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
Adult
Behavioral decision theory
Comparative Law
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
Humans
Immigrants
International & Foreign Law
Interviews
Interviews as Topic
Language
Language proficiency
Language Skills
Male
Massachusetts
Medicine
Medicine & Public Health
Minority & ethnic groups
Noncitizens
Oral diseases
Oral hygiene
ORIGINAL PAPER
Patient Acceptance of Health Care
Preventive health care
Preventive Health Services - utilization
Preventive medicine
Private International Law
Proficiency
Public Health
Refugees
Sociology
Somalia - ethnology
Statistical analysis
Somalia
Massachusetts
United States > US
Health literacy
Preventive dental care
Acculturation
Refugees
Online AccessGet full text

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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.
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. 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.
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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  surname: Geltman
  fullname: Geltman, Paul L.
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  givenname: Jo Hunter
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  givenname: Katherine L.
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  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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Refugees
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jstor_primary_48708700
PublicationCentury 2000
PublicationDate 2014-08-01
PublicationDateYYYYMMDD 2014-08-01
PublicationDate_xml – month: 08
  year: 2014
  text: 2014-08-01
  day: 01
PublicationDecade 2010
PublicationPlace Boston
PublicationPlace_xml – name: Boston
– name: United States
– name: New York
PublicationTitle Journal of immigrant and minority health
PublicationTitleAbbrev J Immigrant Minority Health
PublicationTitleAlternate J Immigr Minor Health
PublicationYear 2014
Publisher Springer Science + Business Media
Springer US
Springer Nature B.V
Publisher_xml – sequence: 0
  name: Springer Science + Business Media
– sequence: 0
  name: Springer Nature B.V
– name: Springer US
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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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SubjectTerms Acculturation
Adult
Behavioral decision theory
Comparative Law
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
Humans
Immigrants
International & Foreign Law
Interviews
Interviews as Topic
Language
Language proficiency
Language Skills
Male
Massachusetts
Medicine
Medicine & Public Health
Minority & ethnic groups
Noncitizens
Oral diseases
Oral hygiene
ORIGINAL PAPER
Patient Acceptance of Health Care
Preventive health care
Preventive Health Services - utilization
Preventive medicine
Private International Law
Proficiency
Public Health
Refugees
Sociology
Somalia - ethnology
Statistical analysis
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Title Health Literacy, Acculturation, and the Use of Preventive Oral Health Care by Somali Refugees Living in Massachusetts
URI https://www.jstor.org/stable/48708700
https://link.springer.com/article/10.1007/s10903-013-9846-0
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Volume 16
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