to all of our articles and resources. Membership is Free!

 
Copyright AJMC 2006-2018 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up
×

Sign In

Not a member? Sign up now!