Sarkar Madhurima, Asti Lindsey, Nacion Kristine M, Chisolm Deena J
Center for Innovation in Pediatric Practice, The Research Institute at Nationwide Children's Hospital, Columbus, OH, 43205, USA.
College of Public Health, The Ohio State University, Columbus, OH, USA.
J Immigr Minor Health. 2016 Jun;18(3):608-615. doi: 10.1007/s10903-015-0211-3.
Health literacy (HL) research among Hispanics currently focuses on individuals with limited English proficiency but impacts of HL on healthcare outcomes among other English language proficiency groups is relatively unknown. Regression models assessed associations between HL and healthcare outcomes for Hispanics overall (n = 4013) and for proficiency level sub-populations using the 2007 Pew Hispanic Health Survey. Overall, Hispanics with adequate HL percieved US medical care as "excellent," were more satisfied with their doctor's help, and reported "excellent" overall health. In the sub-population analysis, "excellent" perception of US healthcare was associated with HL among the Spanish and English dominant groups. Among bilinguals, adequate HL was associated with decreased use of traditional medicine. The effect of adequate HL varied within English proficiency groups. HL research that focuses only on Spanish dominant speakers can exclude a substantial percentage of English proficient or bilingual populations who have low HL.
目前，西班牙裔人群的健康素养（HL）研究主要集中在英语水平有限的个体上，但HL对其他英语水平群体医疗保健结果的影响相对未知。使用2007年皮尤西班牙裔健康调查，回归模型评估了总体西班牙裔人群（n = 4013）以及不同英语水平亚人群中HL与医疗保健结果之间的关联。总体而言，具备足够HL的西班牙裔人群认为美国医疗保健“出色”，对医生的帮助更满意，并报告总体健康状况“出色”。在亚人群分析中，西班牙裔和英语主导群体中对美国医疗保健的“出色”认知与HL相关。在双语人群中，足够的HL与传统药物使用减少相关。在英语水平群体中，足够HL的影响各不相同。仅关注以西班牙语为主的人群的HL研究可能会排除很大一部分英语熟练或双语但HL较低的人群。
