The association between health literacy and medical out-of-pocket expenses among residents in China.

Aim: To explore the association between health literacy and medical out-of-pocket (MOOP) expenses among Chinese residents based on the 2020 China Health Literacy Survey. Subjects and methods: Non-institutionalized residents aged 15–69 years were extracted from 31 provinces in China. Health literacy...

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Publicado en:Journal of Public Health: From Theory to Practice (2198-1833) Vol. 32; no. 4; pp. 621 - 630
Autores principales: Li, Li, Li, Yinghua, Nie, Xueqiong, Wang, Lanlan, Zhang, Gang
Formato: Artículo
Publicado: Springer Nature Apr2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
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      pub: Springer Nature
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        177623769
        10.1007/s10389-022-01792-2
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        atl: The association between health literacy and medical out-of-pocket expenses among residents in China.
      aug:
        au:
          Li, Li
          Li, Yinghua
          Nie, Xueqiong
          Wang, Lanlan
          Zhang, Gang
        affil: Department of Monitoring and Evaluation, Chinese Center for Health Education, 12 Building, 1 Block, Anhuaxili, 100011, Beijing, Chaoyang District, China
      su:
        China
        Health literacy
        Medical care costs
        Research funding
        Descriptive statistics
        Surveys
        Statistics
        Data analysis software
        Economic aspects of diseases
        Regression analysis
      sug:
        subj:
          Health literacy
          Medical care costs
          China
          Research funding
          Descriptive statistics
          Surveys
          Statistics
          Data analysis software
          Economic aspects of diseases
          Regression analysis
      keyword:
        Health promotion
        Medical out-of-pocket expenses
        Public health
        Utilization of health service
        Health promotion
        Medical out-of-pocket expenses
        Public health
        Utilization of health service
      ab: Aim: To explore the association between health literacy and medical out-of-pocket (MOOP) expenses among Chinese residents based on the 2020 China Health Literacy Survey. Subjects and methods: Non-institutionalized residents aged 15–69 years were extracted from 31 provinces in China. Health literacy was assessed using the Chinese Health Literacy Scale. Results: A total of 49,967 respondents were included in this study. Compared to participants with adequate health literacy, participants with intermediate, basic, and below basic health literacy were likely to create more MOOP, the unadjusted coefficients being 224.294 (p < 0.05), 316.676 (p < 0.01), and 458.883 (p < 0.01) respectively. After adjusting for demographic characteristics and socio-economic elements, health literacy was significantly associated with MOOP (β = −4.970, SE = 2.470, p < 0.05). Of six dimensions of health literacy, five were associated with MOOP in unadjusted models (p < 0.001 or p < 0.01). However, in adjusted models, only infectious disease literacy (β = −52.347, SE = 17.853, p < 0.01) and medical care literacy (β = −29.603, SE = 10.620, p < 0.01) remained associated with MOOP. Conclusion: This study suggests that health literacy is significantly associated with medical expenditure. The adoption of disease prevention measures and the utilization of public health services are important elements. Improving health literacy should be give more importance in health promotion and public education for the general public.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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