Health Literacy and Physical Function among Older Black and Hispanic Individuals with Heart Failure.

IF 6.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Shabatun J Islam, Sergio Teruya, Denise Fine, Natalia Sabogal, Sergylensky Fils, Ikram Ullah, Anya Sanchorawala, Edward Miller, Cesia Gallegos, Cinthia de Freitas, Damian Kurian, Natalia Ionescu, Ivrose Janvier, Farbod Raiszadeh, Emelia J Benjamin, Jared W Magnani, Mathew S Maurer, Frederick L Ruberg
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引用次数: 0

Abstract

Background: Inadequate health literacy negatively impacts outcomes for heart failure (HF). Older adults with HF face significant barriers including prevalence of multiple comorbidities, frailty, and deficits in physical function, which can impact HF outcomes. Examination of the association between health literacy and physical function remains limited in older adults with HF. We investigated the cross-sectional associations of health literacy and physical function in a cohort of older self-identified Black and Hispanic patients with HF.

Methods & results: The Screening for Cardiac Amyloidosis with Nuclear Imaging in Minority Population (SCAN-MP) study recruited participants (age >60 years) of self-identified Black race or Hispanic ethnicity in New York City, Boston, and New Haven. We measured health literacy using the Newest Vital Sign and physical function using the 6-minute walk duration (6MWD) and the Short Physical Performance Battery test (SPPB). Linear regression models evaluated the association between participants' health literacy levels and physical function as defined by continuous measures of 6MWD and SPPB. Only 12.7% of the cohort (n=433) had adequate health literacy. After adjusting for age, sex, number of comorbidities, and neighborhood social vulnerability, those with adequate (compared to limited) health literacy, demonstrated better performance on the 6MWD (β=37.5 m, 95% CI [1.49, 73.5], p=0.04) and SPPB (β=1.18 (0.41, 1.95), p=0.002).

Conclusion: Older Black or Hispanic participants with HF have extremely high prevalence of limited health literacy, which is associated with poor physical function. Interventions targeting health literacy may represent an avenue to improve HF outcomes for patients with minoritized backgrounds.

老年黑人和西班牙裔心力衰竭患者的健康素养和身体功能
背景:健康素养不足会对心力衰竭(HF)的预后产生负面影响。老年HF患者面临重大障碍,包括多种合并症的流行、虚弱和身体功能缺陷,这些都可能影响HF的结局。对老年心衰患者健康素养与身体功能之间关系的研究仍然有限。我们调查了一组自认为是黑人和西班牙裔的老年心衰患者的健康素养和身体功能的横断面关联。方法与结果:在少数人群中使用核成像筛查心脏淀粉样变性(SCAN-MP)研究在纽约市、波士顿和纽黑文招募了自认为是黑人或西班牙裔的参与者(年龄0 - 60岁)。我们使用最新生命体征测量健康素养,使用6分钟步行时间(6MWD)和短物理性能电池测试(SPPB)测量身体功能。线性回归模型通过连续测量6MWD和SPPB来评估参与者的健康素养水平与身体功能之间的关系。只有12.7%的队列(n=433)有足够的健康素养。在调整了年龄、性别、合共病数量和社区社会脆弱性后,健康素养较好的人群在6MWD (β=37.5 m, 95% CI [1.49, 73.5], p=0.04)和SPPB (β=1.18 (0.41, 1.95), p=0.002)上表现更好。结论:老年黑人或西班牙裔HF患者健康素养有限的患病率极高,这与身体功能差有关。针对健康素养的干预措施可能是改善少数族裔心衰患者预后的一种途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Cardiac Failure
Journal of Cardiac Failure 医学-心血管系统
CiteScore
7.80
自引率
8.30%
发文量
653
审稿时长
21 days
期刊介绍: Journal of Cardiac Failure publishes original, peer-reviewed communications of scientific excellence and review articles on clinical research, basic human studies, animal studies, and bench research with potential clinical applications to heart failure - pathogenesis, etiology, epidemiology, pathophysiological mechanisms, assessment, prevention, and treatment.
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