ArticleInternational journal of environmental research and public health2020
Considering Health Literacy, Health Decision Making, and Health Communication in the Social Networks of Vulnerable New Mothers in Hawai'i: A Pilot Feasibility Study.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Health literacy among lactating women and the promotion of breastfeeding and maternal and child health.Revista da Escola de Enfermagem da U S P · 2025Article
- Social determinants of health literacy among parents and caregivers in the US-Affiliated Pacific.Health promotion international · 2024Article
- Health Literacy, Social Networks, and Health Outcomes among Mental Health Clubhouse Members in Hawai'i.International journal of environmental research and public health · 2023Article
- Social Networks, Health Information Sharing, and Pandemic Perceptions among Young Adults in Hawai'i during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- Do Health Information Sources Influence Health Literacy among Older Adults: A Cross-Sectional Study in the Urban Areas of Western China.International journal of environmental research and public health · 2022Article
- Next Gen Hawai'i: Collaborative COVID-19 Social Media Initiative to Engage Native Hawaiian, Other Pacific Islander, and Filipino Youth.Hawai'i journal of health & social welfare · 2022Article
- Digital Health Literacy and Information-Seeking Behavior among University College Students during the COVID-19 Pandemic: A Cross-Sectional Study from Denmark.International journal of environmental research and public health · 2022Article
- Information trust and COVID-19 vaccine hesitancy amongst middle-aged and older adults in Singapore: A latent class analysis Approach.Social science & medicine (1982) · 2022Article
- Health Literate Hawai'i: A Blueprint to Empower Health and Wellbeing.Hawai'i journal of health & social welfare · 2021Article
- Health Literacy, Digital Health Literacy, and COVID-19 Pandemic Attitudes and Behaviors in U.S. College Students: Implications for Interventions.International journal of environmental research and public health · 2021Article
- Addressing COVID-19 vaccine hesitancy: Lessons from the role of community participation in previous vaccination programs.Health promotion perspectives · 2021Review
- Caregivers' Sources of Information About Immunization as Predictors of Delayed Childhood Vaccinations in Saudi Arabia During the COVID-19 Pandemic: A Cross-Sectional Questionnaire Study.Risk management and healthcare policy · 2021Article
- Hawai'i Journal Watch: >Highlights of recent research from the University of Hawai'i and the Hawai'i State Department of Health.Hawai'i journal of health & social welfare · 2020Article
- Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Health literacy is understudied in the context of social networks. Our pilot study goal was to consider this research gap among vulnerable, low-income mothers of minority ethnic background in the state of Hawai'i, USA. Recruitment followed a modified snowball sampling approach. First, we identified and interviewed seven mothers ("egos") in a state-sponsored home visiting program. We then sought to interview individuals whom each mother said was part of her health decision-making network ("first-level alters") and all individuals whom the first-level alters said were part of their health decision-making networks ("second-level alters"). Health literacy was self-reported using a validated item. A total of 18 people were interviewed, including all mothers (n = 7), 35% of the first-level alters (n = 7/20), and 36% of the second-level alters (n = 4/11). On average, the mothers made health decisions with 2.9 people (range: 1-6); partners/spouses and mothers/mothers-in-law were most common. One mother had low health literacy; her two first-level alters also had low health literacy. Across the full sample, the average number of people in individuals' health decision networks was 2.5 (range: 0-7); 39% of those interviewed had low health literacy. This can inform the design of future studies and successful interventions to improve health literacy.
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