Evidence map›Paper›PMID 30756258›Full record

ArticleJournal of racial and ethnic health disparities2019

Assessing the Prevalence and Association of Acculturation and Health Literacy Levels in Spanish-Speaking Hispanic Patients at Midwestern Community Health Centers in the USA.

Armando De Alba, Denise H Britigan, Elizabeth Lyden, Patrik Johansson

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Article in Journal of racial and ethnic health disparities, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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5 · Who and what money

Authors and funding

4 authors.

Armando De AlbaDepartment of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, 68198-4373, USA. armando.dealba@unmc.edu.
Denise H BritiganDepartment of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, 68198-4373, USA.
Elizabeth LydenDepartment of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Patrik JohanssonDepartment of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, 68198-4373, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPredictions from the US census indicate that by 2060 one of every three individuals living in the nation will be of Hispanic origin. Hispanics experience health disparities manifested with higher rates of chronic conditions such as hypertension and diabetes in contrast with other US population groups. Health literacy and acculturation have been well identified as key contributors for this issue. However, very few studies have examined the association between health literacy and levels of acculturation in Spanish-speaking Hispanics living in rural and urban areas of the USA.

objectiveTo assess the prevalence and association of acculturation with low levels of health literacy and demographic variables in Spanish-speaking Hispanics in the US Midwest.

methodsWe measured levels of acculturation in Spanish-speaking adult Hispanics (N = 401) accessing community health centers in rural and urban Nebraska. We used a survey that included the Bidimensional Acculturation Scale for Hispanics/Linguistic Proficiency Subscale (BAS/LP) and the Short Assessment of Health Literacy in Spanish (SAHL-S).

resultsWe observed similar acculturation levels with rural and urban status participants. A total of 85% of the total participants had low levels of acculturation to US culture. Of the 15% of the participants who showed themselves to be bicultural, 81% reported adequate levels of health literacy in Spanish.

conclusionsOur findings are consistent with previous studies that report the associations between acculturation and health literacy levels are significant. This study underscores the importance of considering the cultural aspects of the Hispanic community for the development of health literacy interventions and education programs.

Indexed as

AcculturationAdultAgedCommunity Health CentersCross-Sectional StudiesFemaleHealth LiteracyHealth StatusHispanic or LatinoHumansLanguageMaleMiddle AgedPrevalenceRural PopulationSocioeconomic FactorsAcculturationHealth literacyRuralSpanish-speaking HispanicsUrbanUS Midwest

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