| Health literacy and patient understanding of screening tests for aneuploidy and neural tube defects. | |
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MedLine Citation:
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PMID: 17345585 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine if health literacy is associated with patient understanding of prenatal screening tests for fetal aneuploidy and neural tube defects. METHODS: We performed a prospective observational study on a cohort of English-speaking patients receiving prenatal care in two resident-staffed ambulatory clinics. Health literacy was measured using the Rapid Estimate of Adult Literacy in Medicine-7. Understanding of the prenatal screening tests was assessed using a modified Maternal Serum Screening Knowledge Questionnaire. RESULTS: Over an 8-month period, 125 patients were approached, and 101 (81%) consented to the study. Thirty-eight (38%) women demonstrated low health literacy. Patients with low health literacy were more likely to demonstrate inadequate understanding when compared to those with adequate health literacy (97% versus 11%, respectively; P < 0.01). Similarly, patients with < 12th grade education were more likely to have inadequate understanding when compared to patients with > 12th grade education (53% versus 30%, respectively; P = 0.02). Health literacy is a more sensitive and specific predictor of inadequate understanding than education (sensitivity 84% versus 70%, respectively, P < 0.05; specificity 98% versus 47%, respectively, P < 0.05). CONCLUSION: Patients with low health literacy are more likely to demonstrate inadequate understanding of these prenatal screening tests than women with adequate health literacy. |
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Authors:
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Regina N Cho; Beth A Plunkett; Michael S Wolf; Charla E Simon; William A Grobman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Prenatal diagnosis Volume: 27 ISSN: 0197-3851 ISO Abbreviation: Prenat. Diagn. Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-05-07 Completed Date: 2007-06-28 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8106540 Medline TA: Prenat Diagn Country: England |
Other Details:
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Languages: eng Pagination: 463-7 Citation Subset: IM |
Affiliation:
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Northwestern University Feinberg School of Medicine, Department of Obstetrics and Gynecology, Chicago, IL, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ambulatory Care Aneuploidy* Cohort Studies Female Humans Illinois Mass Screening / methods Neural Tube Defects / diagnosis*, embryology Patient Education as Topic* Pregnancy Pregnancy Trimester, First Pregnancy Trimester, Second Prenatal Care* Prenatal Diagnosis* Questionnaires Urban Health Services |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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