Assessing Health Literacy in Deaf American Sign Language Users
Assessing Health Literacy in Deaf American Sign Language Users
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DOI：
10.1080/10810730.2015.1066468
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发表时间：
2015-10-09
影响因子：
4.4
通讯作者：
Pearson, Thomas
中科院分区：
文献类型：
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作者：
McKee, Michael M.;Paasche-Orlow, Michael K.;Pearson, Thomas
沟通和语言障碍隔离聋人美国手语（ASL）用户从大众媒体，医疗保健信息和医疗保健沟通，其中，再加上社会边缘化，使他们处于高风险的健康素养不足。我们的目标是翻译，改编，并开发一个可访问的健康素养的工具，在美国手语和评估聋人美国手语使用者和听力英语使用者之间的健康素养不足的患病率和相关性的横断面设计。共有405名参与者（166名聋人和239名听力）参加了这项研究。最新的生命体征被改编、翻译并开发成ASL版本（ASL-NVS）。我们发现，48%的聋人参与者的健康素养不足，聋人的健康素养不足的可能性是听力参与者的6.9倍。新的ASL-NVS，可在一个自我管理的计算机平台上，表现出良好的相关性与阅读识字。聋人ASL用户的患病率与健康素养不足是相当大的，需要进一步的干预和研究。
Communication and language barriers isolate Deaf American Sign Language (ASL) users from mass media, health care messages, and health care communication, which, when coupled with social marginalization, places them at a high risk for inadequate health literacy. Our objectives were to translate, adapt, and develop an accessible health literacy instrument in ASL and to assess the prevalence and correlates of inadequate health literacy among Deaf ASL users and hearing English speakers using a cross-sectional design. A total of 405 participants (166 Deaf and 239 hearing) were enrolled in the study. The Newest Vital Sign was adapted, translated, and developed into an ASL version (ASL-NVS). We found that 48% of Deaf participants had inadequate health literacy, and Deaf individuals were 6.9 times more likely than hearing participants to have inadequate health literacy. The new ASL-NVS, available on a self-administered computer platform, demonstrated good correlation with reading literacy. The prevalence of Deaf ASL users with inadequate health literacy is substantial, warranting further interventions and research.