Health literacy in adults with a spinal cord injury or disorder: An updated and expanded systematic review

IF 3.3 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES Disability and Health Journal Pub Date : 2025-07-01 Epub Date: 2025-03-03 DOI:10.1016/j.dhjo.2025.101821

Georgina Edwards, Diana Dorstyn, Melissa Oxlad

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Abstract

Background

The importance of health literacy in personal health management is widely recognised in the general population, yet remains poorly understood in some patient groups, including people with spinal cord injury or disorder (SCI/D).

Objectives

The systematic review had two objectives: (1) to determine the health literacy levels of individuals with SCI/D, and (2) to identify facilitators and barriers to developing health literacy in this group.

Methods

Seven databases (CINAHL, Embase, Emcare, ProQuest, PsycINFO, PubMed, and Web of Science) were searched from inception, with an updated search completed on January 21, 2025. Study quality was evaluated (QualSyst Checklist) and both quantitative and qualitative research narratively summarised by our research aims.

Results

Seven quantitative studies and one qualitative study (N = 2471 participants) published from 2005 to 2022 were included. All demonstrated good methodological rigour. Most participants reported having sufficient health literacy. Those with higher health literacy were more likely to have higher education and socio-economic advantage, and to experience better physical and mental health outcomes. Evidence regarding the role of SCI/D variables in developing health literacy capacity was limited.

Conclusions

Health literacy remains an under-researched topic in the SCI/D literature. Further studies are needed to examine how health literacy can impact health behaviours and overall health for this group. This research would also benefit from focusing on personal experiences of health literacy development.

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成人脊髓损伤或疾病的健康素养：一项更新和扩展的系统评价。

背景：健康素养在个人健康管理中的重要性在普通人群中得到了广泛认可，但在一些患者群体中，包括脊髓损伤或疾病（SCI/D）患者，人们对健康素养的了解仍然很少。目的：系统评价有两个目标：(1)确定脊髓损伤/脊髓损伤个体的健康素养水平；(2)确定该群体发展健康素养的促进因素和障碍。方法：从一开始检索7个数据库（CINAHL、Embase、Emcare、ProQuest、PsycINFO、PubMed和Web of Science），更新检索于2025年1月21日完成。研究质量被评估（QualSyst Checklist），定量和定性研究都被我们的研究目的叙述总结。结果：纳入2005 - 2022年间发表的7项定量研究和1项定性研究（N = 2471名受试者）。所有这些都显示出良好的方法严谨性。大多数参与者报告有足够的卫生知识。那些健康素养较高的人更有可能拥有高等教育和社会经济优势，并获得更好的身心健康结果。关于SCI/D变量在发展卫生素养能力中的作用的证据有限。结论：健康素养在SCI/D文献中仍然是一个研究不足的话题。需要进一步研究卫生素养如何影响这一群体的卫生行为和整体健康。这项研究也将受益于侧重于卫生素养发展的个人经验。

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来源期刊

Disability and Health Journal HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

7.50

自引率

6.70%

发文量

134

审稿时长

34 days

期刊介绍： Disability and Health Journal is a scientific, scholarly, and multidisciplinary journal for reporting original contributions that advance knowledge in disability and health. Topics may be related to global health, quality of life, and specific health conditions as they relate to disability. Such contributions include: • Reports of empirical research on the characteristics of persons with disabilities, environment, health outcomes, and determinants of health • Reports of empirical research on the Systematic or other evidence-based reviews and tightly conceived theoretical interpretations of research literature • Reports of empirical research on the Evaluative research on new interventions, technologies, and programs • Reports of empirical research on the Reports on issues or policies affecting the health and/or quality of life for persons with disabilities, using a scientific base.