Health literacy and disability: differences between generations of Canadian immigrants

Omariba, D. Walter Rasugu; Ng, Edward

doi:10.1007/s00038-014-0640-0

Cited by 12 publications

(12 citation statements)

References 34 publications

(33 reference statements)

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“…First-generation immigrants are less likely to report disability, as compared to the third generation [45]. Yet no significant difference in disability reporting was found between the second-and the thirdplus generations.…”

Section: Cultural Change Between Generations: Coping With Cultural Chmentioning

confidence: 72%

“…Health literacy was found to be significantly negatively associated with disability reporting only of the first-generation immigrants. This may be due to the low functional health literacy among first-generation immigrants, while better education, employment and higher income in the new country, providing paths for the second-and third-plus generations to develop better health literacy competencies for accessing and navigating the health system [45]. Some programs have even targeted young immigrants, as a means to improve access to care for entire migrant families.…”

Section: Cultural Change Between Generations: Coping With Cultural Chmentioning

confidence: 99%

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Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

Levin-Zamir

Leung

Dodson³

et al. 2017

ISU

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Abstract. International and cultural perspectives of health literacy help deepen the understanding of the global context within which health literacy plays an important role. Throughout this article, we explore the significance of health literacy initiatives, interventions, practices, and research for addressing health challenges on a variety of levels in the international and global context. More specifically, the notion of health literacy as a dynamic construct is introduced, after which we examine health literacy throughout the life course, emphasizing the impact of health literacy among children and the elderly in their families and in the community. Cultural norms and family interpersonal relations, and values influence health literacy and need to be considered when closing the health literacy disparities. Global trends of migration and immigration bring to the forefront the need for unravelling the complexity of health systems, for which health literacy plays a central role; health literacy initiatives address cultural differences between providers and patients to help narrow the communication gap. The importance of cultural competency among health care providers exemplifies how capacity building in health literacy is critical for maximizing the benefits to the public of the health care system. Health literacy provides a conceptual foundation for community participatory research, involving members of the public to take part in the planning, execution and evaluation of health education interventions. Selected case studies and picture boxes from around the globe, exemplify aforementioned topics of interest. Practical recommendations for policy makers, practitioners and research are offered based on the studies conducted in the international context.

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Section: Cultural Change Between Generations: Coping With Cultural Chmentioning

confidence: 72%

Section: Cultural Change Between Generations: Coping With Cultural Chmentioning

confidence: 99%

Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

Levin-Zamir

Leung

Dodson³

et al. 2017

ISU

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“…Even though health literacy was significantly associated with good self-rated health, discordance between native language and language of data collection reduced the effect of health literacy to non-significance. Similarly, another study from Canada found that among different generations of immigrants, health literacy was significantly associated with reported disability but the effect was largely accounted for by differences in education, employment and income [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

The Relationship between Health Literacy and Health Disparities: A Systematic Review

2015

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ObjectivesHealth literacy is commonly associated with many of the antecedents of health disparities. Yet the precise nature of the relationship between health literacy and disparities remains unclear. A systematic review was conducted to better understand in how far the relationship between health literacy and health disparities has been systematically studied and which potential relationships and pathways have been identified.MethodsFive databases, including PubMed/MEDLINE and CINAHL, were searched for peer-reviewed studies. Publications were included in the review when they (1) included a valid measure of health literacy, (2) explicitly conceived a health disparity as related to a social disparity, such as race/ethnicity or education and (3) when results were presented by comparing two or more groups afflicted by a social disparity investigating the effect of health literacy on health outcomes. Two reviewers evaluated each study for inclusion and abstracted relevant information. Findings were ordered according to the disparities identified and the role of health literacy in explaining them.Results36 studies were included in the final synthesis. Most of the studies investigated racial/ethnic disparities, followed by some few studies that systematically investigated educational disparities. Some evidence was found on the mediating function of health literacy on self-rated health status across racial/ethnic and educational disparities, as well as on the potential effect of health literacy and numeracy on reducing racial/ethnic disparities in medication adherence and understanding of medication intake.ConclusionOverall the evidence on the relationship between health literacy and disparities is still mixed and fairly limited. Studies largely varied with regard to health(-related) outcomes under investigation and the health literacy assessments used. Further, many studies lacked a specific description of the nature of the disparity that was explored and a clear account of possible pathways tested.

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“…A small number of articles outline how Nutbeam’s (2008) levels of health literacy are relevant to former refugee populations settling in high-income countries such as Australia, Norway, Canada, and Sweden (Gele, Pettersen, Torheim & Kumar, 2016; Geltman et al, 2013; Khuu, Lee, Zhou, Shin & Lee, 2016; Omariba, & Ng, 2015; Wangdahl, Lytsy, Martensson, & Westerling, 2014). It has been noted by some authors that interactive and critical health literacy may work differently among former refugee communities where literacy problems are compounded by unfamiliarity with the health system (Gele et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Perceived Barriers to Managing Medications and Solutions to Barriers Suggested by Bhutanese Former Refugees and Service Providers

2018

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Health literacy and disability: differences between generations of Canadian immigrants

Cited by 12 publications

References 34 publications

Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

Health literacy in selected populations: Individuals, families, and communities from the international and cultural perspective

The Relationship between Health Literacy and Health Disparities: A Systematic Review

Perceived Barriers to Managing Medications and Solutions to Barriers Suggested by Bhutanese Former Refugees and Service Providers

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