Sociodemographic Correlates of Low Health Literacy Skills Among Cancer Survivors: National Findings From BRFSS 2016.

IF 2.5 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Promotion Pub Date : 2024-07-01 Epub Date: 2023-12-18 DOI:10.1177/08901171231222073

Qi Chen, John Moore, Lailea Noel, Kirk von Sternberg, Barbara Jones

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引用次数: 0

Abstract

Purpose: This study aimed to explore associations of sociodemographic factors with difficulties in three health literacy (HL) skills and the severity of low HL skills.

Design: Cross-sectional secondary data analysis. Subjects: Data came from 17,834 adults who responded to the HL module with a response rate of 47% in the 2016 Behavioral Risk Factor Surveillance System.

Measures: Independent variables included sex, age, race/ethnicity, education, employment and income. Dependent variables are three HL skills: obtaining, understanding oral, and understanding written health information.

Analysis: We conducted weighted Chi-square tests and multinominal logistic regressions.

Results: Cancer survivors younger than 65 (aged 18-39: AOR = 4.46, P < .001; aged 40-64: AOR = 2.29, P < .001), Hispanic (AOR = 2.17, CI = 1.61-2.50, P < .01) had higher odds of difficulty obtaining health information. Female cancer survivors had lower odds of difficulty comprehending oral (AOR = .69, CI = .55-.87, P < .01) and written (AOR = .58, CI = .46-.74, P < .001) information. The relative risk ratio of having difficulties in three HL tasks was higher for those who were younger than 65 (aged 18-39: RRR = 10.18, CI = 2.41-4.3, P < .01; aged 40-64: RRR = 4.01, CI = 2.09-7.69, P < .001), Hispanic (RRR = 3.24, CI = 1.66-11.34, P < .01), unemployed (RRR = 6.1, CI = 2.88-12.76, P < .001), education levels lower than some college (some high school: RRR = 4.34, P < .01; high school: RRR = 2.62, P < .05) and household income under $25,000 (RRR = 6.99, CI = 2.8-17.5, P < .001).

Conclusion: Intervention and communication materials need to be tailored for patients with different HL skills considering age, gender, socioeconomic status and cultural backgrounds.

查看原文本刊更多论文

癌症幸存者健康素养技能低下的社会人口学相关因素：2016年BRFSS全国调查结果》。

目的：本研究旨在探讨社会人口因素与三种健康素养（HL）技能困难的关联以及健康素养技能低下的严重程度：设计：横断面二手数据分析。研究对象数据来自2016年行为危险因素监测系统中回答健康素养模块的17834名成年人，回答率为47%：自变量包括性别、年龄、种族/民族、教育、就业和收入。自变量包括性别、年龄、种族/民族、教育程度、就业和收入。因变量是三种健康生活技能：获取、理解口头和理解书面健康信息：我们进行了加权卡方检验和多项式逻辑回归：结果：65 岁以下癌症幸存者（18-39 岁：AOR = 4.46，P < .001；40-64 岁：AOR = 2.29，P < .001）和西班牙裔癌症幸存者（AOR = 2.17，CI = 1.61-2.50，P < .01）在获取健康信息方面遇到困难的几率更高。女性癌症幸存者难以理解口头信息（AOR = .69，CI = .55-.87，P < .01）和书面信息（AOR = .58，CI = .46-.74，P < .001）的几率较低。年龄小于 65 岁的人在三项 HL 任务中遇到困难的相对风险比率更高（18-39 岁，RRR = 10.18，CI = 0.55-0.87，P < 0.01）：RRR = 10.18，CI = 2.41-4.3，P < .01；40-64 岁：RRR = 4.01，CI = 2.09-7.69，P < .001）、西班牙裔（RRR = 3.24，CI = 1.66-11.34，P < .01）、失业（RRR = 6.1，CI = 2.88-12.76，P < .001）、教育程度低于大专（高中：RRR = 4.34，P < .01；高中：RRR = 2.62，P < .05）和家庭收入低于 25,000 美元（RRR = 6.99，CI = 2.8-17.5，P < .001）：考虑到患者的年龄、性别、社会经济地位和文化背景，需要为不同语言技能的患者量身定制干预措施和宣传材料。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

3.70%

发文量

184

期刊介绍： The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.