ArticleHealth literacy research and practice2017
Health Literacy Is an Independent Predictor of Cancer Patients' Hospitalizations.
Article in Health literacy research and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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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
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Pooled it
- Health Literacy and Capecitabine Adherence in a Remote Monitoring Pilot Trial for Breast Cancer: Post Hoc Exploratory Analysis.JMIR formative research · 2026Observational
- Prescription and self-reported use of endocrine therapy among Black hormone receptor-positive breast cancer survivors in the Detroit Research on Cancer Survivors cohort.Breast cancer research and treatment · 2025Article
- Exploring the Interplay of Health Literacy and Non-Communicable Disease Health Outcomes in Southeast Asia: A Systematic Review.Iranian journal of public health · 2025Review
- Which Chemotherapy-Related Terms Were Difficult for Cancer Patients, and Who Would Have the Most Difficulties?Cancer research and treatment · 2025Article
- Improving lung cancer decision-making using a conversation tool (iDECIDE): a stepped wedge pragmatic clinical trial.Future oncology (London, England) · 2025Article
- Inequalities in patients' experiences with cancer care: the role of economic and health literacy determinants.BMC health services research · 2024Article
- Prevalence and Factors Contributing to Fear of Recurrence in Breast Cancer Patients and Their Partners: A Cross-Sectional Study.International journal of women's health · 2024Article
- Shared Decision-Making on Using a CDK4/6 Inhibitor plus an Aromatase Inhibitor for HR+/HER2- Metastatic Breast Cancer: A Podcast.Oncology and therapy · 2023Article
- Health Literacy and Serious or Persistent Mental Illness: A Mixed Methods Study.Health literacy research and practice · 2023Article
- Development and psychometric properties of a brief generic cancer knowledge scale for patients (BCKS-10).Cancer causes & control : CCC · 2022Article
- Dissemination of validated health literacy videos: A tailored approach.Cancer medicine · 2022Article
- Still Lost in Transition? Perspectives of Ongoing Cancer Survivorship Care Needs from Comprehensive Cancer Control Programs, Survivors, and Health Care Providers.International journal of environmental research and public health · 2022Article
- Health literacy in communication, decision-making and outcomes among cancer patients, their families and clinicians in India: A multicentre cross-sectional qualitative study.Psycho-oncology · 2022Article
- The Role of Medical Mistrust in Concerns about Tumor Genomic Profiling among Black and African American Cancer Patients.International journal of environmental research and public health · 2022Article
- A review of prospective pathways and impacts of COVID-19 on the accessibility, safety, quality, and affordability of essential medicines and vaccines for universal health coverage in Africa.Globalization and health · 2021Review
- Delving deeper into disparity: The impact of health literacy on the surgical care of breast cancer patients.American journal of surgery · 2020Review
- Association of health literacy and cognition levels with severity of adverse drug reactions in cancer patients: a South Asian experience.International journal of clinical pharmacy · 2020Observational
- Health Literacy and Health Service Use in Germany.Health literacy research and practice · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLower levels of health literacy predict higher hospitalization rates. Hospitalization is expensive and many admissions are potentially avoidable. Research examining the relationship between health literacy and health outcomes for cancer patients is limited, and no published studies to date have focused on hospitalization and health literacy in cancer patients.
objectiveThis study examined the ability of health literacy to predict hospitalization of cancer patients.
methodsThis secondary data analysis investigated the relationship between health literacy and hospitalization rates of adult cancer patients in the first 5 years after their diagnosis. The sample included a diverse selection of cancer diagnoses and all stages of cancer were represented. Health literacy was assessed using the Cancer Health Literacy Test 30 (CHLT-30), a psychometrically sound measure of health literacy validated in a cancer patient population. Health literacy's ability to predict the number of times hospitalized, total days spent hospitalized, and number of 30-day readmissions was examined using multivariate negative binomial multiple regression to control for the outcomes and potentially confounding variables. KEY
resultsWhen controlling for potentially confounding variables, a negative relationship was found between health literacy and the number of inpatient hospitalizations (β = -0.041,
conclusionsPatients with lower health literacy need additional assistance to avoid unplanned hospitalizations. PLAIN LANGUAGE SUMMARY: Results from this study found that as cancer patients' health literacy scores decreased, the number of times hospitalized and the total number of days spent in the hospital increased. This relationship was significant when controlling for diagnosis, stage at diagnosis, receipt of chemotherapy, number of comorbidities, death, education, and race. Cancer patients with low health literacy are at a higher risk of being hospitalized.
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.