Health Literacy, Acculturation, and the Use of Preventive Oral Health Care by Somali Refugees Living in Massachusetts

This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. 439 adult Somalis in the US ≤ 10 years were interviewed. English functional health literacy, dental word recognition, and spoke...

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Published inJournal of immigrant and minority health Vol. 16; no. 4; pp. 622 - 630
Main Authors Geltman, Paul L., Adams, Jo Hunter, Penrose, Katherine L., Cochran, Jennifer, Rybin, Denis, Doros, Gheorghe, Henshaw, Michelle, Paasche-Orlow, Michael
Format Journal Article
LanguageEnglish
Published Boston Springer Science + Business Media 01.08.2014
Springer US
Springer Nature B.V
Subjects
Acculturation
Acknowledgment
Adult
Behavioral decision theory
Comparative Law
Competence
Cross-Sectional Studies
Decision making
Dental care
Dental Care - utilization
Dental health
Dentistry
Female
Gender
Health care
Health Conditions
Health education
Health Literacy
Health services
Health Services Accessibility - statistics & numerical data
Health services utilization
Humans
Immigrants
International & Foreign Law
Interviews
Interviews as Topic
Language
Language proficiency
Language Skills
Language usage
Male
Massachusetts
Medicine
Medicine & Public Health
Minority & ethnic groups
Noncitizens
Oral diseases
Oral hygiene
ORIGINAL PAPER
Patient Acceptance of Health Care
Prevention programs
Preventive health care
Preventive Health Services - utilization
Preventive medicine
Private International Law
Proficiency
Public Health
Refugees
Sociology
Somalia - ethnology
Statistical analysis
Word recognition
Somalia
Massachusetts
United States > US
Health literacy
Preventive dental care
Acculturation
Refugees
Online AccessGet full text
ISSN1557-1912
1557-1920
1557-1920
DOI10.1007/s10903-013-9846-0

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Abstract This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. 439 adult Somalis in the US ≤ 10 years were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care (P = 0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care (P = 0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills.
AbstractList This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. 439 adult Somalis in the US <=10 years were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care (P = 0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care (P = 0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills. Adapted from the source document.
This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. 439 adult Somalis in the US ≤10 years were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care (P = 0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care (P = 0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills.
This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. 439 adult Somalis in the US ≤ 10 years were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care (P = 0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care (P = 0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills.
This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. 439 adult Somalis in the US ≤10 years were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care ( P  = 0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care ( P  = 0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills.
Issue Title: Special Focus: Health Care Barriers, Access, Quality, and Utilization This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. 439 adult Somalis in the US <=10 years were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care (P = 0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care (P = 0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills.[PUBLICATION ABSTRACT]
This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. 439 adult Somalis in the US ≤10 years were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care (P = 0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care (P = 0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills.This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in Massachusetts. 439 adult Somalis in the US ≤10 years were interviewed. English functional health literacy, dental word recognition, and spoken proficiency were measured using STOFHLA, REALD, and BEST Plus. Logistic regression tested associations of language measures with preventive dental care use. Without controlling for acculturation, participants with higher health literacy were 2.0 times more likely to have had preventive care (P = 0.02). Subjects with higher word recognition were 1.8 times as likely to have had preventive care (P = 0.04). Controlling for acculturation, these were no longer significant, and spoken proficiency was not associated with increased preventive care use. English health literacy and spoken proficiency were not associated with preventive dental care. Other factors, like acculturation, were more predictive of care use than language skills.
Author Geltman, Paul L.
Cochran, Jennifer
Henshaw, Michelle
Rybin, Denis
Penrose, Katherine L.
Paasche-Orlow, Michael
Adams, Jo Hunter
Doros, Gheorghe
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  givenname: Paul L.
  surname: Geltman
  fullname: Geltman, Paul L.
– sequence: 2
  givenname: Jo Hunter
  surname: Adams
  fullname: Adams, Jo Hunter
– sequence: 3
  givenname: Katherine L.
  surname: Penrose
  fullname: Penrose, Katherine L.
– sequence: 4
  givenname: Jennifer
  surname: Cochran
  fullname: Cochran, Jennifer
– sequence: 5
  givenname: Denis
  surname: Rybin
  fullname: Rybin, Denis
– sequence: 6
  givenname: Gheorghe
  surname: Doros
  fullname: Doros, Gheorghe
– sequence: 7
  givenname: Michelle
  surname: Henshaw
  fullname: Henshaw, Michelle
– sequence: 8
  givenname: Michael
  surname: Paasche-Orlow
  fullname: Paasche-Orlow, Michael
BackLink https://www.ncbi.nlm.nih.gov/pubmed/23748902$$D View this record in MEDLINE/PubMed
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Preventive dental care
Acculturation
Refugees
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Snippet This study investigated the impact of English health literacy and spoken proficiency and acculturation on preventive dental care use among Somali refugees in...
Issue Title: Special Focus: Health Care Barriers, Access, Quality, and Utilization This study investigated the impact of English health literacy and spoken...
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StartPage 622
SubjectTerms Acculturation
Acknowledgment
Adult
Behavioral decision theory
Comparative Law
Competence
Cross-Sectional Studies
Decision making
Dental care
Dental Care - utilization
Dental health
Dentistry
Female
Gender
Health care
Health Conditions
Health education
Health Literacy
Health services
Health Services Accessibility - statistics & numerical data
Health services utilization
Humans
Immigrants
International & Foreign Law
Interviews
Interviews as Topic
Language
Language proficiency
Language Skills
Language usage
Male
Massachusetts
Medicine
Medicine & Public Health
Minority & ethnic groups
Noncitizens
Oral diseases
Oral hygiene
ORIGINAL PAPER
Patient Acceptance of Health Care
Prevention programs
Preventive health care
Preventive Health Services - utilization
Preventive medicine
Private International Law
Proficiency
Public Health
Refugees
Sociology
Somalia - ethnology
Statistical analysis
Word recognition
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Title Health Literacy, Acculturation, and the Use of Preventive Oral Health Care by Somali Refugees Living in Massachusetts
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