Health literacy and cancer screening: A systematic review

Oldach, Benjamin R.; Katz, Mira L.

doi:10.1016/j.pec.2013.10.001

Cited by 190 publications

(150 citation statements)

References 64 publications

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“…The small number of non-white women meant that we could not assess outcomes in specific non-white ethnic groups. Differences between ethnic groups in health literacy, illness beliefs or representations, cultural attitudes or social influences, or language barriers, could explain our findings (Baumann, 2003;Berkman, Sheridan, Donahue, Halpern, & Crotty, 2011;Breitkopf, Catero, Jaccard, & Berenson, 2004;Oldach & Katz, 2014;von Wagner, Knight, Steptoe, & Wardle, 2007).…”

Section: Sociodemographic and Lifestyle Predictorsmentioning

confidence: 77%

Long-Term Worries after Colposcopy: Which Women Are at Increased Risk?

Sharp

Cotton

Cruickshank

et al. 2015

Women's Health Issues

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Section: Sociodemographic and Lifestyle Predictorsmentioning

confidence: 77%

Long-Term Worries after Colposcopy: Which Women Are at Increased Risk?

Sharp

Cotton

Cruickshank

et al. 2015

Women's Health Issues

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“…Patient engagement is a broader concept that combines patient activation with interventions designed to increase activation and promote positive patient behavior, such as obtaining preventive care [9]. On the basis of available evidence in other settings of healthcare delivery [13,16,20,22,26,27,29,32,36,40,41], it is likely that patients with low health literacy presenting to a hand surgeon are at greater risk for poor treatment adherence, suboptimal outcomes, and misuse of resources; future studies should confirm these assumptions in this patient population. To the extent that asking more questions yields more information for patients, the observed difference in question-asking may reveal a source of health-literacy disparities in access to health information.…”

Section: Discussionmentioning

confidence: 99%

Patients With Limited Health Literacy Ask Fewer Questions During Office Visits With Hand Surgeons

Menendez

Hoorn

Mackert

et al. 2017

Clinical Orthopaedics &Amp; Related Research

110

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Background In the midst of rapid expansion of medical knowledge and decision-support tools intended to benefit diverse patients, patients with limited health literacy (the ability to obtain, process, and understand information and services to make health decisions) will benefit from asking questions and engaging actively in their own care. But little is known regarding the relationship between health literacy and question-asking behavior during outpatient office visits. Questions/purposes (1) Do patients with lower levels of health literacy ask fewer questions in general, and as stratified by types of questions? (2) What other patient characteristics are associated with the number of questions asked? (3) How often do surgeons prompt patients to ask questions during an office visit? Methods We audio-recorded office visits of 84 patients visiting one of three orthopaedic hand surgeons for the first time. Patient questions were counted and coded using an adaptation of the Roter Interaction Analysis System in 11 categories: (1) therapeutic regimen; (2) medical condition; (3) lifestyle; (4) requests for services or medications; (5) psychosocial/feelings; (6) nonmedical/procedural; (7) asks for understanding; (8) asks for reassurance; (9) paraphrase/ checks for understanding; (10) bid for repetition; and (11) personal remarks/social conversation. Directly after the visit, patients completed the Newest Vital Sign (NVS) health literacy test, a sociodemographic survey (including age, sex, race, work status, marital status, insurance status), and three Patient-Reported Outcomes Measurement Information System-based questionnaires: Upper-Extremity Function, Pain Interference, and Depression. The NVS scores were divided into limited (0-3) and adequate (4-6) health literacy as done by the tool's creators. We also assessed whether the surgeons prompted patients to ask questions during the encounter. Results Patients with limited health literacy asked fewer questions than patients with adequate health literacy (5 ± 4 versus 9 ± 7; mean difference, À4; 95% CI, À7 to À1; p = 0.002). More specifically, patients with limited health literacy asked fewer questions regarding medical-care issues such as their therapeutic regimen (1 ± 2 versus 3 ± 4; Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. This work was performed at

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“…23 Low health literacy has been associated with disparities across a range of conditions and settings for LEP patients. [24][25][26][27][28] This is a large and growing problem in the U.S; the proportion of people with limited English proficiency increased by 80 % between 1990 and 2010 29 and the vast majority of this population is Spanish speaking.…”

Section: Introductionmentioning

confidence: 99%

Development and Validation of the Spanish Numeracy Understanding in Medicine Instrument

Jacobs¹,

Walker

Miller

et al. 2016

J GEN INTERN MED

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BACKGROUND:The Spanish-speaking population in the U.S. is large and growing and is known to have lower health literacy than the English-speaking population. Less is known about the health numeracy of this population due to a lack of health numeracy measures in Spanish. OBJECTIVE: we aimed to develop and validate a short and easy to use measure of health numeracy for Spanish-speaking adults: the Spanish Numeracy Understanding in Medicine Instrument (Spanish-NUMi). DESIGN: Items were generated based on qualitative studies in English-and Spanish-speaking adults and translated into Spanish using a group translation and consensus process. Candidate items for the Spanish NUMi were selected from an eight-item validated English Short NUMi. Differential Item Functioning (DIF) was conducted to evaluate equivalence between English and Spanish items. Cronbach's alpha was computed as a measure of reliability and a Pearson's correlation was used to evaluate the association between test scores and the Spanish Test of Functional Health Literacy (S-TOFHLA) and education level. PARTICIPANTS: Two-hundred and thirty-two Spanishspeaking Chicago residents were included in the study. KEY RESULTS: The study population was diverse in age, gender, and level of education and 70 % reported Mexico as their country of origin. Two items of the English eightitem Short NUMi demonstrated DIF and were dropped. The resulting six-item test had a Cronbach's alpha of 0.72, a range of difficulty using classical test statistics (percent correct: 0.48 to 0.86), and adequate discrimination (item-total score correlation: 0.34-0.49). Scores were positively correlated with print literacy as measured by the S-TOFHLA (r = 0.67; p < 0.001) and varied as predicted across grade level; mean scores for up to eighth grade, ninth through twelfth grade, and some college experience or more, respectively, were 2.48 (SD ± 1.64), 4.15 (SD ± 1.45), and 4.82 (SD ± 0.37). CONCLUSIONS: The Spanish NUMi is a reliable and valid measure of important numerical concepts used in communicating health information.KEY WORDS: cross cultural research; health numeracy; health literacy; measurement; Spanish language.

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Health literacy and cancer screening: A systematic review

Cited by 190 publications

References 64 publications

Long-Term Worries after Colposcopy: Which Women Are at Increased Risk?

Long-Term Worries after Colposcopy: Which Women Are at Increased Risk?

Patients With Limited Health Literacy Ask Fewer Questions During Office Visits With Hand Surgeons

Development and Validation of the Spanish Numeracy Understanding in Medicine Instrument

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