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Research ArticleOriginal Research

Estimating Health Literacy in Family Medicine Clinics in Metropolitan Detroit: A MetroNet Study

Kendra L. Schwartz, Monina Bartoces, Kimberly Campbell-Voytal, Patricia West, Joseph Monsur, Ashleigh Sartor and Anne Victoria Neale
The Journal of the American Board of Family Medicine September 2013, 26 (5) 566-570; DOI: https://doi.org/10.3122/jabfm.2013.05.130052
Kendra L. Schwartz
From the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
MD, MSPH,
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Monina Bartoces
From the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
PhD,
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Kimberly Campbell-Voytal
From the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
PhD,
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Patricia West
From the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
PhD, RN,
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Joseph Monsur
From the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
BS,
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Ashleigh Sartor
From the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
MD,
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Anne Victoria Neale
From the Department of Family Medicine and Public Health Sciences (KLS, MB, KC-V, AVN) and the Office of Research Compliance (JM), Wayne State University, Detroit, MI; the St. John Hospital Family Medicine Residency Program, St. Clair Shores, MI (PW), and private practice at Altitude Family and Internal Medicine, Lakewood, CO (AS).
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    Figure 1.

    Performance of 3 health literacy screening questions compared to the Short Test of Functional Health Literacy in Adults (S-TOFHLA). AUROC, area under the receiver operating characteristic curve; ROC, receiver operating characteristic.

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    Table 1. Distribution of Demographic Variables, Short Test of Functional Health Literacy in Adults (S-TOFHLA) Scores, and 3 Health Literacy Screening Questions
    Variables
    Age, mean years (SD)45 (14)
    Race
        African American303 (50.8)
        White255 (42.8)
        Other38 (6.4)
    Sex
        Female392 (65.3)
        Male208 (34.7)
    Education
        8th through 12th grade128 (21.4)
        High school graduate167 (27.9)
        Some college education303 (50.7)
    Household income (US$)
        0–9,999204 (35.7)
        10,000–19,99992 (16.1)
        20,000–29,99974 (13.0)
        30,000–39,99953 (9.3)
        40,000–49,99951 (8.9)
        >50,00097 (17.0)
    Health insurance
        Private279 (47.0)
        Medicare493 (8.2)
        Medicaid110 (18.5)
        Self-pay (no insurance)112 (18.9)
        Multiple44 (7.4)
    S-TOFHLA total score
        Inadequate15 (2.5)
        Marginal5 (0.8)
        Adequate579 (96.7)
    How often do you have problems learning about your medical condition because of difficulty understanding written information?
        Never186 (31.2)
        Rarely226 (37.9)
        Sometimes152 (25.5)
        Often22 (3.7)
        Always10 (1.7)
    How confidents are you filling out medical forms by yourself?
        Extremely239 (40.0)
        Quite a bit196 (32.8)
        Somewhat103 (17.3)
        A little bit35 (5.9)
        Not at all24 (4.0)
    How often do you have someone help you read instructions, pamphlets, or other written materials from your doctor or pharmacy?
        Never344 (57.8)
        Rarely152 (25.5)
        Sometimes77 (12.9)
        Often18 (3.0)
        Always4 (0.7)
    • Data are n (%) unless otherwise indicated. Totals may not add to 599 due to missing data.

    • SD, standard deviation.

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The Journal of the American Board of Family     Medicine: 26 (5)
The Journal of the American Board of Family Medicine
Vol. 26, Issue 5
September-October 2013
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Estimating Health Literacy in Family Medicine Clinics in Metropolitan Detroit: A MetroNet Study
Kendra L. Schwartz, Monina Bartoces, Kimberly Campbell-Voytal, Patricia West, Joseph Monsur, Ashleigh Sartor, Anne Victoria Neale
The Journal of the American Board of Family Medicine Sep 2013, 26 (5) 566-570; DOI: 10.3122/jabfm.2013.05.130052

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Estimating Health Literacy in Family Medicine Clinics in Metropolitan Detroit: A MetroNet Study
Kendra L. Schwartz, Monina Bartoces, Kimberly Campbell-Voytal, Patricia West, Joseph Monsur, Ashleigh Sartor, Anne Victoria Neale
The Journal of the American Board of Family Medicine Sep 2013, 26 (5) 566-570; DOI: 10.3122/jabfm.2013.05.130052
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