Health Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong 3220, Australia.
The Fred Hollows Foundation, Melbourne 3053, Australia.
Int J Environ Res Public Health. 2018 Aug 7;15(8):1677. doi: 10.3390/ijerph15081677.
This study explored the association between health literacy, barriers to breast cancer screening, and breast screening participation for women from culturally and linguistically diverse (CALD) backgrounds. English-, Arabic- and Italian-speaking women ( = 317) between the ages of 50 to 74 in North West Melbourne, Australia were recruited to complete a survey exploring health literacy, barriers to breast cancer screening, and self-reported screening participation. A total of 219 women (69%) reported having a breast screen within the past two years. Results revealed that health literacy was not associated with screening participation. Instead, emotional barriers were a significant factor in the self-reported uptake of screening. Three health literacy domains were related to lower emotional breast screening barriers, feeling understood and supported by healthcare providers, social support for health and understanding health information well enough to know what to do. Compared with English- and Italian-speaking women, Arabic-speaking women reported more emotional barriers to screening and greater challenges in understanding health information well enough to know what to do. Interventions that can improve breast screening participation rates should aim to reduce emotional barriers to breast screening, particularly for Arabic-speaking women.
本研究探讨了健康素养、乳腺癌筛查障碍以及文化和语言多样化（CALD）背景下的女性乳腺癌筛查参与之间的关系。在澳大利亚墨尔本西北部，招募了年龄在 50 至 74 岁之间的讲英语、阿拉伯语和意大利语的女性（=317 名），让她们完成一项调查，以探讨健康素养、乳腺癌筛查障碍以及自我报告的筛查参与情况。共有 219 名女性（69%）报告在过去两年内进行了乳房筛查。结果表明，健康素养与筛查参与无关。相反，情感障碍是自我报告接受筛查的一个重要因素。健康素养的三个领域与较低的情感性乳腺癌筛查障碍有关，即患者感受到医疗服务提供者的理解和支持、社会对健康的支持以及能够充分理解健康信息并知道该怎么做。与讲英语和意大利语的女性相比，讲阿拉伯语的女性报告了更多的筛查情感障碍，并且在充分理解健康信息以知道该怎么做方面面临更大的挑战。旨在提高乳腺癌筛查参与率的干预措施应旨在减少乳腺癌筛查的情感障碍，特别是针对讲阿拉伯语的女性。
