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Brief screening items to identify spanish-speaking adults with limited health literacy and numeracy skills

BACKGROUND: Limited health literacy (HL) and numeracy have been shown to be associated with a wide array of poor health-related outcomes, knowledge, and behaviors. The purpose of this study was to evaluate the clinical utility of brief HL and numeracy screening items in identifying Spanish-speaking...

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Autores principales: Singh, Rashmi, Coyne, Laura Scott, Wallace, Lorraine S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4570754/
https://www.ncbi.nlm.nih.gov/pubmed/26370120
http://dx.doi.org/10.1186/s12913-015-1046-2
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author Singh, Rashmi
Coyne, Laura Scott
Wallace, Lorraine S.
author_facet Singh, Rashmi
Coyne, Laura Scott
Wallace, Lorraine S.
author_sort Singh, Rashmi
collection PubMed
description BACKGROUND: Limited health literacy (HL) and numeracy have been shown to be associated with a wide array of poor health-related outcomes, knowledge, and behaviors. The purpose of this study was to evaluate the clinical utility of brief HL and numeracy screening items in identifying Spanish-speaking adults’ HL and numeracy skills. METHODS: We studied convenience samples of native Spanish-speaking adults in Columbus, Ohio. A trained research assistant administered sociodemographic items, HL and numeracy screening items, Short Assessment of Health Literacy (SAHL), and Newest Vital Sign (NVS) to participants in Spanish. RESULTS: Participants (n = 151) averaged 36.8 ± 11.0 years of age and 54.7 % were female. Average SAHL score was 15.7 ± 2.8 (range = 4 to 18), while the average NVS score was 1.7 ± 1.5 (range = 0 to 6). “How confident are you filling out medical forms by yourself?” performed best in detecting limited NVS scores (AUROC = 0.66; 95 % confidence interval [CI] = 0.57–0.75), limited/marginal NVS scores (AUROC = 0.75; 95 % CI = 0.65–0.84), and inadequate SAHL scores (AUROC = 0.69; 95 % CI = 0.58–0.79). CONCLUSION: A single HL screening item is useful for quickly estimating HL and numeracy skills in native Spanish-speaking adults.
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spelling pubmed-45707542015-09-16 Brief screening items to identify spanish-speaking adults with limited health literacy and numeracy skills Singh, Rashmi Coyne, Laura Scott Wallace, Lorraine S. BMC Health Serv Res Research Article BACKGROUND: Limited health literacy (HL) and numeracy have been shown to be associated with a wide array of poor health-related outcomes, knowledge, and behaviors. The purpose of this study was to evaluate the clinical utility of brief HL and numeracy screening items in identifying Spanish-speaking adults’ HL and numeracy skills. METHODS: We studied convenience samples of native Spanish-speaking adults in Columbus, Ohio. A trained research assistant administered sociodemographic items, HL and numeracy screening items, Short Assessment of Health Literacy (SAHL), and Newest Vital Sign (NVS) to participants in Spanish. RESULTS: Participants (n = 151) averaged 36.8 ± 11.0 years of age and 54.7 % were female. Average SAHL score was 15.7 ± 2.8 (range = 4 to 18), while the average NVS score was 1.7 ± 1.5 (range = 0 to 6). “How confident are you filling out medical forms by yourself?” performed best in detecting limited NVS scores (AUROC = 0.66; 95 % confidence interval [CI] = 0.57–0.75), limited/marginal NVS scores (AUROC = 0.75; 95 % CI = 0.65–0.84), and inadequate SAHL scores (AUROC = 0.69; 95 % CI = 0.58–0.79). CONCLUSION: A single HL screening item is useful for quickly estimating HL and numeracy skills in native Spanish-speaking adults. BioMed Central 2015-09-14 /pmc/articles/PMC4570754/ /pubmed/26370120 http://dx.doi.org/10.1186/s12913-015-1046-2 Text en © Singh et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Singh, Rashmi
Coyne, Laura Scott
Wallace, Lorraine S.
Brief screening items to identify spanish-speaking adults with limited health literacy and numeracy skills
title Brief screening items to identify spanish-speaking adults with limited health literacy and numeracy skills
title_full Brief screening items to identify spanish-speaking adults with limited health literacy and numeracy skills
title_fullStr Brief screening items to identify spanish-speaking adults with limited health literacy and numeracy skills
title_full_unstemmed Brief screening items to identify spanish-speaking adults with limited health literacy and numeracy skills
title_short Brief screening items to identify spanish-speaking adults with limited health literacy and numeracy skills
title_sort brief screening items to identify spanish-speaking adults with limited health literacy and numeracy skills
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4570754/
https://www.ncbi.nlm.nih.gov/pubmed/26370120
http://dx.doi.org/10.1186/s12913-015-1046-2
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