ArticleJournal of general internal medicine2006
The roles of low literacy and social support in predicting the preventability of hospital admission.
Article in Journal of general internal medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 50 citations in OpenAlex.
- Low Back Pain Presentation and Management at the Emergency Department: Differences Between Older Adults Residing in the Community and Aged Care Homes.Journal of evaluation in clinical practice · 2025Observational
- Effect modification by geographic area on the association between health literacy and self-rated health: a nationwide cross-sectional study in Japan.BMC public health · 2023Article
- Rationale and study design for decision making & implementation of aging-in-place/long term care plans among older adults.Contemporary clinical trials communications · 2021Article
- Development and Implementation of a Complex Health System Intervention Targeting Transitions of Care from Hospital to Post-acute Care.Journal of general internal medicine · 2021Article
- Article
- Validity of a tool designed to assess the preventability of potentially preventable hospitalizations for chronic conditions.Family practice · 2020Article
- Exploring Associated Factors of Subjective Health Literacy in School-Aged Children.International journal of environmental research and public health · 2020Article
- Relationship of health literacy with utilization of health-care services in a general Japanese population.Preventive medicine reports · 2019Article
- Association of Health Literacy Levels Between Family Members.Frontiers in public health · 2019Article
- Alcohol misuse and outpatient follow-up after hospital discharge: a retrospective cohort study.Addiction science & clinical practice · 2018Article
- Improving health literacy in a Japanese community population-A pilot study to develop an educational programme.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Racial and Ethnic Disparities in Preventable Hospitalizations for Chronic Disease: Prevalence and Risk Factors.Journal of racial and ethnic health disparities · 2017Review
- Health Literacy in a Social Context: Review of Quantitative Evidence.Health literacy research and practice · 2017Review
- Psychosocial Factors and 30-Day Hospital Readmission among Individuals Receiving Maintenance Dialysis: A Prospective Study.American journal of nephrology · 2017Article
- Diagnosing Potentially Preventable Hospitalisations (DaPPHne): protocol for a mixed-methods data-linkage study.BMJ open · 2015Article
- Admissions for chronic ambulatory care sensitive conditions - a useful measure of potentially preventable admission?BMC health services research · 2015Article
- Social support mediates the association of health literacy and depression among racially/ethnically diverse smokers with low socioeconomic status.Journal of behavioral medicine · 2014Article
- The relationship between health literacy with health status and healthcare utilization in 18-64 years old people in Isfahan.Journal of education and health promotion · 2014Article
- Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran.Journal of education and health promotion · 2012Article
- Older adults' inpatient and emergency department utilization for ambulatory-care-sensitive conditions: relationship with alcohol consumption.Journal of aging and health · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundPrior studies found higher hospitalization rates among patients with low literacy, but did not determine the preventability of these admissions or consider other determinants of hospitalization, such as social support. This study evaluated whether low literacy was a predictor for preventability of hospitalization when considered in the context of social support, sociodemographics, health status, and risk behaviors.
methodsA convenience sample of 400 patients, admitted to general medicine wards in a university-affiliated Veterans Affairs hospital between August 1, 2001 and April 1, 2003, completed a face-to-face interview to assess literacy, sociodemographics, social support, health status, and risk behaviors. Two Board-certified Internists independently assessed preventability of hospitalization and determined the primary preventable cause through blinded medical chart reviews.
resultsNeither low literacy (<seventh grade) nor very low literacy (<fourth grade) was significantly associated with preventability of hospitalization. In multivariable analysis, significant predictors of having a preventable cause of hospitalization included binge alcohol drinking (P< or =.001), lower social support for medical care (P<.04), < or =3 annual clinic visits (P<.005), and > or =12 people talked to weekly (P<.023). Among nonbinge drinkers with lower social support for medical care, larger social networks were predictive of preventability of hospitalization. Among nonbinge drinkers with higher support for medical care, lower outpatient utilization was predictive of the preventability of hospitalization.
conclusionsWhile low literacy was not predictive of admission preventability, the formal assessment of alcohol binge drinking, social support for medical care, social network size, and prior outpatient utilization may enhance our ability to predict the preventability of hospitalizations and develop targeted interventions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.