Health literacy among Spanish-speaking Latino parents with limited English proficiency
Health literacy among Spanish-speaking Latino parents with limited English proficiency
复制标题
DOI：
10.1367/a04-093r.1
复制
发表时间：
2005-01-01
期刊：
影响因子：
--
通讯作者：
Ozuah, PO
中科院分区：
文献类型：
--
作者：
Leyva, M;Sharif, I;Ozuah, PO
背景- 卫生知识普及衡量个人对卫生信息的了解程度。它还没有在英语水平有限（LEP）的父母中进行过研究。我们的目的是确定如何以及讲西班牙语的拉丁裔父母与LEP理解的书面说明伴随着常规处方药。我们对幼儿的父母进行了一项横断面调查。我们向受试者展示了一个药瓶，上面有一个英文处方标签和一个西班牙文药物信息表（DIS）。受试者演示他们将给予多少药物，并说明他们将给予药物的频率（药物给药）。然后，他们回答了关于DIS（DIS理解）的信息的5个问题。我们将回答分为正确和不正确。我们比较了药物剂量和DIS理解的年龄，舒适与讲英语，出生地，在美国的年数和教育。进行回归分析以调整这些潜在的混淆因素。在100名参与者中，22%的人正确地给药; 29%的人正确地回答了关于西班牙DIS的所有问题。在讲英语的受试者中，50%的人正确地证明了给药量。总体而言，高等教育和舒适的英语与更好的药物给药相关。高等教育和出生在南美洲与更好的DIS理解相关。很少有LEP的父母能够理解常规分发的书面药物说明。儿科医生不应该假设说西班牙语的拉丁裔父母谁是舒适的英语将理解用英语写的处方标签，或者说西班牙语的拉丁裔父母将理解用西班牙语写的药物信息。
Background. -Health literacy measures the degree to which individuals understand health information. It has not been studied among parents with limited English proficiency (LEP).Objective.-We aimed to determine how well Spanish-speaking Latino parents with LEP understood the written instructions accompanying a routinely prescribed medication.Design and Methods.-We conducted a cross-sectional survey of parents of young children. We showed subjects a medicine bottle with an English prescription label and a Spanish drug information sheet (DIS). Subjects demonstrated how much medicine they would give and stated how often they would give it (Medication Dosing). Then they answered 5 questions regarding information from the DIS (DIS comprehension). We coded responses dichotomously as correct or incorrect. We compared Medication Dosing and DIS comprehension by age, comfort with speaking English, birthplace, number of years in the United States, and education. Regression analyses were performed to adjust for these potential confounders.Results.-Of 100 participants, 22 % correctly dosed the medication; 29 % correctly answered all questions regarding the Spanish DIS. Of subjects comfortable speaking English, 50 % correctly demonstrated the amount of medicine to give. Overall, higher education and comfort speaking English were associated with better Medication Dosing. Higher education and birth in South America were associated with better DIS comprehension.Conclusions. -Few parents with LEP were able to understand routinely dispensed written medication instructions. Pediatricians should not assume that Spanish-speaking Latino parents who are comfortable speaking English will understand a prescription label written in English, or that Latino parents who speak Spanish will understand drug information written in Spanish.