Does health literacy affect patients' receipt of preventative primary care? A multilevel analysis

Chandni Joshi, Upali W. Jayasinghe, Sharon Parker, Chris Del Mar, Grant Russell, Jane Lloyd, Danielle Mazza, Elizabeth Denney-Wilson, Mieke van Driel, Richard Taylor, Mark F. Harris, Preventive Evidence into Practice (PEP) Partnership Group

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Abstract

Background: People with limited health literacy are more likely to be socioeconomically disadvantaged and have risk factors for preventable chronic diseases. General practice is the ideal setting to address these inequalities however these patients engage less in preventive activities and experience difficulties navigating health services. This study aimed to compare primary care patients with and without sufficient health literacy in terms of their lifestyle risk factors, and explore factors associated with receiving advice and referral for these risk factors from their GPs.

Methods: A mailed survey of 739 patients from 30 general practices across four Australian states was conducted in 2012. Health literacy was measured using the Health Literacy Management Scale. Patients with a mean score of

Results: Patients with insufficient health literacy (n = 351; 48%) were more likely to report being overweight or obese, and less likely to exercise adequately. Having insufficient health literacy increased a patient's chance of receiving advice on diet, physical activity or weight management, and referral to and attendance at lifestyle modification programs. Not speaking English at home; being overweight or obese; and attending a small sized practice also increased patients' chances of receiving advice on these lifestyle risks. Few (5%, n = 37) of all patients reported being referred to lifestyle modification program and of those around three-quarters had insufficient health literacy. Overweight or obese patients were more likely to be referred to lifestyle modification programs and patients not in paid employment were more likely to be referred to and attend lifestyle programs.

Conclusion: Patients with insufficient health literacy were more likely to report receiving advice and being referred by GPs to attend lifestyle modification. Although the number of patients referred from this sample was very low, these findings are positive in that they indicate that GPs are identifying patients with low health literacy and appropriately referring them for assistance with lifestyle modification. Future research should measure the effectiveness of these lifestyle programs for patients with low health literacy.

Original languageEnglish
Article number171
Number of pages10
JournalBMC Family Practice
Volume15
DOIs
Publication statusPublished - 25 Oct 2014

Cite this

Joshi, C., Jayasinghe, U. W., Parker, S., Del Mar, C., Russell, G., Lloyd, J., ... Preventive Evidence into Practice (PEP) Partnership Group (2014). Does health literacy affect patients' receipt of preventative primary care? A multilevel analysis. BMC Family Practice, 15, [171]. https://doi.org/10.1186/s12875-014-0171-z
Joshi, Chandni ; Jayasinghe, Upali W. ; Parker, Sharon ; Del Mar, Chris ; Russell, Grant ; Lloyd, Jane ; Mazza, Danielle ; Denney-Wilson, Elizabeth ; van Driel, Mieke ; Taylor, Richard ; Harris, Mark F. ; Preventive Evidence into Practice (PEP) Partnership Group. / Does health literacy affect patients' receipt of preventative primary care? A multilevel analysis. In: BMC Family Practice. 2014 ; Vol. 15.
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title = "Does health literacy affect patients' receipt of preventative primary care? A multilevel analysis",
abstract = "Background: People with limited health literacy are more likely to be socioeconomically disadvantaged and have risk factors for preventable chronic diseases. General practice is the ideal setting to address these inequalities however these patients engage less in preventive activities and experience difficulties navigating health services. This study aimed to compare primary care patients with and without sufficient health literacy in terms of their lifestyle risk factors, and explore factors associated with receiving advice and referral for these risk factors from their GPs.Methods: A mailed survey of 739 patients from 30 general practices across four Australian states was conducted in 2012. Health literacy was measured using the Health Literacy Management Scale. Patients with a mean score ofResults: Patients with insufficient health literacy (n = 351; 48{\%}) were more likely to report being overweight or obese, and less likely to exercise adequately. Having insufficient health literacy increased a patient's chance of receiving advice on diet, physical activity or weight management, and referral to and attendance at lifestyle modification programs. Not speaking English at home; being overweight or obese; and attending a small sized practice also increased patients' chances of receiving advice on these lifestyle risks. Few (5{\%}, n = 37) of all patients reported being referred to lifestyle modification program and of those around three-quarters had insufficient health literacy. Overweight or obese patients were more likely to be referred to lifestyle modification programs and patients not in paid employment were more likely to be referred to and attend lifestyle programs.Conclusion: Patients with insufficient health literacy were more likely to report receiving advice and being referred by GPs to attend lifestyle modification. Although the number of patients referred from this sample was very low, these findings are positive in that they indicate that GPs are identifying patients with low health literacy and appropriately referring them for assistance with lifestyle modification. Future research should measure the effectiveness of these lifestyle programs for patients with low health literacy.",
author = "Chandni Joshi and Jayasinghe, {Upali W.} and Sharon Parker and {Del Mar}, Chris and Grant Russell and Jane Lloyd and Danielle Mazza and Elizabeth Denney-Wilson and {van Driel}, Mieke and Richard Taylor and Harris, {Mark F.} and {Preventive Evidence into Practice (PEP) Partnership Group}",
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Joshi, C, Jayasinghe, UW, Parker, S, Del Mar, C, Russell, G, Lloyd, J, Mazza, D, Denney-Wilson, E, van Driel, M, Taylor, R, Harris, MF & Preventive Evidence into Practice (PEP) Partnership Group 2014, 'Does health literacy affect patients' receipt of preventative primary care? A multilevel analysis' BMC Family Practice, vol. 15, 171. https://doi.org/10.1186/s12875-014-0171-z

Does health literacy affect patients' receipt of preventative primary care? A multilevel analysis. / Joshi, Chandni; Jayasinghe, Upali W.; Parker, Sharon; Del Mar, Chris; Russell, Grant; Lloyd, Jane; Mazza, Danielle; Denney-Wilson, Elizabeth; van Driel, Mieke; Taylor, Richard; Harris, Mark F.; Preventive Evidence into Practice (PEP) Partnership Group.

In: BMC Family Practice, Vol. 15, 171, 25.10.2014.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Does health literacy affect patients' receipt of preventative primary care? A multilevel analysis

AU - Joshi, Chandni

AU - Jayasinghe, Upali W.

AU - Parker, Sharon

AU - Del Mar, Chris

AU - Russell, Grant

AU - Lloyd, Jane

AU - Mazza, Danielle

AU - Denney-Wilson, Elizabeth

AU - van Driel, Mieke

AU - Taylor, Richard

AU - Harris, Mark F.

AU - Preventive Evidence into Practice (PEP) Partnership Group

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N2 - Background: People with limited health literacy are more likely to be socioeconomically disadvantaged and have risk factors for preventable chronic diseases. General practice is the ideal setting to address these inequalities however these patients engage less in preventive activities and experience difficulties navigating health services. This study aimed to compare primary care patients with and without sufficient health literacy in terms of their lifestyle risk factors, and explore factors associated with receiving advice and referral for these risk factors from their GPs.Methods: A mailed survey of 739 patients from 30 general practices across four Australian states was conducted in 2012. Health literacy was measured using the Health Literacy Management Scale. Patients with a mean score ofResults: Patients with insufficient health literacy (n = 351; 48%) were more likely to report being overweight or obese, and less likely to exercise adequately. Having insufficient health literacy increased a patient's chance of receiving advice on diet, physical activity or weight management, and referral to and attendance at lifestyle modification programs. Not speaking English at home; being overweight or obese; and attending a small sized practice also increased patients' chances of receiving advice on these lifestyle risks. Few (5%, n = 37) of all patients reported being referred to lifestyle modification program and of those around three-quarters had insufficient health literacy. Overweight or obese patients were more likely to be referred to lifestyle modification programs and patients not in paid employment were more likely to be referred to and attend lifestyle programs.Conclusion: Patients with insufficient health literacy were more likely to report receiving advice and being referred by GPs to attend lifestyle modification. Although the number of patients referred from this sample was very low, these findings are positive in that they indicate that GPs are identifying patients with low health literacy and appropriately referring them for assistance with lifestyle modification. Future research should measure the effectiveness of these lifestyle programs for patients with low health literacy.

AB - Background: People with limited health literacy are more likely to be socioeconomically disadvantaged and have risk factors for preventable chronic diseases. General practice is the ideal setting to address these inequalities however these patients engage less in preventive activities and experience difficulties navigating health services. This study aimed to compare primary care patients with and without sufficient health literacy in terms of their lifestyle risk factors, and explore factors associated with receiving advice and referral for these risk factors from their GPs.Methods: A mailed survey of 739 patients from 30 general practices across four Australian states was conducted in 2012. Health literacy was measured using the Health Literacy Management Scale. Patients with a mean score ofResults: Patients with insufficient health literacy (n = 351; 48%) were more likely to report being overweight or obese, and less likely to exercise adequately. Having insufficient health literacy increased a patient's chance of receiving advice on diet, physical activity or weight management, and referral to and attendance at lifestyle modification programs. Not speaking English at home; being overweight or obese; and attending a small sized practice also increased patients' chances of receiving advice on these lifestyle risks. Few (5%, n = 37) of all patients reported being referred to lifestyle modification program and of those around three-quarters had insufficient health literacy. Overweight or obese patients were more likely to be referred to lifestyle modification programs and patients not in paid employment were more likely to be referred to and attend lifestyle programs.Conclusion: Patients with insufficient health literacy were more likely to report receiving advice and being referred by GPs to attend lifestyle modification. Although the number of patients referred from this sample was very low, these findings are positive in that they indicate that GPs are identifying patients with low health literacy and appropriately referring them for assistance with lifestyle modification. Future research should measure the effectiveness of these lifestyle programs for patients with low health literacy.

U2 - 10.1186/s12875-014-0171-z

DO - 10.1186/s12875-014-0171-z

M3 - Article

VL - 15

JO - BMC Family Practice

JF - BMC Family Practice

SN - 1471-2296

M1 - 171

ER -