Use of Short Assessment of Health Literacy for Spanish Adults (SAHLSA-50) to Determine the Health Literacy Rate of the Spanish-speaking Population in an Urban Emergency Department

Background: The Hispanic population presents a great opportunity in terms of potential improvements in clinical outcomes and cost reduction for interventions through assessing and improving health literacy. While there are various tools to assess health literacy, many do not assess comprehensive Spanish health literacy. Objectives: We sought to determine the health literacy rate of our Spanish-speaking population in the ED using the SAHLSA-50 tool. Methods: We surveyed a convenience sample of 300 patients from October to November 2012 that presented to our busy, high volume, urban ED. All subjects completed the SAHLSA-50 tool and demographic form with Spanish-speaking research assistants. Results: 63.3% were women. 8% were age 18-25, 42% were 26-40, 45% were 41-65, and 5% were 65+. 11% had less than 3 years of school, 30% had 4-6 years of school, and 59% had at least 7 years of school. Overall, 83% respondents were health literate. Those with less than 3 years of school were95% in those with 7 or more years of school. The elderly (65+) reported least years of school completed and had the lowest health literacy (56.3%). Conclusions: There was an overall health literacy rate of 83.0%. Importantly, those with lower levels of education and elderly patients were more likely to not be health literate. As a next step, targeting those with less education and the elder within the Hispanic population may yield the most impact for improving health literacy and outcomes