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Published in: Journal of Immigrant and Minority Health 3/2013

01-06-2013 | Original Paper

Health Literacy in Korean Immigrants at Risk for Type 2 Diabetes

Authors: Sarah E. Choi, Elizabeth Rush, Shayna Henry

Published in: Journal of Immigrant and Minority Health | Issue 3/2013

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Abstract

Rising incidence of type 2 diabetes (DM) in Korean immigrants has highlighted the need for better prevention efforts. Health literacy is an important predictor in the utilization of preventative health measures, however little is known about health literacy in Korean immigrants. This study examined DM risk factors in a sample of 145 at-risk Korean immigrants, their level of health literacy, and associations between health literacy and DM risk factors. Findings indicated a high prevalence of DM risk factors and a low level of health literacy in the sample. Health literacy was correlated with English proficiency, acculturation, and lower waist to hip ratios among all participants, and with lower blood glucose levels among highly acculturated participants. Korean immigrants who are less acculturated may have lower health literacy than those who are more acculturated. Thus, linguistically and culturally sensitive health education should be incorporated into diabetes prevention efforts.
Literature
1.
go back to reference United States Department of Health and Human Services. Healthy People 2010. Washington, DC: United States Department of Health and Human Services; 2000. NLM Pub. No. CBM 2000-1. United States Department of Health and Human Services. Healthy People 2010. Washington, DC: United States Department of Health and Human Services; 2000. NLM Pub. No. CBM 2000-1.
2.
go back to reference Boren SA. A review of health literacy and diabetes: opportunities for technology. J Diabetes Sci Technol. 2009;3(1):202–9.PubMed Boren SA. A review of health literacy and diabetes: opportunities for technology. J Diabetes Sci Technol. 2009;3(1):202–9.PubMed
3.
go back to reference Han HR, Kim J, Kim MT, Kim KB. Measuring health literacy among immigrants with a phonetic primary language: a case of Korean American women. J Immigr Minor Health. 2011;13(2):253–9.PubMedCrossRef Han HR, Kim J, Kim MT, Kim KB. Measuring health literacy among immigrants with a phonetic primary language: a case of Korean American women. J Immigr Minor Health. 2011;13(2):253–9.PubMedCrossRef
4.
go back to reference Schillinger D, Barton LR, Karter AJ, Wang F, Adler N. Does literacy mediate the relationship between education and health outcomes? A study of a low-income population with diabetes. Public Health Rep. 2006;121(3):245–54.PubMed Schillinger D, Barton LR, Karter AJ, Wang F, Adler N. Does literacy mediate the relationship between education and health outcomes? A study of a low-income population with diabetes. Public Health Rep. 2006;121(3):245–54.PubMed
5.
go back to reference Schillinger D, Bindman A, Wang F, Stewart A, Piette J. Functional health literacy and the quality of physician-patient communication among diabetes patients. Patient Educ Couns. 2004;52(3):315–23.PubMedCrossRef Schillinger D, Bindman A, Wang F, Stewart A, Piette J. Functional health literacy and the quality of physician-patient communication among diabetes patients. Patient Educ Couns. 2004;52(3):315–23.PubMedCrossRef
6.
go back to reference Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, et al. Association of health literacy with diabetes outcomes. JAMA. 2002;288(4):475–82. Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, et al. Association of health literacy with diabetes outcomes. JAMA. 2002;288(4):475–82.
7.
go back to reference Tang YH, Pang SM, Chan MF, Yeung GS, Yeung VT. Health literacy, complication awareness, and diabetic control in patients with type 2 diabetes mellitus. J Adv Nurs. 2008;62(1):74–83.PubMedCrossRef Tang YH, Pang SM, Chan MF, Yeung GS, Yeung VT. Health literacy, complication awareness, and diabetic control in patients with type 2 diabetes mellitus. J Adv Nurs. 2008;62(1):74–83.PubMedCrossRef
9.
go back to reference Choi SE, Chow VH, Chung SJ, Wong ND. Do risk factors explain the increased prevalence of type 2 diabetes among California Asian adults? J Immigr Minor Health. 2010;13(5):803–8.CrossRef Choi SE, Chow VH, Chung SJ, Wong ND. Do risk factors explain the increased prevalence of type 2 diabetes among California Asian adults? J Immigr Minor Health. 2010;13(5):803–8.CrossRef
10.
go back to reference Nielsen-Bohlman LT, Panzer AM, Hamlin B, Kindig DA. Health literacy: a prescription to end confusion. Washington, DC: Institute of Medicine; 2004. Nielsen-Bohlman LT, Panzer AM, Hamlin B, Kindig DA. Health literacy: a prescription to end confusion. Washington, DC: Institute of Medicine; 2004.
11.
go back to reference United States Census Bureau. Language use and English-speaking ability: census 2000 brief. Washington, DC: United States Census Bureau; 2003. C2KBR-29. United States Census Bureau. Language use and English-speaking ability: census 2000 brief. Washington, DC: United States Census Bureau; 2003. C2KBR-29.
12.
go back to reference Yu E-Y, Choe P. Social and economic indicators by Race and Asian Ethnic Groups and Korean Population Density Map—Top 5 Metropolitan Areas, 2000. Vol San Francisco, California: Korean American Coalition—Census Information Center Winter Conference; 2003. Yu E-Y, Choe P. Social and economic indicators by Race and Asian Ethnic Groups and Korean Population Density Map—Top 5 Metropolitan Areas, 2000. Vol San Francisco, California: Korean American Coalition—Census Information Center Winter Conference; 2003.
13.
go back to reference Kim SH, Yu X. The mediating effect of self-efficacy on the relationship between health literacy and health status in Korean older adults: a short report. Aging Ment Health. 2011;14(7):870–3. Kim SH, Yu X. The mediating effect of self-efficacy on the relationship between health literacy and health status in Korean older adults: a short report. Aging Ment Health. 2011;14(7):870–3.
15.
go back to reference Ponce N, Tseng W, Ong P, Shek YL, Ortiz S, Gatchell M. The state of Asian American, native Hawaiian and Pacific Islander health in California report. Sacramento, California: California Asian Pacific Islander Joint Legislative Caucus; 2009. Ponce N, Tseng W, Ong P, Shek YL, Ortiz S, Gatchell M. The state of Asian American, native Hawaiian and Pacific Islander health in California report. Sacramento, California: California Asian Pacific Islander Joint Legislative Caucus; 2009.
16.
go back to reference Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346(6):393–403. Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346(6):393–403.
17.
go back to reference Psaltopoulou T, Ilias I, Alevizaki M. The role of diet and lifestyle in primary, secondary, and tertiary diabetes prevention: a review of meta-analyses. Rev Diabet Stud. 2010;7(1):26–35.PubMedCrossRef Psaltopoulou T, Ilias I, Alevizaki M. The role of diet and lifestyle in primary, secondary, and tertiary diabetes prevention: a review of meta-analyses. Rev Diabet Stud. 2010;7(1):26–35.PubMedCrossRef
18.
go back to reference Greaney ML, Less FD, White AA, Dayton SF, Riebe D, Blissmer B, et al. College students’ barriers and enablers for healthful weight management: a qualitative study. J Nutr Educ Behav. 2009;41(4):281–6.PubMedCrossRef Greaney ML, Less FD, White AA, Dayton SF, Riebe D, Blissmer B, et al. College students’ barriers and enablers for healthful weight management: a qualitative study. J Nutr Educ Behav. 2009;41(4):281–6.PubMedCrossRef
19.
go back to reference Jones N, Furlanetto DL, Jackson JA, Kinn S. An investigation of obese adults’ views of the outcomes of dietary treatment. J Hum Nutr Diet. 2007;20(5):486–94.PubMedCrossRef Jones N, Furlanetto DL, Jackson JA, Kinn S. An investigation of obese adults’ views of the outcomes of dietary treatment. J Hum Nutr Diet. 2007;20(5):486–94.PubMedCrossRef
20.
go back to reference Sassi F, Cecchini M, Lauer J, Chisholm D. Improving lifestyles, the health and economic impact of prevention strategies. Tackling Obesity: OECD health working papers; 2009. p. 48.CrossRef Sassi F, Cecchini M, Lauer J, Chisholm D. Improving lifestyles, the health and economic impact of prevention strategies. Tackling Obesity: OECD health working papers; 2009. p. 48.CrossRef
21.
23.
go back to reference Choo V. WHO reassesses appropriate body-mass index for Asian populations. Lancet. 2002;360(9328):235.PubMedCrossRef Choo V. WHO reassesses appropriate body-mass index for Asian populations. Lancet. 2002;360(9328):235.PubMedCrossRef
24.
go back to reference Clark JLD, Clifford RT. The FSI/ACTFL proficiency scales and testing techniques. Stud Second Lang Acquis. 1988;10:129–47.CrossRef Clark JLD, Clifford RT. The FSI/ACTFL proficiency scales and testing techniques. Stud Second Lang Acquis. 1988;10:129–47.CrossRef
25.
go back to reference Choi SE, Reed PL. Psychometric validation of a short acculturation scale for Korean immigrants. Nurs Res. 2011;60(4):240–6.PubMedCrossRef Choi SE, Reed PL. Psychometric validation of a short acculturation scale for Korean immigrants. Nurs Res. 2011;60(4):240–6.PubMedCrossRef
26.
go back to reference Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ. Development of a short acculturation scale for Hispanics. Hispanic J Behav Sci. Special Issue: Acculturation research. 1987;9(2):183–205. Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ. Development of a short acculturation scale for Hispanics. Hispanic J Behav Sci. Special Issue: Acculturation research. 1987;9(2):183–205.
28.
go back to reference Weiss BD, Mays MZ, Martz W, Castro KM, DeWalt DA, Pignone MP, et al. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med. 2005;3(6):514–22.PubMedCrossRef Weiss BD, Mays MZ, Martz W, Castro KM, DeWalt DA, Pignone MP, et al. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med. 2005;3(6):514–22.PubMedCrossRef
29.
go back to reference Baker DW, Williams MV, Parker RM, Gazmararian JA, Nurss J. Development of a brief test to measure functional health literacy. Patient Educ Couns. 1999;38(1):33–42.PubMedCrossRef Baker DW, Williams MV, Parker RM, Gazmararian JA, Nurss J. Development of a brief test to measure functional health literacy. Patient Educ Couns. 1999;38(1):33–42.PubMedCrossRef
30.
go back to reference Parker RM, Baker DW, Williams MV, Nurss JR. The test of functional health literacy in adults: a new instrument for measuring patients’ literacy skills. J Gen Intern Med. 1995;10(10):537–41.PubMedCrossRef Parker RM, Baker DW, Williams MV, Nurss JR. The test of functional health literacy in adults: a new instrument for measuring patients’ literacy skills. J Gen Intern Med. 1995;10(10):537–41.PubMedCrossRef
31.
go back to reference Karon BS, Gandhi GY, Nuttall GA, Bryant SC, Schaff HV, McMahon MM, et al. Accuracy of Roche Accu-Chek inform whole blood capillary, arterial, and venous glucose values in patients receiving intensive intravenous insulin therapy after cardiac surgery. Am J Clin Pathol. 2007;127(6):919–26.PubMedCrossRef Karon BS, Gandhi GY, Nuttall GA, Bryant SC, Schaff HV, McMahon MM, et al. Accuracy of Roche Accu-Chek inform whole blood capillary, arterial, and venous glucose values in patients receiving intensive intravenous insulin therapy after cardiac surgery. Am J Clin Pathol. 2007;127(6):919–26.PubMedCrossRef
32.
go back to reference American Diabetes Association. Standards of medical care in diabetes–2012. Diabetes Care. 2012;35(Suppl 1):S11–63. American Diabetes Association. Standards of medical care in diabetes–2012. Diabetes Care. 2012;35(Suppl 1):S11–63.
33.
go back to reference Obesity in Asia Collaboration. Is central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations? J Hypertens. 2008;26(2):169–77.CrossRef Obesity in Asia Collaboration. Is central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations? J Hypertens. 2008;26(2):169–77.CrossRef
34.
go back to reference Adams RJ, Appleton SL, Hill CL, Ruffin RE, Wilson DH. Inadequate health literacy is associated with increased asthma morbidity in a population sample. J Allergy Clin Immunol. 2009;124(3):601–3.PubMedCrossRef Adams RJ, Appleton SL, Hill CL, Ruffin RE, Wilson DH. Inadequate health literacy is associated with increased asthma morbidity in a population sample. J Allergy Clin Immunol. 2009;124(3):601–3.PubMedCrossRef
35.
go back to reference Todd L, Hoffman-Goetz L. Predicting health literacy among English-as-a-second-language older Chinese immigrant women to Canada: comprehension of colon cancer prevention information. J Cancer Educ. 2011;26(2):326–32.PubMedCrossRef Todd L, Hoffman-Goetz L. Predicting health literacy among English-as-a-second-language older Chinese immigrant women to Canada: comprehension of colon cancer prevention information. J Cancer Educ. 2011;26(2):326–32.PubMedCrossRef
36.
go back to reference White RO III, Osborn CY, Gebretsadik T, Kripalani S, Rothman RL. Development and validation of a Spanish diabetes-specific numeracy measure: DNT-15 Latino. Diabetes Technol Ther. 2011;13(9):893–8.PubMedCrossRef White RO III, Osborn CY, Gebretsadik T, Kripalani S, Rothman RL. Development and validation of a Spanish diabetes-specific numeracy measure: DNT-15 Latino. Diabetes Technol Ther. 2011;13(9):893–8.PubMedCrossRef
37.
go back to reference Zun LS, Sadoun T, Downey L. English-language competency of self-declared English-speaking Hispanic patients using written tests of health literacy. J Natl Med Assoc. 2006;98(6):912–7.PubMed Zun LS, Sadoun T, Downey L. English-language competency of self-declared English-speaking Hispanic patients using written tests of health literacy. J Natl Med Assoc. 2006;98(6):912–7.PubMed
38.
go back to reference Vazquez G, Duval S, Jacobs DR Jr, Silventoinen K. Comparison of body mass index, waist circumference, and waist/hip ratio in predicting incident diabetes: a meta-analysis. Epidemiol Rev. 2007;29:115–28.PubMedCrossRef Vazquez G, Duval S, Jacobs DR Jr, Silventoinen K. Comparison of body mass index, waist circumference, and waist/hip ratio in predicting incident diabetes: a meta-analysis. Epidemiol Rev. 2007;29:115–28.PubMedCrossRef
39.
go back to reference Yoon K-H, Lee J-H, Kim J-W, Cho JH, Choi Y-H, Ko S-H, et al. Epidemic obesity and type 2 diabetes in Asia. Lancet. 2006;368(9548):1681–8.PubMedCrossRef Yoon K-H, Lee J-H, Kim J-W, Cho JH, Choi Y-H, Ko S-H, et al. Epidemic obesity and type 2 diabetes in Asia. Lancet. 2006;368(9548):1681–8.PubMedCrossRef
40.
go back to reference Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The prevalence of limited health literacy. J Gen Intern Med. 2005;20(2):175–84.PubMedCrossRef Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The prevalence of limited health literacy. J Gen Intern Med. 2005;20(2):175–84.PubMedCrossRef
41.
go back to reference Deurenberg-Yap M, Yian TB, Kai CS, Duerenberg P, van Staveren WA. Manifestation of cardiovascular risk factors at low levels of body mass index and waist-to-hip ratio in Singaporean Chinese. Asia Pacific J Clin Nutr. 1999;8(3):177–83.CrossRef Deurenberg-Yap M, Yian TB, Kai CS, Duerenberg P, van Staveren WA. Manifestation of cardiovascular risk factors at low levels of body mass index and waist-to-hip ratio in Singaporean Chinese. Asia Pacific J Clin Nutr. 1999;8(3):177–83.CrossRef
42.
go back to reference Kullberg J, Angelhed JE, Lonn L, Brandberg J, Ahlstrom H, Frimmel H, et al. Whole-body T1 mapping improves the definition of adipose tissue: consequences for automated image analysis. J Magn Reson Imag. 2006;24(2):394–401.CrossRef Kullberg J, Angelhed JE, Lonn L, Brandberg J, Ahlstrom H, Frimmel H, et al. Whole-body T1 mapping improves the definition of adipose tissue: consequences for automated image analysis. J Magn Reson Imag. 2006;24(2):394–401.CrossRef
43.
go back to reference Song HJ, Han HR, Lee JE, Kim J, Kim KB, et al. Translating current dietary guidelines into a culturally tailored nutrition education program for Korean American immigrants with type 2 diabetes. Diabetes Educ. 2010;36(5):752–61.PubMedCrossRef Song HJ, Han HR, Lee JE, Kim J, Kim KB, et al. Translating current dietary guidelines into a culturally tailored nutrition education program for Korean American immigrants with type 2 diabetes. Diabetes Educ. 2010;36(5):752–61.PubMedCrossRef
Metadata
Title
Health Literacy in Korean Immigrants at Risk for Type 2 Diabetes
Authors
Sarah E. Choi
Elizabeth Rush
Shayna Henry
Publication date
01-06-2013
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 3/2013
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-012-9672-9

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