Evidence map›Paper›PMID 23293243›Full record

ArticleBMJ open2013

Characteristics of people with low health literacy on coronary heart disease GP registers in South London: a cross-sectional study.

Gillian P Rowlands, Anita Mehay, Sally Hampshire, Rachel Phillips, Paul Williams, Anthony Mann, Andrew Steptoe, Paul Walters, Andre T Tylee

Abstract read
In one paragraph

Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Aging and Functional Health Literacy: A Systematic Review and Meta-Analysis.The journals of gerontology. Series B, Psychological sciences and social sciences · 2016
    Pooled it
  4. Trial
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  7. The Role of Health Literacy among Outpatient Caregivers during the COVID-19 Pandemic.International journal of environmental research and public health · 2021
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  10. Health Literacy: Current Status and Challenges in the Work of Family Doctors in Bosnia and Herzegovina.International journal of environmental research and public health · 2019
    Article
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  14. Cardiovascular disease risk and secondary prevention of cardiovascular disease among patients with low health literacy.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Gillian P RowlandsInstitute of Primary Care and Public Health, Faculty of Health and Social Care, London South Bank University, London, UK.
Anita Mehay
Sally Hampshire
Rachel Phillips
Paul Williams
Anthony Mann
Andrew Steptoe
Paul Walters
Andre T Tylee

Funding

Department of Health RP-PG-0606-1048
6 · The paper itself

Abstract

objectiveTo explore characteristics associated with, and prevalence of, low health literacy in patients recruited to investigate the role of depression in patients on General Practice (GP) Coronary Heart Disease (CHD) registers (the Up-Beat UK study).

designCross-sectional cohort. The health literacy measure was the Rapid Estimate of Health Literacy in Medicine (REALM). Univariable analyses identified characteristics associated with low health literacy and compared health service use between health literacy statuses. Those variables where there was a statistically significant/borderline significant difference between health literacy statuses were entered into a multivariable model.

setting16 General Practices in South London, UK.

participantsInclusion: patients >18 years, registered with a GP and on a GP CHD register. Exclusion: patients temporarily registered. PRIMARY OUTCOME MEASURE: REALM.

resultsOf the 803 Up-Beat cohort participants, 687 (85.55%) completed the REALM of whom 106 (15.43%) had low health literacy. Twenty-eight participants could not be included in the multivariable analysis due to missing predictor variable data, leaving a sample of 659. The variables remaining in the final model were age, gender, ethnicity, Indices of Multiple Deprivation score, years of education, employment; body mass index and alcohol intake, and anxiety scores (Hospital Anxiety and Depression Scale). Univariable analysis also showed that people with low health literacy may have more, and longer, practice nurse consultations than people with adequate health literacy.

conclusionsThere is a disadvantaged group of people on GP CHD registers with low health literacy. The multivariable model showed that patients with low health literacy have significantly higher anxiety levels than people with adequate health literacy. In addition, the univariable analyses show that such patients have more, and longer, consultations with practice nurses. We will collect 4-year longitudinal cohort data to explore the impact of health literacy in people on GP CHD registers and the impact of health literacy on health service use.

Identifiers

PMID23293243
PMCPMC3549254

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LicenceCC BY-NC
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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.