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Cited by 341

The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.

Health literacy in rural and urban populations: A systematic review

Aljassim, Noor, Ostini, Remo·2020·Patient Education and Counseling
DOI 10.1016/j.pec.2020.06.007
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Abstract

OBJECTIVE This review assessed whether health literacy differences exist between rural and urban populations and whether rurality is a determinant. METHODS Eight online databases were searched using the keywords "health literacy", "rural" and "urban", and related terms. Peer-reviewed original research comparing health literacy levels between rural and urban populations were evaluated for strength of evidence. A narrative synthesis summarised the results of included studies. RESULTS Nineteen articles met inclusion criteria and were of sufficient methodological quality for data extraction. The majority of studies found that urban populations had higher health literacy than rural populations. Differences were more likely to be found in developing than developed countries. Studies that performed covariate analysis indicated that rurality may not be a significant determinant of health literacy. CONCLUSION Evidence suggests that rurality alone does not explain rural-urban health literacy differences and that sociodemographic factors play important roles. PRACTICE IMPLICATIONS These findings could be used to help inform the development of evidence-based interventions specifically for rural populations, at both health policy and clinical levels; for example, by tackling healthcare access challenges. The findings also provide a lens through which to consider efforts to reduce rural-urban health outcome disparities.

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Metadata

Authors
Aljassim, N., & Ostini, R.
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2020-10
Volume
103
Issue
10
Pages
2142-2154
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/j.pec.2020.06.007
OpenAlex
W2767579216
Cited by
341
References
48
FWCI
7.42
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Health literacy in rural and urban populations: A systematic review. https://app.cochat.ai/papers/10.1016/j.pec.2020.06.007
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Aljassim, N., & Ostini, R. (2020). Health literacy in rural and urban populations: A systematic review. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2020.06.007

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.