Hillyer Grace Clarke, Schmitt Karen M, Lizardo Maria, Reyes Andria, Bazan Mercedes, Alvarez Maria C, Sandoval Rossy, Abdul Kazeem, Orjuela Manuela A
Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W. 168th Street, New York, NY, 10032, USA.
Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY, 10032, USA.
J Community Health. 2017 Apr;42(2):349-357. doi: 10.1007/s10900-016-0261-z.
Understanding key health concepts is crucial to participation in Precision Medicine initiatives. In order to assess methods to develop and disseminate a curriculum to educate community members in Northern Manhattan about Precision Medicine, clients from a local community-based organization were interviewed during 2014-2015. Health literacy, acculturation, use of Internet, email, and text messaging, and health information sources were assessed. Associations between age and outcomes were evaluated; multivariable analysis used to examine the relationship between participant characteristics and sources of health information. Of 497 interviewed, 29.4 % had inadequate health literacy and 53.6 % had access to the Internet, 43.9 % to email, and 45.3 % to text messaging. Having adequate health literacy was associated with seeking information from a healthcare professional (OR 2.59, 95 % CI 1.54-4.35) and from the Internet (OR 3.15, 95 % CI 1.97-5.04); having ≤ grade school education (OR 2.61, 95 % CI 1.32-5.17) also preferred information from their provider; persons >45 years (OR 0.29, 95 % CI 0.18-0.47) were less likely to use the Internet for health information and preferred printed media (OR 1.64, 95 % CI 1.07-2.50). Overall, electronic communication channel use was low and varied significantly by age with those ≤45 years more likely to utilize electronic channels. Preferred sources of health information also varied by age as well as by health literacy and educational level. This study demonstrates that to effectively communicate key Precision Medicine concepts, curriculum development for Latino community members of Northern Manhattan will require attention to health literacy, language preference and acculturation and incorporate more traditional communication channels for older community members.
理解关键的健康概念对于参与精准医疗计划至关重要。为了评估开发和传播课程以教育曼哈顿北部社区成员有关精准医疗的方法，2014 - 2015年期间对当地一个社区组织的客户进行了访谈。评估了健康素养、文化适应、互联网、电子邮件和短信的使用情况以及健康信息来源。评估了年龄与结果之间的关联；采用多变量分析来检验参与者特征与健康信息来源之间的关系。在497名受访者中，29.4%的人健康素养不足，53.6%的人可以使用互联网，43.9%的人可以使用电子邮件，45.3%的人可以使用短信。具备足够的健康素养与从医疗保健专业人员处获取信息（比值比2.59，95%置信区间1.54 - 4.35）以及从互联网获取信息（比值比3.15，95%置信区间1.97 - 5.04）相关；小学及以下学历（比值比2.61，95%置信区间1.32 - 5.17）的人也更倾向于从他们的医疗服务提供者那里获取信息；45岁以上的人（比值比0.29，95%置信区间0.18 - 0.47）使用互联网获取健康信息的可能性较小，更喜欢印刷媒体（比值比1.64，95%置信区间1.07 - 2.50）。总体而言，电子通信渠道的使用频率较低，且因年龄差异显著，45岁及以下的人更有可能使用电子渠道。健康信息的首选来源也因年龄、健康素养和教育水平而异。这项研究表明，为了有效地传达关键的精准医疗概念，为曼哈顿北部的拉丁裔社区成员开发课程需要关注健康素养、语言偏好和文化适应，并为老年社区成员纳入更多传统的沟通渠道。
