Beyond reading alone: the relationship between aural literacy and asthma management.
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.
Rosenfeld
Lindsay
L
Northeastern University, Institute on Urban Health Research, Boston, MA 02115, USA. L.Rosenfeld@neu.edu
Rudd
Rima
R
Emmons
Karen M
KM
Acevedo-García
Dolores
D
Martin
Laurie
L
Buka
Stephen
S
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
J Gen Intern Med. 2004 Mar;19(3):288-90
15009787
Chest. 2007 Nov;132(5 Suppl):802S-809S
17998344
Vital Health Stat 1. 2008 Aug;(46):1-122
18958992
Med Clin North Am. 2003 Sep;87(5):1115-45
14621334
Patient Educ Couns. 2007 Jun;66(3):346-52
17329062
Arch Intern Med. 2003 Jan 13;163(1):83-90
12523921
Child Dev. 2002 Nov-Dec;73(6):1861-79
12487499
J Gen Intern Med. 2006 Aug;21(8):813-7
16881939
Postgrad Med. 2008 Nov;120(4):58-66
19020366
Ann Intern Med. 2003 Dec 2;139(11):907-15
14644893
Patient Educ Couns. 2007 Aug;67(3):315-8
17478072
J Aging Health. 1997 Nov;9(4):419-50
10182387
J Am Board Fam Med. 2008 Jan-Feb;21(1):24-30
18178699
Patient Educ Couns. 2009 Mar;74(3):282-6
19097741
MedGenMed. 2007 Aug 21;9(3):40
18092046
Health Expect. 2009 Dec;12(4):371-82
19709316
Ann Emerg Med. 2008 Feb;51(2):188-93, 193.e1-2
17597254
Ann Epidemiol. 2003 May;13(5):303-11
12821268
Patient Educ Couns. 2010 Feb;78(2):154-9
19356880
Patient Educ Couns. 2003 Nov;51(3):267-75
14630383
J Health Commun. 2006;11 Suppl 1:181-90
16641083
Patient Educ Couns. 2004 Mar;52(3):315-23
14998602
Patient Educ Couns. 2002 Dec;48(3):201-6
12477604
Chest. 1998 Oct;114(4):1008-15
9792569
Ann Intern Med. 2007 Nov 6;147(9):620-7
17975184
J Allergy Clin Immunol. 2009 Sep;124(3):601-3
19631974
Int J Epidemiol. 2008 Jun;37(3):615-24
18180240
J Health Commun. 2006;11(1):93-108
16546921
J Asthma. 2006 Oct;43(8):567-72
17050219
J Gen Intern Med. 2007 Nov;22(11):1538-43
17882501
Health Promot Pract. 2004 Jul;5(3):334-40
15228789
J Med Pract Manage. 2007 Nov-Dec;23(3):177-81
18225822
Ann Behav Med. 2008 Jun;35(3):295-307
18414962
Evid Rep Technol Assess (Summ). 2004 Jan;(87):1-8
15819598
Ambul Pediatr. 2007 Jan-Feb;7(1):25-31
17261479
J Gen Intern Med. 2007 Nov;22(11):1523-6
17786521
Am J Health Behav. 2007 Sep-Oct;31 Suppl 1:S111-4
17931129
J Am Dent Assoc. 2008 Sep;139(9):1218-26
18762632
Diabetes Educ. 2007 Jan-Feb;33(1):144-51
17272800
Public Health Rep. 2004 May-Jun;119(3):263-70
15158105
Soc Work Health Care. 2006;42(3-4):209-24
16687383
Soc Sci Med. 2007 Feb;64(4):924-37
17126465
Arch Intern Med. 1997 Apr 28;157(8):873-81
9129547
Am J Public Health. 1995 Sep;85(9):1231-6
7661230
Res Nurs Health. 2008 Dec;31(6):613-25
18613066
J Gen Intern Med. 2007 Jun;22(6):782-6
17431697
Prof Case Manag. 2007 Jul-Aug;12(4):213-6; quiz 217-8
17667783
BMC Health Serv Res. 2006 Mar 13;6:30
16533388
JAMA. 1998 Jul 22-29;280(4):356-62
9686553
Soc Sci Med. 2007 Oct;65(7):1442-57
17614177
Patient Educ Couns. 2009 Jun;75(3):392-7
19250792
Am J Respir Crit Care Med. 2005 Oct 15;172(8):980-6
16081544
Am J Health Behav. 2007 Sep-Oct;31 Suppl 1:S8-18
17931141
Clin Interv Aging. 2007;2(3):453-67
18044195
JAMA. 2002 Jul 24-31;288(4):475-82
12132978