Health Literacy and Obesity Among Native Hawaiian and Pacific Islanders in the United States. Issue 1 (2nd October 2014)

• Record Type: Journal Article
• Authors: Lassetter, Jane H.; Clark, Lauren; Morgan, Sharla E.; Brown, Lora Beth; VanServellen, Gwen; Duncan, Katrina; Hopkins, Elizabeth S.
• Is Part Of: Public health nursing. Volume 32:Issue 1(2015:Jan./Feb.)
• Page Start: 15
• Page End: 23
• Publication Date: 2014-10-02
• Subjects: Public health nursing -- Periodicals; 610.734
• DOI: 10.1111/phn.12155
• Languages: English
• ISSNs: 0737-1209

Abstract

<abstract abstract-type="main" id="phn12155-abs-0001"> <title>Abstract</title> <sec id="phn12155-sec-0001" sec-type="section"> <title>Objectives</title> <p>Our purpose was to describe relationships between demographic characteristics, body mass index (BMI), and health literacy among Native Hawaiians and other Pacific Islanders (NHPIs).</p> </sec> <sec id="phn12155-sec-0002" sec-type="section"> <title>Design and Sample</title> <p>In this cross‐sectional survey, we interviewed 364 NHPI adults.</p> </sec> <sec id="phn12155-sec-0003" sec-type="section"> <title>Measures</title> <p>We used Newest Vital Sign (NVS), a health literacy tool; measured heights and weights; and demographic questions.</p> </sec> <sec id="phn12155-sec-0004" sec-type="section"> <title>Results</title> <p>According to participants' NVS scores, 45.3% had at least a possibility of low health literacy. Lower NVS scores were associated with increased BMI (<italic>r</italic> = −0.12, <italic>p</italic> = .027) and increased age (<italic>r</italic> = −0.26, <italic>p</italic> < .001). Higher NVS scores were associated with higher incomes (<italic>r</italic> = 0.21, <italic>p</italic> = .001) and higher education (<italic>r</italic> = 0.27, <italic>p</italic> < .001). Women scored significantly better than men (<italic>t</italic> = −2.0, <italic>p</italic> = .05). Participants' NVS scores in Hawaii versus Utah were not significantly different (<italic>t</italic> = .26, <italic>p</italic> = .80).</p> </sec> <sec id="phn12155-sec-0005" sec-type="section"> <title>Conclusions</title> <p>Pathways to health literacy are complex; however, age, income, education, and BMI explained a modest 19.95% of the combined variance in NVS scores. Public health nurses working to improve health literacy could include review of critical information on nutrition facts labels, frequently used calculations, and application of this information when making food choices.</p> </sec> </abstract>