Health Literacy among Medically Underserved

The Role of Demographic Factors, Social Influence, and Religious Beliefs

Shannon Christy, Clement K. Gwede, Steven K. Sutton, Enmanuel Chavarria, Stacy N. Davis, Rania Abdulla, Chitra Ravindra, Ida Schultz, Richard Roetzheim, Cathy D. Meade

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The current study examined the sociodemographic and psychosocial variables that predicted being at risk for low health literacy among a population of racially and ethnically diverse patients accessing primary care services at community-based clinics. Participants (N = 416) were aged 50–75 years, currently not up-to-date with colorectal cancer (CRC) screening, at average CRC risk, and enrolled in a randomized controlled trial (RCT) aimed at promoting CRC screening. Participants completed a baseline interview that assessed health literacy as measured by Rapid Estimate of Adult Literacy in Medicine-Revised, sociodemographic factors, and psychosocial variables (e.g., health beliefs) prior to randomization and receipt of an intervention. Thirty-six percent of the participants were found to be at risk for low health literacy. Sociodemographic and psychosocial variables were assessed as predictors of being at risk for low health literacy using logistic regression. In the final model, predictors were male gender, being from a racial/ethnic minority group, being unable to work, having higher social influence scores, and having higher religious belief scores. These findings suggest several patient characteristics that may be associated with low health literacy, and highlight the importance of supporting all patients through simplified and clear communications and information to improve understanding of CRC screening information.

Original languageEnglish (US)
Pages (from-to)923-931
Number of pages9
JournalJournal of Health Communication
Volume22
Issue number11
DOIs
StatePublished - Nov 2 2017

Fingerprint

Health Literacy
Religion
demographic factors
literacy
Demography
Health
Colorectal Neoplasms
Early Detection of Cancer
cancer
health
Screening
Minority Groups
sociodemographic factors
Random Allocation
Ethnic Groups
Primary Health Care
Randomized Controlled Trials
national minority
Logistic Models
Medicine

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Communication
  • Public Health, Environmental and Occupational Health
  • Library and Information Sciences

Cite this

Christy, S., Gwede, C. K., Sutton, S. K., Chavarria, E., Davis, S. N., Abdulla, R., ... Meade, C. D. (2017). Health Literacy among Medically Underserved: The Role of Demographic Factors, Social Influence, and Religious Beliefs. Journal of Health Communication, 22(11), 923-931. https://doi.org/10.1080/10810730.2017.1377322

Health Literacy among Medically Underserved : The Role of Demographic Factors, Social Influence, and Religious Beliefs. / Christy, Shannon; Gwede, Clement K.; Sutton, Steven K.; Chavarria, Enmanuel; Davis, Stacy N.; Abdulla, Rania; Ravindra, Chitra; Schultz, Ida; Roetzheim, Richard; Meade, Cathy D.

In: Journal of Health Communication, Vol. 22, No. 11, 02.11.2017, p. 923-931.

Research output: Contribution to journalArticle

Christy, S, Gwede, CK, Sutton, SK, Chavarria, E, Davis, SN, Abdulla, R, Ravindra, C, Schultz, I, Roetzheim, R & Meade, CD 2017, 'Health Literacy among Medically Underserved: The Role of Demographic Factors, Social Influence, and Religious Beliefs', Journal of Health Communication, vol. 22, no. 11, pp. 923-931. https://doi.org/10.1080/10810730.2017.1377322
Christy, Shannon ; Gwede, Clement K. ; Sutton, Steven K. ; Chavarria, Enmanuel ; Davis, Stacy N. ; Abdulla, Rania ; Ravindra, Chitra ; Schultz, Ida ; Roetzheim, Richard ; Meade, Cathy D. / Health Literacy among Medically Underserved : The Role of Demographic Factors, Social Influence, and Religious Beliefs. In: Journal of Health Communication. 2017 ; Vol. 22, No. 11. pp. 923-931.
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