Inadequate Health Literacy among Elderly Immigrants: Characteristics, Contributing, and Service Utilization Factors

Brownell, Gracie; Moon, Sung Seek; Basham, Randall E.

doi:10.1080/10911359.2012.707930

Cited by 19 publications

(10 citation statements)

References 49 publications

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“…In this model, perceived family support is the best protector of the mental health of immigrants. This result is consistent with studies that have shown that family relationships help immigrants to maintain appropriate health behaviors, and to avoid specific risk behaviors, to improve their quality of life (Gracie et al, 2012; Aqtash and Van Servellen, 2013).…”

Section: Discussionsupporting

confidence: 91%

Positive Influences of Social Support on Sense of Community, Life Satisfaction and the Health of Immigrants in Spain

et al. 2019

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The main objective of this study was to investigate the association of social support and the sense of community (SOC) with satisfaction with life (SWL) and immigrant health. We propose a model in which perceived social support from close sources (family and friends), as mediated by SOC and life satisfaction, would be positively associated with mental and physical health. Limited evidence exists from multivariate models that concurrently examine the association of both factors with SWL and health-related outcomes. We investigate the hypothesized association in a structural equations model (SEM) analysis. The participants consisted of 1131 immigrants (49% men and 51% women) (age 18–70, M = 33). The study was conducted in Malaga (Spain). Cross-sectional data were collected using a random-route sampling and survey methodology. In this model, greater social support from native friends was associated with a greater SOC. Social support from family and native friends was associated with greater SWL. Also, a greater SOC was associated with greater SWL. No association was found between SOC and mental health symptoms, whereas, greater SWL was associated with fewer mental health and illness symptoms. These results suggest that among immigrants, support networks involving family and native friends, and integration into the community are important influences for immigrants to achieve life satisfaction. These results are widely applicable and have implications that are relevant to the design of health promotion interventions.

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Section: Discussionsupporting

confidence: 91%

Positive Influences of Social Support on Sense of Community, Life Satisfaction and the Health of Immigrants in Spain

et al. 2019

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“…A low proficiency in the language of the host country may also negatively affect health literacy [ 51 ]. Health literacy is an important determinant of informed decision making in health care [ 52 ] and has been shown to be limited among migrant populations residing in Germany [ 53 , 54 ]. For the present study it must be considered, however, that the rehabilitation patient survey is conducted in German language which is why only patients with a sufficient amount of German language proficiency or who receive assistance in completing the questionnaire take part in the survey.…”

Section: Discussionmentioning

confidence: 99%

Self-rated treatment outcomes in medical rehabilitation among German and non-German nationals residing in Germany: an exploratory cross-sectional study

Brzoska

Sauzet

Yılmaz-Aslan

et al. 2016

BMC Health Serv Res

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BackgroundIn many European countries, foreign nationals experience, on average, less favorable treatment outcomes in rehabilitative care than the respective majority population. In Germany, this for example is reflected in a lower occupational performance and a higher risk of disability retirement after rehabilitation as analyses of routine data show. However, little is known about the perspective of health care users. The aim of the present study was to compare self-rated treatment outcomes between German and non-German nationals undergoing in-patient medical rehabilitation in Germany.MethodsWe analyzed data from a cross-sectional representative rehabilitation patient survey of 239,811 patients from 642 clinics in Germany who completed about 3 weeks of in-patient rehabilitative treatment. The self-rating of the treatment outcome was based on a dichotomized Likert scale consisting of three items. A multilevel logistic regression analysis adjusted for various demographic, socio-economic, health and other covariates was conducted to examine differences in the self-rated treatment outcome between German and non-German nationals.ResultsOf the 239,811 respondents 0.9 % were nationals from Turkey, 0.8 % had a nationality from a former Yugoslavian country, 0.9 % held a nationality from the South European countries Portugal, Spain, Italy or Greece and 1.9 % were nationals from other countries. Non-German nationals reported a less favorable self-rated outcome than Germans. Adjusted odds ratios [OR] for reporting a less favorable treatment outcome were 1.24 (95 %-confidence interval [95 %-CI]: 1.12–1.37) for nationals from the South European countries Portugal/Spain/Italy/Greece, 1.62 (95 %-CI: 1.45–1.80) for Turkish nationals and 1.68 (95 %-CI: 1.52–1.85) for nationals from Former Yugoslavia.ConclusionsKnowledge on health outcomes from the patients’ point of view is important for the provision of patient-centered health care. Our study showed that non-German nationals report less favorable outcomes of rehabilitative care than Germans. This may be due to cultural and religious needs not sufficiently addressed by health care providers. In order to improve rehabilitative care for non-German nationals, rehabilitative services must become sensitive to the needs of this population group. Diversity management can contribute to this process.

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“…Overall, adults with unmet literacy needs tend to have worse health, “including knowledge, intermediate disease markers, measures of morbidity, general health status, and use of health resources” [ 34 , 35 (1228), 36 – 41 ]. These patterns extend to immigrants, especially Hispanics [ 42 ], the elderly [ 43 ], and non-native English speakers [ 44 ].…”

Section: Literacy Numeracy and Health Among Immigrantsmentioning

confidence: 99%

Examining Associations between Self-Rated Health and Proficiency in Literacy and Numeracy among Immigrants and U.S.-Born Adults: Evidence from the Program for the International Assessment of Adult Competencies (PIAAC)

Prins

Monnat

2015

PLoS ONE

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This paper uses data from the Program for the International Assessment of Adult Competencies (PIAAC) to analyze the relationship between self-reported health (SRH) and literacy and numeracy proficiency for immigrants compared to U.S.-born respondents and for Hispanic versus Asian immigrants. The research questions were: (1) Are literacy and numeracy scores associated with adults’ SRH? (2) Are associations between SRH and literacy and numeracy proficiency moderated by immigrant status? (3) Among immigrants, are literacy and numeracy scores more strongly associated with SRH for Hispanics versus Asians? Immigrants had significantly lower literacy and numeracy scores, yet reported better health than U.S.-born respondents. Ordinal logistic regression analyses showed that literacy and numeracy were both positively related to SRH for immigrants and U.S.-born adults, and should therefore be viewed as part of the growing evidence that literacy is an independent and significant social determinant of health. Second, U.S.-born and immigrant adults accrued similarly positive health benefits from stronger literacy and numeracy skills. Third, although Hispanic immigrants were more disadvantaged than Asian immigrants on almost all socioeconomic characteristics and had significantly lower literacy and numeracy scores and worse SRH than Asian immigrants, both Hispanic and Asian immigrants experienced similar positive health returns from literacy and numeracy proficiency. These findings underscore the potential health benefits of providing adult basic education instruction, particularly for immigrants with the least formal schooling and fewest socioeconomic resources.

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Inadequate Health Literacy among Elderly Immigrants: Characteristics, Contributing, and Service Utilization Factors

Cited by 19 publications

References 49 publications

Positive Influences of Social Support on Sense of Community, Life Satisfaction and the Health of Immigrants in Spain

Positive Influences of Social Support on Sense of Community, Life Satisfaction and the Health of Immigrants in Spain

Self-rated treatment outcomes in medical rehabilitation among German and non-German nationals residing in Germany: an exploratory cross-sectional study

Examining Associations between Self-Rated Health and Proficiency in Literacy and Numeracy among Immigrants and U.S.-Born Adults: Evidence from the Program for the International Assessment of Adult Competencies (PIAAC)

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