Evidence map›Paper›PMID 40992095›Full record

ArticlePatient education and counseling2026

Predictors of health literacy among Deaf American Sign Language users.

Michael M McKee, Melissa Plegue, Sara Champlin, Joseph Hill, Tiffany Panko, Lorraine R Buis, Ananda Sen, Michael K Paasche-Orlow, Peter C Hauser

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient education and counseling, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Health literacy of the Deaf community: a scoping review.Journal of deaf studies and deaf education · 2026
    Article
  2. Experiences of culturally Deaf people with health care access and navigation in Ontario, Canada: a qualitative co-design study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  3. Article
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

9 authors.

Michael M McKeeDepartment of Family Medicine, University of Michigan Medical School, Ann Arbor, MI 48104, USA. Electronic address: mmmckee@med.umich.edu.
Melissa PlegueDepartment of Family Medicine, University of Michigan Medical School, Ann Arbor, MI 48104, USA.
Sara ChamplinSchool of Journalism, University of North Texas, Denton, TX 76201, USA.
Joseph HillCenter for Black Deaf Studies, Gallaudet University, Washington, DC 20002, USA.
Tiffany PankoNational Technical Institute for the Deaf, Rochester Institute of Technology, Rochester, NY 14623, USA.
Lorraine R BuisDepartment of Family Medicine, University of Michigan Medical School, Ann Arbor, MI 48104, USA.
Ananda SenDepartment of Family Medicine, University of Michigan Medical School, Ann Arbor, MI 48104, USA; Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA.
Michael K Paasche-OrlowDivision of General Internal Medicine, Department of Medicine, Tufts University School of Medicine and Tufts Medical Center, Boston, MA 02116, USA.
Peter C HauserNational Technical Institute for the Deaf, Rochester Institute of Technology, Rochester, NY 14623, USA.

Funding

Mechanisms of Health Literacy and Information Accessibility in the DeafR01DC014703 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCKEE, MICHAEL M · 2015 to 2019
$3.4M
NIDCD NIH HHS R01 DC014703
6 · The paper itself

Abstract

objectiveHealth literacy is an important predictor of individuals' health, medical adherence, and health-related decision making. This study investigated the predictors of health literacy among Deaf American Sign Language (ASL) users.

methods408 Deaf ASL users and 445 Hearing English speakers were administered the Newest Vital Sign, a measure of health literacy available in both English and ASL, along with assessments of language proficiency and reading skills.

resultsDeaf participants had 3.7 times greater odds of inadequate health literacy (95 % CI: 2.7, 4.9) compared to their hearing counterparts. Binary logistic regression revealed that Deaf participants' ASL proficiency and English reading grade equivalent explained 34.2 % (Nagelkerke R

conclusionsDeaf people are at risk for having greater difficulty to find, understand, and use information and services to inform health-related decisions and actions for themselves and others. PRACTICE IMPLICATIONS: Health professionals and health systems should allocate resources to mitigate health literacy barriers among Deaf people and make health information more available in ASL.

Indexed as

DeafnessHealth LiteracyPersons with Hearing DisabilitiesSign LanguageAdultAgedCommunication BarriersFemaleHumansMaleMiddle AgedReadingASLDeafHealth LiteracyPeople of ColorRaceSign Language

Identifiers

PMID40992095
PMCPMC13329732

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.