The Health Literacy and ESL Study: A Community-Based Intervention for Spanish-Speaking Adults
The Health Literacy and ESL Study: A Community-Based Intervention for Spanish-Speaking Adults
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DOI：
10.1080/10810730.2014.965368
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发表时间：
2015-04-03
影响因子：
4.4
通讯作者：
Tinajero, Josefina
中科院分区：
文献类型：
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作者：
Mas, Francisco Soto;Ji, Ming;Tinajero, Josefina
尽管西班牙裔人的健康素养有限的风险很高，但对这一人群的研究很少，特别是对西班牙裔移民的研究，他们通常面临与低健康素养相关的语言障碍。《提高卫生知识普及国家行动计划》确定，以社区为基础的英语教学是一项能够促进建立卫生知识普及社会的战略。然而，文献缺乏对这类干预的讨论。本随机对照试验旨在测试使用传统英语作为第二语言（ESL）教学提高西班牙语成人健康素养的可行性。目标包括制定、实施和评估健康素养/ESL课程。采用英语成人功能健康素养测试（TOFHLA）评估健康素养水平。分析方法包括独立样本t检验、卡方检验和多元线性回归。共有155人参与。结果显示，干预组TOFHLA后测得分显著高于干预组（p= 0.01），两组间健康素养水平差异显著。结果表明，ESL是提高西班牙语成年人健康素养的一个有希望的场所。纳入与健康知识相关的内容可能会带来额外的好处。
Although Hispanics have a documented high risk of limited health literacy, there is a scarcity of research with this population group, and particularly with Hispanic immigrants who generally confront language barriers that have been related to low health literacy. The National Action Plan to Improve Health Literacy identified community-based English-language instruction as a strategy that can facilitate a health literate society. However, the literature lacks discussion on this type of intervention. This randomized control trial aimed to test the feasibility of using conventional English-as-a-second-language (ESL) instruction for improving health literacy among Spanish-speaking adults. Objectives included the development, implementation, and evaluation of a health literacy/ESL curriculum. The Test of Functional Health Literacy in Adults (TOFHLA) in English was used to assess health literacy levels. Analyses included independent sample t test, chi-square, and multiple linear regression. A total of 155 people participated. Results showed a significantly higher increase in the TOFHLA posttest score in the intervention group (p=.01), and noticeable differences in health literacy levels between groups. Results indicate that ESL constitutes a promising venue for improving health literacy among Spanish-speaking adults. Incorporating health literacy-related content may provide additional benefits.