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Erschienen in: Journal of Cancer Education 6/2018

24.07.2017

Assessing Cancer Health Literacy among Spanish-Speaking Latinos

verfasst von: Margarita Echeverri, David Anderson, Anna María Nápoles

Erschienen in: Journal of Cancer Education | Ausgabe 6/2018

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Abstract

Health literacy is a dynamic construct that changes with specific health conditions; thus, new disease-specific health literacy tools are needed. Since cancer is the leading cause of death among Latinos, the largest and fastest-growing minority population in the nation, there is a need to develop tools to assess cancer health literacy (CHL) among the Spanish-speaking population. The Cancer Health Literacy Test, Spanish version (CHLT-30-DKspa) was applied to identify Spanish-speaking individuals with low CHL and ascertain which items in the tool best discriminate between CHL level groups. Cross-sectional field test of the CHLT-30-DKspa among Spanish-speaking Latinos. Latent class analysis (LCA) identified participants with varying CHL levels. Probability of correct answers, odds ratios, and standardized errors were used to identify the items that allow the classification of individuals among the latent classes. LCA resulted in a three-latent-class model predicting 39.4% of participants to be in the HIGH class, 43.3% in the MEDIUM class, and 17.3% in the LOW class. Eleven items (the CHLT-11-DKspa) meet the criteria to clearly separate participants with HIGH and LOW classes of CHL. Although the best model fit was a three-class solution, results showed a clear separation of individuals from HIGH versus LOW levels of CHL, but separation of those in the MEDIUM level was not as clear. The CHLT-11-DKspa is a shorter measure that may be relatively easy to use in a clinical encounter to identify Spanish-speaking patients with the poorest levels of CHL who may require additional support to understand medical instructions and care plans.
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Literatur
1.
Zurück zum Zitat Kutner M, Greenberg E, Jin Y, Paulsen C (2006). The health literacy of America’s adults: results from the 2003 National Assessment of Adult Literacy (NCES 2006–483). U.S. Department of Education. Washington, DC: National Center for Education Statistics (NCES) Kutner M, Greenberg E, Jin Y, Paulsen C (2006). The health literacy of America’s adults: results from the 2003 National Assessment of Adult Literacy (NCES 2006–483). U.S. Department of Education. Washington, DC: National Center for Education Statistics (NCES)
2.
Zurück zum Zitat Zarcadoolas C, Greer DS, Pleasant A (2006) Advancing health literacy: a framework for understanding and action. Wiley, San Francisco Zarcadoolas C, Greer DS, Pleasant A (2006) Advancing health literacy: a framework for understanding and action. Wiley, San Francisco
3.
Zurück zum Zitat Institute of Medicine (2004) Health literacy: a prescription to end confusion. National Academies Press, Washington, DC Institute of Medicine (2004) Health literacy: a prescription to end confusion. National Academies Press, Washington, DC
4.
Zurück zum Zitat Gazmararian JA, Williams MV, Peel J, Baker DW (2003) Health literacy and knowledge of chronic disease. Patient Educ Couns 51(3):267–275CrossRefPubMed Gazmararian JA, Williams MV, Peel J, Baker DW (2003) Health literacy and knowledge of chronic disease. Patient Educ Couns 51(3):267–275CrossRefPubMed
5.
Zurück zum Zitat Shaw SJ, Armin J, Torres CH et al (2012) Chronic disease self-management and health literacy in four ethnic groups. J Health Commun 17(sup3):67–81CrossRefPubMedPubMedCentral Shaw SJ, Armin J, Torres CH et al (2012) Chronic disease self-management and health literacy in four ethnic groups. J Health Commun 17(sup3):67–81CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Heijmans M, Waverijn G, Rademakers J et al (2015) Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Educ Couns 98(1):41–48CrossRefPubMed Heijmans M, Waverijn G, Rademakers J et al (2015) Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Educ Couns 98(1):41–48CrossRefPubMed
9.
Zurück zum Zitat American Cancer Society (2012) Cancer facts & figures for Hispanics/Latinos 2012–2014. American Cancer Society, Atlanta, 40 p American Cancer Society (2012) Cancer facts & figures for Hispanics/Latinos 2012–2014. American Cancer Society, Atlanta, 40 p
10.
Zurück zum Zitat Buki LP, Yee WK, Weiterschan K, Lehardy E (2016) Essential qualitative inquiry in the development of a cancer literacy measure for immigrant women. Qual Health Res 26(5):640–648CrossRefPubMed Buki LP, Yee WK, Weiterschan K, Lehardy E (2016) Essential qualitative inquiry in the development of a cancer literacy measure for immigrant women. Qual Health Res 26(5):640–648CrossRefPubMed
11.
Zurück zum Zitat Betancourt H, Flynn PM, Riggs M, Garberoglio C (2010) A cultural research approach to instrument development: the case of breast and cervical cancer screening among Latino and Anglo women. Adv Access Publ 25(6):991–1007 Betancourt H, Flynn PM, Riggs M, Garberoglio C (2010) A cultural research approach to instrument development: the case of breast and cervical cancer screening among Latino and Anglo women. Adv Access Publ 25(6):991–1007
12.
Zurück zum Zitat William KP, Templin TN (2013) Bringing the real world to psychometric evaluation of cervical cancer literacy assessments with black, Latina, and Arab women in real-world settings. J Cancer Educ 28:738–743CrossRef William KP, Templin TN (2013) Bringing the real world to psychometric evaluation of cervical cancer literacy assessments with black, Latina, and Arab women in real-world settings. J Cancer Educ 28:738–743CrossRef
13.
Zurück zum Zitat Dumenci L, Matsumaya RK, Riddle DL et al (2014) Measurement of cancer health literacy and identification of patients with limited cancer health literacy. J Health Commun Int Perspect 19(sup2):205–224CrossRef Dumenci L, Matsumaya RK, Riddle DL et al (2014) Measurement of cancer health literacy and identification of patients with limited cancer health literacy. J Health Commun Int Perspect 19(sup2):205–224CrossRef
15.
Zurück zum Zitat Collins LM, Lanza ST (2010) Latent class and latent transition analysis: with applications in the social, behavioral, and health sciences. Wiley, New York, 330 p Collins LM, Lanza ST (2010) Latent class and latent transition analysis: with applications in the social, behavioral, and health sciences. Wiley, New York, 330 p
16.
Zurück zum Zitat McCutcheone AL (1987) Latent class analysis, Sage University paper series on quantitative applications in the social sciences, no 07–064. Sage, Newbury Park McCutcheone AL (1987) Latent class analysis, Sage University paper series on quantitative applications in the social sciences, no 07–064. Sage, Newbury Park
17.
Zurück zum Zitat Nylund KL, Asparouhov T, Muthén BO (2007) Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study. Struct Equ Model 14(4):535–569CrossRef Nylund KL, Asparouhov T, Muthén BO (2007) Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study. Struct Equ Model 14(4):535–569CrossRef
19.
Zurück zum Zitat Linzer DA, Lewis JB (2011) poLCA: an R package for polytomous variable latent class analysis. J Stat Soft 42(10):1–29 Linzer DA, Lewis JB (2011) poLCA: an R package for polytomous variable latent class analysis. J Stat Soft 42(10):1–29
20.
Zurück zum Zitat Muthén LK, Muthén BO (2012) Mplus user’s guide, 7th edn. Muthén & Muthén, Los Angeles Muthén LK, Muthén BO (2012) Mplus user’s guide, 7th edn. Muthén & Muthén, Los Angeles
21.
Zurück zum Zitat Nylund-Gibson K, Hart SR (2014: Chapter 21) Latent class analysis in prevention science. In: Sloboda Z, Petras H (eds) Defining Prevention Science. Springer, New York, pp 493–512CrossRef Nylund-Gibson K, Hart SR (2014: Chapter 21) Latent class analysis in prevention science. In: Sloboda Z, Petras H (eds) Defining Prevention Science. Springer, New York, pp 493–512CrossRef
23.
Zurück zum Zitat R Development Core Team (2011) R: a language and environment for statistical computing. Vienna, Austria: The R Foundation for Statistical Computing, 2011 R Development Core Team (2011) R: a language and environment for statistical computing. Vienna, Austria: The R Foundation for Statistical Computing, 2011
25.
Zurück zum Zitat Echeverri M, Anderson D, Nápoles AM (2016) Cancer Health Literacy Test-30-Spanish (CHLT-30-DKspa), a new Spanish-language version of the Cancer Health Literacy Test (CHLT-30) for Spanish-speaking Latinos. J Health Commun Int Perspect 21(1):69–78. doi:10.1080/10810730.2015.1131777 Echeverri M, Anderson D, Nápoles AM (2016) Cancer Health Literacy Test-30-Spanish (CHLT-30-DKspa), a new Spanish-language version of the Cancer Health Literacy Test (CHLT-30) for Spanish-speaking Latinos. J Health Commun Int Perspect 21(1):69–78. doi:10.​1080/​10810730.​2015.​1131777
Metadaten
Titel
Assessing Cancer Health Literacy among Spanish-Speaking Latinos
verfasst von
Margarita Echeverri
David Anderson
Anna María Nápoles
Publikationsdatum
24.07.2017
Verlag
Springer US
Erschienen in
Journal of Cancer Education / Ausgabe 6/2018
Print ISSN: 0885-8195
Elektronische ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-017-1255-y

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