Validity of Single-Item Screening for Limited Health Literacy in English and Spanish Speakers
Bibliographic Data
Objectives. To evaluate 3 single-item screening measures for limited health literacy in a community-based population of English and Spanish speakers. Methods. We recruited 324 English and 314 Spanish speakers from a community research registry in Dallas, Texas, enrolled between 2009 and 2012. We used 3 screening measures: (1) How would you rate your ability to read?; (2) How confident are you filling out medical forms by yourself?; and (3) How often do you have someone help you read hospital materials? In analyses stratified by language, we used area under the receiver operating characteristic (AUROC) curves to compare each item with the validated 40-item Short Test of Functional Health Literacy in Adults. Results. For English speakers, no difference was seen among the items. For Spanish speakers, “ability to read” identified inadequate literacy better than “help reading hospital materials” (AUROC curve = 0.76 vs 0.65; P = .019). Conclusions. The “ability to read” item performed the best, supporting use as a screening tool in safety-net systems caring for diverse populations. Future studies should investigate how to implement brief measures in safety-net settings and whether highlighting health literacy level influences providers’ communication practices and patient outcomes
Environmental health · Health care · Health literacy · Literacy · Pedagogy · Political science · Health Literacy and Information Accessibility · Interpreting and Communication in Healthcare · Medicine · Patient-Provider Communication in Healthcare · Psychology
Social determinants of health literacy among parents and caregivers in the US-Affiliated Pacific
Associations between health literacy and preventive health behaviors among older adults
Influence of Parental Health Literacy on Change over Time in the Oral Health of American Indian Children
Who attends a free sexual health center in Paris for HIV/STI screening? an observational study
Health literacy and subjective well-being amongst university students
Health Literacy
The Single Item Literacy Screener
Validation of Screening Questions for Limited Health Literacy in a Large VA Outpatient Population
The test of functional health literacy in adults
Comparing the Areas under Two or More Correlated Receiver Operating Characteristic Curves
Development of a brief test to measure functional health literacy
The meaning and use of the area under a receiver operating characteristic (ROC) curve.
Determinants of social desirability bias in sensitive surveys
Hispanics and the Future of America
Community-Oriented Primary Care in Action
| Unique citing works | 5 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2016 - 2025 (10) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 5 |