Georgia B Black, Julie-Ann Moreland, Naomi J Fulop, Georgios Lyratzopoulos, Brian D Nicholson, Katriina L Whitaker
Personal and organisational health literacy in the non-specific symptom pathway for cancer: An ethnographic study
Health expectations : an international journal of public participation in health care and health policy
although health literacy hl skills may change time research treats hl constant using baseline hl predict healthrelated constructs studies explored change hl time examined personlevel differences hl trajectories identified subgroups latent classes based longitudinal assessments hl examined association class membership demographic oral health variables used four measurement waves parental hl data reflecting risk limited hl collected part intervention reduce dental decay american indian children n 579 parentchild dyads baseline repeated measures latent class analysis rmlca models estimated identify subgroups hl trajectories time examined class membership association baseline demographics 36month assessments parental oral health knowledge beliefs behaviors well pediatric oral health fourclass model best fit data largest class high hl 497 sample characterized high levels hl waves second class improving hl 177 improved waves remaining two classes characterized moderate hl 20 low hl 126 maintained relatively stable hl levels time higher educational attainment associated membership high hl improving hl classes older age among youngadult sample higher income also associated high hl class membership parents high hl improving hl classes exhibited favorable performance measures oral health knowledge beliefs behavioral adherence classes class membership associated pediatric oral health rmlca demonstrated personlevel variability hl trajectories longitudinal patterns associated baseline demographics prospectively parental oral health knowledge beliefs behaviors pediatric oral health hlrp health literacy research practice 202372e89e98