ArticleBMC public health2016
Assessing health literacy in the eastern and middle-eastern cultures.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
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- Measuring adolescent health literacy in Nigeria: psychometric validation of the health literacy assessment scale for adolescents.BMC public health · 2026Article
- Psychometric properties and validation of short health literacy screening (SHLS) to identify low health literacy.Health promotion perspectives · 2025Article
- Exploring Influencing Factors on Health Literacy Knowledge and Experience Among Healthcare Providers: A Cross-Sectional Study.Risk management and healthcare policy · 2025Article
- Assessing health literacy and subsequent implementation of an animated video to enhance understanding for patients with nephrolithiasis.Current urology · 2024Article
- Estimation of health literacy levels in patients with cardiovascular diseases in a Gulf country.BMC health services research · 2023Article
- Health literacy levels in patients with type 2 diabetes in an affluent Gulf country: a cross-sectional study.BMJ open · 2023Article
- Determinants of Protective Healthcare Services Awareness among Female Syrian Refugees in Turkey.Healthcare (Basel, Switzerland) · 2022Article
- Medical student experiences and perceptions of palliative care in a middle eastern country.BMC medical education · 2022Article
- Hypertension in the Middle East: current state, human factors, and barriers to control.Journal of human hypertension · 2022Review
- Factors Associated with Self-Reported Chronic Diseases of Syrian Refugees in Turkey.Annals of global health · 2022Article
- Connections and Biases in Health Equity and Culture Research: A Semantic Network Analysis.Frontiers in public health · 2022Article
- Health literacy in a high income Arab country: A nation-wide cross-sectional survey study.PloS one · 2022Article
- Adolescent eating behaviors in the UAE: Time to intervene.Journal of family medicine and primary care · 2021Article
- COVID-19 and Health Information Seeking Behavior: Digital Health Literacy Survey amongst University Students in Pakistan.International journal of environmental research and public health · 2021Article
- Measuring the constructs of health literacy in the Iranian adult Kurdish population.BMC public health · 2021Article
- Readability of Patient Educational Materials in English Versus Arabic.Health literacy research and practice · 2019Article
- Health literacy research in the Eastern Mediterranean Region: an integrative review.International journal of public health · 2019Review
- Addressing research barriers and facilitators in medical residency.Journal of family medicine and primary care · 2019Article
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4 authors.
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Abstract
backgroundHealth literacy is a term employed to assess the ability of people to meet the increasing demands related to health in a rapidly evolving society. Low health literacy can affect the social determinants of health, health outcomes and the use of healthcare services. The purpose of the study was to develop a survey construct to assess health literacy within the context of regional culture. Different socioeconomic status among the Eastern and Middle Eastern countries may restrict, health information access and utilization for those with low literacy.
methodsBy employing expert panel, Delphi technique, focus group methodologies, and pre-testing using participants (N = 900) from the UAE and India, a survey construct to the Eastern-Middle Eastern cultures was developed. Reliability was assessed using Cronbach's α and validity using Factor analysis. Kiaser-Meyer-Olkin (KMO) sampling adequacy and Bartlett's tests were used to assess the strength of the relationship among the variables.
resultsInclusion of non-health related items were found to be critical in the authentic assessment of health literacy in the Eastern and Middle Eastern population given the influence of social desirability. Thirty-two percentage of the original 19-item construct was eliminated by the focus group for reasons of relevance and impact for the local culture. Field pretesting participants from two countries, indicated overall construct reliability (Cronbach's α =0.85), validity and consistency (KMO value of 0.92 and Bartlett's test of sphericity was significant).
conclusionThe Eastern-Middle Eastern Adult Health Literacy (EMAHL13), screening instrument is brief, simple, a useful indicator of whether or not a patient can read. It assessespatients' ability to comprehend by distinguishing between health and non-health related items. The EMAHL13 will be a useful too for the reliable assessment of health literacy in countries, where culture plays a significant impact. This will be the first steptowards providing equitable access to healthcare for countries that have large populations with low socioeconomic status.
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