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Health literacy and vision-related quality of life
  1. Kelly W Muir (kelly.muir{at},
  2. Cecilia Santiago-Turla (santi007{at},
  3. Sandra S Stinnett (stinn001{at},
  4. Leon W Herndon (hernd012{at},
  5. Rand Allingham (allin002{at},
  6. Pratap Challa (chall001{at},
  7. Paul P Lee (lee00106{at}
  1. Duke Eye Center, United States
  2. Duke Eye Center, United States
  3. Duke Eye Center, United States
  4. Duke Eye Center, United States
  5. Duke Eye Center, United States
  6. Duke Eye Center, United States
  7. Duke Eye Center, United States


    Background: Non-visual factors influence a person's vision-related quality of life (VRQoL). The purpose of this study was to assess the relationship between health literacy and VRQoL in glaucoma patients.

    Methods: One hundred ninety-five subjects with open-angle glaucoma participated in a cross-sectional patient survey and chart review. Subjects were administered a test of health literacy, an assessment of physical and mental well-being, and an assessment of VRQoL, the National Eye Institute 25-Item Visual Function Questionnaire (VFQ-25). Charts were reviewed for visual acuity and visual field results.

    Results: In univariate analyses, older age (p<0.001), non-White race (p<0.001), worse visual acuity (p<0.001), worse visual field scores (p < 0. 001), lower level of education (p<0.001), worse health literacy (p<0.001) and worse score on the mental health component of the SF-12 (p=0.005) were associated with worse VFQ-25 scores. In multivariate analyses, only older age was associated with worse total VFQ-25 scores (p<0.001), although the association between health literacy and the VFQ subscale of dependency remained significant (p=0.04).

    Conclusions: Individuals with lower health literacy do not appear to have worse overall VRQoL compared to those with higher literacy, but worse health literacy is associated with increased dependency

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