Evidence map›Paper›PMID 34253502›Full record

ArticleRevista Colombiana de psiquiatria2021

Health-related quality of life and health literacy among adult primary care patients with subsidized or contributive health insurance in Colombia.

Shea M Lemley, Sergio Castro-Diaz, Leonardo Cubillos, Fernando Suárez-Obando, William C Torrey, José Miguel Uribe-Restrepo, Makeda Williams, Lisa A Marsch, Carlos Gómez-Restrepo

Abstract read
In one paragraph

Article in Revista Colombiana de psiquiatria, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

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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.

Shea M LemleyCenter for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, New Hampshire, United States. Electronic address: smlemley@gmail.com.
Sergio Castro-DiazDepartamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, Colombia.
Leonardo CubillosCenter for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, New Hampshire, United States; Department of Psychiatry, Geisel School of Medicine at Dartmouth, New Hampshire, United States.
Fernando Suárez-ObandoDepartamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, Colombia.
William C TorreyCenter for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, New Hampshire, United States; Department of Psychiatry, Geisel School of Medicine at Dartmouth, New Hampshire, United States.
José Miguel Uribe-RestrepoDepartamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Colombia.
Makeda WilliamsCenter for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, United States.
Lisa A MarschCenter for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth, New Hampshire, United States; Department of Psychiatry, Geisel School of Medicine at Dartmouth, New Hampshire, United States.
Carlos Gómez-RestrepoDepartamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, Colombia; Departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Colombia; Hospital Universitario San Ignacio, Bogotá, Colombia.

Funding

Treatment Development & Evaluation CoreP30DA029926 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2011 to 2026
$21.5M
Scaling up Science-based Mental Health Interventions in Latin AmericaU19MH109988 · NIMH · DARTMOUTH COLLEGE · PI GOMEZ, CARLOS · 2016 to 2020
$3.5M
NIDA NIH HHS P30 DA029926NIMH NIH HHS U19 MH109988
6 · The paper itself

Abstract

contextColombia passed Law 100 in 1993 with the goal of providing universal health care coverage, and by 2013, over 96% of the Colombian population had health insurance coverage. However, little is known about how health-related quality of life (HRQoL) and health literacy are related among those with the two most common types of health insurance coverage: subsidized (those with lower incomes) and contributory (those with higher incomes) coverage. OBJECTIVES AND

methodsIn the current exploratory investigation, data from adults visiting six primary care clinics in Colombia were analysed to examine the relationship between HRQoL (assessed as problems with mobility, self-care, completing usual activities, pain/discomfort, and anxiety/depression), demographics, the two health insurance types, and health literacy. Analyses also assessed whether, within insurance types, health literacy was related to HRQoL.

resultsResults showed that those with contributory health insurance coverage had greater health literacy than those with subsidized coverage, and this was accounted for by differences in education and socioeconomic status. HRQoL did not differ by insurance type. Although lower health literacy was related to worse HRQoL in the overall sample, in subgroup analyses lower health literacy significantly related to worse HRQoL only among those with subsidized health insurance coverage.

conclusionTargeting skills which contribute to health literacy, such as interpreting medical information or filling out forms, may improve HRQoL, particularly in those with subsidized insurance coverage.

Indexed as

Health LiteracyQuality of LifeAdultColombiaHumansInsurance, HealthPrimary Health CareAlfabetización en saludAtención primariaCalidad de vidaHealth literacyPrimary careQuality of life

Identifiers

PMID34253502
PMCPMC8666104

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Registered trials

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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.