Low Health Literacy among Immigrant Hispanics
Low Health Literacy among Immigrant Hispanics
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DOI：
10.1007/s40615-016-0249-5
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发表时间：
2017-06-01
影响因子：
3.9
通讯作者：
Becerra, Monideepa B.
中科院分区：
文献类型：
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作者：
Becerra, Benjamin J.;Arias, Devin;Becerra, Monideepa B.
卫生知识普及程度低是获得保健和利用服务的重大障碍；然而，很少有研究评估与低健康素养相关的因素，特别是在移民少数民族人口中。本探索性研究旨在利用加州健康访谈调查（美国最大的以人口为基础的州健康调查）评估加州移民西班牙裔成年人健康素养低的关键决定因素。分析考虑了复杂的调查设计，允许对整个加利福尼亚州进行概括。低健康素养与生活贫困（OR = 1.63）、缺乏一致的健康保险（OR = 1.40）和英语能力有限（OR = 3.22）相关，而女性报告低健康素养的可能性低于男性（OR = 0.59）。本研究的结果表明，除了其他关键的社会人口变量外，语言能力也可能对健康素养产生显著的限制。今后应努力提供具有语言能力的健康素养干预措施，以改善相关的健康结果。
Low health literacy is a significant barrier to healthcare access and service utilization; however, there are few studies that have evaluated the factors associated with having low health literacy, especially among immigrant minority populations. This exploratory study aimed to assess the key determinants of low health literacy among immigrant Hispanic adults in California using the California Health Interview Survey, the largest population-based state health survey in the United States. Analysis accounted for complex survey design, allowing generalizations to the entire state of California. Low health literacy was associated with living in poverty (OR = 1.63), lacking consistent health insurance (OR = 1.40), and limited English language proficiency (OR = 3.22), while women were less likely than men (OR = 0.59) to report low health literacy. The results of this study demonstrate that language proficiency, in addition to other key sociodemographic variables, can significantly posit limitations to health literacy. Future efforts should address providing linguistically competent health literacy interventions in order to improve associated health outcomes.