Social Disparities in Health Literacy in the United States.
Social Disparities in Health Literacy in the United States.
复制标题
DOI：
10.3928/24748307-20190131-01
复制
发表时间：
2019-01-01
影响因子：
--
通讯作者：
Ettienne, Reynolette
中科院分区：
文献类型：
--
作者：
Fleary, Sasha A;Ettienne, Reynolette
卫生知识普及被认为是造成健康差距和健康的社会决定因素的一个因素。那些面临健康差距风险和健康知识普及率低的人的人口特征有很大重叠。本研究通过使用相对较新的方法量化健康素养中的社会差距，扩展了对健康素养和差距的研究。我们分析了2013年健康信息全国趋势调查（N = 1，675）的数据。扩展的Gasthorth指数被用来确定健康素养的差距。年龄在18到34岁之间的女性、白色、受过高等教育（学士后）、收入≥ 20万美元的参与者具有最高的健康素养，并作为参考组。年龄在35岁至49岁之间的男性，高中毕业生，以及收入在50，000美元至74，999美元之间的西班牙裔人在健康素养方面的差距最大。收入（30%）和教育（37%）是健康素养总体差异的最大贡献者，而性别（3%）是最小的贡献者。收入和教育对健康知识普及方面的差距以及这些人口特征中的差距范围的巨大贡献突出表明，可以从有针对性的干预措施中受益的人群，以提高他们的健康知识普及。[HLRP健康素养研究与实践。2019;3（1）：e47-e52.]。
Health literacy has been identified as a contributor to both health disparities and social determinants of health. There is significant overlap in demographic characteristics of those who are at risk for health disparities and low health literacy. This study expanded the research on health literacy and disparities by quantifying the social disparities within health literacy using a relatively new methodology. We analyzed data from the 2013 Health Information National Trends Survey (N = 1,675). The Extended Gastwirth Index was used to determine the disparities in health literacy. Participants who were female, age 18 to 34 years, White, highly educated (postbaccalaureate), and with incomes ≥$200,000 had the highest health literacy and served as the reference groups. Males, age 35 to 49 years, who had high school graduates, and people who were Hispanic and with incomes between $50,000 and $74,999 had the highest disparities in health literacy. Income (30%) and education (37%) were the highest contributors to overall disparities in health literacy, whereas sex (3%) was the lowest contributor. The overwhelming contribution of income and education to disparities in health literacy and the range of disparities within these demographic characteristics highlight populations that could benefit from tailored interventions to improve their health literacy. [HLRP: Health Literacy Research and Practice. 2019;3(1):e47-e52.].