title: Health literacy impact on patient-provider interactions involving the treatment of dental problems.
abstract: Health literacy-related problems can interfere with effective doctor-patient communication and effective patient care. This study examined several health literacy-related markers for patients seeking treatment in hospital emergency departments and physician and dentist offices for dental problems and injuries. Participants consisted of low-income white, black, and Hispanic adults who had experienced a dental problem or injury during the previous twelve months and who visited a hospital emergency department, physician, or dentist for treatment. A stratified random sample of Maryland households participated in a cross- sectional telephone survey. Interviews were completed with 94.8 percent of 423 eligible individuals. Multivariable logistic regression analyses were performed. Only 10.0 percent of the respondents expressed a difficulty understanding what they were told by the health provider, while 4.9 percent expressed a difficulty understanding the dental or medical forms they were asked to complete and 6.9 percent reported that they had difficulty getting the health provider to understand their dental problem or injury. Logistic regression analysis found that males and Hispanics were significantly (p<0.05) more likely to experience health literacy-related problems. In general, respondents did not express health literacy-related problems. Additional research is needed to identify health literacy-related barriers to effective patient-provider communication.
authors: Department of Health Promotion and Policy, University of Maryland Dental School, Baltimore, MD 21201, USA. lacohen@umaryland.edu
authors: Leonard A
authors: LA
authors: Cohen
authors: Arthur J
authors: AJ
authors: Bonito
authors: Celia
authors: C
authors: Eicheldinger
authors: Richard J
authors: RJ
authors: Manski
authors: Robert R
authors: RR
authors: Edwards
authors: Niharika
authors: N
authors: Khanna
mesh_terms: D000328:Adult; D003144:Communication Barriers; D003430:Cross-Sectional Studies; D003625:Data Collection; D004636:Emergency Service, Hospital; D005157:Facial Pain / Q000523:psychology; D005260:Female; D057220:Health Literacy / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008396:Maryland; D008446:Maxillofacial Injuries / Q000523:psychology; D008913:Minority Groups / Q000706:statistics & numerical data; D009059:Mouth Diseases / Q000523:psychology; D011369:Professional-Patient Relations; D012923:Social Class; D013689:Telephone; D055815:Young Adult