Health Lit Res Pract. 2024 Apr;8(2):e79-e88. doi: 10.3928/24748307-20240422-01. Epub 2024 May 6.
Adult health outcomes are linked to childhood factors such as socioeconomic status via cultural health capital (CHC). Specifically, these factors shape opportunities for developing skills for navigating health environments via experience and the intergenerational transfer of health-related knowledge and skills. Health literacy (HL) is considered a part of and/or result of CHC. HL develops similarly to CHC via opportunities and experiences. Most research to date has ignored the effect of childhood factors on adult HL. The purpose of this study was to explore how childhood factors are related to adult HL. Data were collected from adults ( = 736, mean age = 40.65 years, standard deviation [] = 15.39; 52% female; 53.8% White, 31.3% Hispanic and Latino/a/e) in the United States using Qualtrics Panel. Multivariate ordinal and binary logistic regressions predicting HL (as measured by the Newest Vital Sign and Single-Item Literacy Scale) from childhood factors and accounting for demographic covariates were estimated. After accounting for covariates, such as the presence of an employed adult in a white-collar (odds ratio [OR] = 3.34) or blue-collar ( = 3.68) occupation (versus unknown/not employed) increased the odds of being categorized as possible limited literacy and adequate literacy (versus limited literacy) as measured by the Newest Vital Sign. Similarly, having an employed adult during childhood who had a blue-collar occupation (vs. unknown/not employed) increased the odds of being categorized as adequate literacy ( = 2.06) as measured by the Single-Item Literacy Scale. Because the adult's employment played a role in the child's adult HL after accounting for other factors and demographics, these findings support using a lifespan approach to assess and identify risk factors for lower HL. This study contributes to the growing body of evidence of how HL is interconnected with social determinants of health across the lifespan and the need to address HL skills in those with poor social determinants of health. [].
成人健康结果与社会经济地位等儿童时期因素有关，这些因素通过文化健康资本（CHC）发挥作用。具体而言，这些因素通过经验和代际传递健康相关知识和技能，为发展应对健康环境的技能创造机会。健康素养（HL）被认为是 CHC 的一部分和/或结果。HL 通过机会和经验与 CHC 类似地发展。迄今为止，大多数研究都忽略了儿童时期因素对成人 HL 的影响。本研究旨在探讨儿童时期因素与成人 HL 的关系。使用 Qualtrics 小组从美国成年人（n=736，平均年龄=40.65 岁，标准差[]=15.39；52%女性；53.8%白人，31.3%西班牙裔和拉丁裔/人）收集数据。使用多元有序和二元逻辑回归，根据童年时期因素和人口统计学协变量预测 HL（用最新生命体征和单项读写能力量表测量）。在考虑了协变量（如白领（优势比[OR]=3.34）或蓝领（=3.68）职业中有无就业成年人（与未知/未就业相比）增加了被归类为可能有限读写能力和足够读写能力（与有限读写能力相比）的可能性）。同样，在童年时期有一个从事蓝领职业（与未知/未就业相比）的就业成年人增加了被归类为足够读写能力（OR=2.06）的可能性。由于在考虑了其他因素和人口统计学特征后，成年人的就业在孩子的成年 HL 中发挥了作用，因此这些发现支持使用生命周期方法评估和确定低 HL 的风险因素。本研究有助于越来越多的证据表明 HL 如何在整个生命周期中与健康的社会决定因素相互关联，以及在健康的社会决定因素较差的人群中需要解决 HL 技能的问题。[]。
