ArticlePatient education and counseling2022
Impact of language preference and health literacy on health information-seeking experiences among a low-income, multilingual cohort.
Article in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between language discordance and unplanned hospital readmissions or emergency department revisits: a systematic review and meta-analysis.BMJ quality & safety · 2024Pooled it
- Impact of health literacy and primary language on the decision to pursue trial of labor after prior cesarean delivery.BMC pregnancy and childbirth · 2025Trial
- The Effect of European Health Literacy-Based e-Pulse Education and e-Pulse Instructional Materials on Health Literacy Levels in Adults Aged 45-64: A Randomized Controlled Trial.Research in nursing & health · 2025Trial
- Digital Health Information Use, Trust, and Language-Related Disparities in Health Literacy in South Tyrol, Italy: Cross-Sectional Survey Study.JMIR formative research · 2026Article
- Factors Associated with e-Health Literacy Among Older Adults in Klang Valley, Malaysia: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2026Article
- Comparing TCIM use and patient satisfaction in germany: impact of health self-management across migration backgrounds.Journal of health, population, and nutrition · 2026Article
- Autism-Related Information on Websites and General-Purpose Artificial Intelligence Chatbots: Comparative, Bilingual Study.JMIR formative research · 2026Article
- Rethinking Communication Barriers: Educational Attainment in Cervical Cancer Screening Among American Sign Language Users.European journal of investigation in health, psychology and education · 2026Article
- Correlates of social participation of children with special healthcare needs: baseline of the PART-CHILD study.BMC pediatrics · 2026Article
- Co-creating the clinical pathway for Test it, a web-accessed sexually transmitted infections testing service.NPJ digital medicine · 2026Article
- User-Centered Diabetes Self-Management App (DiabAid Nexus) in Sub-Saharan Africa: Development and Usability Study.Journal of medical Internet research · 2026Article
- Quality and readability of Turkish online patient information websites on benign paroxysmal positional vertigo.BMC health services research · 2026Article
- Digital and traditional recruitment strategies and participation patterns in the multicenter Healthy Brain Ageing study.Frontiers in digital health · 2026Article
- Online Health Information Seeking for Pregnancy-Related Resources and Maternal eHealth Literacy Among Women in Thailand: A Qualitative Study.International journal of women's health · 2026Article
- Article
- Care preferences of older migrants and minority ethnic groups with various care needs: A scoping review.PloS one · 2026Article
- Article
- Developing and Testing an Online Portal for Virtual Navigation for Asian American Patients With Cancer: Pilot Feasibility Study.JMIR cancer · 2025Article
- Health Literacy Applications in Patients With Cancer.Clinical journal of oncology nursing · 2025Review
- Barriers to Patient Portal Adoption Among a Bilingual Patient Population by Analysis of Survey Findings from English- and Spanish-Speaking Patients: Information Needs Study.JMIR formative research · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveWe examined the impact of language preference and health literacy on health information-seeking experiences in a multilingual, low-income cohort.
methodsWe administered a modified Health Information National Trends Survey in English, Spanish, and Chinese to a sample of San Francisco city/county residents. Using multivariable logistic regression analyses, we assessed how language and health literacy impact health information-seeking experiences (confidence, effort, frustration, quality concerns, and difficulty understanding information), adjusting for age, gender, race/ethnicity, education, usual place of care, health status, information-seeking behaviors, and smartphone ownership.
resultsOf 1000 participants (487 English-speaking, 256 Spanish-speaking, 257 Chinese-speaking), 820 (82%) reported at least one negative health information-seeking experience. Chinese-language was associated with frustration (aOR = 2.56; 1.12-5.86). Difficulty understanding information was more likely in Spanish-language respondents (aOR = 3.58; 1.25-10.24). Participants with limited health literacy reported more effort (aOR = 1.97; 1.22-3.17), frustration (aOR = 2.09; 1.28-3.43), concern about quality (aOR = 2.72; 1.60-4.61), and difficulty understanding information (aOR = 2.53; 1.58-4.05). Language and literacy impacted confidence only in the interaction term between Chinese-speakers and health literacy.
conclusionWe found that negative health information-seeking experiences were common in non-English speaking populations those with limited health literacy. PRACTICE IMPLICATIONS: Health communication efforts should consider both language preference and health literacy to ensure accessibility for all patients.
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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.