Evidence map›Paper›PMID 40342159›Full record

ArticleJournal of public health (Oxford, England)2025

Communication about COVID-19 with urban American Indian and Alaska Native peoples: the role of health literacy, trust, and information source.

Amanda D Boyd, Austin Henderson, Azhar Uddin, Solmaz Amiri, Richard F MacLehose, Spero M Manson, Dedra Buchwald

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Amanda D BoydElson S. Floyd College of Medicine, Washington State University, 412 E. Spokane Falls Blvd., Spokane, WA, 99202, USA.
Austin HendersonElson S. Floyd College of Medicine, Washington State University, 412 E. Spokane Falls Blvd., Spokane, WA, 99202, USA.ORCID 0000-0002-3559-0616
Azhar UddinElson S. Floyd College of Medicine, Washington State University, 412 E. Spokane Falls Blvd., Spokane, WA, 99202, USA.
Solmaz AmiriElson S. Floyd College of Medicine, Washington State University, 412 E. Spokane Falls Blvd., Spokane, WA, 99202, USA.
Richard F MacLehoseSchool of Public Health, University of Minnesota, 420 Delaware St., Minneapolis, MN, 55455, USA.
Spero M MansonCenters for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, 13055 East 17th Avenue, Aurora, CO 80045, USA.
Dedra BuchwaldDepartment of Neurological Surgery, University of Washington, 325 Ninth Avenue, Seattle, WA 98104, USA.

Funding

University of Washington Alzheimer's Disease Research CenterP30AG066509 · NIA · UNIVERSITY OF WASHINGTON · PI Amanda D. Boyd · 2020 to 2026
$29.0M
Native-Controlling Hypertension And Risk through Technology (Native-CHART)U54MD011240 · NIMHD · WASHINGTON STATE UNIVERSITY · PI BUCHWALD, DEDRA S · 2016 to 2021
$14.3M
NIA NIH HHS P30 AG066509NIH HHS U54MD011240-05S1NIMHD NIH HHS U54 MD011240
6 · The paper itself

Abstract

backgroundDeveloping optimal health communication strategies about COVID-19 and vaccines requires an understanding of the health literacy level of populations, trusted sources of information, and perceptions of COVID-19 messaging. We examined how health literacy is related to knowledge about COVID-19 among American Indian and Alaska Native (AI/AN) peoples.

methodsWe surveyed 788 AI/AN peoples at five Tribal health organizations between January and May 2021. We assessed health literacy using a 4-item health literacy index, and knowledge of COVID-19 in three domains: protection against contracting COVID-19; contracting COVID-19, and clinical manifestations of contraction. Questions also included rating trust of COVID-19 information sources and perceptions of messaging.

resultsParticipants had a high level of knowledge about COVID-19; however, health literacy was not significantly associated with any domain of COVID-19 knowledge. Participants perceived the most trusted source of COVID-19-related health information to be health professionals, followed by health clinics. Social media was the least trusted source of information. Tribal sources of information were rated on average higher quality than non-tribal sources.

conclusionsAI/AN peoples had high levels of accurate knowledge about COVID-19 regardless of assessed health literacy. Information sources should include Tribal-led organizations and health professionals to increase uptake of COVID-19 messaging.

Indexed as

American Indian or Alaska NativeCOVID-19Health CommunicationHealth LiteracyTrustAdultAgedCommunicationFemaleHealth Knowledge, Attitudes, PracticeHumansInformation SourcesMaleMiddle AgedSARS-CoV-2Surveys and QuestionnairescommunicationeducationIndigenousrisk perceptionvaccine

Identifiers

PMID40342159
PMCPMC12395942

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LicenceCC BY-NC-ND
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Registered trials

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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.