Details:

Alternative Title:
BMC Public Health
Publisher's site:
http://dx.doi.org/10.1186/1471-2458-14-716
Personal Author:
Stewart, Diana W ; Cano, Miguel Ángel ; Correa-Fernández, Virmarie ; Spears, Claire Adams ; Li, Yisheng ; ... More +
Stewart, Diana W ; Cano, Miguel Ángel ; Correa-Fernández, Virmarie ; Spears, Claire Adams ; Li, Yisheng ; Waters, Andrew J ; Wetter, David W ; Vidrine, Jennifer Irvin Less -
Description:
Background

Nearly half of U.S. adults have difficulties with health literacy (HL), which is defined as the ability to adequately obtain, process, and understand basic health information. Lower HL is associated with negative health behaviors and poor health outcomes. Racial/ethnic minorities and those with low socioeconomic status (SES) are disproportionately affected by poor HL. They also have higher smoking prevalence and more difficulty quitting smoking. Thus, lower HL may be uniquely associated with poorer cessation outcomes in this population.

Methods

This study investigated the association between HL and smoking cessation outcomes among 200, low-SES, racially/ethnically diverse smokers enrolled in smoking cessation treatment. Logistic regression analyses adjusted for demographics (i.e., age, gender, race/ethnicity, relationship status), SES-related characteristics (i.e., education, income), and nicotine dependence were conducted to investigate associations between HL and smoking relapse at the end of treatment (3 weeks post quit day).

Results

Results indicated that smokers with lower HL (score of < 64.5 on the Rapid Estimate of Adult Literacy in Medicine [REALM]) were significantly more likely than those with higher HL (score of ≥ 64.5 on the REALM) to relapse by the end of treatment, even after controlling for established predictors of cessation including demographics, SES, and nicotine dependence (OR = 3.26; 95% CI = 1.14, 9.26).

Conclusions

Findings suggest that lower HL may serve as an independent risk factor for smoking relapse among low-SES, racially/ethnically diverse smokers enrolled in treatment. Future research is needed to investigate longitudinal relations between HL and cessation outcomes and potential mechanisms of this relationship.


Subjects:
[+]
Health Disparities Health Literacy Research Article Smoking Cessation
Source:
BMC Public Health. 2014; 14:716.
Pubmed ID:
25018151
Pubmed Central ID:
PMC4226955
Document Type:
Journal Article
Funding:
CA016672/CA/NCI NIH HHS/United States ; K01CD000193/CD/ODCDC CDC HHS/United States ; P30 CA016672/CA/NCI NIH HHS/United States ; R25TCA57730/PHS HHS/United States ; U54CA153505/CA/NCI NIH HHS/United States ; ... More +
CA016672/CA/NCI NIH HHS/United States ; K01CD000193/CD/ODCDC CDC HHS/United States ; P30 CA016672/CA/NCI NIH HHS/United States ; R25TCA57730/PHS HHS/United States ; U54CA153505/CA/NCI NIH HHS/United States ; UL1 TR000371/TR/NCATS NIH HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:04d0a7284cad4e637a1ff2d0ef4caa3b08f0f7c8ac63bfa827822777b4b45ca0
Download URL:
https://stacks.cdc.gov/view/cdc/32159/cdc_32159_DS1.pdf
File Type:

Supporting Files

• 	1471-2458-14-716.nxml	txt
  	license.txt	txt

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