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Readability Level of Spanish Language Online Health Information: A Systematic Review.
Judith Aponte1,2, Karen Tejada3, Kelin Figueroa4
1Nursing Department, Hunter College, New York, New York, USA.
Spanish health information online is often too difficult to read. Most available materials are written above an 8th-grade level, hindering health literacy for Spanish speakers.
Area of Science:
- Health Literacy
- Spanish-Language Health Communication
- Web-Based Health Information
Background:
- Limited availability of Spanish online health information impacts health literacy.
- Assessing readability of Spanish health materials is crucial for accessibility.
Purpose of the Study:
- To systematically review and assess the readability levels of Spanish-language, web-based health information.
- To identify commonly used readability assessment tools for Spanish health content.
Main Methods:
- Systematic review of articles published up to January 3, 2024.
- Searches conducted in CINAHL, MEDLINE, and PubMed databases.
- Inclusion of studies on readability of Spanish web health information for lay audiences.
Main Results:
- 27 articles were included in the final review.
- 11 different readability tools were identified, with INFLESZ being most common.
- 85.2% of reviewed materials exceeded an 8th-grade reading level.
Conclusions:
- A significant gap exists in Spanish online health information at accessible reading levels (5th-8th grade).
- Further research is needed to identify the most accurate readability tests for Spanish web health information.
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