Seeking research articles and other resources related to health literacy among L2 populations with limited schooling/no print literacy

Dear colleagues,

Happy summer, and some apologies for a rather long email, which I also posted to the Health Literacy Discussion List:
 
I am looking for research articles and other resources (websites, researchers, research groups, etc) that are focused on the health literacy of multilingual populations with limited/interrupted schooling histories and/or little/no reading/writing skills in any language, including the mother tongue.  In the world of adult ESL/literacy education, practitioners sometimes refer to this group with this acronym -- LESLLA learners.  LESLLA stands for Literacy Education and Second Language Learning for Adults, and is associated with a yearly symposium focused on the learning needs of this population (https://www.pdx.edu/linguistics/leslla).
 
I am particularly interested in finding HL studies that disaggregates the sample by educational background in a more refined way: studies may categorize the sample into 2 basic categories:  less than high school, high school or more.  

I'm hoping to find more HL studies that disaggregate education level for multilingual populations (e.g., refugees, immigrants, long-term residents, etc) by more educational background categories:  for example, None, 0-6 years, 7-12 years, More than 12. Another categorization might be: No schooling, some primary, completed primary, some secondary, secondary completed.
 
For example, here are 2 studies that I have found, with a couple notes about possible LESLLA-relevant implications:
 
Wångdahl, J., Lytsy, P., Mårtensson, L., & Westerling, R. (2015). Health literacy and refugees’ experiences of the health examination for asylum seekers-Swedish cross-sectional study. BMC Public Health, 15(1), 1–13. https://doi.org/10.1186/s12889-015-2513-8
  • A cross-sectional study of the health literacy skills of 360 adult refugees speaking Arabic, Dari, Somali or English.  Participants were recruited from Swedish language schools.  Participants with 0-6 years of schooling (1/3 of the study sample) were at greater risk compared to more educated participants to experience poor communication with doctors and not get adequate health information.   

 

Wångdahl, J., Per Lytsy, Mårtensson, L., & Westerling, R. (2014). Health literacy among refugees in Sweden – a cross-sectional study. BMC Public Health, 14, 1030. https://doi.org/10.1186/1471-2458-14-1030
  • A cross-sectional study of the health literacy skills of 450 adult refugees, recruited from Swedish language schools. One-third of the study sample had 0-6 years of schooling. 
  • Those with a low education and/or were born in Somalia had a statistically increased risk of having inadequate functional health literacy.  
  • Study distinguishes between functional HL (the ability to read health info to carry out health care tasks) from comprehensive health literacy (the ability to navigate, evaluate, and apply information to carry out health care tasks). My take: the former focuses on HL as a cognitive skill, the latter focuses on HL as a set of literacy practices.  Study showed that for this refugee sample, low functional HL does not always correspond with low comprehension HL.  Relevant insight fo LESLLA implications: One possible explanation is that the refugee participants may "come from a very verbal culture/society, they may have other strategies of interaction upon receiving information than those who come from a culture/society where written communication dominates" (p. 9).
If you have suggestions for articles or reports, please contact me directly (mgsantos@sfsu.edu).  I'd be happy to compile everyone's suggestions, and share that bibliography with the group. If any of you will be attending the LESLLA Symposium in Portland, Oregon this coming August, I would love to know as I too will be there.
 
Thank you very much in advance.
 
Best, Maricel Santos