Translation in Health Literacy Research

Author(s):  
Xuewei Chen ◽  
Sandra Acosta

This chapter reviews the translation process for six health literacy instruments: Rapid Estimate of Adult Literacy in Medicine, Test of Functional Health Literacy in Adults (TOFHLA), European Health Literacy Survey Questionnaire (HLS-EU-Q), All Aspects of Health Literacy Scale, Newest Vital Sign, and Functional, Communicative and Critical Health Literacy. Some instruments, developed in the United States and the United Kingdom, targeted English-speaking populations only. Later, researchers translated several into the languages of immigrant and refugee groups with limited English proficiency. For example, the TOFHLA was translated and adapted to target Korean and Vietnamese Americans. Some instruments were translated and employed for conducting health literacy research worldwide. One example is the HLS-EU-Q for health literacy research conducted in Indonesia, Kazakhstan, Malaysia, Myanmar, Taiwan, and Vietnam. This chapter describes how health literacy instruments were translated into various languages and revised to account for cultural and health system differences across countries and population groups.

2011 ◽  
Vol 15 (1) ◽  
pp. 5-22
Author(s):  
Robyn Hartley ◽  
Jackie Horne

Assessing the social and economic benefits of investing in adult literacy and numeracy and the costs of poor adult literacy and numeracy, is largely uncharted territory in Australia. Some interest was evident in the late 1980s leading up to International Literacy Year, 1990 (for example, Miltenyi 1989, Singh 1989, Hartley 1989); however, there has been little work done in the area since then, with the exception of recent studies concerned with financial literacy costs and benefits (Commonwealth Bank Foundation 2005). Assessing the benefits (returns) of workplace training in general has received some attention (for example Moy and McDonald 2000), although the role of literacy and numeracy is often implied rather than explored in any detail. In contrast, there is a considerable body of relevant research emanating from the United States, Canada, the United Kingdom and some European countries. The release of data from the International Adult Literacy Survey (IALS) in the 1990s contributed to some of this research, as did policy developments for example, in the United Kingdom. The much greater use of IALS data in some other countries compared with Australia, seems to be related to a combination of factors in the overall policy and research environment for adult literacy and numeracy in each country.


2020 ◽  
Vol 70 (3) ◽  
pp. 258-276 ◽  
Author(s):  
Xia Chao ◽  
Boping Kang

Drawing on the accounts of literacy as socioculturally situated, this 2-year ethnography explores Bhutanese adult refugees’ health literacy at the intersection of their culture and experiences. This study illustrates the multifaceted relations between health literacy, culture, integration, and empowerment. This study indicates health literacy as sociocultural practice. Health literacy is mediated by Bhutanese adults’ oral tradition, language, education, and experiences over time. This study highlights health literacy as sociocultural participation—it resides in individuals’ community engagement. Rather than simply describing their limited functional health literacy as “a big problem,” this study recognizes Bhutanese adults’ ability to take action to improve personal and community health. This study challenges the deficit view rooted in adult literacy. It advocates integrating health literacy into adult literacy education to raise public awareness that health literacy promotes social justice, human rights, and world citizenship. Implications for a bottom-up approach to health literacy education are provided.


2018 ◽  
Author(s):  
Alexandra Rouquette ◽  
Théotime Nadot ◽  
Pierre Labitrie ◽  
Stephan Van den Broucke ◽  
Julien Mancini ◽  
...  

2021 ◽  
Author(s):  
Dolors Juvinyà-Canal

Este articulo trata sobre la alfabetización en salud en la comunidad.  En primer lugar se clarifica que se entiende  la salud como  un derecho de todos los seres humanos y tiene que ser sostenida por la sociedad. Se introduce la promoción de la salud como enfoque teniendo en cuenta que se define como un proceso que permite a las personas incrementar el control sobre su salud y la importancia de la alfabetización en salud como uno de los pilares básicos. Se desarrolla el concepto de alfabetización en salud a partir de múltiples definiciones, se revisan algunas por su significación y se recogen tres elementos claves a partir del análisis de la mayoría de ellas. Se reconoce que el concepto es multidimensional, complejo y heterogéneo. Se recopilan los conocimientos sobre el tema a partir de los estudios realizados. Se presentan algunos de los instrumentos para la medida de la alfabetización en salud. Por su relevancia en el contexto europeo se presenta el modelo de Sorensen y su desarrollo en el cuestionario European Health Literacy Survey que permitió conocer el nivel de alfabetización en salud en ocho países europeos. Finalmente se introducen los entornos saludables como estrategia para facilitar la alfabetización en salud de las personas en la comunidad y se comentan los aspectos más relevantes de cada uno de ellos.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Saboga-Nunes ◽  
A Silva ◽  
S Mendes ◽  
B Almeida ◽  
M R André ◽  
...  

Abstract Background Portugal has experienced trough-out his recent history successive migration patterns. Lately, with instability in Syria and the Mediterranean routes of migration between Africa and Europe, new challenges have emerged. One of them is related to migrants’ health and their navigation of health care system. In order to better understand cultural patterns of migrants, this research aims to explore their health literacy (HL) in the context of the European Health Literacy Survey framework (HLS-EU). Methods A total of 748 participants from the different offices of a company in the financial sector (Portugal, main land and autonomous territories) participated in a cross sectional survey (CAWI). Age ranged from 25 to 65 years and HL was measured using the HLS-EU instrument validated to Portuguese (HLS-EU-PT). Each participant was allocated to one of the groups, either of satisfactory HL (when scores ≥30) or insufficient HL (when scores <30). In order to access the migrant condition, a proxy variable considered the participant’s parents origin: at least one of the parents was born in a foreign country. Results Out of the 748 participants, 4.1% (n = 31) were considered migrants. Of the migrant participants, 6.9% have inadequate, 51.7% problematic, 24.1% sufficient and 17.2% excellent HL (HLS-EU-PT). Migrants have lower levels of HL when compared with nationals in this sample (respectively 58.6% and 45.8% for insufficient HL) but this difference is not statistically significant. Conclusions Although results didn’t show an association between being migrant and lower levels of HL (when compared with nationals), it is nevertheless relevant to consider that more than 1 in every two migrants (58.6%) have insufficient HL levels. Special consideration should be given to this group to promote HL levels and further research is needed to better understand how HL and cultural sensitiveness may work for a better integration of migrants.


2019 ◽  
Vol 34 (7) ◽  
pp. 1241-1241
Author(s):  
A Burks ◽  
J Avila ◽  
G Kaz ◽  
S Pacheco ◽  
S Verney

Abstract Objective Health literacy (HL), the ability to understand one’s own medical conditions and navigate the healthcare system, is strongly associated with both educational achievement and executive functioning. Many American Indians (AIs) have experienced trauma in early education, such as forced removal into harsh boarding school systems; these experiences may impact their educational achievement, and subsequently, HL. Further, AIs disproportionately experience a myriad of chronic diseases. The goal of this study is to investigate the relationship between HL and executive functioning in older AIs. Participants and Method Participants were recruited from a southwestern urban area, who self-identified as AIs, aged 55 to 80 (n = 43). Participants were asked to complete a series of questionnaires, interviews, and neuropsychological tests over two sessions, the second session was optional. This poster investigates the data from participants who completed both sessions. We created a composite variable of HL measures, (Rapid Estimate of Adult Literacy in Medicine, Newest Vital Sign, and the Short Test of Functional Health Literacy in Adults verbal and numeracy z-scores). Results HL was positively correlated with both WASI Matrix Reasoning and WASI Similarities. Similarly, HL was positively correlated with Verbal Semantic Fluency (VSF) – Animals and Plants. However, there was no significant correlation between HL and VSF – Fruits and Vegetables or HL and Trails Making – B. Conclusions These findings suggest that HL and executive functioning are linked in older AIs. Discrepancies between the executive functioning tests (VSF – Animals, Fruits/Vegetables, and Plants) may be due to resources, culture, and education quality. These findings highlight the need for further investigation of cultural context and the accompanying development of culturally appropriate measures.


Medicina ◽  
2020 ◽  
Vol 56 (7) ◽  
pp. 330
Author(s):  
Hsiao-Ting Chiu ◽  
Han-Wei Tsai ◽  
Ken N. Kuo ◽  
Angela Y.M. Leung ◽  
Yao-Mao Chang ◽  
...  

Background and Objectives: To investigate the health literacy (HL) among older adults in Taiwan, we referenced an existing integrated model of HL to confirm the influencing factors of HL in older adults. We propose this study to examine the personal, situational, and socioenvironmental factors influencing HL among older adults. Materials and Methods: A cross-sectional survey was conducted at a district hospital and affiliated community center in northern Taiwan from August 2016 to May 2017. This study used the Mandarin Chinese version of the European Health Literacy Survey Questionnaire (EU-Q47). We designed three models based on the three domains of HL. Model 1 assesses personal factors. Model 2 incorporates situational factors. Model 3 adds the socioenvironmental factor. Results: We recruited 161 participants aged over 65 years. Most adults in this study had limited overall HL. The final regression model revealed that age >85 years, unknown insurance status, and dominant spoken dialect of Hakka or Taiwanese were significantly associated with higher scores of HL. Conclusions: Our study results may help clinicians with early identification of older adults at high risk for poor HL and help health administrators establish geriatric policies and health education plans.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Emma Mirza Wati Mohamad ◽  
Manimaran Krishnan Kaundan ◽  
Mohammad Rezal Hamzah ◽  
Arina Anis Azlan ◽  
Suffian Hadi Ayub ◽  
...  

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sonja Stelly Gustafsdottir ◽  
Arun K. Sigurdardottir ◽  
Solveig A. Arnadottir ◽  
Gudmundur T. Heimisson ◽  
Lena Mårtensson

2015 ◽  
Vol 42 (9) ◽  
pp. 1610-1615 ◽  
Author(s):  
Zhaowei Gong ◽  
Sara L. Haig ◽  
Janet E. Pope ◽  
Sherry Rohekar ◽  
Gina Rohekar ◽  
...  

Objective.To determine the rate of low health literacy in the rheumatoid arthritis (RA) population in southwestern Ontario.Methods.For the study, 432 patients with RA were contacted, and 311 completed the assessment. The health literacy levels of the participants were estimated using 4 assessment tools administered in the following order: the Single Item Literacy Screener (SILS), the Medical Term Recognition Test (METER), the Rapid Estimate of Adult Literacy in Medicine (REALM), and the Shortened Test of Functional Health Literacy in Adults (STOFHLA).Results.The rates of low literacy as estimated by STOFHLA, REALM, METER, and SILS were 14.5%, 14.8%, 14.1%, and 18.6%, respectively. All 4 assessment tools were statistically significantly correlated. STOFHLA, REALM, and METER were strongly correlated with each other (r = 0.59–0.79), while SILS only demonstrated moderate correlations with the other assessment tools (r = 0.33–0.45). Multiple linear regression and binary logistic regression analyses revealed that low levels of education and a lack of daily reading activity were common predictors of low health literacy. Using a non-English primary language at home was found to be a strong predictor of low health literacy in STOFHLA, REALM, and METER. Male sex was found to be a significant predictor of poor performance in REALM and METER, but not STOFHLA.Conclusion.Low health literacy is an important issue in the southwestern Ontario RA population. About 1 in 7 patients with RA may not have the necessary skills to become involved in making decisions regarding their personal health. Rheumatologists should be aware of the low health literacy levels of patients with RA and should consider identifying patients at risk of low health literacy.


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