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Examining Associations between Self-Rated Health and Proficiency in Literacy and Numeracy among Immigrants and U.S.-Born Adults: Evidence from the Program for the International Assessment of Adult Competencies (PIAAC).

Prins E, Monnat S - PLoS ONE (2015)

Bottom Line: Immigrants had significantly lower literacy and numeracy scores, yet reported better health than U.S.-born respondents.Second, U.S.-born and immigrant adults accrued similarly positive health benefits from stronger literacy and numeracy skills.These findings underscore the potential health benefits of providing adult basic education instruction, particularly for immigrants with the least formal schooling and fewest socioeconomic resources.

View Article: PubMed Central - PubMed

Affiliation: Adult Education Program, Goodling Institute for Research in Family Literacy, and Institute for the Study of Adult Literacy, The Pennsylvania State University, University Park, Pennsylvania, United States of America.

ABSTRACT
This paper uses data from the Program for the International Assessment of Adult Competencies (PIAAC) to analyze the relationship between self-reported health (SRH) and literacy and numeracy proficiency for immigrants compared to U.S.-born respondents and for Hispanic versus Asian immigrants. The research questions were: (1) Are literacy and numeracy scores associated with adults' SRH? (2) Are associations between SRH and literacy and numeracy proficiency moderated by immigrant status? (3) Among immigrants, are literacy and numeracy scores more strongly associated with SRH for Hispanics versus Asians? Immigrants had significantly lower literacy and numeracy scores, yet reported better health than U.S.-born respondents. Ordinal logistic regression analyses showed that literacy and numeracy were both positively related to SRH for immigrants and U.S.-born adults, and should therefore be viewed as part of the growing evidence that literacy is an independent and significant social determinant of health. Second, U.S.-born and immigrant adults accrued similarly positive health benefits from stronger literacy and numeracy skills. Third, although Hispanic immigrants were more disadvantaged than Asian immigrants on almost all socioeconomic characteristics and had significantly lower literacy and numeracy scores and worse SRH than Asian immigrants, both Hispanic and Asian immigrants experienced similar positive health returns from literacy and numeracy proficiency. These findings underscore the potential health benefits of providing adult basic education instruction, particularly for immigrants with the least formal schooling and fewest socioeconomic resources.

No MeSH data available.


Related in: MedlinePlus

Average Numeracy Scores by Self-Rated Health Category for U.S.-Born and Immigrant Respondents (95% CIs) (N = 4,664).
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pone.0130257.g002: Average Numeracy Scores by Self-Rated Health Category for U.S.-Born and Immigrant Respondents (95% CIs) (N = 4,664).

Mentions: Bivariate associations between literacy and SRH for U.S.-born and immigrant adult respondents demonstrated average positive associations for both groups (Figs 1 and 2). Among the U.S.-born, average literacy and numeracy scores were significantly higher among those who report excellent, very good, or good health compared to those who report fair or poor health. Among immigrants, average literacy and numeracy scores were significantly higher among those who report excellent and very good health compared to those who report good, fair, or poor health.


Examining Associations between Self-Rated Health and Proficiency in Literacy and Numeracy among Immigrants and U.S.-Born Adults: Evidence from the Program for the International Assessment of Adult Competencies (PIAAC).

Prins E, Monnat S - PLoS ONE (2015)

Average Numeracy Scores by Self-Rated Health Category for U.S.-Born and Immigrant Respondents (95% CIs) (N = 4,664).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4488592&req=5

pone.0130257.g002: Average Numeracy Scores by Self-Rated Health Category for U.S.-Born and Immigrant Respondents (95% CIs) (N = 4,664).
Mentions: Bivariate associations between literacy and SRH for U.S.-born and immigrant adult respondents demonstrated average positive associations for both groups (Figs 1 and 2). Among the U.S.-born, average literacy and numeracy scores were significantly higher among those who report excellent, very good, or good health compared to those who report fair or poor health. Among immigrants, average literacy and numeracy scores were significantly higher among those who report excellent and very good health compared to those who report good, fair, or poor health.

Bottom Line: Immigrants had significantly lower literacy and numeracy scores, yet reported better health than U.S.-born respondents.Second, U.S.-born and immigrant adults accrued similarly positive health benefits from stronger literacy and numeracy skills.These findings underscore the potential health benefits of providing adult basic education instruction, particularly for immigrants with the least formal schooling and fewest socioeconomic resources.

View Article: PubMed Central - PubMed

Affiliation: Adult Education Program, Goodling Institute for Research in Family Literacy, and Institute for the Study of Adult Literacy, The Pennsylvania State University, University Park, Pennsylvania, United States of America.

ABSTRACT
This paper uses data from the Program for the International Assessment of Adult Competencies (PIAAC) to analyze the relationship between self-reported health (SRH) and literacy and numeracy proficiency for immigrants compared to U.S.-born respondents and for Hispanic versus Asian immigrants. The research questions were: (1) Are literacy and numeracy scores associated with adults' SRH? (2) Are associations between SRH and literacy and numeracy proficiency moderated by immigrant status? (3) Among immigrants, are literacy and numeracy scores more strongly associated with SRH for Hispanics versus Asians? Immigrants had significantly lower literacy and numeracy scores, yet reported better health than U.S.-born respondents. Ordinal logistic regression analyses showed that literacy and numeracy were both positively related to SRH for immigrants and U.S.-born adults, and should therefore be viewed as part of the growing evidence that literacy is an independent and significant social determinant of health. Second, U.S.-born and immigrant adults accrued similarly positive health benefits from stronger literacy and numeracy skills. Third, although Hispanic immigrants were more disadvantaged than Asian immigrants on almost all socioeconomic characteristics and had significantly lower literacy and numeracy scores and worse SRH than Asian immigrants, both Hispanic and Asian immigrants experienced similar positive health returns from literacy and numeracy proficiency. These findings underscore the potential health benefits of providing adult basic education instruction, particularly for immigrants with the least formal schooling and fewest socioeconomic resources.

No MeSH data available.


Related in: MedlinePlus