Social networks in patients hospitalized with preventable conditions for heart disease and diabetes in Hawai'i by health literacy

OBJECTIVES: Reducing potentially preventable hospitalizations (PPH) for chronic disease is a research and practice priority. Native Hawaiians and other Pacific Islanders (NHOPI) have disparities in PPH, and are understudied in both health literacy and social network research. Greater inclusion of social and familial networks can help address health disparities among people with chronic illness and enhance culturally relevant healthcare.

METHODS: Adults hospitalized with a heart disease or diabetes-related PHH in Hawai'i (N = 22) were assessed for health literacy and social network membership ("alters").

RESULTS: Sixty-nine percent of respondents were NHOPI. Three respondents (14%) had no alters ("isolates"). Among non-isolates, 79% desired the participation of at least one alter in chronic disease management-related interventions. Fifty-nine percent of respondents had low health literacy. While the mean number of alters did not vary significantly by health literacy, those with lower health literacy had a trend (p = .055) towards less interest in social network engagement.

DISCUSSION: In a sample primarily comprised of NHOPI with chronic disease, many patients wished to include social network members in interventions. Engagement varied by health literacy with implications for health disparities. Not all patients were interested in social network engagement, which must be considered in intervention planning.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

Chronic illness - 18(2022), 3 vom: 20. Sept., Seite 517-531

Sprache:

Englisch

Beteiligte Personen:

Sentell, Tetine L [VerfasserIn]
Agner, Joy L [VerfasserIn]
Davis, James [VerfasserIn]
Mannem, Santhosh [VerfasserIn]
Seto, Todd B [VerfasserIn]
Valente, Thomas W [VerfasserIn]
Vawer, May [VerfasserIn]
Taira, Deborah A [VerfasserIn]

Links:

Volltext

Themen:

Ambulatory care sensitive conditions
Chronic disease
Diabetes
Heart disease
Journal Article
Medications
Native Hawaiians
Pacific Islanders
Research Support, N.I.H., Extramural
Social networks

Anmerkungen:

Date Completed 23.08.2022

Date Revised 17.09.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/1742395320987892

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320591913