Understanding the Gap: Perceived Health Literacy Levels Among Spanish-Speaking Immigrants in Miami-Dade County, 2016

J Immigr Minor Health. 2019 Feb;21(1):204-209. doi: 10.1007/s10903-018-0751-4.

Abstract

Health literacy levels among immigrant populations in Miami-Dade County have yet to be examined. This study investigates perceived health literacy ability and measured health literacy scores among Miami-Dade County immigrants. Methods: Patients seen in the Refugee Health Assessment Program and Family Planning Program completed a health literacy assessment in November 2016. Participants were immigrants from Spanish-speaking countries who reported living in the U.S. for ≤ 10 years. Logistic regression models were used to determine predictors of agreement. 283 patients responded. No characteristics were significant predictors of agreement; However, we found lower agreement among participants that were 18-24 years old (49%), received medical information from the internet/television (46%), and had lived in the U.S. for only 6-12 months (49%). Our findings suggest that immigrant patients may have limited understanding of their health literacy abilities. Clinicians need to take health literacy levels into account when interacting with patients.

Keywords: Assessment; Health literacy; Immigrant health; Refugee health; Survey.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Comprehension*
  • Consumer Health Information / methods
  • Emigrants and Immigrants*
  • Female
  • Florida
  • Health Literacy*
  • Hispanic or Latino*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Surveys and Questionnaires
  • Young Adult