Health Literacy Among Spanish-Speaking Latino Parents With Limited English Proficiency

Leyva, Melissa J.; Sharif, Iman; Ozuah, Philip O.

doi:10.1367/a04-093r.1

Cited by 119 publications

(77 citation statements)

References 6 publications

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“…22,23 Latino parents with limited English proficiency are more likely to have inadequate health literacy. 10 Our findings were consistent with this national trend; limited health literacy was observed in the majority of parents when health literacy screening was performed using the NVS and in about one-third of participants with the S-TOFHLA. Not surprisingly, less education was predictive of inadequate health literacy as measured by numeracy (NVS) or reading comprehension (S-TOFHLA).…”

Section: Discussionsupporting

confidence: 90%

“…10 More specifically, Latino parents have been shown to be at increased risk for poor health literacy regarding upper respiratory infections (URIs) in comparison to nonLatino Whites and Latino parents have been shown to be significantly more likely to expect antibiotic treatment for a child in comparison to non-Hispanic white parents. 11 Nonjudicious use of antibiotics, including antimicrobial treatment of viral URI in pediatric settings, has contributed to the public health threat of antimicrobial resistance.…”

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confidence: 99%

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Parental Health Literacy, Knowledge and Beliefs Regarding Upper Respiratory Infections (URI) in an Urban Latino Immigrant Population

et al. 2012

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Parents who are recent immigrants and/or non-native English speakers are at increased risk for poor health literacy. For example, misconceptions regarding treatment for upper respiratory infections (URIs), including nonjudicious use of antibiotics, have been described among Latinos. We sought to assess the influence of health literacy on knowledge and beliefs surrounding URI care and to explore the correlation between two health literacy measures among Latino parents in northern Manhattan. A descriptive survey design was used, and a total of 154 Latino parents were enrolled from four early head start programs between September 2009 and December 2009. Health literacy was measured using the Short Test of Functional Health Literacy in Adults (S-TOFHLA) and Newest Vital Sign (NVS); parental knowledge and beliefs regarding antibiotic treatment for URIs were also assessed. Analyses were conducted in 2010 with multivariable logistic regression performed to examine predictors of health literacy. Inadequate health literacy was observed in 83.8 % of respondents using NVS and 35.7 % with the S-TOFHLA. College education was significantly associated with adequate health literacy using either the NVS or S-TOFHLA; however, other results varied between measures. Using NVS, there was a greater likelihood of adequate health literacy with US birth status (AOR 13.8; 95 % CI, 1.99-95.1), 95 years US residency (AOR 7.6; 95 % CI, 1.3-43.1) and higher antibiotic knowledge scores (AOR 1.7; 95 % CI, 1.2-2.4). Using S-TOFHLA, the odds of adequate health literacy increased with access to a regular care provider (AOR 2.6; 95 % CI, 1.2-5.6). Scores consistent with adequate health literacy on the NVS, but not the S-TOFHLA, were associated with correct beliefs regarding antibiotic use for URIs in comparison to scores of participants with inadequate health literacy. Since health literacy levels were low in this population and the risk of viral URI was high during the first few years of life, targeted education to improve health literacy, knowledge, and beliefs about URI and related antibiotic treatment is needed.

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Section: Discussionsupporting

confidence: 90%

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confidence: 99%

Parental Health Literacy, Knowledge and Beliefs Regarding Upper Respiratory Infections (URI) in an Urban Latino Immigrant Population

et al. 2012

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“…12 The result of Kohan et al study about the association of HL with prenatal care and pregnancy outcome indicated that women with higher HL have begun prenatal care earlier and have more frequently referred for health care compared to women with low HL. 13 Given the importance of HL, its impact on women's health, and differences in ethnicity and language in Sistan and Baluchistan province with other parts of the country, it seemed necessary to evaluate the HL.…”

Section: Investigation Of the Health Literacy Level Of Women In Repromentioning

confidence: 99%

Investigation of the Health Literacy Level of Women in Reproductive Age as a Public Health Problem in Zahedan

Rakhshkhorshid¹,

Sarasiyabi²

2017

Int J Basic Sci Med

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“…Understanding a patient's level of health numeracy may help a provider to communicate more effectively and provide a higher level of patient-centered care. 18 Many limited English proficient (LEP) individuals in the US have inadequate or marginal general health literacy, [19][20][21][22] defined as "the degree to which individuals have the capacity to obtain, process, and Electronic supplementary material The online version of this article (doi:10.1007/s11606-016-3759-2) contains supplementary material, which is available to authorized users.…”

Section: Introductionmentioning

confidence: 99%

Development and Validation of the Spanish Numeracy Understanding in Medicine Instrument

Jacobs¹,

Walker

Miller

et al. 2016

J GEN INTERN MED

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BACKGROUND:The Spanish-speaking population in the U.S. is large and growing and is known to have lower health literacy than the English-speaking population. Less is known about the health numeracy of this population due to a lack of health numeracy measures in Spanish. OBJECTIVE: we aimed to develop and validate a short and easy to use measure of health numeracy for Spanish-speaking adults: the Spanish Numeracy Understanding in Medicine Instrument (Spanish-NUMi). DESIGN: Items were generated based on qualitative studies in English-and Spanish-speaking adults and translated into Spanish using a group translation and consensus process. Candidate items for the Spanish NUMi were selected from an eight-item validated English Short NUMi. Differential Item Functioning (DIF) was conducted to evaluate equivalence between English and Spanish items. Cronbach's alpha was computed as a measure of reliability and a Pearson's correlation was used to evaluate the association between test scores and the Spanish Test of Functional Health Literacy (S-TOFHLA) and education level. PARTICIPANTS: Two-hundred and thirty-two Spanishspeaking Chicago residents were included in the study. KEY RESULTS: The study population was diverse in age, gender, and level of education and 70 % reported Mexico as their country of origin. Two items of the English eightitem Short NUMi demonstrated DIF and were dropped. The resulting six-item test had a Cronbach's alpha of 0.72, a range of difficulty using classical test statistics (percent correct: 0.48 to 0.86), and adequate discrimination (item-total score correlation: 0.34-0.49). Scores were positively correlated with print literacy as measured by the S-TOFHLA (r = 0.67; p < 0.001) and varied as predicted across grade level; mean scores for up to eighth grade, ninth through twelfth grade, and some college experience or more, respectively, were 2.48 (SD ± 1.64), 4.15 (SD ± 1.45), and 4.82 (SD ± 0.37). CONCLUSIONS: The Spanish NUMi is a reliable and valid measure of important numerical concepts used in communicating health information.KEY WORDS: cross cultural research; health numeracy; health literacy; measurement; Spanish language.

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Health Literacy Among Spanish-Speaking Latino Parents With Limited English Proficiency

Cited by 119 publications

References 6 publications

Parental Health Literacy, Knowledge and Beliefs Regarding Upper Respiratory Infections (URI) in an Urban Latino Immigrant Population

Parental Health Literacy, Knowledge and Beliefs Regarding Upper Respiratory Infections (URI) in an Urban Latino Immigrant Population

Investigation of the Health Literacy Level of Women in Reproductive Age as a Public Health Problem in Zahedan

Development and Validation of the Spanish Numeracy Understanding in Medicine Instrument

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