The Role of Health Literacy in Predicting Multiple Healthcare Outcomes Among Hispanics in a Nationally Representative Sample: A Comparative Analysis by English Proficiency Levels

Madhurima Sarkar, Lindsey Asti, Kristine M. Nacion, Deena J. Chisolm

Research output: Contribution to journalArticle

Abstract

Health literacy (HL) research among Hispanics currently focuses on individuals with limited English proficiency but impacts of HL on healthcare outcomes among other English language proficiency groups is relatively unknown. Regression models assessed associations between HL and healthcare outcomes for Hispanics overall (n = 4013) and for proficiency level sub-populations using the 2007 Pew Hispanic Health Survey. Overall, Hispanics with adequate HL percieved US medical care as “excellent,” were more satisfied with their doctor’s help, and reported “excellent” overall health. In the sub-population analysis, “excellent” perception of US healthcare was associated with HL among the Spanish and English dominant groups. Among bilinguals, adequate HL was associated with decreased use of traditional medicine. The effect of adequate HL varied within English proficiency groups. HL research that focuses only on Spanish dominant speakers can exclude a substantial percentage of English proficient or bilingual populations who have low HL.

Original languageEnglish (US)
Pages (from-to)608-615
Number of pages8
JournalJournal of Immigrant and Minority Health
Volume18
Issue number3
DOIs
StatePublished - Jun 1 2016
Externally publishedYes

Keywords

  • English proficiency
  • Health literacy
  • Hispanic healthcare
  • Latino/Hispanic

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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