School of Social Work, University of Minnesota, Twin Cities, MN, USA.
Department of Psychology, University of Minnesota, Twin Cities, MN, USA.
J Community Health. 2018 Feb;43(1):11-18. doi: 10.1007/s10900-017-0381-0.
Hmong Americans face a disproportionate health burden ranging from the high prevalence of diabetes to depressive disorders. Little research attention has been paid toward exploring contributing factors to this disparity. As such, the present study seeks to fill the gap in the literature by examining the health literacy levels in Hmong Americans and its associated factors. The present study employed Andersen's behavioral model of health service as the theoretical framework. A cross-sectional survey research design was used and information was gathered from 168 Hmong American immigrants. Participants were recruited using a purposive sampling strategy. A multiple regression analysis was conducted to identify the factors linked to health literacy. Approximately half of the participants had low health literacy and reported that they did not understand health information well. Health literacy levels were found to differ significantly based on the number of years participants have lived in the U.S., their social or religious group attendance, health status, and whether they had difficulties with activities of daily living. Our exploratory findings could be used prompt more research to help inform the development of interventions aiming to improve health literacy levels and address the health disparities in Hmong American Population.
美国苗族裔面临着不成比例的健康负担，从高发的糖尿病到抑郁障碍等问题都较为严重。很少有研究关注导致这种差异的因素。因此，本研究旨在通过检查美国苗族裔的健康素养水平及其相关因素来填补文献中的空白。本研究采用安德森健康服务行为模型作为理论框架。采用横断面调查研究设计，从 168 名美国苗族移民中收集信息。参与者通过目的抽样策略招募。进行了多元回归分析，以确定与健康素养相关的因素。大约一半的参与者健康素养较低，他们表示自己对健康信息理解得不好。研究发现，参与者在美国生活的年限、参加社会或宗教团体的情况、健康状况以及是否有日常生活活动的困难程度等因素与健康素养水平显著相关。我们的探索性发现可以用来推动更多的研究，帮助制定旨在提高健康素养水平和解决美国苗族裔人口健康差异的干预措施。
