Evidence map›Paper›PMID 32593981›Full record

ArticleStudies in health technology and informatics2020

The Intersections Between Social Determinants of Health, Health Literacy, and Health Disparities.

Dean Schillinger

Registry-linked trialAbstract read
In one paragraph

Article in Studies in health technology and informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05180604 (Improving Patients With Chronic Disease to Engage in the eHealth Care Environment), which is not on this map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
–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.

NCT05180604 nacompletednot on this map

Improving Patients With Chronic Disease to Engage in the eHealth Care Environment: the Application and Evaluation of eHealth Literacy Concept

TypeinterventionalSponsorNational Yang Ming Chiao Tung UniversityRan2019 to 2021Enrolled92ConditionsType 2 Diabetes Mellitus, Chronic Kidney Diseases, Cardiovascular DiseasesArmsexperience learning programs of eHealth care
3 · Its place in the literature

Who cites it

97 citing papers in PubMed.

  1. Trial
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  4. Identifying caregiver-reported modifiable barriers to pediatric oncology clinical trial enrollment and participation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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37 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

1 author.

Dean SchillingerUniversity of California San Francisco (UCSF), U.S.A.

Funding

The Next Frontier in Diabetes Communication: Promoting Health Literacy in the Era of Secure MessagingR01LM012355 · NLM · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KARTER, ANDREW JOHN, SCHILLINGER, DEAN · 2015 to 2018
$2.8M
NCCDPHP CDC HHS U18 DP006526NLM NIH HHS R01 LM012355
6 · The paper itself

Abstract

This chapter synthesizes what is known about the relationship between social disadvantage and measures of low health literacy (LHL), and reviews the research examining whether LHL is an explanatory factor connecting social disadvantage, health outcomes, and health disparities. Written from a U.S. perspective, the chapter then offers a novel conceptual framework that presents how the social determinants of health might interact with LHL to result in health disparities. The framework articulates relationships that reflect public health pathways and healthcare pathways, which include their related health literacies. In addition, the chapter highlights as an exemplar one important potential causal mechanism in the healthcare pathway by exploring the communication model in outpatient care, as communication has been very well-studied with respect to both health disparities and HL. The chapter then, provides two examples of HL interventions aligned with the conceptual framework, one of which addresses the health care literacy pathway, and the other addresses the public health literacy pathway. The chapter continues with a number of cautionary statements based on the inherent limitations of current HL research, including problems and concerns specific to the attribution of HL as an explanatory factor for extant socioeconomic and racial/ethnic health disparities. The chapter closes with recommendations regarding future research directions.

Indexed as

Health LiteracySocial Determinants of HealthCommunicationDelivery of Health CareEthnicityHumanscommunicationdiscriminationhealth disparitieshealth literacyhealth policymeasurementpublic healthrace and ethnicitysocial ecological model

Identifiers

PMID32593981
PMCPMC7710382

What OpenQuestion holds

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Registered trials

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.