IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v36y2016i4p550-556.html
   My bibliography  Save this article

Effect of Health Literacy on Decision-Making Preferences among Medically Underserved Patients

Author

Listed:
  • Joann Seo
  • Melody S. Goodman
  • Mary Politi
  • Melvin Blanchard
  • Kimberly A. Kaphingst

Abstract

Introduction . Participation in the decision-making process and health literacy may both affect health outcomes; data on how these factors are related among diverse groups are limited. This study examined the relationship between health literacy and decision-making preferences in a medically underserved population. Methods . We analyzed a sample of 576 primary care patients. Multivariable logistic regression was used to examine the independent association of health literacy (measured by the Rapid Estimate of Adult Literacy in Medicine–Revised) and patients’ decision-making preferences (physician directed or patient involved), controlling for age, race/ethnicity, and gender. We tested whether having a regular doctor modified this association. Results . Adequate health literacy (odds ratio [OR] = 1.7; P = 0.009) was significantly associated with preferring patient-involved decision making, controlling for age, race/ethnicity, and gender. Having a regular doctor did not modify this relationship. Males were significantly less likely to prefer patient-involved decision making (OR = 0.65; P = 0.024). Discussion . Findings suggest health literacy affects decision-making preferences in medically underserved patients. More research is needed on how factors, such as patient knowledge or confidence, may influence decision-making preferences, particularly for those with limited health literacy.

Suggested Citation

  • Joann Seo & Melody S. Goodman & Mary Politi & Melvin Blanchard & Kimberly A. Kaphingst, 2016. "Effect of Health Literacy on Decision-Making Preferences among Medically Underserved Patients," Medical Decision Making, , vol. 36(4), pages 550-556, May.
    • Handle: RePEc:sae:medema:v:36:y:2016:i:4:p:550-556
    DOI: 10.1177/0272989X16632197
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X16632197
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X16632197?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Smith, Sian K. & Dixon, Ann & Trevena, Lyndal & Nutbeam, Don & McCaffery, Kirsten J., 2009. "Exploring patient involvement in healthcare decision making across different education and functional health literacy groups," Social Science & Medicine, Elsevier, vol. 69(12), pages 1805-1812, December.
    2. Marie-Anne Durand & Lewis Carpenter & Hayley Dolan & Paulina Bravo & Mala Mann & Frances Bunn & Glyn Elwyn, 2014. "Do Interventions Designed to Support Shared Decision-Making Reduce Health Inequalities? A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-13, April.
    3. Peek, Monica E. & Odoms-Young, Angela & Quinn, Michael T. & Gorawara-Bhat, Rita & Wilson, Shannon C. & Chin, Marshall H., 2010. "Race and shared decision-making: Perspectives of African-Americans with diabetes," Social Science & Medicine, Elsevier, vol. 71(1), pages 1-9, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Caleiro, António, 2020. "About some evidences of health literacy," MPRA Paper 101064, University Library of Munich, Germany, revised 12 Jun 2020.
    2. Ryuichi Ohta & Yoshinori Ryu & Jun Kitayuguchi & Chiaki Sano & Karen D. Könings, 2021. "Educational Intervention to Improve Citizen’s Healthcare Participation Perception in Rural Japanese Communities: A Pilot Study," IJERPH, MDPI, vol. 18(4), pages 1-11, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kontos, Emily Z. & Emmons, Karen M. & Puleo, Elaine & Viswanath, K., 2011. "Determinants and beliefs of health information mavens among a lower-socioeconomic position and minority population," Social Science & Medicine, Elsevier, vol. 73(1), pages 22-32, July.
    2. Fanni Rencz & Béla Tamási & Valentin Brodszky & László Gulácsi & Miklós Weszl & Márta Péntek, 2019. "Validity and reliability of the 9-item Shared Decision Making Questionnaire (SDM-Q-9) in a national survey in Hungary," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(1), pages 43-55, June.
    3. Aimée Hartford Kvæl, Linda & Gautun, Heidi, 2023. "Social inequality in navigating the healthcare maze: Care trajectories from hospital to home via intermediate care for older people in Norway," Social Science & Medicine, Elsevier, vol. 333(C).
    4. Osei-Frimpong, Kofi & McLean, Graeme & Wilson, Alan & Lemke, Fred, 2020. "Customer coproduction in healthcare service delivery: Examining the influencing effects of the social context," Journal of Business Research, Elsevier, vol. 120(C), pages 82-93.
    5. Modigh, Anton & Sampaio, Filipa & Moberg, Linda & Fredriksson, Mio, 2021. "The impact of patient and public involvement in health research versus healthcare: A scoping review of reviews," Health Policy, Elsevier, vol. 125(9), pages 1208-1221.
    6. Dahl, Andrew J. & Milne, George R. & Peltier, James W., 2021. "Digital health information seeking in an omni-channel environment: A shared decision-making and service-dominant logic perspective," Journal of Business Research, Elsevier, vol. 125(C), pages 840-850.
    7. Siegel, Jason T. & McManus, Maria D. & Blazek, Danielle R. & Marshburn, Alexander, 2023. "Three-in-1,000 and dynamic norms: A mixed-method investigation of novel appeals for influencing organ donor registration," Social Science & Medicine, Elsevier, vol. 317(C).
    8. Dorthe Gaby Bove & Ann‐Britt Zakrisson & Julie Midtgaard & Kirsten Lomborg & Dorthe Overgaard, 2016. "Undefined and unpredictable responsibility: a focus group study of the experiences of informal caregiver spouses of patients with severe COPD," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(3-4), pages 483-493, February.
    9. Renata W. Yen & Jenna Smith & Jaclyn Engel & Danielle Marie Muscat & Sian K. Smith & Julien Mancini & Lilisbeth Perestelo-Pérez & Glyn Elwyn & A. James O’Malley & JoAnna K. Leyenaar & Olivia Mac & , 2021. "A Systematic Review and Meta-Analysis of Patient Decision Aids for Socially Disadvantaged Populations: Update from the International Patient Decision Aid Standards (IPDAS)," Medical Decision Making, , vol. 41(7), pages 870-896, October.
    10. Jilong Zhang & Jin Zhang & Kanliang Wang & Wei Yan, 2023. "Should doctors use or avoid medical terms? The influence of medical terms on service quality of E-health," Electronic Commerce Research, Springer, vol. 23(3), pages 1775-1805, September.
    11. Aguilera, Bernardo & Donya, Razavi s. & Vélez, Claudia-Marcela & Kapiriri, Lydia & Abelson, Julia & Nouvet, Elysee & Danis, Marion & Goold, Susan & Williams, Ieystn & Noorulhuda, Mariam, 2024. "Stakeholder participation in the COVID-19 pandemic preparedness and response plans: A synthesis of findings from 70 countries," Health Policy, Elsevier, vol. 142(C).
    12. Laura Harzheim & Mariya Lorke & Christiane Woopen & Saskia Jünger, 2020. "Health Literacy as Communicative Action—A Qualitative Study among Persons at Risk in the Context of Predictive and Preventive Medicine," IJERPH, MDPI, vol. 17(5), pages 1-27, March.
    13. Chauvin, Pauline & Fustinoni, Sarah & Seematter-Bagnoud, Laurence & Herr, Marie & Santos Eggimann, Brigitte, 2021. "Potentially inappropriate prescriptions: Associations with the health insurance contract and the quality of the patient–physician relationship?," Health Policy, Elsevier, vol. 125(9), pages 1146-1157.
    14. Kathleen Abu-Saad & Nihaya Daoud & Giora Kaplan & Arnona Ziv & Arnon D. Cohen & Liraz Olmer & Daphna Pollack & Ofra Kalter-Leibovici, 2022. "Comparing Patient Perspectives on Diabetes Management to the Deficit-Based Literature in an Ethnic Minority Population: A Mixed-Methods Study," IJERPH, MDPI, vol. 19(22), pages 1-17, November.
    15. Ruth Koops van ‘t Jagt & Shu Ling Tan & John Hoeks & Sophie Spoorenberg & Sijmen A. Reijneveld & Andrea F. de Winter & Sonia Lippke & Carel Jansen, 2019. "Using Photo Stories to Support Doctor-Patient Communication: Evaluating a Communicative Health Literacy Intervention for Older Adults," IJERPH, MDPI, vol. 16(19), pages 1-18, October.
    16. Fiva, Jon H. & Hægeland, Torbjørn & Rønning, Marte & Syse, Astri, 2014. "Access to treatment and educational inequalities in cancer survival," Journal of Health Economics, Elsevier, vol. 36(C), pages 98-111.
    17. Hsieh, Pi-Jung & Lai, Hui-Min, 2020. "Exploring people's intentions to use the health passbook in self-management: An extension of the technology acceptance and health behavior theoretical perspectives in health literacy," Technological Forecasting and Social Change, Elsevier, vol. 161(C).
    18. Fahad Riaz Choudhry & Long Chiau Ming & Khadeeja Munawar & Syed Tabish R. Zaidi & Rahul P. Patel & Tahir Mehmood Khan & Shandell Elmer, 2019. "Health Literacy Studies Conducted in Australia: A Scoping Review," IJERPH, MDPI, vol. 16(7), pages 1-32, March.
    19. Marie-Anne Durand & Lewis Carpenter & Hayley Dolan & Paulina Bravo & Mala Mann & Frances Bunn & Glyn Elwyn, 2014. "Do Interventions Designed to Support Shared Decision-Making Reduce Health Inequalities? A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-13, April.
    20. Xuefeng Li & Li Deng & Han Yang & Hui Wang, 2020. "Effect of socioeconomic status on the healthcare-seeking behavior of migrant workers in China," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-15, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:36:y:2016:i:4:p:550-556. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.