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The Association of Acculturation and Health Literacy Numeracy and Health-Related Skills in Spanish-speaking Caregivers of Young Children

机译：西班牙语西班牙语照顾者中的文化和健康素养算术和健康相关技能协会

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Little is known about the relationship among acculturation, literacy, and health skills in Latino caregivers of young children. Latino caregivers of children <30 months seeking primary care at four medical centers were administered measures of acculturation (SASH), functional health literacy (STOFHLA), numeracy (WRAT-3) and health-related skills (PHLAT Spanish). Child anthropomorphics and immunization status were ascertained by chart review. Caregivers (N = 184) with a median age of 27 years (IQR: 23–32) participated; 89.1 % were mothers, and 97.1 % had low acculturation. Lower SASH scores were significantly correlated (P < 0.01) with lower STOFHLA (ρ = 0.21), WRAT-3 (ρ = 0.25), and PHLAT Spanish scores (ρ = 0.34). SASH scores predicted PHLAT Spanish scores in a multivariable linear regression model that adjusted for the age of child, the age and gender of the caregiver, number of children in the family, the type of health insurance of the caregiver, and study site (adjusted β: 0.84, 95 % CI 0.26–1.42, P = 0.005). This association was attenuated by the addition of literacy (adjusted β: 0.66, 95 % CI 0.11–1.21, P = 0.02) or numeracy (adjusted β: 0.50, 95 % CI −0.04–1.04, P = 0.07) into the model. There was no significant association between acculturation and up-to-date child immunizations or a weight status of overweight/obese. Lower acculturation was associated with worse health literacy and diminished ability to perform child health-related skills. Literacy and numeracy skills attenuated the association between acculturation and child health skills. These associations may help to explain some child health disparities in Latino communities.
机译：关于幼儿拉丁裔看护者的适应能力，读写能力和健康技能之间的关系知之甚少。对在四个医疗中心就诊的30个月以下儿童的拉丁裔看护人进行了适应度（SASH），功能健康素养（STOFHLA），计算能力（WRAT-3）和健康相关技能（PHLAT西班牙文）的测量。通过图表检查确定儿童的拟人化和免疫状况。中位年龄为27岁（IQR：23–32）的看护人（N = 184）；母亲中有89.1％为母亲，而文化适应性较低的人为97.1％。较低的SASH得分与较低的STOFHLA（ρ= 0.21），WRAT-3（ρ= 0.25）和PHLAT西班牙分数（ρ= 0.34）显着相关（P <0.01）。 SASH评分在多变量线性回归模型中预测了PHLAT西班牙语评分，该模型针对儿童的年龄，照料者的年龄和性别，家庭中的子女数，照料者的健康保险类型和研究地点进行了调整（β调整后：0.84，95％CI 0.26-1.42，P = 0.005）。通过在模型中增加读写能力（调整后的β：0.66，95％CI 0.11–1.21，P = 0.02）或计算能力（调整后的β：0.50，95％CI −0.04-1.04，P = 0.07），可以减弱这种关联。适应与最新的儿童免疫接种或体重超重/肥胖之间无显着关联。较低的适应能力与较差的健康素养和与儿童健康相关的技能执行能力下降有关。识字和算术技能削弱了文化适应与儿童健康技能之间的联系。这些协会可能有助于解释拉丁裔社区的某些儿童健康差异。

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