Abstract
To the Editor .— We read with interest the recent report from Sanders et al1 in regard to the association between caregiver's health literacy and the use of child health services. Their finding raises an important question about the true role that health literacy plays in health outcomes. A large body of research suggests that health illiteracy does not completely account for suboptimal outcomes. For example, some studies found that illiteracy was associated with reduced knowledge about medications,2 participation in research,3 and compliance with medical regimens,4 which indicates that illiteracy might be an important factor in poor disease management. However, other researchers have failed to identify an association between illiteracy and reduced odds of …
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