“Was Test Designed for Africans?” Health Literacy and African Immigrants

Morris, Nancy S.; Nnaji, Chioma; Sarkis, Marianne

doi:10.1007/s40615-020-00959-5

Cited by 6 publications

(9 citation statements)

References 36 publications

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“…The study populations were heterogeneous and included university, nursing and college students [ 26 , 33 , 36 , 41 , 47 – 51 ], teachers (including preschool, primary and secondary class teachers) [ 43 , 52 ], clinical populations/patients attending healthcare clinics [ 25 , 29 , 44 , 45 , 53 – 58 ], immigrant populations [ 20 , 21 , 28 ], general adult populations (according to the place where the study was conducted) [ 35 , 37 – 39 , 46 , 59 – 64 ] and prisoners [ 65 ] (see Additional file 4 for HL levels in these different populations).…”

Section: Resultsmentioning

confidence: 99%

“…Studies assessed general HL ( n = 34), e-health literacy ( n = 9), oral health literacy ( n = 8) and mental health literacy ( n = 2). The instruments employed most often were the HLS-EU-Q47 [ 61 , 65 , 66 ], the HLS-EU-Q16 [ 40 , 67 ], the Newest Vital Sign (NVS) [ 23 , 28 , 29 , 43 , 60 ], the HLS-SF12 [ 64 , 68 ] and the S-TOFHLA [ 25 , 30 , 53 ]. All tools are given in the data extraction table (see Additional file 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…The pooled correlation was significant and positive, r = 0.38 [95% CI: 0.17, 0.58], and the Q-test suggests significant heterogeneity between studies (Q(9) = 200.69 p < 0.0001, tau 2 =0.11, I 2 = 98.81%). One study (Morris et al 2021) [ 28 ] had a studentized residual larger than ±2.81 and may be a potential outlier and might be overly influential according to Cook’s distances. There was no indication of funnel plot asymmetry (see Additional file 6 ).…”

Section: Resultsmentioning

confidence: 99%

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Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis

et al. 2022

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Background Health literacy comprises the ability to identify, obtain, interpret and act upon health information. Low health literacy is a major risk factor for hospitalizations, use of emergency care and premature mortality among others. Known risk factors for low health literacy such as lower educational attainment, migration history and chronic illnesses overlap with those for long-term unemployment – in itself a risk factor for low health literacy. These factors are difficult to address in interventions to support health literacy. Therefore, the objective of this review is to identify potentially modifiable predictors of HL in populations potentially affected by long-term unemployment. Methods A rapid review (PROSPERO registration number: 290873) was carried out in Pubmed and SCOPUS including quantitative studies on potentially modifiable predictors of health literacy in working-age populations following PRISMA guidelines for systematic reviews. Where possible, reported effect sizes were transformed into r, and random-effects meta-analyses were conducted where appropriate to pool effect sizes for the association between modifiable predictors and health literacy. Results In total, 4765 titles and abstracts were screened, 114 articles were assessed in full-text screening, and 54 were included in the review. Forty-one effect sizes were considered for 9 different meta-analyses. Higher language proficiency, higher frequency of internet use, using the internet as a source of health information more often, being more physically active, more oral health behaviours, watching more health-related TV and a good health status were significantly associated with higher health literacy. Significant heterogeneity suggests between-study differences. Conclusions Improving language proficiency and/or providing information in multiple and simplified languages, together with reliable and accessible health information on the internet and in linear media are potentially promising targets to improve health literacy levels in working-age populations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis

et al. 2022

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“…The 54 studies included in the review were conducted in 26 different countries, with the majority being conducted in the USA (n = 11) [20][21][22][23][24][25][26][27][28][29][30], in Iran (n = 8) [31][32][33][34][35][36][37][38], in Turkey (n = 5) [39][40][41][42][43] and in Australia (n = 3) [44][45][46].…”

Section: Study Characteristicsmentioning

confidence: 99%

Modifiable predictors of health literacy in working-age adults - A rapid review and meta-analysis

Singh

Kolschen

Samkange‐Zeeb

et al. 2022

Preprint

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Background Health literacy comprises the ability to identify, obtain, interpret and act upon health information. Low health literacy is a major risk factor for hospitalizations, use of emergency care and premature mortality among others. Known risk factors for low health literacy such as lower educational attainment, migration history and chronic illnesses overlap with those for long-term unemployment – in itself a risk factor for low health literacy. These factors are difficult to address in interventions to support health literacy. Therefore, the objective of this review is to identify potentially modifiable predictors of HL in populations potentially affected by long-term unemployment. Methods Rapid review (PROSPERO registration number: 290873) in Pubmed and SCOPUS including quantitative studies on potentially modifiable predictors of health literacy in working-age populations following PRISMA guidelines for systematic reviews. Where possible, reported effect sizes were transformed into r, and random-effects meta-analyses were conducted where appropriate to pool effect sizes for the association between modifiable predictors and health literacy. Results In total, 4765 titles and abstracts were screened, 114 articles were assessed in full-text screening, and 54 were included in the review. 41 effect sizes were considered for 9 different meta-analyses. Higher language proficiency, higher frequency of internet use, using the internet as a source of health information more often, being more physically active, more oral health behaviours, watching more health-related TV and a good health status were significantly associated with higher health literacy. Significant heterogeneity suggests between-study differences. Conclusions Improving language proficiency and/or providing information in multiple and simplified languages, together with reliable and accessible health information on the internet and in linear media are potentially promising targets to improve health literacy levels in working-age populations.

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“…Immigrants face a variety of barriers to successfully accessing a broad range of healthcare in the U.S. Many of these barriers are structural in nature, such as lower rates of insurance coverage, cost, discrimination, language barriers, and lower health literacy among immigrants vs. non-immigrants, often compounded by inexperience among immigrants with the U.S. healthcare system [ 4 , 12 , 19 , 20 , 21 , 22 , 23 , 24 ]. Some immigrants also fear that using publicly-funded health care services or insurance might negatively impact immigration proceedings [ 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

“They Wait until the Disease Has Taking over You and the Doctors Cannot Do Anything about It”: Qualitative Insights from Harambee! 2.0

Hassan

Mohamed

Sheikh

et al. 2021

IJERPH

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African immigrants make up a large subgroup of Black/African-Americans in the US. However, because African immigrant groups are typically categorized as “Black,” little is known about their preventative healthcare needs. Differences in culture, life and healthcare experiences between African immigrant populations and US-born people may influence preventive health care uptake. Thus, policymakers and healthcare providers lack information needed to make informed decisions around preventive care for African immigrants. This formative study was conducted among the largest East African immigrant communities in King County, WA. We recruited religious leaders, community leaders, health professionals, and lay community members to participate in thirty key informant interviews and five focus group discussions (n = 72 total), to better understand preventative healthcare attitudes in these communities. Through inductive coding and thematic analysis, we identified factors that impact preventative healthcare attitudes of the Somali, Ethiopian and Eritrean immigrant communities and deter them from accessing and utilizing healthcare. Cultural beliefs and attitudes around preventative healthcare, mistrust of westernized healthcare, religious beliefs/views, intersecting identities and shared immigrant experiences all influence how participants view preventative healthcare. Our results suggest that interventions that address these factors are needed to most effectively increase uptake of preventative healthcare in African immigrant communities.

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“Was Test Designed for Africans?” Health Literacy and African Immigrants

Cited by 6 publications

References 36 publications

Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis

Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis

Modifiable predictors of health literacy in working-age adults - A rapid review and meta-analysis

“They Wait until the Disease Has Taking over You and the Doctors Cannot Do Anything about It”: Qualitative Insights from Harambee! 2.0

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