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Comprehensive health literacy and the experiences of the health examination for asylum seekers
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Socialmedicinsk epidemiologi)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine. (Socialmedicinsk epidemiologi)
Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine. (Socialmedicinsk epidemiologi)
2015 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Objective: The purposes of the study were to investigate refugees’ experiences of communication during their health examination for asylum seekers and the usefulness of that examination, and to investigate whether health literacy is associated with those experiences.

Methods: A cross-sectional study was performed in 2013, among 455 adult refugees speaking Arabic, Dari, Somali or English. Health literacy was measured using the Swedish Functional health literacy scale and the short European health literacy questionnaire. Experiences of communication and the usefulness of health examination for asylum seekers were measured in several questions.  Uni- and multivariate statistical methods were used to investigate group differences.

Results: A considerable proportion of refugees in Sweden had bad experiences of the communication and the usefulness of the health examination for asylum seekers. Refugees with inadequate comprehensive health literacy experienced more communication problems and the examination as less useful, compared to those with non-inadequate comprehensive health literacy. No differences in those experiences could be seen between refugees with different levels of functional health literacy.

Conclusion: Refugees’ own experiences indicate that a low level of comprehensive health literacy could act as a barrier to fulfilling the purposes of the health examination for asylum seekers. Comprehensive health literacy seems to be of greater importance in that context than functional health literacy

Practical Implications: Health literacy must be highlighted and acted upon in clinical praxis to increase the quality of the health examination for asylum seekers.

Place, publisher, year, edition, pages
2015.
Keyword [en]
Health literacy, refugees, health examination, health promotion, Sweden, S-FHL, HLS-EU-Q16
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-284969OAI: oai:DiVA.org:uu-284969DiVA: diva2:921049
Conference
8th European Public Health Conference: Health in Europe – from global to local policies, methods and practices, 14–17 OCTOBER 2015, Milan, Italy
Available from: 2016-04-19 Created: 2016-04-19 Last updated: 2017-03-15Bibliographically approved

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Wångdahl, JosefinLytsy, PerWesterling, Ragnar

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