Health Literacy Within a Diverse Community-Based Cohort: The Multi-Ethnic Study of Atherosclerosis

Madison D. Anderson; Sharon Stein Merkin; Susan Everson Rose; Rachel Widome; Teresa Seeman; Jared W. Magnani; Carlos J. Rodriguez; Pamela L. Lutsey

doi:10.1007/s10903-020-01123-1

Health Literacy Within a Diverse Community-Based Cohort: The Multi-Ethnic Study of Atherosclerosis

Madison D. Anderson, Sharon Stein Merkin, Susan Everson Rose, Rachel Widome, Teresa Seeman, Jared W. Magnani, Carlos J. Rodriguez, Pamela L. Lutsey

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Background: Health literacy has yet to be described in a non-clinical, racially diverse, community-based cohort. Methods: Four questions assessing health literacy were asked during annual phone encounters with Multi-Ethnic Study of Atherosclerosis (MESA) participants between 2016 and 2018 (n = 3629). We used prevalence ratios (PRs) with 95% confidence intervals (CIs) to characterize how demographic and acculturation factors related to limited health literacy. Models adjusted for age, sex, and race/ethnicity, and race/ethnicity-stratified models were also examined. Results: Limited health literacy was prevalent in 15.4% of the sample. Participants who were older, female, lower-income, or less acculturated were at greater risk for having limited health literacy. Chinese, Hispanic, and Black participants were more likely than White participants to have limited health literacy. Patterns were similar when stratified by race/ethnicity. Discussion: Within MESA limited health literacy was common, particularly among Chinese and Hispanic participants, with some of the variance explained by differences in acculturation.

Original language	English (US)
Pages (from-to)	659-667
Number of pages	9
Journal	Journal of Immigrant and Minority Health
Volume	23
Issue number	4
Early online date	Nov 18 2020
DOIs	https://doi.org/10.1007/s10903-020-01123-1
State	Published - Aug 2021

Bibliographical note

Funding Information:
Research reported in this publication was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health under Award Number T32 HL07779 (Ms. Anderson). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. MESA is a National Institutes of Health (NIH) contract. The NIH was involved in the overall MESA study design and data collection. However the NIH was not involved with the analysis, and interpretation of data; writing the report; and the decision to submit the report for publication. The authors gratefully acknowledge support from the Minnesota Population Center (P2C HD041023) funded through a grant from the Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD). This research was supported by contracts HHSN268201500003I, N01-HC-95159, N01-HC-95160, N01-HC-95161, N01-HC-95162, N01-HC-95163, N01-HC-95164, N01-HC-95165, N01-HC-95166, N01-HC-95167, N01-HC-95168 and N01-HC-95169 from the National Heart, Lung, and Blood Institute, and by grants UL1-TR-000040, UL1-TR-001079, and UL1-TR-001420 from the National Center for Advancing Translational Sciences (NCATS). The authors thank the other investigators, the staff, and the participants of the MESA study for their valuable contributions.

Funding Information:
Research reported in this publication was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health under Award Number T32 HL07779 (Ms. Anderson). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. MESA is a National Institutes of Health (NIH) contract. The NIH was involved in the overall MESA study design and data collection. However the NIH was not involved with the analysis, and interpretation of data; writing the report; and the decision to submit the report for publication. The authors gratefully acknowledge support from the Minnesota Population Center (P2C HD041023) funded through a grant from the Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD). This research was supported by contracts HHSN268201500003I, N01-HC-95159, N01-HC-95160, N01-HC-95161, N01-HC-95162, N01-HC-95163, N01-HC-95164, N01-HC-95165, N01-HC-95166, N01-HC-95167, N01-HC-95168 and N01-HC-95169 from the National Heart, Lung, and Blood Institute, and by grants UL1-TR-000040, UL1-TR-001079, and UL1-TR-001420 from the National Center for Advancing Translational Sciences (NCATS). The authors thank the other investigators, the staff, and the participants of the MESA study for their valuable contributions. A full list of participating MESA investigators and institutions can be found at http://www.mesa-nhlbi.org. No financial disclosures were reported by the authors of this paper.

Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

Acculturation
Health literacy
Risk factors

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Publisher link

10.1007/s10903-020-01123-1

Find It

Find It at U of M Libraries

Cite this

@article{8d7a730efc7e42da8f2bfda5b9542950,

title = "Health Literacy Within a Diverse Community-Based Cohort: The Multi-Ethnic Study of Atherosclerosis",

abstract = "Background: Health literacy has yet to be described in a non-clinical, racially diverse, community-based cohort. Methods: Four questions assessing health literacy were asked during annual phone encounters with Multi-Ethnic Study of Atherosclerosis (MESA) participants between 2016 and 2018 (n = 3629). We used prevalence ratios (PRs) with 95% confidence intervals (CIs) to characterize how demographic and acculturation factors related to limited health literacy. Models adjusted for age, sex, and race/ethnicity, and race/ethnicity-stratified models were also examined. Results: Limited health literacy was prevalent in 15.4% of the sample. Participants who were older, female, lower-income, or less acculturated were at greater risk for having limited health literacy. Chinese, Hispanic, and Black participants were more likely than White participants to have limited health literacy. Patterns were similar when stratified by race/ethnicity. Discussion: Within MESA limited health literacy was common, particularly among Chinese and Hispanic participants, with some of the variance explained by differences in acculturation.",

keywords = "Acculturation, Health literacy, Risk factors",

author = "Anderson, {Madison D.} and Merkin, {Sharon Stein} and Rose, {Susan Everson} and Rachel Widome and Teresa Seeman and Magnani, {Jared W.} and Rodriguez, {Carlos J.} and Lutsey, {Pamela L.}",

note = "Funding Information: Research reported in this publication was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health under Award Number T32 HL07779 (Ms. Anderson). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. MESA is a National Institutes of Health (NIH) contract. The NIH was involved in the overall MESA study design and data collection. However the NIH was not involved with the analysis, and interpretation of data; writing the report; and the decision to submit the report for publication. The authors gratefully acknowledge support from the Minnesota Population Center (P2C HD041023) funded through a grant from the Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD). This research was supported by contracts HHSN268201500003I, N01-HC-95159, N01-HC-95160, N01-HC-95161, N01-HC-95162, N01-HC-95163, N01-HC-95164, N01-HC-95165, N01-HC-95166, N01-HC-95167, N01-HC-95168 and N01-HC-95169 from the National Heart, Lung, and Blood Institute, and by grants UL1-TR-000040, UL1-TR-001079, and UL1-TR-001420 from the National Center for Advancing Translational Sciences (NCATS). The authors thank the other investigators, the staff, and the participants of the MESA study for their valuable contributions. Funding Information: Research reported in this publication was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health under Award Number T32 HL07779 (Ms. Anderson). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. MESA is a National Institutes of Health (NIH) contract. The NIH was involved in the overall MESA study design and data collection. However the NIH was not involved with the analysis, and interpretation of data; writing the report; and the decision to submit the report for publication. The authors gratefully acknowledge support from the Minnesota Population Center (P2C HD041023) funded through a grant from the Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD). This research was supported by contracts HHSN268201500003I, N01-HC-95159, N01-HC-95160, N01-HC-95161, N01-HC-95162, N01-HC-95163, N01-HC-95164, N01-HC-95165, N01-HC-95166, N01-HC-95167, N01-HC-95168 and N01-HC-95169 from the National Heart, Lung, and Blood Institute, and by grants UL1-TR-000040, UL1-TR-001079, and UL1-TR-001420 from the National Center for Advancing Translational Sciences (NCATS). The authors thank the other investigators, the staff, and the participants of the MESA study for their valuable contributions. A full list of participating MESA investigators and institutions can be found at http://www.mesa-nhlbi.org. No financial disclosures were reported by the authors of this paper. Publisher Copyright: {\textcopyright} 2020, Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2021",

month = aug,

doi = "10.1007/s10903-020-01123-1",

language = "English (US)",

volume = "23",

pages = "659--667",

journal = "Journal of Immigrant and Minority Health",

issn = "1557-1912",

publisher = "Springer New York",

number = "4",

}

TY - JOUR

T1 - Health Literacy Within a Diverse Community-Based Cohort

T2 - The Multi-Ethnic Study of Atherosclerosis

AU - Anderson, Madison D.

AU - Merkin, Sharon Stein

AU - Rose, Susan Everson

AU - Widome, Rachel

AU - Seeman, Teresa

AU - Magnani, Jared W.

AU - Rodriguez, Carlos J.

AU - Lutsey, Pamela L.

N1 - Funding Information: Research reported in this publication was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health under Award Number T32 HL07779 (Ms. Anderson). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. MESA is a National Institutes of Health (NIH) contract. The NIH was involved in the overall MESA study design and data collection. However the NIH was not involved with the analysis, and interpretation of data; writing the report; and the decision to submit the report for publication. The authors gratefully acknowledge support from the Minnesota Population Center (P2C HD041023) funded through a grant from the Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD). This research was supported by contracts HHSN268201500003I, N01-HC-95159, N01-HC-95160, N01-HC-95161, N01-HC-95162, N01-HC-95163, N01-HC-95164, N01-HC-95165, N01-HC-95166, N01-HC-95167, N01-HC-95168 and N01-HC-95169 from the National Heart, Lung, and Blood Institute, and by grants UL1-TR-000040, UL1-TR-001079, and UL1-TR-001420 from the National Center for Advancing Translational Sciences (NCATS). The authors thank the other investigators, the staff, and the participants of the MESA study for their valuable contributions. Funding Information: Research reported in this publication was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health under Award Number T32 HL07779 (Ms. Anderson). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. MESA is a National Institutes of Health (NIH) contract. The NIH was involved in the overall MESA study design and data collection. However the NIH was not involved with the analysis, and interpretation of data; writing the report; and the decision to submit the report for publication. The authors gratefully acknowledge support from the Minnesota Population Center (P2C HD041023) funded through a grant from the Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD). This research was supported by contracts HHSN268201500003I, N01-HC-95159, N01-HC-95160, N01-HC-95161, N01-HC-95162, N01-HC-95163, N01-HC-95164, N01-HC-95165, N01-HC-95166, N01-HC-95167, N01-HC-95168 and N01-HC-95169 from the National Heart, Lung, and Blood Institute, and by grants UL1-TR-000040, UL1-TR-001079, and UL1-TR-001420 from the National Center for Advancing Translational Sciences (NCATS). The authors thank the other investigators, the staff, and the participants of the MESA study for their valuable contributions. A full list of participating MESA investigators and institutions can be found at http://www.mesa-nhlbi.org. No financial disclosures were reported by the authors of this paper. Publisher Copyright: © 2020, Springer Science+Business Media, LLC, part of Springer Nature.

PY - 2021/8

Y1 - 2021/8

N2 - Background: Health literacy has yet to be described in a non-clinical, racially diverse, community-based cohort. Methods: Four questions assessing health literacy were asked during annual phone encounters with Multi-Ethnic Study of Atherosclerosis (MESA) participants between 2016 and 2018 (n = 3629). We used prevalence ratios (PRs) with 95% confidence intervals (CIs) to characterize how demographic and acculturation factors related to limited health literacy. Models adjusted for age, sex, and race/ethnicity, and race/ethnicity-stratified models were also examined. Results: Limited health literacy was prevalent in 15.4% of the sample. Participants who were older, female, lower-income, or less acculturated were at greater risk for having limited health literacy. Chinese, Hispanic, and Black participants were more likely than White participants to have limited health literacy. Patterns were similar when stratified by race/ethnicity. Discussion: Within MESA limited health literacy was common, particularly among Chinese and Hispanic participants, with some of the variance explained by differences in acculturation.

AB - Background: Health literacy has yet to be described in a non-clinical, racially diverse, community-based cohort. Methods: Four questions assessing health literacy were asked during annual phone encounters with Multi-Ethnic Study of Atherosclerosis (MESA) participants between 2016 and 2018 (n = 3629). We used prevalence ratios (PRs) with 95% confidence intervals (CIs) to characterize how demographic and acculturation factors related to limited health literacy. Models adjusted for age, sex, and race/ethnicity, and race/ethnicity-stratified models were also examined. Results: Limited health literacy was prevalent in 15.4% of the sample. Participants who were older, female, lower-income, or less acculturated were at greater risk for having limited health literacy. Chinese, Hispanic, and Black participants were more likely than White participants to have limited health literacy. Patterns were similar when stratified by race/ethnicity. Discussion: Within MESA limited health literacy was common, particularly among Chinese and Hispanic participants, with some of the variance explained by differences in acculturation.

KW - Acculturation

KW - Health literacy

KW - Risk factors

UR - http://www.scopus.com/inward/record.url?scp=85096661229&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85096661229&partnerID=8YFLogxK

U2 - 10.1007/s10903-020-01123-1

DO - 10.1007/s10903-020-01123-1

M3 - Article

C2 - 33206278

AN - SCOPUS:85096661229

SN - 1557-1912

VL - 23

SP - 659

EP - 667

JO - Journal of Immigrant and Minority Health

JF - Journal of Immigrant and Minority Health

IS - 4

ER -

Health Literacy Within a Diverse Community-Based Cohort: The Multi-Ethnic Study of Atherosclerosis

Abstract

Bibliographical note

Keywords

UN SDGs

Publisher link

Find It

Other files and links

Fingerprint

Cite this