Socioeconomic status, statistical confidence, and patient-provider communication: an analysis of the Health Information National Trends Survey (HINTS 2007)

J Health Commun. 2010:15 Suppl 3:169-85. doi: 10.1080/10810730.2010.522690.

Abstract

The increasing trend of exposing patients seeking health advice to numerical information has the potential to adversely impact patient-provider relationships especially among individuals with low literacy and numeracy skills. We used the HINTS 2007 to provide the first large scale study linking statistical confidence (as a marker of subjective numeracy) to demographic variables and a health-related outcome (in this case the quality of patient-provider interactions). A cohort of 7,674 individuals answered sociodemographic questions, a question on how confident they were in understanding medical statistics, a question on preferences for words or numbers in risk communication, and a measure of patient-provider interaction quality. Over thirty-seven percent (37.4%) of individuals lacked confidence in their ability to understand medical statistics. This was particularly prevalent among the elderly, low income, low education, and non-White ethnic minority groups. Individuals who lacked statistical confidence demonstrated clear preferences for having risk-based information presented with words rather than numbers and were 67% more likely to experience a poor patient-provider interaction, after controlling for gender, ethnicity, insurance status, the presence of a regular health care professional, and the language of the telephone interview. We will discuss the implications of our findings for health care professionals.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Attitude to Health* / ethnology
  • Cohort Studies
  • Communication
  • Demography
  • Ethnicity / psychology
  • Ethnicity / statistics & numerical data
  • Female
  • Health Literacy*
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Minority Groups / psychology
  • Minority Groups / statistics & numerical data
  • Physician-Patient Relations*
  • Social Class*
  • Statistics as Topic*
  • United States
  • Young Adult