title: Predictors of Health Literacy and Numeracy Concordance Among Adolescents With Special Health Care Needs and Their Parents.
abstract: Parent and teen health literacies (HLs) are employed as teens with chronic illnesses transition to health self-management and the adult health system. This study explores the relationships between parent and teen HL. Teens ages 12-18 with chronic conditions and their parents, sampled from a pediatric Medicaid accountable care organization, completed an interview assessing HL and self-reported competence with written and numerical health information. Rates of teen and parent HL, degree of concordance, and the relationship between concordance and teen-reported competence with health materials were measured. Half (52%) of teens had adequate HL, 62% of teens reported competence with written health materials, and 69% reported competence with numerical information. The correlation between parent and teen HL was modest but significant (ϕ = 0.13, p = .03): 47% of parent-teen dyads were concordant for adequate HL, and 10% were concordant for inadequate HL. Adequate teen HL was associated with parental adequate HL and parental education. Discordance was associated with self-reported competence with written material and numerical material. More than half of parent-teen dyads had at least 1 member with less than adequate HL, and parent-teen HL concordance was associated with teen perception of HL. These findings support the consideration of both independent and dyad HL levels in adolescent care.
authors.affiliation: a The Research Institute , Nationwide Children's Hospital , Columbus , Ohio , USA.|b Department of Pediatrics , The Ohio State University , Columbus , Ohio , USA.
authors.forename: Deena J
authors.initials: DJ
authors.lastname: Chisolm
authors.affiliation: a The Research Institute , Nationwide Children's Hospital , Columbus , Ohio , USA.
authors.forename: Madhurima
authors.initials: M
authors.lastname: Sarkar
authors.affiliation: a The Research Institute , Nationwide Children's Hospital , Columbus , Ohio , USA.|b Department of Pediatrics , The Ohio State University , Columbus , Ohio , USA.
authors.forename: Kelly J
authors.initials: KJ
authors.lastname: Kelleher
authors.affiliation: c Department of General Pediatrics , Stanford University , Stanford , California , USA.
authors.forename: Lee M
authors.initials: LM
authors.lastname: Sanders
mesh_terms: D000293:Adolescent; D002648:Child; D002908:Chronic Disease / Q000628:therapy*; D005260:Female; D057220:Health Literacy / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008433:Mathematics; D010290:Parents; D012648:Self Care / Q000523:psychology; D020377:Self Efficacy