Sharp Lisa K, Zurawski Jill M, Roland Phillip Y, O'Toole Cheryl, Hines Jane
Robert H. Lurie Comprehensive Cancer Center, Northwestern University Medical School, Chicago, Illinois 60611, USA.
Ethn Dis. 2002 Fall;12(4):541-6.
To describe the relationship between health literacy, distress, and cervical cancer risk factors in women at high risk for developing cervical cancer.
Cross-sectional, prospective cohort design.
Two university-based gynecological oncology colposcopy clinics and 3 Planned Parenthood community dinics.
PATIENTS/PARTICIPANTS: One hundred-thirty English-speaking African-American women > or = 18 years referred for colposcopy following abnormal Pap testing.
Avoidance and Intrusion subscales of the Impact of Events Scale (IES), Rapid Estimate of Adult Literacy in Medicine (REALM), and demographics.
Forty-five percent of women had a low level of health literacy (< 9th grade). Low health literacy was related to fewer risk factors (P < .01) and higher levels of distress on the Impact of Events avoidance subscale (P < .05) after controlling for covariates. Forty-three percent of women with low literacy had excessive levels of distress as compared to 25% in women with high literacy (P < .05).
A low level of health literacy is associated with increased levels of distress among women at high risk for developing cervical cancer. To the extent that distress serves as a barrier to treatment, culturally informed, effective interventions are needed.
描述宫颈癌高危女性的健康素养、痛苦程度与宫颈癌风险因素之间的关系。
横断面前瞻性队列研究设计。
两所大学附属医院的妇科肿瘤阴道镜检查诊所和3所计划生育社区诊所。
患者/参与者：130名年龄≥18岁、讲英语的非裔美国女性，她们在巴氏试验异常后被转诊进行阴道镜检查。
事件影响量表（IES）的回避和侵入分量表、医学成人识字率快速评估（REALM）以及人口统计学数据。
45%的女性健康素养水平较低（九年级以下）。在控制协变量后，低健康素养与较少的风险因素相关（P < .01），且在事件影响回避分量表上痛苦程度较高（P < .05）。低识字率女性中有43%痛苦程度过高，而高识字率女性中这一比例为25%（P < .05）。
低健康素养与宫颈癌高危女性的痛苦程度增加有关。鉴于痛苦是治疗的障碍，需要开展有文化针对性的有效干预措施。
