ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women
Objective To explore ehealth literacy, ability to actively engage with healthcare providers and health system navigation among pregnant immigrant women and their descendants compared with women of Danish origin.Design and setting A cross-sectional survey at antenatal clinics in 2016, Denmark.Partici...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-05-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/5/e037076.full |
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| author | Claus Thorn Ekstrøm Richard H Osborne Sarah Fredsted Villadsen Hajer Hadi Israa Ismail Lars Kayser |
| author_facet | Claus Thorn Ekstrøm Richard H Osborne Sarah Fredsted Villadsen Hajer Hadi Israa Ismail Lars Kayser |
| author_sort | Claus Thorn Ekstrøm |
| collection | DOAJ |
| description | Objective To explore ehealth literacy, ability to actively engage with healthcare providers and health system navigation among pregnant immigrant women and their descendants compared with women of Danish origin.Design and setting A cross-sectional survey at antenatal clinics in 2016, Denmark.Participants Pregnant women attending antenatal care (n=405).Outcome measures The eHealth Literacy Questionnaire (eHLQ) and two domains from the Health Literacy Questionnaire (HLQ): ability to actively engage with healthcare providers and health system navigation. Range of response options for eHLQ (1–4) and HLQ (1–5). With mixed-effect linear regressions, eHLQ and HLQ among immigrants and their descendants compared with women of Danish origin were assessed.Results The response rate was 75%. The overall trend was lower ehealth literacy and HLQ domains among immigrants and their descendants compared with women of Danish origin. For ehealth literacy, the results suggest that challenges related more to digital abilities than motivation, trust and access to technology. The mean ability to engage with digital services was 3.20 (SD 0.44) for women of Danish origin. Non-Western descendants (−0.14, 95% CI −0.31 to 0.02), non-Western (−0.20, 95% CI −0.34 to −0.06) and Western (−0.22, 95% CI −0.39 to −0.06) immigrants had lower adjusted means of this outcome. No differences in motivation to engage with digital services were found for descendants (−0.00, 95% CI −0.17 to 0.17), non-Western (0.03, 95% CI −0.11 to 0.18) or Western (−0.06, 95% CI −0.23 to 0.10) immigrants compared with the mean of the reference (2.85, SD 0.45). Lower ability to engage with healthcare providers was found for non-Western born immigrants (−0.15, CI 95% −0.30 to −0.01) compared with the mean of women with Danish origin (4.15, SD 0.47).Conclusion Generally, descendant and immigrant women had lower levels of ehealth literacy and health literacy than women of Danish origin. These differences are potentially antecedents of adverse birth outcomes and could inform structural efforts to mitigate health inequalities. |
| format | Article |
| id | doaj-art-d9a0743d3941478ca3943d087dbc771f |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-d9a0743d3941478ca3943d087dbc771f2025-02-11T11:20:16ZengBMJ Publishing GroupBMJ Open2044-60552020-05-0110510.1136/bmjopen-2020-037076ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant womenClaus Thorn Ekstrøm0Richard H Osborne1Sarah Fredsted Villadsen2Hajer Hadi3Israa Ismail4Lars Kayser5Department of Public Health, Section of Biostatistics, University of Copenhagen, Copenhagen, DenmarkFaculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Victoria, AustraliaSection of Social Medicine, Department of Public Health, Kobenhavns Universitet, Copenhagen K, DenmarkSection of Social Medicine, Department of Public Health, Kobenhavns Universitet, Copenhagen K, DenmarkSection of Social Medicine, Department of Public Health, Kobenhavns Universitet, Copenhagen K, DenmarkDepartment of Public Health, University of Copenhagen, Copenhagen, DenmarkObjective To explore ehealth literacy, ability to actively engage with healthcare providers and health system navigation among pregnant immigrant women and their descendants compared with women of Danish origin.Design and setting A cross-sectional survey at antenatal clinics in 2016, Denmark.Participants Pregnant women attending antenatal care (n=405).Outcome measures The eHealth Literacy Questionnaire (eHLQ) and two domains from the Health Literacy Questionnaire (HLQ): ability to actively engage with healthcare providers and health system navigation. Range of response options for eHLQ (1–4) and HLQ (1–5). With mixed-effect linear regressions, eHLQ and HLQ among immigrants and their descendants compared with women of Danish origin were assessed.Results The response rate was 75%. The overall trend was lower ehealth literacy and HLQ domains among immigrants and their descendants compared with women of Danish origin. For ehealth literacy, the results suggest that challenges related more to digital abilities than motivation, trust and access to technology. The mean ability to engage with digital services was 3.20 (SD 0.44) for women of Danish origin. Non-Western descendants (−0.14, 95% CI −0.31 to 0.02), non-Western (−0.20, 95% CI −0.34 to −0.06) and Western (−0.22, 95% CI −0.39 to −0.06) immigrants had lower adjusted means of this outcome. No differences in motivation to engage with digital services were found for descendants (−0.00, 95% CI −0.17 to 0.17), non-Western (0.03, 95% CI −0.11 to 0.18) or Western (−0.06, 95% CI −0.23 to 0.10) immigrants compared with the mean of the reference (2.85, SD 0.45). Lower ability to engage with healthcare providers was found for non-Western born immigrants (−0.15, CI 95% −0.30 to −0.01) compared with the mean of women with Danish origin (4.15, SD 0.47).Conclusion Generally, descendant and immigrant women had lower levels of ehealth literacy and health literacy than women of Danish origin. These differences are potentially antecedents of adverse birth outcomes and could inform structural efforts to mitigate health inequalities.https://bmjopen.bmj.com/content/10/5/e037076.full |
| spellingShingle | Claus Thorn Ekstrøm Richard H Osborne Sarah Fredsted Villadsen Hajer Hadi Israa Ismail Lars Kayser ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women BMJ Open |
| title | ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women |
| title_full | ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women |
| title_fullStr | ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women |
| title_full_unstemmed | ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women |
| title_short | ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: a cross-sectional study using a multidimensional approach among pregnant women |
| title_sort | ehealth literacy and health literacy among immigrants and their descendants compared with women of danish origin a cross sectional study using a multidimensional approach among pregnant women |
| url | https://bmjopen.bmj.com/content/10/5/e037076.full |
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