Zambrana Ruth E, Meghea Cristian, Talley Costellia, Hammad Adnan, Lockett Murlisa, Williams Karen Patricia
J Health Care Poor Underserved. 2015 May;26(2):391-405. doi: 10.1353/hpu.2015.0034.
Health literacy and the family can be used to promote cancer screenings. We examined the associations of socio-demographic factors, family communication, and cancer literacy in a diverse population. Baseline data from the Kin Keeper(SM) Cancer Prevention randomized controlled trial were analyzed for Black (n=216), Latino (n=65), and Arab (n=235) women. Key variables were based on the Family Adaptability and Cohesion Scale IV, and the Cancer Literacy Assessment Tool. Among Blacks, cervical cancer literacy was positively associated with family communication. Cancer literacy was associated with higher educational level, employment, and family self-rated health status among Black and Arab women. Among Latinas, who were the least educated and had the lowest literacy scores, family communication was inversely related to breast cancer literacy. Family-centered networks may be a viable resource for the transmission of health cancer literacy information, inform health care decision-making, and contribute to decreasing breast and cervical cancer mortality.
健康素养与家庭可用于促进癌症筛查。我们在不同人群中研究了社会人口学因素、家庭沟通和癌症素养之间的关联。对“亲属守护者”（SM）癌症预防随机对照试验的基线数据进行了分析，涉及黑人（n = 216）、拉丁裔（n = 65）和阿拉伯裔（n = 235）女性。关键变量基于家庭适应性和凝聚力量表IV以及癌症素养评估工具。在黑人中，宫颈癌素养与家庭沟通呈正相关。在黑人和阿拉伯裔女性中，癌症素养与较高的教育水平、就业情况以及家庭自评健康状况相关。在受教育程度最低且素养得分最低的拉丁裔女性中，家庭沟通与乳腺癌素养呈负相关。以家庭为中心的网络可能是传播健康癌症素养信息、为医疗保健决策提供信息以及降低乳腺癌和宫颈癌死亡率的可行资源。
