Health literacy in former Soviet Union immigrants in the US: A mixed methods study

Kostareva, Uliana; Albright, Cheryl L.; Berens, Eva-Maria; Klinger, Judith; Ivanov, L. Louise; Guttersrud, Øystein; Liu, Min; Sentell, Tetine

doi:10.1016/j.apnr.2022.151598

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…Possible reasons for these discrepancies include different predictors involved in the regression model, sampling procedures, and administration modes (e.g., self-administered, face-to-face interviews). However, consistent with the HLS 19 -Q12 validation study in European countries [ 22 ] and in the USA [ 42 ], we found socioeconomic status such as education and income were the most important factor influencing general health literacy. For the regression models with general health literacy as a predictor variable and health status as an outcome, the R 2 value (0.05) of our model was lower than that average R 2 value (0.21) in the 17 European countries [ 22 ].…”

Section: Discussionsupporting

confidence: 88%

Measuring General Health Literacy in Chinese adults: validation of the HLS19-Q12 instrument

Liu,

Zhao,

et al. 2024

BMC Public Health

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Background Health literacy measurement lays a solid foundation to identify associations with health outcomes and monitor population health literacy levels over time. In mainland China, most existing health literacy instruments are either knowledge-based or practice-based, making health literacy results incomparable between China and other countries. This study aimed to examine the reliability and validity of the 12-item Health Literacy Population Survey (HLS19-Q12) in a general population of Chinese adults. Methods A cross-sectional study was conducted to recruit primary carers of students from 11 schools in Zhengzhou, Henan Province, using convenience cluster sampling. Participants completed an online self-administered survey that collected information on key sociodemographics, health literacy (HLS19-Q12 and a comparison tool: Health Literacy Questionnaire (HLQ)), and health-related outcomes. Using the COnsensus-based Standards for the selection of health status Measurement Instruments (COSMIN) checklist as a guideline, we tested internal consistency, test-retest reliability, content validity, structural validity, concurrent predictive validity, and convergent validity of the HLS19-Q12. Results Overall, 14,184 participants completed the full survey. The HLS19-Q12 showed excellent internal consistency (Cronbach’s α = 0.93), moderate test-retest reliability (intra-class correlation coefficient = 0.54), satisfactory content validity (based on the 12-matrix health literacy model), and strong structural validity (comparative fit index = 0.94, Tucker and Lewis’s index of fit = 0.93, root mean square error of approximation = 0.095). Concurrent predictive validity results showed health literacy was associated with both health determinants and health-related outcomes. The HLS19-Q12 had weak to strong correlations (coefficients = 0.24 to 0.42) with the nine scales of the HLQ. Respondents had an average score of 81.6 (± 23.0) when using the HLS19-Q12, with 35.0% and 7.5% having problematic and inadequate levels of health literacy, respectively. Conclusions The HLS19-Q12 is a reliable and valid instrument to measure health literacy in our sample. Further validation is needed with a more nationally representative sample of Chinese adults. The HLS19-Q12 could be used as a comprehensive, skills-based, and easy-to-administer health literacy assessment tool integrated into population surveys and intervention evaluations.

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Section: Discussionsupporting

confidence: 88%

Measuring General Health Literacy in Chinese adults: validation of the HLS19-Q12 instrument

Liu,

Zhao,

et al. 2024

BMC Public Health

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“…Using unnecessarily complicated language or inaccurate translations in educational materials, or other education sources for patients generally leads to poorly informed decision-making and decreased participation of the patients in interventions with potential benefits for health. Such complexity exerts a negative impact on health results, especially among patients with low health literacy (HL) (1 - 2) levels. Health literacy is defined as a person’s ability to acquire, process and understand all the health-related information required to make suitable decisions and achieve positive health results.…”

Section: Introductionmentioning

confidence: 99%

Factores que influyen en la alfabetización en salud de los pacientes con enfermedad arterial coronaria

Costa

Conceição

Butcher

et al. 2023

Rev. Latino-Am. Enfermagem

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Objetivo: investigar los factores que influyen en la alfabetización en salud de los pacientes con enfermedad arterial coronaria. Método: estudio transversal, que incluyó 122 pacientes con enfermedades coronarias (60,7% del sexo masculino; 62,07±8,8 años); se evaluó la alfabetización en salud y el conocimiento específico sobre la enfermedad mediante entrevistas con los participantes, utilizando el Short Test of Functional Health Literacy in Adults e Short version of the coronary artery disease education questionnaire. Los datos fueron descritos por medidas de tendencia central y frecuencias. Los factores que influyen en la alfabetización en salud se determinaron mediante un modelo de regresión lineal. El nivel de significación adoptado fue del 5%. El estudio fue aprobado por el Comité de Ética e Investigación. Resultados: la edad y la hipertensión mostraron una relación inversa y significativa con la alfabetización en salud. Por otro lado, un mayor nivel educativo y tener empleo se asociaron con puntajes más altos en el instrumento de alfabetización en salud. El conocimiento específico sobre la enfermedad no influyó en la alfabetización en salud. Las variables del modelo de regresión explicaron el 55,3% de alfabetización inadecuada. Conclusión: en el presente estudio, se concluyó que el conocimiento sobre la enfermedad no influye en la alfabetización en salud, pero los profesionales deben considerar los factores sociodemográficos y clínicos para planificar las intervenciones.

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“…Such complexity exerts a negative impact on health results, especially among patients with low health literacy (HL) (1)(2) levels.…”

Section: Introductionmentioning

confidence: 99%

Factors that influence health literacy in patients with coronary artery disease

Costa

Conceição

Butcher

et al. 2023

Rev. Latino-Am. Enfermagem

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Objective: to investigate the factors that exert an influence on health literacy in patients with coronary artery disease. Methods: a crosssectional study, including 122 patients with coronary diseases (60.7% male; 62.07 ± 8.8 years old). Health literacy and specific knowledge about the disease were evaluated through interviews with the participants by means of the Short Test of Functional Health Literacy in Adults and the Short version of the coronary artery disease education questionnaire. The data were described by means of central tendency measures and frequencies. The factors that exert an influence on health literacy were determined by means of a linear regression model. The significance level adopted was 5%. The study was approved by the Research Ethics Committee. Results: age and arterial hypertension presented an inverse and significant relationship with health literacy. On the other hand, higher schooling levels and having a job were associated with better scores in the health literacy instrument. Specific knowledge about the disease did not exert any influence on health literacy. The variables included in the regression model explained 55.3% of inadequate literacy. Conclusion: this study, knowledge about the disease exerts no influence on health literacy: however, the professionals should consider the sociodemographic and clinical factors to plan the interventions.

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Health literacy in former Soviet Union immigrants in the US: A mixed methods study

Cited by 6 publications

References 28 publications

Measuring General Health Literacy in Chinese adults: validation of the HLS19-Q12 instrument

Measuring General Health Literacy in Chinese adults: validation of the HLS19-Q12 instrument

Factores que influyen en la alfabetización en salud de los pacientes con enfermedad arterial coronaria

Factors that influence health literacy in patients with coronary artery disease

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