Guerra Carmen E, Krumholz Megan, Shea Judy A
Division of General Internal Medicine, University of Pennsylvania School of Medicine, USA.
J Health Care Poor Underserved. 2005 Feb;16(1):152-66. doi: 10.1353/hpu.2005.0012.
This cross-sectional study explored the association between functional health literacy and the knowledge, beliefs, attitudes, and behavior about mammography and self-breast examination in a sample of Latinas attending community health clinics in Philadelphia. The results show that 70% of Latinas had inadequate or marginal functional health literacy. In Latinas, functional health literacy is only weakly associated with knowledge and not associated with beliefs and attitudes about screening mammography, but is significantly associated with having ever had a mammogram. After adjusting for demographic characteristics, functional health literacy was significantly associated with having ever had a mammogram (odds ratio [OR] 1.14, 95% confidence interval [CI] 1.02-1.27). These findings suggest that Latinas with poor functional health literacy are less likely to undergo mammography. Future research should target increasing the knowledge about and rates of screening mammography in patients with low functional health literacy.
这项横断面研究探讨了在费城社区健康诊所就诊的拉丁裔样本中,功能性健康素养与关于乳房X线摄影和自我乳房检查的知识、信念、态度及行为之间的关联。结果显示,70%的拉丁裔功能性健康素养不足或处于边缘水平。在拉丁裔中,功能性健康素养与知识仅呈弱关联,与乳房X线摄影筛查的信念和态度无关联,但与曾接受过乳房X线摄影显著相关。在调整人口统计学特征后,功能性健康素养与曾接受过乳房X线摄影显著相关(优势比[OR]为1.14,95%置信区间[CI]为1.02 - 1.27)。这些发现表明,功能性健康素养较差的拉丁裔接受乳房X线摄影的可能性较小。未来的研究应致力于提高功能性健康素养较低患者对乳房X线摄影筛查的认识及筛查率。
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