Parental Health Literacy and Progression of Chronic Kidney Disease in Children

Overview

Journal Pediatr Nephrol

Specialties Nephrology
Pediatrics

Date 2018 Jun 28

PMID 29948310

Citations 10

Authors

Ana C Ricardo

Lynn N Pereira

Aisha Betoko

Vivien Goh

Amatur Amarah

Bradley A Warady

Marva Moxey-Mims

Susan Furth

James P Lash

Affiliations

Soon will be listed here.

Abstract

Background: Limited health literacy has been associated with adverse outcomes in children. We evaluated this association in the setting of chronic kidney disease (CKD).

Methods: We assessed the parental health literacy of 367 children enrolled in the Chronic Kidney Disease in Children (CKiD) Study, using the Short Test of Functional Health Literacy (STOFHLA). We evaluated the association between parental health literacy and CKD progression, defined as time to the composite event of renal replacement therapy (RRT, dialysis, or kidney transplant) or 50% decline in estimated glomerular filtration rate (eGFR).

Results: Median CKiD participant age was 9.5 years, 63% were male, and 59% non-Hispanic white. Median eGFR at baseline was 63 ml/min/1.73 m, and median urine protein-to-creatinine ratio was 0.22. The median STOFHLA score was 98. Over a median follow-up of 3.7 years, the overall CKD progression rate was 2.8 per 100 person-years. After adjustment for demographic and clinical factors, the relative time to CKD progression was 28% longer per 1 SD increase in STOFHLA score (relative time, 95% CI, 1.28, 1.06-1.53).

Conclusions: In this cohort of children with CKD, higher parental health literacy was associated with a nearly 30% longer time to the composite CKD progression outcome.

Citing Articles

Not Just Small Adults: Considerations for Pediatric Chronic Kidney Disease.

Gerber A, Kamath N Indian J Nephrol. 2025; 35(2):168-177.

PMID: 40060064 PMC: 11883310. DOI: 10.25259/IJN_77_2024.

The relationship between parental health literacy and primary school students' anthropometric measurements and general health status.

Uner Asil E, Aygun O, Duman A, Gungor N BMC Pediatr. 2025; 25(1):125.

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Social Deprivation and Incidence of Pediatric Kidney Failure in France.

Driollet B, Couchoud C, Bacchetta J, Boyer O, Hogan J, Morin D Kidney Int Rep. 2024; 9(7):2269-2277.

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The Role of Parental Health Literacy in Establishing Health-Promoting Habits in Early Childhood.

Csima M, Podraczky J, Keresztes V, Soos E, Financz J Children (Basel). 2024; 11(5).

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Socioeconomic Position and Health Among Children and Adolescents With CKD Across the Life-Course.

van Zwieten A, Kim S, Dominello A, Guha C, Craig J, Wong G Kidney Int Rep. 2024; 9(5):1167-1182.

PMID: 38707834 PMC: 11068961. DOI: 10.1016/j.ekir.2024.01.042.

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