Social determinants of health literacy among parents and caregivers in the US-Affiliated Pacific.
Health literacy is understudied in the US-Affiliated Pacific (USAP), where local populations have historically experienced social marginalization and disproportionate health inequities caused by the social determinants of health (SDOH). This cross-sectional study analyzed several SDOH indicators—acc...
| Publicado en: | Health Promotion International Vol. 39; no. 1; pp. 1 - 14 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Feb2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175725589&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175725589 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09574824 F9Y jtl: Health Promotion International issn: 09574824 maglogo: N pubinfo: dt: Feb2024 vid: 39 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 175725589 175725589 175725589 10.1093/heapro/daae002 175725589 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Social determinants of health literacy among parents and caregivers in the US-Affiliated Pacific. aug: au: Cruz, Rica Dela Galbreath, Jennifer Butel, Jean Yamanaka, Ashley B Wilkens, Lynne R Aflague, Tanisha Coleman, Patricia Shallcross, Leslie McFall, Pauline Novotny, Rachel affil: Human Nutrition, Food and Animal Sciences Department, College of Tropical Agriculture and Human Resources, University of Hawai'i at Mānoa , 1955 East-West Rd, Honolulu, HI 96822 , USA sug: subj: Social Determinants of Health Health Literacy Parents Psychosocial Factors Caregivers Psychosocial Factors Health Inequities Human Male Female Child, Preschool Child Cross Sectional Studies Pacific Islands Acculturation Food Assistance Race Factors Ethnic Groups Odds Ratio Confidence Intervals Income Comparative Studies Data Analysis Software Descriptive Statistics Pearson's Correlation Coefficient Chi Square Test Multiple Logistic Regression Bivariate Statistics Funding Source Northern Mariana Islands American Samoa Guam Hawaii Alaska Child, Preschool: 2-5 years Child: 6-12 years Male Female ab: Health literacy is understudied in the US-Affiliated Pacific (USAP), where local populations have historically experienced social marginalization and disproportionate health inequities caused by the social determinants of health (SDOH). This cross-sectional study analyzed several SDOH indicators—acculturation, use of food assistance programs and demographic characteristics (race and ethnicity, household income, primary language spoken at home and educational attainment)—and their relationship to health literacy among 1305 parents/caregivers of young children ages 2–8 years old who participated in the Children's Healthy Living (CHL) program in Alaska, American Samoa, Commonwealth of the Northern Mariana Islands (CNMI), Guam, and Hawai'i. Significantly increased odds of low health literacy were found among parents/caregivers with households where a language other than English was the primary language compared to English-only households (OR = 1.86, 95% CI = 1.22, 2.82), household income of <$35 000 compared to ≥$35 000 (OR = 2.15, 95% CI = 1.13, 4.07), parents/caregivers of Asian children compared to parents/caregivers of White children (OR = 2.68, 95% CI = 1.05, 6.84), parent/caregivers with less than or some high school education compared to high school completion (1st- to 8th-grade OR = 4.46, 95% CI = 2.09, 9.52; 9th- to 11th-grade OR 1.87, 95% CI = 1.06, 3.30) and parent/caregivers with acculturation status defined as marginalized as compared to integrated (OR = 2.31, 95% CI = 1.09, 4.86). This study indicates that some USAP parents/caregivers may lack the capacity to acquire health information, utilize health resources, and navigate health decision making. Future efforts to understand and improve health literacy in the USAP should be population specific, thoroughly assess personal and organizational health literacy, and inventory community health care capacity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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