title: Beyond reading alone: the relationship between aural literacy and asthma management.
abstract: OBJECTIVE
  to examine the relationship between literacy and asthma management with a focus on the oral exchange.
  
  
  METHODS
  study participants, all of whom reported asthma, were drawn from the New England Family Study (NEFS), an examination of links between education and health. NEFS data included reading, oral (speaking), and aural (listening) literacy measures. An additional survey was conducted with this group of study participants related to asthma issues, particularly asthma management. Data analysis focused on bivariate and multivariable logistic regression.
  
  
  RESULTS
  in bivariate logistic regression models exploring aural literacy, there was a statistically significant association between those participants with lower aural literacy skills and less successful asthma management (OR: 4.37, 95%CI: 1.11, 17.32). In multivariable logistic regression analyses, controlling for gender, income, and race in separate models (one-at-a-time), there remained a statistically significant association between those participants with lower aural literacy skills and less successful asthma management.
  
  
  CONCLUSIONS
  lower aural literacy skills seem to complicate asthma management capabilities.
  
  
  CONCLUSIONS
  greater attention to the oral exchange, in particular the listening skills highlighted by aural literacy, as well as other related literacy skills may help us develop strategies for clear communication related to asthma management.
authors.affiliation: Northeastern University, Institute on Urban Health Research, Boston, MA 02115, USA. L.Rosenfeld@neu.edu
authors.forename: Lindsay
authors.initials: L
authors.lastname: Rosenfeld
authors.forename: Rima
authors.initials: R
authors.lastname: Rudd
authors.forename: Karen M
authors.initials: KM
authors.lastname: Emmons
authors.forename: Dolores
authors.initials: D
authors.lastname: Acevedo-García
authors.forename: Laurie
authors.initials: L
authors.lastname: Martin
authors.forename: Stephen
authors.initials: S
authors.lastname: Buka
mesh_terms: D000328:Adult; D001249:Asthma / Q000628:therapy*; D015331:Cohort Studies; D003142:Communication; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D007182:Income; D016015:Logistic Models; D008297:Male; D009511:New England; D010353:Patient Education as Topic / Q000379:methods; D011369:Professional-Patient Relations; D011932:Reading; D012648:Self Care; D017678:Sex Distribution
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