Qi Chen, John Moore, Lailea Noel, Kirk von Sternberg, Barbara Jones
{"title":"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》。","authors":"Qi Chen, John Moore, Lailea Noel, Kirk von Sternberg, Barbara Jones","doi":"10.1177/08901171231222073","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore associations of sociodemographic factors with difficulties in three health literacy (HL) skills and the severity of low HL skills.</p><p><strong>Design: </strong>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.</p><p><strong>Measures: </strong>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.</p><p><strong>Analysis: </strong>We conducted weighted Chi-square tests and multinominal logistic regressions.</p><p><strong>Results: </strong>Cancer survivors younger than 65 (aged 18-39: AOR = 4.46, <i>P</i> < .001; aged 40-64: AOR = 2.29, <i>P</i> < .001), Hispanic (AOR = 2.17, CI = 1.61-2.50, <i>P</i> < .01) had higher odds of difficulty obtaining health information. Female cancer survivors had lower odds of difficulty comprehending oral (AOR = .69, CI = .55-.87, <i>P</i> < .01) and written (AOR = .58, CI = .46-.74, <i>P</i> < .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, <i>P</i> < .01; aged 40-64: RRR = 4.01, CI = 2.09-7.69, <i>P</i> < .001), Hispanic (RRR = 3.24, CI = 1.66-11.34, <i>P</i> < .01), unemployed (RRR = 6.1, CI = 2.88-12.76, <i>P</i> < .001), education levels lower than some college (some high school: RRR = 4.34, <i>P</i> < .01; high school: RRR = 2.62, <i>P</i> < .05) and household income under $25,000 (RRR = 6.99, CI = 2.8-17.5, <i>P</i> < .001).</p><p><strong>Conclusion: </strong>Intervention and communication materials need to be tailored for patients with different HL skills considering age, gender, socioeconomic status and cultural backgrounds.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"757-766"},"PeriodicalIF":2.5000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sociodemographic Correlates of Low Health Literacy Skills Among Cancer Survivors: National Findings From BRFSS 2016.\",\"authors\":\"Qi Chen, John Moore, Lailea Noel, Kirk von Sternberg, Barbara Jones\",\"doi\":\"10.1177/08901171231222073\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study aimed to explore associations of sociodemographic factors with difficulties in three health literacy (HL) skills and the severity of low HL skills.</p><p><strong>Design: </strong>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.</p><p><strong>Measures: </strong>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.</p><p><strong>Analysis: </strong>We conducted weighted Chi-square tests and multinominal logistic regressions.</p><p><strong>Results: </strong>Cancer survivors younger than 65 (aged 18-39: AOR = 4.46, <i>P</i> < .001; aged 40-64: AOR = 2.29, <i>P</i> < .001), Hispanic (AOR = 2.17, CI = 1.61-2.50, <i>P</i> < .01) had higher odds of difficulty obtaining health information. Female cancer survivors had lower odds of difficulty comprehending oral (AOR = .69, CI = .55-.87, <i>P</i> < .01) and written (AOR = .58, CI = .46-.74, <i>P</i> < .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, <i>P</i> < .01; aged 40-64: RRR = 4.01, CI = 2.09-7.69, <i>P</i> < .001), Hispanic (RRR = 3.24, CI = 1.66-11.34, <i>P</i> < .01), unemployed (RRR = 6.1, CI = 2.88-12.76, <i>P</i> < .001), education levels lower than some college (some high school: RRR = 4.34, <i>P</i> < .01; high school: RRR = 2.62, <i>P</i> < .05) and household income under $25,000 (RRR = 6.99, CI = 2.8-17.5, <i>P</i> < .001).</p><p><strong>Conclusion: </strong>Intervention and communication materials need to be tailored for patients with different HL skills considering age, gender, socioeconomic status and cultural backgrounds.</p>\",\"PeriodicalId\":7481,\"journal\":{\"name\":\"American Journal of Health Promotion\",\"volume\":\" \",\"pages\":\"757-766\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Health Promotion\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/08901171231222073\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/12/18 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Health Promotion","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/08901171231222073","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/12/18 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Sociodemographic Correlates of Low Health Literacy Skills Among Cancer Survivors: National Findings From BRFSS 2016.
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.
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.
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