Keim-Malpass Jessica, Doede Aubrey, Camacho Fabian, Kennedy Christine, Showalter Shayna L
University of Virginia School of Nursing, Charlottesville, VA, USA.
Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA.
Breast J. 2018 Jul;24(4):633-636. doi: 10.1111/tbj.13011. Epub 2018 Mar 14.
Little is known about the role of low health literacy (LHL) among breast surgical oncology patients. We initiated a prospective health literacy assessment to determine the relationship between health literacy and surgical treatment. Among 512 patients, univariate analysis revealed no statistical significance in the relationship of health literacy to breast surgery type, contralateral prophylactic mastectomy, or reconstruction following mastectomy. In a multivariate analysis, women with LHL were less likely to undergo reconstruction (aOR 0.81, 95% CI 0.69-0.94, P value = .006). Tailored interventions are needed to combat disparities in cancer treatment associated with LHL, with focus on reconstruction following mastectomy.
关于低健康素养（LHL）在乳腺外科肿瘤患者中的作用，人们知之甚少。我们开展了一项前瞻性健康素养评估，以确定健康素养与手术治疗之间的关系。在512名患者中，单因素分析显示健康素养与乳房手术类型、对侧预防性乳房切除术或乳房切除术后重建之间的关系无统计学意义。在多因素分析中，低健康素养的女性接受重建手术的可能性较小（调整后比值比0.81，95%置信区间0.69 - 0.94，P值 = 0.006）。需要采取针对性干预措施来消除与低健康素养相关的癌症治疗差异，重点是乳房切除术后的重建。
