ArticleJournal of racial and ethnic health disparities2022
Acculturation and Health Literacy Among Chinese Speakers in the USA with Limited English Proficiency.
Article in Journal of racial and ethnic health disparities, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Determinants of health literacy in early childhood care among marginalized ethnic communities: a cross-sectional study in three border provinces of Thailand.International journal for equity in health · 2026Article
- Latent Profile Analysis of Acculturation and Associated Health Among Asian American Subgroups.Journal of racial and ethnic health disparities · 2026Article
- Healthcare utilization and satisfaction: a cross-sectional study among Indian immigrants in Japan.BMC public health · 2026Article
- Social Determinants of Health and Health Equity in the Treatment and Rehabilitation of Sport-Related Concussion: A Content Analysis of Intervention Research and Call-To-Action.Journal of neurotrauma · 2024Review
- Pain prevalence, intensity, and association with neuropsychiatric symptoms of dementia in immigrant and non-immigrant aged care residents in Australia.Scientific reports · 2024Article
- Social determinants of health literacy among parents and caregivers in the US-Affiliated Pacific.Health promotion international · 2024Article
- Impact of English Proficiency on Health Literacy in Older Korean Immigrants: Mediating Effects of Social Support and Acculturation.Journal of immigrant and minority health · 2024Article
- Trust, Interaction with Neighbors, and Vaccination during the COVID-19 Pandemic: A Cross-Sectional Analysis of Chinese Data.Vaccines · 2023Article
- Lifestyle Patterns of Children Experiencing Homelessness: Family Socio-Ecological Correlates and Links with Physical and Mental Health.International journal of environmental research and public health · 2022Article
- Patient Race, Ethnicity, Language, and Pain Severity in Primary Care: A Retrospective Electronic Health Record Study.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2022Article
- Health Literacy among Older Adults during COVID-19 Pandemic: A Cross-Sectional Study in an Urban Community in Thailand.Annals of geriatric medicine and research · 2021Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundAcculturation is an important factor that is uniquely associated with health literacy among racial/ethnic minorities. We examined the relationship between acculturation and health literacy among Chinese speakers in the USA who have limited English proficiency. Since language proficiency is an important subcomponent of acculturation, we also explored the relationship between English language proficiency and health literacy.
methodsOur sample included 405 participants. To evaluate the appropriateness of the acculturation instrument to elicit valid data, we performed exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). We performed linear regressions to investigate the relationship between acculturation and health literacy.
resultsOur acculturation instrument can be divided into three factors: English language proficiency, interactions with family and friends, and interactions with neighbors. The acculturation measurement model exhibited good fit. Higher US acculturation was associated with lower Chinese information appraisal, higher English functional health literacy, and higher English information appraisal. Higher English language proficiency was positively associated with English functional health literacy and English information appraisal. There was no relationship between English language proficiency and Chinese health literacy. Neither acculturation nor English language proficiency was associated with empowerment. DISCUSSION: English language proficiency might play an important role in English functional health literacy and information appraisal. Developing and implementing English as a second language (ESL) curriculum in health promotion intervention programs can effectively improve English functional health literacy and information appraisal among populations with LEP.
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