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The Role of Health Literacy in Predicting Multiple Healthcare Outcomes Among Hispanics in a Nationally Representative Sample: A Comparative Analysis by English Proficiency Levels

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Abstract

Health literacy (HL) research among Hispanics currently focuses on individuals with limited English proficiency but impacts of HL on healthcare outcomes among other English language proficiency groups is relatively unknown. Regression models assessed associations between HL and healthcare outcomes for Hispanics overall (n = 4013) and for proficiency level sub-populations using the 2007 Pew Hispanic Health Survey. Overall, Hispanics with adequate HL percieved US medical care as “excellent,” were more satisfied with their doctor’s help, and reported “excellent” overall health. In the sub-population analysis, “excellent” perception of US healthcare was associated with HL among the Spanish and English dominant groups. Among bilinguals, adequate HL was associated with decreased use of traditional medicine. The effect of adequate HL varied within English proficiency groups. HL research that focuses only on Spanish dominant speakers can exclude a substantial percentage of English proficient or bilingual populations who have low HL.

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References

  1. U.S. Department of Health and Human Services. Healthy People 2010 (2nd ed.) [with Understanding and Improving Health (vol.1) and Objectives for Improving Health (vol.2)]. Washington, DC: U.S. Government Printing Office; 2000.

  2. U.S. Department of Health and Human Services. Healthy People 2020. Health Communication and Health Information Technology Objective 1. 2010 [cited; http://www.healthypeople.gov/2020/topics-objectives/topic/health-communication-and-health-information-technology/objectives.

  3. Berkman ND, Davis TC, McCormack L. Health literacy: what is it? J Health Commun. 2010;2:9–19.

    Article  Google Scholar 

  4. Berkman ND, Sheridan SL, Donahue KE, et al. Health literacy interventions and outcomes: an updated systematic review. Rockville, MD; 2011.

  5. DeWalt DA, Berkman ND, Sheridan S, et al. Literacy and health outcomes. J Gen Inter Med. 2004;19(12):1228–39.

    Article  Google Scholar 

  6. Hahm HC, Lahiff M, Barreto RM, et al. Health care disparities and language use at home among Latino, Asian American, and American Indian adolescents: findings from the California health interview survey. J Community Psychol. 2008;36(1):20–34.

    Article  Google Scholar 

  7. N/A. Minority Health: Hispanic or Latino Populations. N.D [cited 2014 November 11]; http://www.cdc.gov/minorityhealth/populations/REMP/hispanic.html.

  8. Kutner M, Greenberg E, Jin Y, Paulsen C, White S. The Health Literacy of America’s Adults: results from the 2003 National Assessment of Adult Literacy Washington, DC: National Center for Education Statistics, 2006; 2006.

  9. Livingston GMSCD. Hispanic and healthcare in the United States: access, information and knowledge. Washington, DC: Pew Center; 2008.

    Google Scholar 

  10. Cheng E, Chen A, Cunningham W. Primary language and receipt of recommended health care among Hispanics in the United States. J Gen Intern Med. 2007;22(2):283–8.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Coffman MJ, Norton CK. Demands of immigration, health literacy, and depression in recent Latino immigrants. Home Health Care Manag Pract. 2010;22(2):116–22.

    Article  Google Scholar 

  12. Garbers S, Chiasson MA. Inadequate functional health literacy in Spanish as a barrier to cervical cancer screening among immigrant Latinas in New York City. Prev Chronic Dis. 2004;1(4):15.

    Google Scholar 

  13. Leyva M, Sharif I, Ozuah PO. Health literacy among Spanish-speaking Latino parents with limited English proficiency. Ambul Pediatr. 2005;5(1):56–9.

    Article  PubMed  Google Scholar 

  14. LEP Interagency Working Group. Limited English proficiency (LEP): A federal interagency website. Frequently asked questions: who is a limited English proficient (LEP) individual? 2000 [cited; http://www.lep.gov/faqs/faqs.html#OnEQ1.

  15. Penaranda E, Diaz M, Noriega O, et al. Evaluation of health literacy among Spanish-speaking primary care patients along the US–Mexico border. South Med J. 2012;105(7):334–8.

    Article  PubMed  Google Scholar 

  16. Sentell T, Braun KL. Low health literacy, limited English proficiency, and health status in Asians, Latinos, and other racial/ethnic groups in California. J Health Commun. 2012;3:82–99.

    Article  Google Scholar 

  17. Livingston G, Minushkin S, Cohn D. Hispanics and health care in the United States: access, information and knowledge. 2008 [cited; http://www.pewhispanic.org/2008/08/13/hispanics-and-health-care-in-the-united-states-access-information-and-knowledge/.

  18. Chew LD, Bradley KA, Boyko EJ. Brief questions to identify patients with inadequate health literacy. Fam Med. 2004;36(8):588–94.

    PubMed  Google Scholar 

  19. Jeppesen KM, Coyle JD, Miser WF. Screening questions to predict limited health literacy: a cross-sectional study of patients with diabetes mellitus. Ann Fam Med. 2009;7(1):24–31.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Wallace LS, Rogers ES, Roskos SE, et al. Brief report: screening items to identify patients with limited health literacy skills. J Gen Intern Med. 2006;21(8):874–7.

    Article  PubMed  PubMed Central  Google Scholar 

  21. DuBard CA, Gizlice Z. Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics. Am J Public Health. 2008;98(11):2021–8.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Kandula NR, Diez-Roux AV, Chan C, et al. Association of acculturation levels and prevalence of diabetes in the multi-ethnic study of atherosclerosis (MESA). Diabetes Care. 2008;31(8):1621–8.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Pew Hispanic Center, Robert Wood Johnson Foundation. 2007 Hispanic Healthcare Survey. 2007 [cited; http://www.pewhispanic.org/category/datasets/.

  24. Eysenbach G, Kohler C. How do consumers search for and appraise health information on the world wide web? Qualitative study using focus groups, usability tests, and in-depth interviews. BMJ. 2002;324(7337):573–7.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Rees CE, Ford JE, Sheard CE. Evaluating the reliability of DISCERN: a tool for assessing the quality of written patient information on treatment choices. Patient Educ Couns. 2002;47(3):273–5.

    Article  PubMed  Google Scholar 

  26. Kutner M, Greenburg E, Jin Y, Paulsen C. The health literacy of America’s adults: results from the 2003 National Assessment of Adult Literacy (NCES 2006–483). In: Washington DNCfE, Statistics, eds. U.S. Department of Education 2006.

  27. Sudore RL, Landefeld CS, Pérez-Stable EJ, et al. Unraveling the relationship between literacy, language proficiency, and patient–physician communication. Patient Educ Couns. 2009;75(3):398–402.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Center for Innovation in Pediatric Practice, The Research Institute at Nationwide Children’s Hospital, Columbus, OH, 43205, USA

    Madhurima Sarkar, Kristine M. Nacion & Deena J. Chisolm

  2. College of Public Health, The Ohio State University, Columbus, OH, USA

    Lindsey Asti

  3. Department of Pediatrics, The Ohio State University, Columbus, OH, USA

    Deena J. Chisolm

Authors
  1. Madhurima Sarkar
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  2. Lindsey Asti
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  3. Kristine M. Nacion
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  4. Deena J. Chisolm
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Correspondence to Madhurima Sarkar.

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Sarkar, M., Asti, L., Nacion, K.M. et al. The Role of Health Literacy in Predicting Multiple Healthcare Outcomes Among Hispanics in a Nationally Representative Sample: A Comparative Analysis by English Proficiency Levels. J Immigrant Minority Health 18, 608–615 (2016). https://doi.org/10.1007/s10903-015-0211-3

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  • DOI: https://doi.org/10.1007/s10903-015-0211-3

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