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      Trends of global health literacy research (1995–2020): Analysis of mapping knowledge domains based on citation data mining

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          Abstract

          Background

          During uncertainties associated with the COVID-19 pandemic, effectively improving people’s health literacy is more important than ever. Drawing knowledge maps of health literacy research through data mining and visualized measurement technology helps systematically present the research status and development trends in global academic circles.

          Methods

          This paper uses CiteSpace to carry out a metric analysis of 9,492 health literacy papers included in Web of Science through mapping knowledge domains. First, based on the production theory of scientific knowledge and the data mining of citations, the main bodies (country, institution and author) that produce health literacy knowledge as well as their mutual cooperation (collaboration network) are both clarified. Additionally, based on the quantitative framework of cocitation analysis, this paper introduces the interdisciplinary features, development trends and hot topics of the field. Finally, by using burst detection technology in the literature, it further reveals the research frontiers of health literacy.

          Results

          The results of the BC measures of the global health literacy research collaboration network show that the United States, Australia and the United Kingdom are the major forces in the current international collaboration network on health literacy. There are still relatively very few transnational collaborations between Eastern and Western research institutions. Collaborations in public environmental occupational health, health care science services, nursing and health policy services have been active in the past five years. Research topics in health literacy research evolve over time, mental health has been the most active research field in recent years.

          Conclusions

          A systematic approach is needed to address the challenges of health literacy, and the network framework of cooperation on health literacy at regional, national and global levels should be strengthened to further promote the application of health literacy research. In the future, we anticipate that this research field will expand in two directions, namely, mental health literacy and eHealth literacy, both of which are closely linked to social development and issues. The results of this study provide references for future applied research in health literacy.

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          Most cited references64

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          Low health literacy and health outcomes: an updated systematic review.

          Approximately 80 million Americans have limited health literacy, which puts them at greater risk for poorer access to care and poorer health outcomes. To update a 2004 systematic review and determine whether low health literacy is related to poorer use of health care, outcomes, costs, and disparities in health outcomes among persons of all ages. English-language articles identified through MEDLINE, CINAHL, PsycINFO, ERIC, and Cochrane Library databases and hand-searching (search dates for articles on health literacy, 2003 to 22 February 2011; for articles on numeracy, 1966 to 22 February 2011). Two reviewers independently selected studies that compared outcomes by differences in directly measured health literacy or numeracy levels. One reviewer abstracted article information into evidence tables; a second reviewer checked information for accuracy. Two reviewers independently rated study quality by using predefined criteria, and the investigative team jointly graded the overall strength of evidence. 96 relevant good- or fair-quality studies in 111 articles were identified: 98 articles on health literacy, 22 on numeracy, and 9 on both. Low health literacy was consistently associated with more hospitalizations; greater use of emergency care; lower receipt of mammography screening and influenza vaccine; poorer ability to demonstrate taking medications appropriately; poorer ability to interpret labels and health messages; and, among elderly persons, poorer overall health status and higher mortality rates. Poor health literacy partially explains racial disparities in some outcomes. Reviewers could not reach firm conclusions about the relationship between numeracy and health outcomes because of few studies or inconsistent results among studies. Searches were limited to articles published in English. No Medical Subject Heading terms exist for identifying relevant studies. No evidence concerning oral health literacy (speaking and listening skills) and outcomes was found. Low health literacy is associated with poorer health outcomes and poorer use of health care services. Agency for Healthcare Research and Quality.
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            Finding and evaluating community structure in networks

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              Co-citation in the scientific literature: A new measure of the relationship between two documents

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                Author and article information

                Contributors
                Role: ConceptualizationRole: SupervisionRole: ValidationRole: Writing – original draft
                Role: MethodologyRole: SoftwareRole: VisualizationRole: Writing – original draft
                Role: Data curationRole: Project administrationRole: Writing – original draft
                Role: ConceptualizationRole: SupervisionRole: ValidationRole: Writing – review & editing
                Role: Project administrationRole: ValidationRole: VisualizationRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                9 August 2021
                2021
                : 16
                : 8
                : e0254988
                Affiliations
                [1 ] Research Institute of Social Development, Southwestern University of Finance and Economics, Chengdu, China
                [2 ] Graduate School of Information Sciences, Tohoku University, Sendai, Japan
                [3 ] School of Foreign Language, Huaiyin Normal University, Huai’an, China
                College of Medicine and Sagore Dutta Hospital, INDIA
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0001-7883-6105
                Article
                PONE-D-21-02964
                10.1371/journal.pone.0254988
                8351965
                34370749
                a6567123-76a3-49cd-96f8-871ac7bc7c56
                © 2021 Qi et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 28 January 2021
                : 7 July 2021
                Page count
                Figures: 8, Tables: 7, Pages: 23
                Funding
                The authors received no specific funding for this work.
                Categories
                Research Article
                Medicine and Health Sciences
                Health Care
                Health Education and Awareness
                Medicine and Health Sciences
                Mental Health and Psychiatry
                Computer and Information Sciences
                Data Management
                Data Mining
                Medicine and Health Sciences
                Public and Occupational Health
                Global Health
                Computer and Information Sciences
                Network Analysis
                Medicine and Health Sciences
                Public and Occupational Health
                Research and Analysis Methods
                Research Assessment
                Systematic Reviews
                Medicine and Health Sciences
                Health Care
                Socioeconomic Aspects of Health
                Medicine and Health Sciences
                Public and Occupational Health
                Socioeconomic Aspects of Health
                Custom metadata
                All relevant data are available in figshare: ( https://doi.org/10.6084/m9.figshare.15023226.v4).

                Uncategorized
                Uncategorized

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