PMID- 36231846
OWN - NLM
STAT- MEDLINE
DCOM- 20221017
LR  - 20230117
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 19
IP  - 19
DP  - 2022 Oct 1
TI  - Tools to Measure Health Literacy among Adult Hispanic Populations with Type 2 
      Diabetes Mellitus: A Review of the Literature.
LID - 10.3390/ijerph191912551 [doi]
LID - 12551
AB  - Health literacy (HL) is associated with short- and long-term health outcomes, and 
      this is particularly relevant in Hispanics, who are disproportionally affected by 
      lower HL. Hispanics have become the largest minority population in the United 
      States. Also, Hispanics experience higher burdens of chronic diseases such as 
      type 2 diabetes mellitus (T2DM) than non-Hispanic whites. Thus, effectively 
      choosing culturally appropriate validated instruments that measure a marker found 
      in health assessments should be a serious consideration. Using a systemized 
      approach, we identified and reviewed 33 publications and found eight different HL 
      and numeracy (separate or combined) instruments. We assessed the study designs 
      and instrument structures to determine how HL was measured across these studies. 
      We categorized the results into direct and indirect measurements of HL. The Test 
      of Functional Health Literacy in Adults (TOFHLA) family of HL instruments was 
      favored for direct measures of HL, while the Brief Health Literacy Screen (BHLS) 
      instrument was favored for indirect measures. Despite identified trends in 
      instruments used, more comprehensive measurement tools have been developed but 
      not validated in Hispanic populations. In conclusion, further validation of more 
      comprehensive HL instruments in adult Hispanic populations with T2DM could better 
      assess HL levels and improve health promotion efforts.
FAU - Standage-Beier, Carrie S
AU  - Standage-Beier CS
AD  - School of Nutritional Sciences and Wellness, University of Arizona, Tucson, AZ 
      85721, USA.
FAU - Ziller, Shelby G
AU  - Ziller SG
AUID- ORCID: 0000-0001-5958-2015
AD  - Department of Epidemiology and Biostatistics, University of Arizona, Tucson, AZ 
      85721, USA.
FAU - Bakhshi, Bahar
AU  - Bakhshi B
AUID- ORCID: 0000-0003-3748-1429
AD  - School of Nutritional Sciences and Wellness, University of Arizona, Tucson, AZ 
      85721, USA.
FAU - Parra, Oscar D
AU  - Parra OD
AUID- ORCID: 0000-0002-6767-4902
AD  - UA Center for Disparities in Diabetes, Obesity and Metabolism, University of 
      Arizona, Tucson, AZ 85724, USA.
AD  - Department of Medicine, Division of Endocrinology, University of Arizona, Tucson, 
      AZ 85724, USA.
FAU - Mandarino, Lawrence J
AU  - Mandarino LJ
AD  - UA Center for Disparities in Diabetes, Obesity and Metabolism, University of 
      Arizona, Tucson, AZ 85724, USA.
AD  - Department of Medicine, Division of Endocrinology, University of Arizona, Tucson, 
      AZ 85724, USA.
FAU - Kohler, Lindsay N
AU  - Kohler LN
AD  - UA Center for Disparities in Diabetes, Obesity and Metabolism, University of 
      Arizona, Tucson, AZ 85724, USA.
FAU - Coletta, Dawn K
AU  - Coletta DK
AUID- ORCID: 0000-0001-5819-5152
AD  - UA Center for Disparities in Diabetes, Obesity and Metabolism, University of 
      Arizona, Tucson, AZ 85724, USA.
AD  - Department of Medicine, Division of Endocrinology, University of Arizona, Tucson, 
      AZ 85724, USA.
AD  - Department of Physiology, University of Arizona, Tucson, AZ 85724, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20221001
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Adult
MH  - *Diabetes Mellitus, Type 2
MH  - Health
MH  - *Health Literacy
MH  - Hispanic or Latino
MH  - Humans
MH  - Surveys and Questionnaires
PMC - PMC9566768
OTO - NOTNLM
OT  - Hispanic
OT  - health assessments
OT  - health literacy
OT  - health promotion
OT  - numeracy
OT  - type 2 diabetes
COIS- The authors declare no conflict of interest.
EDAT- 2022/10/15 06:00
MHDA- 2022/10/18 06:00
PMCR- 2022/10/01
CRDT- 2022/10/14 02:01
PHST- 2022/08/15 00:00 [received]
PHST- 2022/09/27 00:00 [revised]
PHST- 2022/09/28 00:00 [accepted]
PHST- 2022/10/14 02:01 [entrez]
PHST- 2022/10/15 06:00 [pubmed]
PHST- 2022/10/18 06:00 [medline]
PHST- 2022/10/01 00:00 [pmc-release]
AID - ijerph191912551 [pii]
AID - ijerph-19-12551 [pii]
AID - 10.3390/ijerph191912551 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2022 Oct 1;19(19):12551. doi: 
      10.3390/ijerph191912551.