Table 4. Unadjusted and Adjusted Associations of Literacy, Education, and Physician Assessments with On-time and 1-Year Follow-up for Abnormal Pap Smear.
| OR 95% CI | ||
|---|---|---|
| On-time Follow-up | Follow-up Within a Year | |
| Adequate literacy (REALM based) (N=68) | ||
| Unadjusted | 1.03 (0.36, 2.99) | 1.94 (0.62, 6.09) |
| Adjusted* | 2.05 (0.47, 8.85) | 3.75 (0.81, 17.4) |
| High school graduation (N=68) | ||
| Unadjusted | 0.53 (0.17, 1.63) | 2.10 (0.59, 7.51) |
| Adjusted* | 1.32 (0.32, 5.52) | 3.84 (1.01, 14.6) |
| Physician subjective assessment of adequate literacy (N=56) | ||
| Unadjusted | 1.84 (0.56, 6.03) | 6.65 (1.55, 28.6) |
| Adjusted* | 2.42 (0.59, 9.86) | 13.6 (2.9, 64.9) |
| Physician prediction of on-time follow-up (N=56) | ||
| Unadjusted | 0.62 (0.19, 1.95) | 0.62 (0.19, 2.07) |
| Adjusted* | 1.06 (0.27, 4.20) | 0.54 (0.11, 2.71) |
*
Adjusted for age, HIV status, cancer, race, unemployment status, insurance status. Insurance status was not used as a covariate for physician assessment of literacy level.
REALM, Rapid Estimate of Adult Literacy in Medicine.