Résumé :
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[BDSP. Notice produite par INIST-CNRS R0x4TSj1. Diffusion soumise à autorisation]. Objectives. This study analyzed whether inadequate functional health literacy is an independent risk factor for hospital admission. Methods. We studied a prospective cohort of 3260 Medicare managed care enrollees. Results. Of the participants, 29.5% were hospitalized. The crude relative risk (RR) of hospitalization was higher for individuals with inadequate literacy (n=800 : RR=1.43 ; 95% confidence interval [CI]=1.24,1.65) and marginal literacy (n=366 ; RR=1.33 ; 95% CI=1.09,1.61) than for those with adequate literacy (n=2094). In multivariate analysis, the adjusted relative risk of hospital admission was 1.29 (95% CI=1.07,1.55) for individuals with inadequate literacy and 1.21 (95% CI=0.97,1.50) for those with marginal literacy. Conclusions. Inadequate literacy was an independent risk factor for hospital admission among elderly managed care enrollees.
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