PDF(Pubmed)
Abstract：
BACKGROUND: Low health literacy has been found to affect people\'s ability to take care of their own health and follow the principles of disease prevention. Incomprehension of health education and healthcare instructions may lead to poor health outcomes.
OBJECTIVE: The aim of the study was to describe and compare a sample of primary healthcare patient\'s ability to recognise and pronounce health-related words in English and in his or her native language.
METHODS: The study was conducted in 12 primary healthcare (PHC) clinics in Gauteng, South Africa.
METHODS: A prospective, quantitative, comparative research design using a survey method was used to assess the ability to recognise and pronounce health-related words of 401 respondents using the REALM-R (SA) tool.
RESULTS: Most respondents were 18-29 years (32%) and 30-49 years (53%) old. More than half (54%) of the respondents have completed grade 12 schooling. Adequate English health-related word recognition and pronunciation levels were at 19.5%, while native health-related word recognition and pronunciation levels were far better, ranging between 55.6% and 97.0%.
CONCLUSIONS: Respondents showed better word recognition and pronunciation of the health-related words in their native language than in English. Providing health information in the patient\'s native language and on their level of understanding may therefore improve patient health outcomes.Contribution: The study is the first of its kind to determine word recognition and pronunciation of health-related words in English and a native language of South African PHC patients. Knowing this may assist healthcare professionals to give health education and instructions on the patient\'s level of understanding.
OBJECTIVE: The aim of the study was to describe and compare a sample of primary healthcare patient\'s ability to recognise and pronounce health-related words in English and in his or her native language.
METHODS: The study was conducted in 12 primary healthcare (PHC) clinics in Gauteng, South Africa.
METHODS: A prospective, quantitative, comparative research design using a survey method was used to assess the ability to recognise and pronounce health-related words of 401 respondents using the REALM-R (SA) tool.
RESULTS: Most respondents were 18-29 years (32%) and 30-49 years (53%) old. More than half (54%) of the respondents have completed grade 12 schooling. Adequate English health-related word recognition and pronunciation levels were at 19.5%, while native health-related word recognition and pronunciation levels were far better, ranging between 55.6% and 97.0%.
CONCLUSIONS: Respondents showed better word recognition and pronunciation of the health-related words in their native language than in English. Providing health information in the patient\'s native language and on their level of understanding may therefore improve patient health outcomes.Contribution: The study is the first of its kind to determine word recognition and pronunciation of health-related words in English and a native language of South African PHC patients. Knowing this may assist healthcare professionals to give health education and instructions on the patient\'s level of understanding.
摘要：
背景：已发现健康素养低影响人们照顾自身健康和遵循疾病预防原则的能力。对健康教育和医疗保健指导的不理解可能导致不良的健康结果。
目的：这项研究的目的是描述和比较一个样本的初级卫生保健患者的能力识别和发音与健康相关的单词的英语和他或她的母语。
方法：该研究在豪登省的12个初级保健（PHC）诊所进行，南非。
方法：前瞻性，定量,使用调查方法的比较研究设计用于评估401名受访者使用REALM-R(SA)工具识别和发音健康相关单词的能力.
结果：大多数受访者年龄为18-29岁（32%）和30-49岁（53%）。超过一半（54％）的受访者完成了12年级的教育。足够的英语健康相关单词识别和发音水平为19.5%，虽然与健康相关的单词识别和发音水平要好得多，介于55.6%和97.0%之间。
结论：受访者在母语中表现出比英语更好的单词识别和与健康相关的单词发音。因此，以患者的母语及其理解水平提供健康信息可以改善患者的健康结果。贡献：该研究是首次确定英语和南非PHC患者母语中与健康相关的单词的单词识别和发音。了解这一点可能有助于医疗保健专业人员对患者的理解水平进行健康教育和指导。
目的：这项研究的目的是描述和比较一个样本的初级卫生保健患者的能力识别和发音与健康相关的单词的英语和他或她的母语。
方法：该研究在豪登省的12个初级保健（PHC）诊所进行，南非。
方法：前瞻性，定量,使用调查方法的比较研究设计用于评估401名受访者使用REALM-R(SA)工具识别和发音健康相关单词的能力.
结果：大多数受访者年龄为18-29岁（32%）和30-49岁（53%）。超过一半（54％）的受访者完成了12年级的教育。足够的英语健康相关单词识别和发音水平为19.5%，虽然与健康相关的单词识别和发音水平要好得多，介于55.6%和97.0%之间。
结论：受访者在母语中表现出比英语更好的单词识别和与健康相关的单词发音。因此，以患者的母语及其理解水平提供健康信息可以改善患者的健康结果。贡献：该研究是首次确定英语和南非PHC患者母语中与健康相关的单词的单词识别和发音。了解这一点可能有助于医疗保健专业人员对患者的理解水平进行健康教育和指导。
