What we learned about Adolescent

Health Literacy

Focus Group

Three Partners to conduct focus group with local teen groups:

MCHC’s Summer Youth Institute

SEAHEC’s Health Career Club

GEAR UP Team Anonymous

Step One:

Consent form sent home to minors from groups in both English and Spanish

Step Two: Sign in with only specific demographics

AGE ZIP CODE PLACE OF

RESIDENCY

Step Three: The Questions?

Where do you generally get your health information?

Has anyone other than a health care provider (Dr., nurse) given you medical advice. Can you tell me who that was.

Looking at this prescription label, what can you tell me about taking this medication.

More Questions???

On a package of food, where do you find a nutrition label? Looking at the nutrition label, what can you tell me about it. How many calories, servings, etc.

Have any of you been seen by a medical provider (Dr., Nurse)? Were you comfortable asking questions?

Is there anything else you would like to add?

Focus Groups

Three focus groups were conducted:

1. One with MCHC’s SYI group and SEAHEC’s HCC

2. One with GEAR UP

3. One with Team Anonymous

Results only for SYI and Health Career Club

Teens; 9 students (including one exchange

student from Germany)

The Results Question 1

SYI Mom Grandmother Internet TV Clinic Doctor News Pharmacist in Mexico

Pediatrician in Mexico Tucson Doctor House Doctor SYI Peer

The Results Question 2

Grandmother/Nana

1. Put 2 potato slices on your temples for headaches

2. Cut granny smith apple and smell it for headaches

3. If you get stung by jelly fish, pee on it or put baking soda, toothpaste or vinegar on it

4. Put mustard on a burn

5. Mix onions and honey for a sore throat

6. A lot of homeopathic info

7. Teens go across the border for morning after pill no questions asked

The Results Question 3

There are no refills Doesn’t have complete

instructions What is OTIC How long do you have

to take it

Tells you when to take it and how many

What it is and what it is for

How many doses and how often

Tells you the quantity Shows caution sign

The Results Question 4

On the back, bottom or side Number of calories How many calories per fat it contains % of daily vitamins and values What it offers you How much energy it has The fiber and protein contents How much fiber it contains

The Results Question 5

Majority said yes Yes they asked questions All felt more comfortable seeing the doctor

with a parent present 3 of them rephrased the doctors instructions

to be sure of what the doctor said Sometimes doctors use really big words and

you have to ask them what they mean

The Results Question 5 Cont.

The student from Germany stated that she once had a doctor who didn’t really know what she was doing. The doctor keep having to read and refer to books to get a diagnosis

If you don ‘t ask, you won’t know what they are really trying to tell you

The Results Question 6

Most participants admitted to having self diagnosed and later going to find out truth

One participants stated he had been misdiagnosed by a doctor and ended up in the hospital later

Most get ailing remedies from nana

5 of the participants said they go to doctors in Mexico because they believe the medicines work better, are more natural and cheaper, plus you can get the medicines without a prescription

Health Literacy Survey

Survey Stats

Fall 2009 211 students in Middle School Calabasas Middle School, Coatimundi Middle

School, Patagonia Middle School, Desert Shadows Middle School and Wade Carpenter Middle School

11 Questions

The Students

The majority of the students who completed the survey were in the 8th grade (81.5%) followed by 7th grade (10%) and 6th grade (8.5%).

Question 1: Have you ever been taught to read a nutrition label

Most of the students replied “yes” (61.2%) when asked if they had ever been taught to read a nutrition label. Health teachers and mothers were the most common responses when asked “How did you learn to read a nutrition label?”

Food Label Questions If you eat an entire container of ice cream, how many calories

will you eat? If you are allowed to eat 60 grams of carbohydrates as a snack,

how much ice cream could you eat? If you measured two servings, how much ice cream would that

be if you measrued it in a bowl? Your doctor advises you to reduce the amount of saturated fat in

your diet. You usually have 42 grams of saturated fat each day, which includes one serving of ice cream. If you stop eating ice cream, how many grams of saturated fat would you be consuming each day?

If you usually eat 2500 calories in a day, what percentage of your daily value of calories will you be eating if you eat one serving?

Table 1.Responses to Food Label Questions

“Yes” = percentage of students who answered question correctly

“No” = percentage of students who answered question incorrectly

Questions pertaining to medical use practice The students were asked if anyone other than a healthcare

provider had provided medical advice. 64.5% answered “Yes” 35.5% answered “No” “Mothers” were listed most frequently as the person dispensing

medical advice, followed by “parents”, “family members”, “grandparents” and “teachers”.

Eighty-seven percent (87.6%) of students reported being seen by a healthcare provider. Of these individuals, seventy-five percent (75%) said that he/she felt comfortable with what the provider told him/her, and sixty-six percent (66%) stated that they felt comfortable asked the healthcare provider questions.

Home Remedies

Forty percent (40%) of students stated that they had been told of or ever used a home remedy. The most common home remedies included:

Putting tooth paste on burns Using aloevera plants for cuts and burns, and Consuming tea with lime or honey to soothe

sore throats.

Conclusion While the majority of youth who completed the survey

and participated in the focus groups sought medical treatment from western physicians and nurses, many of the students receive medical advice from their grandmothers and other family members. Many of the students mentioned obtaining medical care and medicine from across the border in Mexico.

And finally, while many of the students demonstrated some proficiency at reading food labels, many additional students could benefit from some further instruction. Findings from this study may be useful when developing a culturally competent health literacy education intervention.