Understanding the Gap: Perceived Health Literacy Levels Among Spanish-Speaking Immigrants in Miami-Dade County, 2016
Health literacy levels among immigrant populations in Miami-Dade County have yet to be examined. This study investigates perceived health literacy ability and measured health literacy scores among Miami-Dade County immigrants. Methods: Patients seen in the Refugee Health Assessment Program and Family Planning Program completed a health literacy assessment in November 2016. Participants were immigrants from Spanish-speaking countries who reported living in the U.S. for ≤ 10 years. Logistic regression models were used to determine predictors of agreement. 283 patients responded. No characteristics were significant predictors of agreement; However, we found lower agreement among participants that were 18–24 years old (49%), received medical information from the internet/television (46%), and had lived in the U.S. for only 6–12 months (49%). Our findings suggest that immigrant patients may have limited understanding of their health literacy abilities. Clinicians need to take health literacy levels into account when interacting with patients.
KeywordsHealth literacy Immigrant health Refugee health Assessment Survey
Special acknowledgement to the Refugee Health Assessment Program (RHAP) and the Family Planning (FP) clinics at the Florida Department of Health in Miami-Dade County.
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