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Health Literacy in African-American Communities: Barriers and Strategies
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Health Literacy in African-American Communities: Barriers and Strategies
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Health Literacy in African-American Communities: Barriers and Strategies
Health Literacy in African-American Communities: Barriers and Strategies

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Health Literacy in African-American Communities: Barriers and Strategies
Health Literacy in African-American Communities: Barriers and Strategies
Journal Article

Health Literacy in African-American Communities: Barriers and Strategies

2020
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Overview
LHL is an independent predictor of racial/ethnic disparities in health behaviors (e.g., smoking, adherence to HIV treatment), access to health care resources, and health outcomes (Al Sayah, Majumdar, Egede, & Johnson, 2015; Berkman et al., 2011; Hossain, Ehtesham, Salzman, Jenson, & Calkins, 2013; Lanning & Doyle, 2010; Mantwill, Monestel-Umaña, & Schulz, 2015; Sentell & Halpin, 2006; Stewart et al., 2015). The health care system has played a role in creating disparities in health literacy by historically failing to accommodate racial and ethnic minority populations' needs and preferences in the delivery of services and health information (Saha, Beach, & Cooper, 2008). [...]health care providers may not recognize the extent of this health literacy gap. [...]African Americans with LHL are less likely to use computers or the internet for health information (McCleary-Jones et al., 2013). [...]to reach a large number of people with LHL, online or digital health literacy interventions should incorporate features that tailor health information to individuals' health literacy needs, technical skills, health needs, as well as personal and cultural values (Bickmore & Paasche-Orlow, 2012; Hur, Lee, & Schmidt, 2015). Furthermore, a qualitative study by our research team examined health insurance literacy among 87 residents (young, middle-aged, and senior adults) of a predominantly African-American community and found that participants preferred in-person health insurance navigation delivered by culturally competent community health workers who are from or familiar with the community, trustworthy, nonjudgmental, and knowledgeable about health insurance (Ali et al., 2018).