A new analyze observed disparities in health literacy involving adolescents with and with out sickle cell sickness.
An exploratory study led by Elizabeth Perry Caldwell, PhD, RN, CNE, and Erin Killingsworth PhD, RN, CNE, of Louise Herrington University of Nursing at Baylor College, calculated wellbeing literacy among sickle cell sickness sufferers utilizing the Newest Crucial Indication health and fitness literacy instrument, thus evaluating scores with non-sickle mobile people.
“Adult well being literacy is demonstrated to be a superior predictor of health and fitness outcomes than educational level, race, age, work status, or profits,” Caldwell and Killingsworth wrote. “Recent knowledge advise that wellness literacy may possibly also significantly impact health behaviors in adolescents.
They described the overall health literacy could influence well being outcomes and changeover knowledge among the patients with sickle cell illness.
The investigators recruited a full of 239 persons, 134 of whom had sickle mobile disorder. The imply age of the sickle cell population was 14.9 years—compared to 15.87 yrs in the non-sickle mobile populace.
The sickle cell cohort was recruited from a huge, tertiary treatment heart, though adolescents with out sickle cell disorder have been recruited extra widely throughout Texas.
Each individual participant was administered the NVS, a software designed to evaluate literacy, numeracy, and the skill to track down and implement details.
The evaluation consisted of an ice product diet label, adopted by suitable thoughts. The chance for confined wellbeing literacy was then determined primarily based on the participant’s rating (most, 6 points).
The suggest NVS rating for sickle mobile patients was 2.66, vs . 3.77 in the non-sickle cell population. The differences in scores in between the teams was found to be statistically significant (t = 4.772 P<.001).
Although these findings suggested lower health literacy levels in patients with sickle cell disease, Caldwell and Killingsworth noted that the mean scores from both groups demonstrated the possibility of overall limited health literacy.
They further observed that age (r = .286, P < .01) and grade level (r=.317, P = .00) were significantly and positively correlated with health literacy. However, there were no significant relationships between health literacy and household income or parental education level.
On the contrary, among patients without sickle cell disease, annual household income (r = .235 P<.05) and parental education level (r = .263 P<.01) were significantly and positively associated with health literacy, while age or grade level had no such relationship.
“These differences are noteworthy and more research is needed to better understand these differences,” the investigators wrote. They emphasized the importance of conducting systematic evaluations of the influencing factors and consequences of health literacy.
“Gaining further insight into health literacy and health outcomes in adolescents with SCD provides a potential path forward towards more successful transitions from pediatric care to adult care in these patients,” Caldwell and Killingsworth wrote.
“With this knowledge, nurses can fight the struggle against systematic lifelong inequities of care for patients with SCD with more focus and fervor, with hopes of better health outcomes and longer lives for these patients,” they concluded.
The study, “The health literacy disparity in adolescents with sickle cell disease,” was published online in Journal for Specialists in Pediatric Nursing.