Detecting limited health literacy in Brazil: development of a multidimensional screening tool

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorAPOLINARIO, Daniel
dc.contributor.authorMANSUR, Leticia Lessa
dc.contributor.authorCARTHERY-GOULART, Maria Teresa
dc.contributor.authorBRUCKI, Sonia Maria Dozzi
dc.contributor.authorNITRINI, Ricardo
dc.date.accessioned2014-04-28T22:01:11Z
dc.date.available2014-04-28T22:01:11Z
dc.date.issued2014
dc.description.abstractScreening questions have been proposed as practical tools for detecting limited functional health literacy, but have achieved only moderate accuracy in previous studies. We hypothesized that a combination of screening questions and demographic characteristics could better predict a patients functional health literacy. Three hundred and twenty-two hospital users from So Paulo, Brazil, were interviewed for demographic information and answered questions about literacy habits and perceived difficulties. The Short Test of Functional Health Literacy in Adults was used to classify individuals as having adequate or limited functional health literacy. Of the 322 participants, 102 (31.7) presented limited functional health literacy. The final logistic model included six predictors. The three demographic variables were educational attainment, mothers educational attainment and major lifetime occupation (manual or non-manual). The three questions concerned frequency of use of computers, difficulty with writing that have precluded the individual from getting a better job and difficulty reading the subtitles while watching a foreign movie. A simple score was derived to constitute a practical tool we named the Multidimensional Screener of Functional Health Literacy (MSFHL). The sensitivity of the MSFHL in detecting limited functional health literacy was 81.4 and the specificity was 87.7, with an area under receiver operating characteristic (ROC) curve of 0.93 (95 CI 0.890.95). The MSFHL was better than educational attainment in accurately classifying functional health literacy status (p 0.0018). We have developed a screening tool based on three demographic characteristics and three simple questions which provides an accurate prediction of a patients functional health literacy level.
dc.description.indexMEDLINE
dc.identifier.citationHEALTH PROMOTION INTERNATIONAL, v.29, n.1, p.5-14, 2014
dc.identifier.doi10.1093/heapro/dat074
dc.identifier.eissn1460-2245
dc.identifier.issn0957-4824
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/5373
dc.language.isoeng
dc.publisherOXFORD UNIV PRESS
dc.relation.ispartofHealth Promotion International
dc.rightsopenAccess
dc.rights.holderCopyright OXFORD UNIV PRESS
dc.subjecthealth literacy
dc.subjectvalidity
dc.subjectscreening
dc.subject.othermini-mental-state
dc.subject.otheridentify patients
dc.subject.otherpublic-health
dc.subject.otherquestions
dc.subject.otheradults
dc.subject.otherskills
dc.subject.otherpopulation
dc.subject.othervalidation
dc.subject.otheroutcomes
dc.subject.wosHealth Policy & Services
dc.subject.wosPublic, Environmental & Occupational Health
dc.titleDetecting limited health literacy in Brazil: development of a multidimensional screening tool
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus22
hcfmusp.contributor.author-fmusphcDANIEL APOLINARIO
hcfmusp.contributor.author-fmusphcLETICIA LESSA MANSUR
hcfmusp.contributor.author-fmusphcMARIA TERESA CARTHERY GOULART
hcfmusp.contributor.author-fmusphcSONIA MARIA DOZZI BRUCKI
hcfmusp.contributor.author-fmusphcRICARDO NITRINI
hcfmusp.description.beginpage5
hcfmusp.description.endpage14
hcfmusp.description.issue1
hcfmusp.description.volume29
hcfmusp.origemWOS
hcfmusp.origem.pubmed24179154
hcfmusp.origem.scopus2-s2.0-84894284394
hcfmusp.origem.wosWOS:000331814400002
hcfmusp.publisher.cityOXFORD
hcfmusp.publisher.countryENGLAND
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