The impact of health literacy: associations with disease activity and medication prescription in patients with rheumatoid arthritis
Authors' conclusion
Significant differences in longitudinal disease activity and medication prescription were observed between groups with different health literacy levels.
Study context
- Population
- Patients with RA who previously completed the Health Literacy Questionnaire (HLQ)
- Participants
- 108 patients
- Exposure
- Health literacy groups: good health literacy vs some vs several health literacy limitations
- Outcome
- Disease activity (DAS with ESR (DAS28-ESR)) over time
- Follow-up
- 1 year
Methodological detailslongitudinal, linear mixed modelling, logistic regression
- Longitudinal
- Linear mixed modelling
- Logistic regression
Main finding
As reported in the abstract
Disease activity over time (DAS28-ESR)
Good health literacy
2.4
Several health literacy limitations
3.1
- Significant effect of health literacy group on disease activity over time (linear mixed modelling (LMM))
- P = 0.010
Observational data: associations, not effects.
Further findings
| Outcome | Good health literacy | Some health literacy limitations | Several health literacy limitations | OR |
|---|---|---|---|---|
| bDMARD prescription | 50% | — not stated in the abstract | — not stated in the abstract | |
| csDMARD only prescriptionSome health literacy limitations vs Good health literacy | — not stated in the abstract | 72.7% | — not stated in the abstract | 4.24 |
| Prednisolone prescriptionSeveral health literacy limitations vs Good health literacy | — not stated in the abstract | — not stated in the abstract | 52.4% | 3.56 |
— not stated in the abstract
bDMARD prescription
- Good health literacy most often prescribed a bDMARD
Original publication
The impact of health literacy: associations with disease activity and medication prescription in patients with rheumatoid arthritis. Rheumatology (Oxford). Published 24 February 2023. doi:10. 1093/ rheumatology/ kead094
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