ArticleAmerican journal of public health2016
Validity of Single-Item Screening for Limited Health Literacy in English and Spanish Speakers.
Article in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- A multilevel, low literacy dual language intervention to promote colorectal cancer screening in community clinics in Florida: A randomized controlled trial.Preventive medicine · 2022Trial
- Care coordination for complex cancer survivors in an integrated safety-net system: a study protocol.BMC cancer · 2018Trial
- Patient navigation for lung cancer screening in an urban safety-net system: Protocol for a pragmatic randomized clinical trial.Contemporary clinical trials · 2017Trial
- (Not) Lost in Transition-Enhancing Patient-Reported Care Coordination by Bridging Oncology and Primary Care for Breast and Colorectal Cancer Survivors.JCO oncology practice · 2026Article
- Breaking barriers: Validation of a Spanish oral health knowledge tool to enhance patient-provider communication.PloS one · 2026Article
- Health Literacy Applications in Patients With Cancer.Clinical journal of oncology nursing · 2025Review
- Usability of Over-the-Counter Hearing Aids in Older Adults.American journal of audiology · 2025Article
- Who attends a free sexual health center in Paris for HIV/STI screening? an observational study.BMC public health · 2025Observational
- Lost in translation? Comprehension of care for English-speaking vs. Spanish-speaking trauma patients.Trauma surgery & acute care open · 2025Article
- Social determinants of health literacy among parents and caregivers in the US-Affiliated Pacific.Health promotion international · 2024Article
- Integrating social care into gynecologic oncology: Identifying and addressing patient's social needs.Gynecologic oncology · 2023Article
- Optimizing health literacy to facilitate reproductive health decision-making in adolescent and young adults with cancer.Pediatric blood & cancer · 2023Article
- Article
- Patterns of Change in Parental Health Literacy in Relation to Children's Oral Health.Health literacy research and practice · 2023Article
- Adherence to oral therapies among patients with renal cell carcinoma: Post hoc analysis of the ECOG-ACRIN E2805 trial.Cancer medicine · 2021Article
- Influence of Parental Health Literacy on Change over Time in the Oral Health of American Indian Children.International journal of environmental research and public health · 2021Article
- Inclusion of special populations in clinical research: important considerations and guidelines.Journal of clinical and translational research · 2018Article
- Associations between health literacy and preventive health behaviors among older adults: findings from the health and retirement study.BMC public health · 2016Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo evaluate 3 single-item screening measures for limited health literacy in a community-based population of English and Spanish speakers.
methodsWe recruited 324 English and 314 Spanish speakers from a community research registry in Dallas, Texas, enrolled between 2009 and 2012. We used 3 screening measures: (1) How would you rate your ability to read?; (2) How confident are you filling out medical forms by yourself?; and (3) How often do you have someone help you read hospital materials? In analyses stratified by language, we used area under the receiver operating characteristic (AUROC) curves to compare each item with the validated 40-item Short Test of Functional Health Literacy in Adults.
resultsFor English speakers, no difference was seen among the items. For Spanish speakers, "ability to read" identified inadequate literacy better than "help reading hospital materials" (AUROC curve = 0.76 vs 0.65; P = .019).
conclusionsThe "ability to read" item performed the best, supporting use as a screening tool in safety-net systems caring for diverse populations. Future studies should investigate how to implement brief measures in safety-net settings and whether highlighting health literacy level influences providers' communication practices and patient outcomes.
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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.