Esther Prins|Shannon M. Monnat
Examining Associations between Self-Rated Health and Proficiency in Literacy and Numeracy among Immigrants and U.S.-Born Adults: Evidence from the Program for the International Assessment of Adult Competencies (PIAAC)
Pennsylvania State University|Pennsylvania State University
paper uses data program international assessment adult competencies piaac analyze relationship selfreported health srh literacy numeracy proficiency immigrants compared usborn respondents hispanic versus asian immigrants research questions 1 literacy numeracy scores associated adults srh 2 associations srh literacy numeracy proficiency moderated immigrant status 3 among immigrants literacy numeracy scores strongly associated srh hispanics versus asians immigrants significantly lower literacy numeracy scores yet reported better health usborn respondents ordinal logistic regression analyses showed literacy numeracy positively related srh immigrants usborn adults therefore viewed part growing evidence literacy independent significant social determinant health second usborn immigrant adults accrued similarly positive health benefits stronger literacy numeracy skills third although hispanic immigrants disadvantaged asian immigrants almost socioeconomic characteristics significantly lower literacy numeracy scores worse srh asian immigrants hispanic asian immigrants experienced similar positive health returns literacy numeracy proficiency findings underscore potential health benefits providing adult basic education instruction particularly immigrants least formal schooling fewest socioeconomic resources