Health literacy levels and self-rated health in the state of Delaware: a cross-sectional study

Abstract Background Better health literacy has been found to be associated with better health outcomes across varied populations. This study aimed to (1) examine the health literacy levels of individuals with respect to the extent to which they acquire, understand, appraise, and apply health informa...

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Main Authors: Raymond A. Tutu, Edmund Essah Ameyaw, John Kwagyan, Doris Ottie-Boakye
Format: Article
Language:English
Published: Springer 2025-01-01
Series:Discover Social Science and Health
Subjects:
Online Access:https://doi.org/10.1007/s44155-024-00136-7
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author Raymond A. Tutu
Edmund Essah Ameyaw
John Kwagyan
Doris Ottie-Boakye
author_facet Raymond A. Tutu
Edmund Essah Ameyaw
John Kwagyan
Doris Ottie-Boakye
author_sort Raymond A. Tutu
collection DOAJ
description Abstract Background Better health literacy has been found to be associated with better health outcomes across varied populations. This study aimed to (1) examine the health literacy levels of individuals with respect to the extent to which they acquire, understand, appraise, and apply health information, and (2) to assess the relationship between health literacy and self-reported health in the state of Delaware. Methods The sampling frame consisted of 60 purposively selected faith-based organizations across the state of Delaware who predominantly serve minorities. Accounting for clustering design, a sample size was determined based on a Mixed Methods test. In total, 1095 participants responded to a survey questionnaire which included a validated short version of the European Health Literacy Questionnaire (HLS-EU-Q16). The data was analyzed using descriptive statistics, reliability techniques, chi-square test of independence, and ordinal logistic regression. Results The study found that about a quarter of the participants had inadequate level of health literacy and about another quarter had problematic level of health literacy. These results are reflected across the health domains—health care, disease prevention, and health promotion. Health literacy was predictor of self-rated health. The odds of better self-rated health are 0.360 times lower for people with inadequate health literacy levels compared to those with sufficient health literacy. Conclusion Health literacy profoundly shapes health outcomes. The high proportion of people expressing difficulty concerning accessing, comprehending, appraising, and using health information in the health care, disease prevention, and health promotion domains in state of Delaware would require a concerted effort.
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spelling doaj-art-5b3bee9484984570b2593790b9d602852025-01-19T12:39:25ZengSpringerDiscover Social Science and Health2731-04692025-01-015111210.1007/s44155-024-00136-7Health literacy levels and self-rated health in the state of Delaware: a cross-sectional studyRaymond A. Tutu0Edmund Essah Ameyaw1John Kwagyan2Doris Ottie-Boakye3Global Societies Program, Delaware State UniversityPharmaceutical Sciences in the College of Pharmacy, Center for Applied Data Science, Howard UniversityGraduate School, MPH Program, Howard UniversityCollege of Health Sciences, University of GhanaAbstract Background Better health literacy has been found to be associated with better health outcomes across varied populations. This study aimed to (1) examine the health literacy levels of individuals with respect to the extent to which they acquire, understand, appraise, and apply health information, and (2) to assess the relationship between health literacy and self-reported health in the state of Delaware. Methods The sampling frame consisted of 60 purposively selected faith-based organizations across the state of Delaware who predominantly serve minorities. Accounting for clustering design, a sample size was determined based on a Mixed Methods test. In total, 1095 participants responded to a survey questionnaire which included a validated short version of the European Health Literacy Questionnaire (HLS-EU-Q16). The data was analyzed using descriptive statistics, reliability techniques, chi-square test of independence, and ordinal logistic regression. Results The study found that about a quarter of the participants had inadequate level of health literacy and about another quarter had problematic level of health literacy. These results are reflected across the health domains—health care, disease prevention, and health promotion. Health literacy was predictor of self-rated health. The odds of better self-rated health are 0.360 times lower for people with inadequate health literacy levels compared to those with sufficient health literacy. Conclusion Health literacy profoundly shapes health outcomes. The high proportion of people expressing difficulty concerning accessing, comprehending, appraising, and using health information in the health care, disease prevention, and health promotion domains in state of Delaware would require a concerted effort.https://doi.org/10.1007/s44155-024-00136-7Health literacyHealth outcomesDelawareSelf-reported healthFaith-based organizations
spellingShingle Raymond A. Tutu
Edmund Essah Ameyaw
John Kwagyan
Doris Ottie-Boakye
Health literacy levels and self-rated health in the state of Delaware: a cross-sectional study
Discover Social Science and Health
Health literacy
Health outcomes
Delaware
Self-reported health
Faith-based organizations
title Health literacy levels and self-rated health in the state of Delaware: a cross-sectional study
title_full Health literacy levels and self-rated health in the state of Delaware: a cross-sectional study
title_fullStr Health literacy levels and self-rated health in the state of Delaware: a cross-sectional study
title_full_unstemmed Health literacy levels and self-rated health in the state of Delaware: a cross-sectional study
title_short Health literacy levels and self-rated health in the state of Delaware: a cross-sectional study
title_sort health literacy levels and self rated health in the state of delaware a cross sectional study
topic Health literacy
Health outcomes
Delaware
Self-reported health
Faith-based organizations
url https://doi.org/10.1007/s44155-024-00136-7
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AT edmundessahameyaw healthliteracylevelsandselfratedhealthinthestateofdelawareacrosssectionalstudy
AT johnkwagyan healthliteracylevelsandselfratedhealthinthestateofdelawareacrosssectionalstudy
AT dorisottieboakye healthliteracylevelsandselfratedhealthinthestateofdelawareacrosssectionalstudy