Geltman Paul L, Hunter Adams Jo, Penrose Katherine L, Cochran Jennifer, Rybin Denis, Doros Gheorghe, Henshaw Michelle, Paasche-Orlow Michael
Refugee and Immigrant Health Program, Massachusetts Department of Public Health, 305 South Street, Jamaica Plain, MA, 02130, USA,
J Immigr Minor Health. 2014 Aug;16(4):622-30. doi: 10.1007/s10903-013-9846-0.
This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. 439 adult Somalis in the US ≤10 years were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care (P = 0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care (P = 0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills.
本研究调查了英语健康素养、口语水平和文化适应对马萨诸塞州索马里难民预防性牙科护理使用情况的影响。对439名在美国居住时间≤10年的成年索马里人进行了访谈。使用STOFHLA、REALD和BEST Plus测量英语功能性健康素养、牙科词汇识别能力和口语水平。逻辑回归检验了语言测量指标与预防性牙科护理使用之间的关联。在不控制文化适应的情况下，健康素养较高的参与者接受预防性护理的可能性高出2.0倍（P = 0.02）。词汇识别能力较高的受试者接受预防性护理的可能性是其他人的1.8倍（P = 0.04）。在控制文化适应后，这些结果不再显著，且口语水平与预防性护理使用增加无关。英语健康素养和口语水平与预防性牙科护理无关。文化适应等其他因素比语言技能更能预测护理使用情况。
