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Table 4 Temporal associations between low health literacy (score < 4 on ‘Understanding’ scale) and health outcomes in injured participants, assessed over a 6-month period

From: Health literacy and recovery following a non-catastrophic road traffic injury

 

Low Health Literacy (based on ‘Understanding’ scale)

Health Outcomes (each unit-increase)a

β (95% CI)

P value

Effect size

SF-12 PCS

−5.15 (−7.99, −2.32)

0.0004

0.5 SDs

EQ-5D-3L summary score

−0.10 (−0.17, 0.03)

0.004

0.13 SDs

WHODAS score

9.04 (4.53, 13.55)

< 0.0001

0.51 SDs

Pain severity ratings

0.68 (0.02, 1.34)

0.04

0.28 SDs

DASS-21 total score

4.17 (0.67, 7.66)

0.02

0.31 SDs

IESR total score

0.95 (0.32, 1.56)

0.003

0.34 SDs

Pain catastrophizing score

4.46 (1.27, 7.66)

0.01

0.36 SDs

  1. DASS-21 Depression Anxiety Stress Scale-21, EQ-5D-3L European Quality of Life-5 Dimensions, IES-R Impact of Events Scale Revised, PCS Physical Component Summary Score, WHODAS WHO Disability Assessment Schedule
  2. aAdjusted for age, sex, education, social satisfaction, remoteness, pre-injury factors (anxiety/depression, disability, comorbidities and employment), type of road user, injury severity scores, hospital admission, pain severity, perceived danger, psychological factors (DASS-21, IESR, catastrophizing) and third-party insurance claim status