Tools to Measure Health Literacy among US African Americans and Hispanics/Latinos with Type 2 Diabetes: A Scoping Review of the Literature.

Tools to Measure Health Literacy among US African Americans and Hispanics/Latinos with Type 2 Diabetes: A Scoping Review of the Literature.
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DOI:
10.1016/j.pec.2020.04.012
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发表时间:
2020-10
影响因子:
3.5
通讯作者:
Allen-Meares P
Allen-Meares P
中科院分区:
医学2区
文献类型:
--
作者:
Estrella ML;Allen-Meares P

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概述在美国人口中不断增长的非裔美国人和西班牙裔/拉丁裔2型糖尿病患者样本中已得到验证的健康素养工具。 按照PRISMA指南,对三个电子数据库进行了检索。使用了以下纳入标准:经过同行评审的研究;检验了一种健康素养工具的有效性;包括患有2型糖尿病的美国非裔和/或西班牙裔/拉丁裔成年人。 选择了16项研究;样本中没有一项专门包括非裔美国人,而有3项专门包括西班牙裔/拉丁裔。确定了17种健康素养工具。在非裔美国人中,2种健康素养筛查工具、2种糖尿病知识工具和3种算术能力工具已得到验证。在西班牙裔/拉丁裔中,1种健康素养筛查工具、1种糖尿病知识工具和1种算术能力工具已得到验证。然而,在这些工具的开发和验证中很少考虑跨文化适应原则。 对于2型糖尿病患者,未来的研究应调查讲英语的西班牙裔/拉丁裔中健康素养筛查工具的有效性,以及非裔美国人和西班牙裔/拉丁裔中通用健康素养工具的有效性。不同研究中关于糖尿病知识和算术能力工具有效性的证据不一。 研究结果可为临床和研究环境中选择具有文化适宜性的健康素养工具提供参考。
To provide an overview of the health literacy tools that have been validated in samples of African Americans and Hispanics/Latinos with type 2 diabetes, growing segments of the US population. Following PRISMA guidelines, three electronic databases were searched. The following inclusion criteria were used: peer-reviewed research; examined validity of a health literacy tool; and included US African American and/or Hispanic/Latino adults with type 2 diabetes. Sixteen studies were selected; none exclusively included African Americans while 3 exclusively included Hispanics/Latinos in the sample. Seventeen health literacy tools were identified. Among African Americans, 2 health literacy screeners, 2 diabetes knowledge, and 3 numeracy tools have been validated. Among Hispanics/Latinos, 1 health literacy screener, 1 diabetes knowledge, and 1 numeracy tool have been validated. However, cross-cultural adaptation principles were rarely considered in the development and validation of these tools. In those with type 2 diabetes, future studies should investigate the validity of health literacy screeners among English-speaker Hispanics/Latinos and general health literacy tools among African Americans and Hispanics/Latinos. Evidence on the validity of diabetes knowledge and numeracy tools was mixed across studies. Findings can inform the selection of culturally-appropriate health literacy tools in clinical and research settings.
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