Health literacy and e-health literacy among Arabic-speaking migrants in Sweden: a cross-sectional study

Abstract Background Health inequities arise when the public cannot access and understand health information in an easy, accessible, and understandable way. Evidence supports that health literacy (HL) is a determinant for health outcomes, and when HL is limited this may have a major impact on morbidi...

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Autores principales:	Lina Bergman, Ulrica Nilsson, Karuna Dahlberg, Maria Jaensson, Josefin Wångdahl
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	E-health literacy eHEALS Ethnic minorities Migrant health Health literacy HLS-EU-Q16 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e6b2e2c68f4646ce8f5b3280033cb064
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spelling	oai:doaj.org-article:e6b2e2c68f4646ce8f5b3280033cb0642021-11-28T12:12:29ZHealth literacy and e-health literacy among Arabic-speaking migrants in Sweden: a cross-sectional study10.1186/s12889-021-12187-51471-2458https://doaj.org/article/e6b2e2c68f4646ce8f5b3280033cb0642021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12187-5https://doaj.org/toc/1471-2458Abstract Background Health inequities arise when the public cannot access and understand health information in an easy, accessible, and understandable way. Evidence supports that health literacy (HL) is a determinant for health outcomes, and when HL is limited this may have a major impact on morbidity as well as mortality. Migrants are known to have limited HL. Therefore, this study aimed to explore comprehensive health literacy (CHL) and electronic health literacy (eHL) among Arabic-speaking migrants in Sweden. Methods This was a cross-sectional observational study conducted in Sweden. A total of 703 persons were invited to participate between February and September 2019. Two questionnaires – the Health Literacy Survey European Questionnaire (HLS-EU-Q16) and the eHealth Literacy Scale (eHEALS) – and questions about self-perceived health and Internet use were distributed in Swedish and Arabic. Various statistical analyses were performed to determine the associations for limited CHL and eHL. Results A total of 681 respondents were included in the analysis. Of these, 334 (49%) were native Arabic-speaking migrants and 347 (51%) were native Swedish-speaking residents. CHL and eHL differed between the groups. The Arabic speakers had significantly lower mean sum scores in eHL 28.1 (SD 6.1) vs 29.3 (6.2), p = 0.012 and lower proportion of sufficient CHL 125 (38.9%) vs 239 (71.3%), p < 0.001 compared to Swedish speakers. Multiple regression analysis showed on associations between limited CHL and eHL and being Arabic speaking, less Internet use, and not finding the Internet to be important or useful. Furthermore, longer time spent in Sweden was associated with higher levels of CHL among the Arabic speakers, (OR 0.94, 95% CI 0.91–0.98, p < 0.01). Conclusions CHL and eHL differ between Arabic-speaking migrants and native Swedish speakers, but also between Arabic speakers who have lived different lengths of time in Sweden. Though it seems that the eHealth literacy is less affected by language spoken, the Internet is suggested to be an appropriate channel for disseminating health information to Arabic-speaking migrants.Lina BergmanUlrica NilssonKaruna DahlbergMaria JaenssonJosefin WångdahlBMCarticleE-health literacyeHEALSEthnic minoritiesMigrant healthHealth literacyHLS-EU-Q16Public aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	E-health literacy eHEALS Ethnic minorities Migrant health Health literacy HLS-EU-Q16 Public aspects of medicine RA1-1270
spellingShingle	E-health literacy eHEALS Ethnic minorities Migrant health Health literacy HLS-EU-Q16 Public aspects of medicine RA1-1270 Lina Bergman Ulrica Nilsson Karuna Dahlberg Maria Jaensson Josefin Wångdahl Health literacy and e-health literacy among Arabic-speaking migrants in Sweden: a cross-sectional study
description	Abstract Background Health inequities arise when the public cannot access and understand health information in an easy, accessible, and understandable way. Evidence supports that health literacy (HL) is a determinant for health outcomes, and when HL is limited this may have a major impact on morbidity as well as mortality. Migrants are known to have limited HL. Therefore, this study aimed to explore comprehensive health literacy (CHL) and electronic health literacy (eHL) among Arabic-speaking migrants in Sweden. Methods This was a cross-sectional observational study conducted in Sweden. A total of 703 persons were invited to participate between February and September 2019. Two questionnaires – the Health Literacy Survey European Questionnaire (HLS-EU-Q16) and the eHealth Literacy Scale (eHEALS) – and questions about self-perceived health and Internet use were distributed in Swedish and Arabic. Various statistical analyses were performed to determine the associations for limited CHL and eHL. Results A total of 681 respondents were included in the analysis. Of these, 334 (49%) were native Arabic-speaking migrants and 347 (51%) were native Swedish-speaking residents. CHL and eHL differed between the groups. The Arabic speakers had significantly lower mean sum scores in eHL 28.1 (SD 6.1) vs 29.3 (6.2), p = 0.012 and lower proportion of sufficient CHL 125 (38.9%) vs 239 (71.3%), p < 0.001 compared to Swedish speakers. Multiple regression analysis showed on associations between limited CHL and eHL and being Arabic speaking, less Internet use, and not finding the Internet to be important or useful. Furthermore, longer time spent in Sweden was associated with higher levels of CHL among the Arabic speakers, (OR 0.94, 95% CI 0.91–0.98, p < 0.01). Conclusions CHL and eHL differ between Arabic-speaking migrants and native Swedish speakers, but also between Arabic speakers who have lived different lengths of time in Sweden. Though it seems that the eHealth literacy is less affected by language spoken, the Internet is suggested to be an appropriate channel for disseminating health information to Arabic-speaking migrants.
format	article
author	Lina Bergman Ulrica Nilsson Karuna Dahlberg Maria Jaensson Josefin Wångdahl
author_facet	Lina Bergman Ulrica Nilsson Karuna Dahlberg Maria Jaensson Josefin Wångdahl
author_sort	Lina Bergman
title	Health literacy and e-health literacy among Arabic-speaking migrants in Sweden: a cross-sectional study
title_short	Health literacy and e-health literacy among Arabic-speaking migrants in Sweden: a cross-sectional study
title_full	Health literacy and e-health literacy among Arabic-speaking migrants in Sweden: a cross-sectional study
title_fullStr	Health literacy and e-health literacy among Arabic-speaking migrants in Sweden: a cross-sectional study
title_full_unstemmed	Health literacy and e-health literacy among Arabic-speaking migrants in Sweden: a cross-sectional study
title_sort	health literacy and e-health literacy among arabic-speaking migrants in sweden: a cross-sectional study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e6b2e2c68f4646ce8f5b3280033cb064
work_keys_str_mv	AT linabergman healthliteracyandehealthliteracyamongarabicspeakingmigrantsinswedenacrosssectionalstudy AT ulricanilsson healthliteracyandehealthliteracyamongarabicspeakingmigrantsinswedenacrosssectionalstudy AT karunadahlberg healthliteracyandehealthliteracyamongarabicspeakingmigrantsinswedenacrosssectionalstudy AT mariajaensson healthliteracyandehealthliteracyamongarabicspeakingmigrantsinswedenacrosssectionalstudy AT josefinwangdahl healthliteracyandehealthliteracyamongarabicspeakingmigrantsinswedenacrosssectionalstudy
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Health literacy and e-health literacy among Arabic-speaking migrants in Sweden: a cross-sectional study

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