Sarah Fredsted Villadsen|Hajer Hadi|Israa Ismail|Richard H. Osborne|Claus Thorn Ekstrøm|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
University of Copenhagen|University of Copenhagen|University of Copenhagen|Swinburne University of Technology|University of Copenhagen|University of Copenhagen
objective explore ehealth literacy ability actively engage healthcare providers health system navigation among pregnant immigrant women descendants compared women danish origin design setting crosssectional survey antenatal clinics 2016 denmark participants pregnant women attending antenatal care n405 outcome measures ehealth literacy questionnaire ehlq two domains health literacy questionnaire hlq ability actively engage healthcare providers health system navigation range response options ehlq 14 hlq 15 mixedeffect linear regressions ehlq hlq among immigrants descendants compared women danish origin assessed results response rate 75 overall trend lower ehealth literacy hlq domains among immigrants descendants compared women danish origin ehealth literacy results suggest challenges related digital abilities motivation trust access technology mean ability engage digital services 320 sd 044 women danish origin nonwestern descendants 014 95 ci 031 002 nonwestern 020 95 ci 034 006 western 022 95 ci 039 006 immigrants lower adjusted means outcome differences motivation engage digital services found descendants 000 95 ci 017 017 nonwestern 003 95 ci 011 018 western 006 95 ci 023 010 immigrants compared mean reference 285 sd 045 lower ability engage healthcare providers found nonwestern born immigrants 015 ci 95 030 001 compared mean women danish origin 415 sd 047 conclusion generally descendant immigrant women lower levels ehealth literacy health literacy women danish origin differences potentially antecedents adverse birth outcomes could inform structural efforts mitigate health inequalities