title: The Role of Health Literacy in Predicting Multiple Healthcare Outcomes Among Hispanics in a Nationally Representative Sample: A Comparative Analysis by English Proficiency Levels.
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.
authors.affiliation: Center for Innovation in Pediatric Practice, The Research Institute at Nationwide Children's Hospital, Columbus, OH, 43205, USA. Madhurima.sarkar@nationwidechildrens.org.
authors.forename: Madhurima
authors.initials: M
authors.lastname: Sarkar
authors.affiliation: College of Public Health, The Ohio State University, Columbus, OH, USA.
authors.forename: Lindsey
authors.initials: L
authors.lastname: Asti
authors.affiliation: Center for Innovation in Pediatric Practice, The Research Institute at Nationwide Children's Hospital, Columbus, OH, 43205, USA.
authors.forename: Kristine M
authors.initials: KM
authors.lastname: Nacion
authors.affiliation: Center for Innovation in Pediatric Practice, The Research Institute at Nationwide Children's Hospital, Columbus, OH, 43205, USA.|Department of Pediatrics, The Ohio State University, Columbus, OH, USA.
authors.forename: Deena J
authors.initials: DJ
authors.lastname: Chisolm
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000529:Complementary Therapies / Q000706:statistics & numerical data; D005260:Female; D057220:Health Literacy / Q000706:statistics & numerical data*; D006304:Health Status; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D007802:Language; D008297:Male; D017060:Patient Satisfaction / Q000208:ethnology*; D012044:Regression Analysis; D012959:Socioeconomic Factors; D055815:Young Adult
keywords: English proficiency; Health literacy; Hispanic healthcare; Latino/Hispanic