Asthma Numeracy Skill and Health Literacy

Apter, Andrea J.; Cheng, Jian; Small, Dylan S.; Bennett, Ian M.; Albert, Claire; Fein, Daniel G.; George, Maureen; Horne, S. Van

doi:10.1080/02770900600925585

Cited by 127 publications

(129 citation statements)

References 15 publications

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“…These subpopulations may benefit from targeted interventions to improve asthma treatment and control. This study lacked data on health literacy and numeracy, lower levels of which have been associated with poor asthma control and hospitalizations [38,39]. Since lack of a college education was a risk factor for asthma hospitalization in our study, further research into the possible benefit of improved health education is warranted.…”

Section: Discussionmentioning

confidence: 99%

Hospitalizations for asthma among adults exposed to the September 11, 2001 World Trade Center terrorist attack

et al. 2017

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Objective: We described the patterns of asthma hospitalization among persons exposed to the 2001 World Trade Center (WTC) attacks, and assessed whether 9/11-related exposures or comorbidities, including posttraumatic stress disorder (PTSD) and gastroesophageal reflux symptoms (GERS), were associated with an increased rate of hospitalization. Methods: Data for adult enrollees in the WTC Health Registry, a prospective cohort study, with self-reported physician-diagnosed asthma who resided in New York State on 9/11 were linked to administrative hospitalization data to identify asthma hospitalizations during September 11, 2001-December 31, 2010. Multivariable zero-inflated Poisson regression was used to examine associations among 9/11 exposures, comorbid conditions, and asthma hospitalizations. Results: Of 11 471 enrollees with asthma, 406 (3.5%) had ࣙ1 asthma hospitalization during the study period (721 total hospitalizations). Among enrollees diagnosed before 9/11 (n = 6319), those with PTSD or GERS had over twice the rate of hospitalization (adjusted rate ratio (ARR) = 2.5, 95% CI = 1.4-4.1; ARR = 2.1, 95% CI = 1.3-3.2, respectively) compared to those without. This association was not statistically significant in enrollees diagnosed after 9/11. Compared to higher educational attainment, completing less than college was associated with an increased hospitalization rate among participants with both pre-9/11-and post-9/11-onset asthma (ARR = 1.9, 95% CI = 1.2-2.9; ARR = 2.6, 95% CI = 1.6-4.1, respectively). Sinus symptoms, exposure to the dust cloud, and having been a WTC responder were not associated with asthma hospitalization. Conclusions: Among enrollees with pre-9/11 asthma, comorbid PTSD and GERS were associated with an increase in asthma hospitalizations. Management of these comorbidities may be an important factor in preventing hospitalization.

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Section: Discussionmentioning

confidence: 99%

Hospitalizations for asthma among adults exposed to the September 11, 2001 World Trade Center terrorist attack

et al. 2017

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“…Parental numeracy was measured in one of the parents using a slightly modifi ed version of the Asthma Numeracy Questionnaire (ANQ), a four-item validated test that uses arithmetic or percentage-based statements or questions derived from the National Asthma Education and Prevention Program guidelines that patients with asthma might encounter during a clinic visit. 15 Because peak fl ow meters are seldom used in Puerto Rico, 21 we replaced two of the original questions in the ANQ with one about weight (e- Table 1). This modifi cation was done with the permission of the developer (Dr Apter).…”

Section: Study Proceduresmentioning

confidence: 99%

Parental Numeracy and Asthma Exacerbations in Puerto Rican Children

Rosas‐Salazar

Ramratnam

Brehm

et al. 2013

Chest

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“…Several measures have also been developed specifically for different types of patients. Apter (2006) developed a numeracy measure designed for Asthma patients. The four items were designed to assess a patient's ability to calculate the number of pills to take daily, and their ability to interpret percentages and the risks of particular therapy related values.…”

Section: )mentioning

confidence: 99%

Numeracy: A Review of the Literature

Dieckmann

2008

SSRN Journal

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Numeracy is defined as the ability to understand and use numbers. In addition to basic reading and writing skills, today's consumers need an understanding of numbers and basic mathematical skills to use any numerical information presented in text, tables or charts. This is especially true in many financial and healthcare settings, where a basic understanding of numerical concepts is arguably as important for informed decision making as reading ability.Although systematic research on numeracy has been growing steadily over the last several years, there have been few comprehensive reviews of this literature. In addition to summarizing key findings, a review could serve to identify gaps in our knowledge and suggest paths for future research in the field. The primary goal of this paper is to review current directions in numeracy research, and, in particular, to examine the relationship between numeracy and decision making in health and selected non-health domains. 3In recent years, there has been a drastic shift in the way consumers are expected to make important health and financial decisions. Ever increasing amounts of information are made available to the public, with the expectation that consumers will use this information for decision making. For example, employees may be presented with several retirement account plans and presumed capable of making informed decisions about the optimal plan for their goals (Thaler & Sunstein, 2003). Current policy approaches toward Medicare beneficiaries serve as another example of this shift. Here, patients are expected to utilize information about the various Medicare drug options, make trade-offs, and ultimately produce wise choices regarding their care (Hibbard, Slovic, Peters, Finucane, & Tusler, 2001;Woloshin, Schwartz, & Welch, 2004). This change is consistent with a move toward a more consumer-driven approach to healthcare, in which consumers share in both healthcare decision-making and the healthcare associated cost (Hibbard & Peters, 2003).The information provided to consumers to facilitate these choices come from numerous sources and are presented in a variety of formats. This can be confusing and daunting for even for the most motivated and skilled consumer. Financial and healthcare providers, while generally supplying sufficient information for consumers, often overlook the importance of presenting information in a way that can be easily comprehended and used by the vast majority of consumers (Fagerlin et al., 2004). With the increasingly important decisions being left to the consumer, it is critical that information providers are sensitive to the skills of the consumers they are trying to reach. 4Researchers have long recognized the importance of literacy for informed decision making (see Rudd, Colton, & Schacht, 2000). A great deal of our information comes in textual form, particularly in light of today's reliance on the Internet for disseminating information. Thus, individuals with limited literacy skills are at a marked disadvantage in this information ...

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Asthma Numeracy Skill and Health Literacy

Cited by 127 publications

References 15 publications

Hospitalizations for asthma among adults exposed to the September 11, 2001 World Trade Center terrorist attack

Hospitalizations for asthma among adults exposed to the September 11, 2001 World Trade Center terrorist attack

Parental Numeracy and Asthma Exacerbations in Puerto Rican Children

Numeracy: A Review of the Literature

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