Evidence map›Paper›PMID 26513036›Full record

ArticleJournal of health communication2015

Assessing Health Literacy in Deaf American Sign Language Users.

Michael M McKee, Michael K Paasche-Orlow, Paul C Winters, Kevin Fiscella, Philip Zazove, Ananda Sen, Thomas Pearson

Abstract read
In one paragraph

Article in Journal of health communication, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Exploring the health literacy status of people with hearing impairment: a systematic review.Archives of public health = Archives belges de sante publique · 2023
    Pooled it
  4. Can Cancer Education Programs Improve Health Literacy Among Deaf and Hard of Hearing Patients: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Pooled it
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  7. Deaf older adults' experiences of receiving old age care support.Journal of deaf studies and deaf education · 2026
    Article
  8. Health literacy of the Deaf community: a scoping review.Journal of deaf studies and deaf education · 2026
    Article
  9. Experiences of culturally Deaf people with health care access and navigation in Ontario, Canada: a qualitative co-design study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  10. Subjective-objective health literacy discrepancy, reduced healthcare utilization, and functional limitations associated with hearing loss.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Michael M McKeea Department of Family Medicine , University of Michigan , Ann Arbor , Michigan , USA.
Michael K Paasche-Orlowb Department of Medicine , Boston University , Boston , Massachusetts , USA.
Paul C Wintersc Family Medicine Research Programs, Department of Family Medicine , University of Rochester School of Medicine and Dentistry , Rochester , New York , USA.
Kevin Fiscellac Family Medicine Research Programs, Department of Family Medicine , University of Rochester School of Medicine and Dentistry , Rochester , New York , USA.
Philip Zazovea Department of Family Medicine , University of Michigan , Ann Arbor , Michigan , USA.
Ananda Sena Department of Family Medicine , University of Michigan , Ann Arbor , Michigan , USA.
Thomas Pearsond University of Florida Health Sciences Center , University of Florida , Gainesville , Florida , USA.

Funding

The University of Rochester's Clinical and Translational Science InstituteUL1TR000042 · NCATS · UNIVERSITY OF ROCHESTER · PI BENNETT, NANCY M, KIEBURTZ, KARL D. · 2012 to 2015
$14.4M
Health Literacy among Deaf ASL Users and Cardiovascular Health RiskK01HL103140 · NHLBI · UNIVERSITY OF ROCHESTER · PI MCKEE, MICHAEL M · 2010 to 2014
$635k
NCATS NIH HHS UL1 TR000042NHLBI NIH HHS K01 HL103140
6 · The paper itself

Abstract

Communication and language barriers isolate Deaf American Sign Language (ASL) users from mass media, health care messages, and health care communication, which, when coupled with social marginalization, places them at a high risk for inadequate health literacy. Our objectives were to translate, adapt, and develop an accessible health literacy instrument in ASL and to assess the prevalence and correlates of inadequate health literacy among Deaf ASL users and hearing English speakers using a cross-sectional design. A total of 405 participants (166 Deaf and 239 hearing) were enrolled in the study. The Newest Vital Sign was adapted, translated, and developed into an ASL version (ASL-NVS). We found that 48% of Deaf participants had inadequate health literacy, and Deaf individuals were 6.9 times more likely than hearing participants to have inadequate health literacy. The new ASL-NVS, available on a self-administered computer platform, demonstrated good correlation with reading literacy. The prevalence of Deaf ASL users with inadequate health literacy is substantial, warranting further interventions and research.

Indexed as

Persons with Hearing DisabilitiesSign LanguageAdultAgedCross-Sectional StudiesFemaleHealth LiteracyHumansMaleMiddle AgedUnited States

Identifiers

PMID26513036
PMCPMC4714330

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.