SynthesisBMC public health2024
A systematic review and narrative synthesis of health literacy interventions among Spanish speaking populations in the United States.
Synthesis in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Perspective of Hispanic Cancer Survivors on Survivorship Care Plans: A Qualitative Study.Journal of immigrant and minority health · 2026Trial
- Medicare Advantage Prior-Authorizations Are Linked to Racial Differences in End-of-Life Home Health Use.Journal of the American Geriatrics Society · 2026Article
- Development and Adaptation of Bilingual Health Text Message Databases for Health Interventions in Hispanic Communities: Protocol for a Scoping Review.JMIR research protocols · 2026Article
- What works to improve health and digital health literacy in disadvantaged groups: A policy-focused evidence brief.Public health in practice (Oxford, England) · 2026Article
- Update on Education for Families and Patients With Pediatric Heart Disease: A Focus on Technological Advancements, Procedures, and Transitions of Care: A Scientific Statement From the American Heart Association.Journal of the American Heart Association · 2026Review
- Hypertension Disparities in Immigrant and Refugee Populations: Screening, Treatment Access, and Cultural Barriers.Current hypertension reports · 2026Review
- Developing Spanish Language Intervention Content to Address Health Disparities among People Who Use Drugs, and Other Hard-To-Reach Populations.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Medicaid Is an Important Driver of a Healthier North Carolina, But Not Enough to Dismantle Persistent Health Inequities.North Carolina medical journal · 2025Article
- Psychometric Properties of Health Literacy Instruments and their Medical Contexts in Research with Hispanics/Latinos: a Systematic Review.Journal of racial and ethnic health disparities · 2025Article
- Empowering Self-Management of Chronic Low Back Pain Among Spanish and Cantonese Speakers in the United States.Cureus · 2025Article
- Advancing health equity: evaluating AI translations of kidney donor information for Spanish speakers.Frontiers in public health · 2025Article
- Digital health literacy and use of patient portals among Spanish-preferred patients in the United States: a cross-sectional assessment.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile many populations struggle with health literacy, those who speak Spanish preferentially or exclusively, including Hispanic, immigrant, or migrant populations, may face particular barriers, as they navigate a predominantly English-language healthcare system. This population also faces greater morbidity and mortality from treatable chronic diseases, such as hypertension and diabetes. The aim of this systematic review was to describe existing health literacy interventions for patients with a Spanish-language preference and present their effectiveness.
methodsWe carried out a systematic review where Web of Science, EMBASE, and PubMed were queried using MeSH terms to identify relevant literature. Included articles described patients with a Spanish-language preference participating in interventions to improve health literacy levels in the United States. Screening and data abstraction were conducted independently and in pairs. Risk of bias assessments were conducted using validated appraisal tools.
resultsA total of 2823 studies were identified, of which 62 met our eligibility criteria. The studies took place in a variety of community and clinical settings and used varied tools for measuring health literacy. Of the interventions, 28 consisted of in-person education and 27 implemented multimedia education, with 89% of studies in each category finding significant results. The remaining seven studies featured multimodal interventions, all of which achieved significant results.
conclusionSuccessful strategies included the addition of liaison roles, such as promotores (Hispanic community health workers), and the use of multimedia fotonovelas (photo comics) with linguistic and cultural adaptations. In some cases, the external validity of the results was limited. Improving low health literacy in patients with a Spanish-language preference, a population with existing barriers to high quality of care, may help them better navigate health infrastructure and make informed decisions regarding their health. REGISTRATION: PROSPERO (available at https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021257655.t ).
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