TY - JOUR
T1 - Demographic and psychosocial factors associated with limited health literacy in a community-based sample of older Black Americans
AU - Davis, Stacy N.
AU - Wischhusen, Jonathan W.
AU - Sutton, Steven K.
AU - Christy, Shannon M.
AU - Chavarria, Enmanuel A.
AU - Sutter, Megan E.
AU - Roy, Siddhartha
AU - Meade, Cathy D.
AU - Gwede, Clement K.
N1 - Funding Information:
The study was funded by Research Scholar Grant Award RSGT-11-012-01-CPPB from the American Cancer Society (PI: C.K. Gwede). The efforts of Drs. Davis, Christy, Chavarria, Sutter, and Roy were supported by grant #R25CA090314 (PI: P. B. Jacobsen [prior PI]/T. H. Brandon [current PI]) from the National Cancer Institute. This work was also supported in part by the Biostatistics Core and the Survey Methods Core at the H. Lee Moffitt Cancer Center & Research Institute, an NCI-designated Comprehensive Cancer Center (NIH/NCI Grant Number: P30-CA076292). The content is solely the responsibility of the authors and does not necessarily represent the official views of the American Cancer Society or the National Cancer Institute.
Funding Information:
The study was funded by Research Scholar Grant Award RSGT-11-012-01-CPPB from the American Cancer Society (PI: C.K. Gwede). The efforts of Drs. Davis, Christy, Chavarria, Sutter, and Roy were supported by grant #R25CA090314 (PI: P. B. Jacobsen [prior PI]/T. H. Brandon [current PI]) from the National Cancer Institute . This work was also supported in part by the Biostatistics Core and the Survey Methods Core at the H. Lee Moffitt Cancer Center & Research Institute, an NCI-designated Comprehensive Cancer Center (NIH/NCI Grant Number: P30-CA076292). The content is solely the responsibility of the authors and does not necessarily represent the official views of the American Cancer Society or the National Cancer Institute.
Publisher Copyright:
© 2019 Elsevier B.V.
PY - 2020/2
Y1 - 2020/2
N2 - Objectives: Individuals with limited health literacy often experience suboptimal health outcomes. This study examined the frequency of limited health literacy and demographic and psychosocial factors associated with limited health literacy in a sample of older Black Americans. Methods: Participants (n = 330) enrolled in a community-based intervention to promote colorectal cancer (CRC) screening completed baseline surveys assessing health literacy with the Rapid Estimate of Adult Literacy in Medicine, Revised (REALM-R) test, CRC awareness, cancer fatalism, Preventive Health Model (PHM) constructs, and demographics. Results: Approximately 52% of participants had limited health literacy, the REALM-R score was 5.4 (SD = 2.7). Univariable correlates of limited health literacy were gender, employment, income, prior screening, cancer fatalism, CRC awareness, and PHM constructs (religious beliefs, salience/coherence, perceived susceptibility). Multivariable correlates of limited health literacy were male gender (OR = 2.3, CI = 1.4–3.8), unable to work (OR = 2.8, CI = 1.3–6.1), lower household income (OR = 3.0, CI = 1.6, 5.5), and higher PHM religious beliefs (OR = 1.1, CI = 1.0–1.2). Conclusion: Limited health literacy was associated with multiple complex factors. Interventions should incorporate patient health literacy and low-literacy materials that can be delivered through multiple channels. Practice implications: Future studies are needed to understand the role of health literacy in an individual's health behavior and the provision of effective healthcare.
AB - Objectives: Individuals with limited health literacy often experience suboptimal health outcomes. This study examined the frequency of limited health literacy and demographic and psychosocial factors associated with limited health literacy in a sample of older Black Americans. Methods: Participants (n = 330) enrolled in a community-based intervention to promote colorectal cancer (CRC) screening completed baseline surveys assessing health literacy with the Rapid Estimate of Adult Literacy in Medicine, Revised (REALM-R) test, CRC awareness, cancer fatalism, Preventive Health Model (PHM) constructs, and demographics. Results: Approximately 52% of participants had limited health literacy, the REALM-R score was 5.4 (SD = 2.7). Univariable correlates of limited health literacy were gender, employment, income, prior screening, cancer fatalism, CRC awareness, and PHM constructs (religious beliefs, salience/coherence, perceived susceptibility). Multivariable correlates of limited health literacy were male gender (OR = 2.3, CI = 1.4–3.8), unable to work (OR = 2.8, CI = 1.3–6.1), lower household income (OR = 3.0, CI = 1.6, 5.5), and higher PHM religious beliefs (OR = 1.1, CI = 1.0–1.2). Conclusion: Limited health literacy was associated with multiple complex factors. Interventions should incorporate patient health literacy and low-literacy materials that can be delivered through multiple channels. Practice implications: Future studies are needed to understand the role of health literacy in an individual's health behavior and the provision of effective healthcare.
KW - African Americans
KW - Cancer prevention and screening
KW - Colorectal cancer
KW - Health literacy
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U2 - 10.1016/j.pec.2019.08.026
DO - 10.1016/j.pec.2019.08.026
M3 - Article
C2 - 31466881
AN - SCOPUS:85071122617
SN - 0738-3991
VL - 103
SP - 385
EP - 391
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 2
ER -