Caregiver Low Health Literacy and Nonurgent Use of the Pediatric Emergency Department for Febrile Illness
Abstract Objective To examine the association between caregiver health literacy and the likelihood of a nonurgent emergency department (ED) visit in children presenting for fever. Methods This cross-sectional study used the Newest Vital Sign to assess the health literacy of caregivers accompanying c...
Gespeichert in:
| Veröffentlicht in: | Academic pediatrics 2014-09, Vol.14 (5), p.505-509 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 509 |
|---|---|
| container_issue | 5 |
| container_start_page | 505 |
| container_title | Academic pediatrics |
| container_volume | 14 |
| creator | Morrison, Andrea K., MD, MS Chanmugathas, Ruben, BS Schapira, Marilyn M., MD, MPH Gorelick, Marc H., MD, MSCE Hoffmann, Raymond G., PhD Brousseau, David C., MD, MS |
| description | Abstract Objective To examine the association between caregiver health literacy and the likelihood of a nonurgent emergency department (ED) visit in children presenting for fever. Methods This cross-sectional study used the Newest Vital Sign to assess the health literacy of caregivers accompanying children with fever to the ED. Visit urgency was determined by resources utilized during the ED visit. Findings were stratified by race and child age. Chi-square and logistic regression analysis controlling for race were conducted to determine the association between low health literacy and ED visit urgency. Results A total of 299 caregivers completed study materials. Thirty-nine percent of ED visits for fever were nonurgent, and 63% of caregivers had low health literacy. Low health literacy was associated with a higher proportion of nonurgent ED visits for fever (44% vs 31%, odds ratio 1.8, 95% confidence interval [CI] 1.1, 2.9). Low health literacy was associated with higher odds of a nonurgent visit in white and Hispanic caregivers but not in black caregivers. In regression analysis, children ≥2 years old had higher odds of a nonurgent visit if caregivers had low health literacy (adjusted odds ratio 2.0; 95% CI 1.1, 4.1); this relationship did not hold for children |
| doi_str_mv | 10.1016/j.acap.2014.05.001 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1558523503</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1876285914001387</els_id><sourcerecordid>1558523503</sourcerecordid><originalsourceid>FETCH-LOGICAL-c525t-921c056f2b8b426c30d980026931cfa2f29ffc34754830ff46af204309432b843</originalsourceid><addsrcrecordid>eNp9kUtr3DAURkVpaR7tH-iiaNnNOFfPsaEUyjQvGJJCm7XQyFeJprI9leyU-feRmTSLLrrSBZ3vg3suIR8YVAyYPttW1tldxYHJClQFwF6RY1Yv9YLXevn6ZVbNETnJeQugRV3rt-SIy0byRshjElY24X14xETXwx96hTaOD3QdRkzW7antW3oz9FO6x36kdxnp4On4gPQ7tsGOKTh63uH8W-BvuLNp7GbSD4le4CaFiPQ6xh5zfkfeeBszvn9-T8ndxfnP1dVifXt5vfq6XjjF1bhoOHOgtOebeiO5dgLapgbguhHMecs9b7x3Qi6VrAV4L7X1HKSARoqSkeKUfDr07tLwe8I8mi5khzHaHocpG6ZUrbhQIArKD6hLQ84Jvdml0Nm0NwzMrNhszazYzIoNKFMUl9DH5_5p02H7EvnrtACfDwCWLR8DJpNdKIKKsYRuNO0Q_t__5Z-4i6EPzsZfuMe8HabUF3-GmcwNmB_zkecbMzmn66V4An4poKs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1558523503</pqid></control><display><type>article</type><title>Caregiver Low Health Literacy and Nonurgent Use of the Pediatric Emergency Department for Febrile Illness</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Morrison, Andrea K., MD, MS ; Chanmugathas, Ruben, BS ; Schapira, Marilyn M., MD, MPH ; Gorelick, Marc H., MD, MSCE ; Hoffmann, Raymond G., PhD ; Brousseau, David C., MD, MS</creator><creatorcontrib>Morrison, Andrea K., MD, MS ; Chanmugathas, Ruben, BS ; Schapira, Marilyn M., MD, MPH ; Gorelick, Marc H., MD, MSCE ; Hoffmann, Raymond G., PhD ; Brousseau, David C., MD, MS</creatorcontrib><description>Abstract Objective To examine the association between caregiver health literacy and the likelihood of a nonurgent emergency department (ED) visit in children presenting for fever. Methods This cross-sectional study used the Newest Vital Sign to assess the health literacy of caregivers accompanying children with fever to the ED. Visit urgency was determined by resources utilized during the ED visit. Findings were stratified by race and child age. Chi-square and logistic regression analysis controlling for race were conducted to determine the association between low health literacy and ED visit urgency. Results A total of 299 caregivers completed study materials. Thirty-nine percent of ED visits for fever were nonurgent, and 63% of caregivers had low health literacy. Low health literacy was associated with a higher proportion of nonurgent ED visits for fever (44% vs 31%, odds ratio 1.8, 95% confidence interval [CI] 1.1, 2.9). Low health literacy was associated with higher odds of a nonurgent visit in white and Hispanic caregivers but not in black caregivers. In regression analysis, children ≥2 years old had higher odds of a nonurgent visit if caregivers had low health literacy (adjusted odds ratio 2.0; 95% CI 1.1, 4.1); this relationship did not hold for children <2 years old (adjusted odds ratio 0.8; 95% CI 0.4, 1.8). Conclusions Nearly two-thirds of caregivers with their child in the ED for fever have low health literacy. Caregiver low health literacy is associated with nonurgent ED utilization for fever in children over 2 years of age. Future interventions could target health literacy skills regarding fever in caregivers of children ≥2 years.</description><identifier>ISSN: 1876-2859</identifier><identifier>EISSN: 1876-2867</identifier><identifier>DOI: 10.1016/j.acap.2014.05.001</identifier><identifier>PMID: 24942934</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject><![CDATA[Adolescent ; Adult ; African Americans - statistics & numerical data ; Age Factors ; Aged ; Caregivers - statistics & numerical data ; Child ; Child, Preschool ; Cross-Sectional Studies ; Educational Status ; emergency service ; Emergency Service, Hospital - utilization ; European Continental Ancestry Group - statistics & numerical data ; Female ; Fever ; health literacy ; Health Literacy - statistics & numerical data ; health services accessibility ; Health Services Misuse - statistics & numerical data ; Hispanic Americans - statistics & numerical data ; hospital ; Humans ; Infant ; Male ; Middle Aged ; Neonatal and Perinatal Medicine ; nonurgent emergency care use ; Odds Ratio ; Parents ; Pediatrics ; preschool ; utilization ; Young Adult]]></subject><ispartof>Academic pediatrics, 2014-09, Vol.14 (5), p.505-509</ispartof><rights>Academic Pediatric Association</rights><rights>2014 Academic Pediatric Association</rights><rights>Copyright © 2014 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-921c056f2b8b426c30d980026931cfa2f29ffc34754830ff46af204309432b843</citedby><cites>FETCH-LOGICAL-c525t-921c056f2b8b426c30d980026931cfa2f29ffc34754830ff46af204309432b843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1876285914001387$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24942934$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morrison, Andrea K., MD, MS</creatorcontrib><creatorcontrib>Chanmugathas, Ruben, BS</creatorcontrib><creatorcontrib>Schapira, Marilyn M., MD, MPH</creatorcontrib><creatorcontrib>Gorelick, Marc H., MD, MSCE</creatorcontrib><creatorcontrib>Hoffmann, Raymond G., PhD</creatorcontrib><creatorcontrib>Brousseau, David C., MD, MS</creatorcontrib><title>Caregiver Low Health Literacy and Nonurgent Use of the Pediatric Emergency Department for Febrile Illness</title><title>Academic pediatrics</title><addtitle>Acad Pediatr</addtitle><description>Abstract Objective To examine the association between caregiver health literacy and the likelihood of a nonurgent emergency department (ED) visit in children presenting for fever. Methods This cross-sectional study used the Newest Vital Sign to assess the health literacy of caregivers accompanying children with fever to the ED. Visit urgency was determined by resources utilized during the ED visit. Findings were stratified by race and child age. Chi-square and logistic regression analysis controlling for race were conducted to determine the association between low health literacy and ED visit urgency. Results A total of 299 caregivers completed study materials. Thirty-nine percent of ED visits for fever were nonurgent, and 63% of caregivers had low health literacy. Low health literacy was associated with a higher proportion of nonurgent ED visits for fever (44% vs 31%, odds ratio 1.8, 95% confidence interval [CI] 1.1, 2.9). Low health literacy was associated with higher odds of a nonurgent visit in white and Hispanic caregivers but not in black caregivers. In regression analysis, children ≥2 years old had higher odds of a nonurgent visit if caregivers had low health literacy (adjusted odds ratio 2.0; 95% CI 1.1, 4.1); this relationship did not hold for children <2 years old (adjusted odds ratio 0.8; 95% CI 0.4, 1.8). Conclusions Nearly two-thirds of caregivers with their child in the ED for fever have low health literacy. Caregiver low health literacy is associated with nonurgent ED utilization for fever in children over 2 years of age. Future interventions could target health literacy skills regarding fever in caregivers of children ≥2 years.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans - statistics & numerical data</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Caregivers - statistics & numerical data</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Educational Status</subject><subject>emergency service</subject><subject>Emergency Service, Hospital - utilization</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Fever</subject><subject>health literacy</subject><subject>Health Literacy - statistics & numerical data</subject><subject>health services accessibility</subject><subject>Health Services Misuse - statistics & numerical data</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>hospital</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neonatal and Perinatal Medicine</subject><subject>nonurgent emergency care use</subject><subject>Odds Ratio</subject><subject>Parents</subject><subject>Pediatrics</subject><subject>preschool</subject><subject>utilization</subject><subject>Young Adult</subject><issn>1876-2859</issn><issn>1876-2867</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtr3DAURkVpaR7tH-iiaNnNOFfPsaEUyjQvGJJCm7XQyFeJprI9leyU-feRmTSLLrrSBZ3vg3suIR8YVAyYPttW1tldxYHJClQFwF6RY1Yv9YLXevn6ZVbNETnJeQugRV3rt-SIy0byRshjElY24X14xETXwx96hTaOD3QdRkzW7antW3oz9FO6x36kdxnp4On4gPQ7tsGOKTh63uH8W-BvuLNp7GbSD4le4CaFiPQ6xh5zfkfeeBszvn9-T8ndxfnP1dVifXt5vfq6XjjF1bhoOHOgtOebeiO5dgLapgbguhHMecs9b7x3Qi6VrAV4L7X1HKSARoqSkeKUfDr07tLwe8I8mi5khzHaHocpG6ZUrbhQIArKD6hLQ84Jvdml0Nm0NwzMrNhszazYzIoNKFMUl9DH5_5p02H7EvnrtACfDwCWLR8DJpNdKIKKsYRuNO0Q_t__5Z-4i6EPzsZfuMe8HabUF3-GmcwNmB_zkecbMzmn66V4An4poKs</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Morrison, Andrea K., MD, MS</creator><creator>Chanmugathas, Ruben, BS</creator><creator>Schapira, Marilyn M., MD, MPH</creator><creator>Gorelick, Marc H., MD, MSCE</creator><creator>Hoffmann, Raymond G., PhD</creator><creator>Brousseau, David C., MD, MS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140901</creationdate><title>Caregiver Low Health Literacy and Nonurgent Use of the Pediatric Emergency Department for Febrile Illness</title><author>Morrison, Andrea K., MD, MS ; Chanmugathas, Ruben, BS ; Schapira, Marilyn M., MD, MPH ; Gorelick, Marc H., MD, MSCE ; Hoffmann, Raymond G., PhD ; Brousseau, David C., MD, MS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-921c056f2b8b426c30d980026931cfa2f29ffc34754830ff46af204309432b843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>African Americans - statistics & numerical data</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Caregivers - statistics & numerical data</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Educational Status</topic><topic>emergency service</topic><topic>Emergency Service, Hospital - utilization</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Female</topic><topic>Fever</topic><topic>health literacy</topic><topic>Health Literacy - statistics & numerical data</topic><topic>health services accessibility</topic><topic>Health Services Misuse - statistics & numerical data</topic><topic>Hispanic Americans - statistics & numerical data</topic><topic>hospital</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neonatal and Perinatal Medicine</topic><topic>nonurgent emergency care use</topic><topic>Odds Ratio</topic><topic>Parents</topic><topic>Pediatrics</topic><topic>preschool</topic><topic>utilization</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morrison, Andrea K., MD, MS</creatorcontrib><creatorcontrib>Chanmugathas, Ruben, BS</creatorcontrib><creatorcontrib>Schapira, Marilyn M., MD, MPH</creatorcontrib><creatorcontrib>Gorelick, Marc H., MD, MSCE</creatorcontrib><creatorcontrib>Hoffmann, Raymond G., PhD</creatorcontrib><creatorcontrib>Brousseau, David C., MD, MS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Academic pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morrison, Andrea K., MD, MS</au><au>Chanmugathas, Ruben, BS</au><au>Schapira, Marilyn M., MD, MPH</au><au>Gorelick, Marc H., MD, MSCE</au><au>Hoffmann, Raymond G., PhD</au><au>Brousseau, David C., MD, MS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Caregiver Low Health Literacy and Nonurgent Use of the Pediatric Emergency Department for Febrile Illness</atitle><jtitle>Academic pediatrics</jtitle><addtitle>Acad Pediatr</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>14</volume><issue>5</issue><spage>505</spage><epage>509</epage><pages>505-509</pages><issn>1876-2859</issn><eissn>1876-2867</eissn><abstract>Abstract Objective To examine the association between caregiver health literacy and the likelihood of a nonurgent emergency department (ED) visit in children presenting for fever. Methods This cross-sectional study used the Newest Vital Sign to assess the health literacy of caregivers accompanying children with fever to the ED. Visit urgency was determined by resources utilized during the ED visit. Findings were stratified by race and child age. Chi-square and logistic regression analysis controlling for race were conducted to determine the association between low health literacy and ED visit urgency. Results A total of 299 caregivers completed study materials. Thirty-nine percent of ED visits for fever were nonurgent, and 63% of caregivers had low health literacy. Low health literacy was associated with a higher proportion of nonurgent ED visits for fever (44% vs 31%, odds ratio 1.8, 95% confidence interval [CI] 1.1, 2.9). Low health literacy was associated with higher odds of a nonurgent visit in white and Hispanic caregivers but not in black caregivers. In regression analysis, children ≥2 years old had higher odds of a nonurgent visit if caregivers had low health literacy (adjusted odds ratio 2.0; 95% CI 1.1, 4.1); this relationship did not hold for children <2 years old (adjusted odds ratio 0.8; 95% CI 0.4, 1.8). Conclusions Nearly two-thirds of caregivers with their child in the ED for fever have low health literacy. Caregiver low health literacy is associated with nonurgent ED utilization for fever in children over 2 years of age. Future interventions could target health literacy skills regarding fever in caregivers of children ≥2 years.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24942934</pmid><doi>10.1016/j.acap.2014.05.001</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1876-2859 |
| ispartof | Academic pediatrics, 2014-09, Vol.14 (5), p.505-509 |
| issn | 1876-2859 1876-2867 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1558523503 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Adult African Americans - statistics & numerical data Age Factors Aged Caregivers - statistics & numerical data Child Child, Preschool Cross-Sectional Studies Educational Status emergency service Emergency Service, Hospital - utilization European Continental Ancestry Group - statistics & numerical data Female Fever health literacy Health Literacy - statistics & numerical data health services accessibility Health Services Misuse - statistics & numerical data Hispanic Americans - statistics & numerical data hospital Humans Infant Male Middle Aged Neonatal and Perinatal Medicine nonurgent emergency care use Odds Ratio Parents Pediatrics preschool utilization Young Adult |
| title | Caregiver Low Health Literacy and Nonurgent Use of the Pediatric Emergency Department for Febrile Illness |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T17%3A29%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Caregiver%20Low%20Health%20Literacy%20and%20Nonurgent%20Use%20of%20the%20Pediatric%20Emergency%20Department%20for%20Febrile%20Illness&rft.jtitle=Academic%20pediatrics&rft.au=Morrison,%20Andrea%20K.,%20MD,%20MS&rft.date=2014-09-01&rft.volume=14&rft.issue=5&rft.spage=505&rft.epage=509&rft.pages=505-509&rft.issn=1876-2859&rft.eissn=1876-2867&rft_id=info:doi/10.1016/j.acap.2014.05.001&rft_dat=%3Cproquest_cross%3E1558523503%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1558523503&rft_id=info:pmid/24942934&rft_els_id=S1876285914001387&rfr_iscdi=true |