Performance of a Brazilian population on the test of functional health literacy in adults

Bibliographic Details
Title: Performance of a Brazilian population on the test of functional health literacy in adults
Authors: Carthery-Goulart, Maria Teresa, Anghinah, Renato, Areza-Fegyveres, Renata, Bahia, Valeria Santoro, Brucki, Sonia Maria Dozzi, Damin, Antonio, Formigoni, Ana Paula, Frota, Norberto, Guariglia, Carla, Jacinto, Alessandro F, Kato, Eliane Mayumi, Lima, Edson P, Mansur, Letícia, Moreira, Daniel, Nóbrega, Ana, Porto, Claudia Selitto, Senaha, Mirna L H, Silva, Mari-Nilva Maia da, Smid, Jerusa, Souza-Talarico, Juliana N, Radanovic, Marcia, Nitrini, Ricardo
Source: Revista de Saúde Pública. August 2009 43(4)
Publisher Information: Faculdade de Saúde Pública da Universidade de São Paulo, 2009.
Publication Year: 2009
Subject Terms: Adult, Educational Status, Comprehension, Education, Language Tests, Questionnaires, Validation Studies, Health Education, Patient Education as Topic
More Details: OBJECTIVE: To analyze the scoring obtained by an instrument, which evaluates the ability to read and understand items in the health care setting, according to education and age. METHODS: The short version of the Test of Functional Health Literacy in Adults was administered to 312 healthy participants of different ages and years of schooling. The study was conducted between 2006 and 2007, in the city of São Paulo, Southeastern Brazil. The test includes actual materials such as pill bottles and appointment slips and measures reading comprehension, assessing the ability to read and correctly pronounce a list of words and understand both prose passages and numerical information. Pearson partial correlations and a multiple regression model were used to verify the association between its scores and education and age. RESULTS: The mean age of the sample was 47.3 years(sd=16.8) and the mean education was 9.7 years(sd=5; range: 1 - 17). A total of 32.4% of the sample showed literacy/numeracy deficits, scoring in the inadequate and marginal functional health literacy ranges. Among the elderly (65 years or older) this rate increased to 51.6%. There was a positive correlation between schooling and scores (r=0.74; p<0.01) and a negative correlation between age and the scores (r=-0.259; p<0.01). The correlation between the scores and age was not significant when the effects of education were held constant (rp=-0.031, p=0.584). A significant association (B=3.877, Beta =0.733; p<0.001) was found between schooling and scores. Age was not a significant predictor in this model (B=-0.035, Beta=-0.22; p=0.584). CONCLUSIONS: The short version of the Test of Functional Health Literacy in Adults was a suitable tool to assess health literacy in the study population. The high number of individuals classified as functional illiterates in this test highlights the importance of special assistance to help them properly understand directions for healthcare.
Document Type: article
File Description: text/html
Language: English
ISSN: 0034-8910
DOI: 10.1590/S0034-89102009005000031
Access URL: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102009000400009
Rights: info:eu-repo/semantics/openAccess
Accession Number: edssci.S0034.89102009000400009
Database: SciELO
More Details
ISSN:00348910
DOI:10.1590/S0034-89102009005000031
Published in:Revista de Saúde Pública
Language:English