Health Literacy and Cervical Cancer Screening Among Mexican-American Women.
Journal
Health literacy research and practice
ISSN: 2474-8307
Titre abrégé: Health Lit Res Pract
Pays: United States
ID NLM: 101712185
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
18
11
2017
accepted:
12
06
2018
entrez:
12
7
2019
pubmed:
12
7
2019
medline:
12
7
2019
Statut:
epublish
Résumé
Health literacy is a requisite skill for making personal health and health care decisions. Low health literacy may contribute to lower cervical cancer screening rates and cervical cancer health disparities among Mexican-American women in South Texas. To explore older Mexican-American women's health literacy related to cervical cancer from the perspective of Zarcadoolas, Pleaseant, and Greer's health literacy model. We conducted five focus groups and seven individual interviews with 30 Mexican and Mexican-American women in South Texas. We analyzed demographic data using descriptive statistics and conducted thematic analysis of focus group and individual interview data. Several themes reflected the domains of health literacy, including fundamental literacy ("speaking of language"), science literacy (cancer prevention), cultural literacy ("we are different"), civic literacy (the availability of "consejos" [advice]), and media literacy (e.g., "telenovelas" [soap-operas] teach a lot). In this article, we present findings related to culture and language under the domains of fundamental and cultural literacy. Mexican-American women's cultural values and language use may serve as both deterrents and incentives to cervical cancer screening. The meaning of words can be lost in translations. Health care providers can use this information to provide cervical cancer screening education congruent with Mexican-American's culture, language, and code switching. The understanding of culture and language can help health care providers improve cervical cancer screening practices among Mexican-American women. The results from this study can be used to individualize patient care and to develop education and communication strategies that are similar to the population we serve, including Mexican-American women.
Sections du résumé
BACKGROUND
BACKGROUND
Health literacy is a requisite skill for making personal health and health care decisions. Low health literacy may contribute to lower cervical cancer screening rates and cervical cancer health disparities among Mexican-American women in South Texas.
OBJECTIVE
OBJECTIVE
To explore older Mexican-American women's health literacy related to cervical cancer from the perspective of Zarcadoolas, Pleaseant, and Greer's health literacy model.
METHODS
METHODS
We conducted five focus groups and seven individual interviews with 30 Mexican and Mexican-American women in South Texas. We analyzed demographic data using descriptive statistics and conducted thematic analysis of focus group and individual interview data.
KEY RESULTS
RESULTS
Several themes reflected the domains of health literacy, including fundamental literacy ("speaking of language"), science literacy (cancer prevention), cultural literacy ("we are different"), civic literacy (the availability of "consejos" [advice]), and media literacy (e.g., "telenovelas" [soap-operas] teach a lot). In this article, we present findings related to culture and language under the domains of fundamental and cultural literacy.
CONCLUSIONS
CONCLUSIONS
Mexican-American women's cultural values and language use may serve as both deterrents and incentives to cervical cancer screening. The meaning of words can be lost in translations. Health care providers can use this information to provide cervical cancer screening education congruent with Mexican-American's culture, language, and code switching.
PLAIN LANGUAGE SUMMARY
CONCLUSIONS
The understanding of culture and language can help health care providers improve cervical cancer screening practices among Mexican-American women. The results from this study can be used to individualize patient care and to develop education and communication strategies that are similar to the population we serve, including Mexican-American women.
Identifiants
pubmed: 31294299
doi: 10.3928/24748307-20181127-01
pmc: PMC6608916
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e1-e8Références
J Obstet Gynecol Neonatal Nurs. 2001 Mar-Apr;30(2):240-5
pubmed: 11308115
Qual Health Res. 2001 Jul;11(4):568-79
pubmed: 11521612
Women Health. 2002;36(1):21-31
pubmed: 12215001
J Transcult Nurs. 2003 Jul;14(3):180-5
pubmed: 12861920
Prev Chronic Dis. 2004 Oct;1(4):A07
pubmed: 15670438
Health Promot Int. 2005 Jun;20(2):195-203
pubmed: 15788526
Fam Community Health. 2007 Jan-Mar;30(1 Suppl):S24-33
pubmed: 17159629
Cancer Causes Control. 2009 Sep;20(7):1129-38
pubmed: 19253025
J Clin Nurs. 2010 Jan;19(1-2):234-9
pubmed: 19886874
Ethn Health. 2009 Dec;14(6):607-24
pubmed: 19953392
J S C Med Assoc. 2009 Dec;105(7):297-305
pubmed: 20108722
Cancer. 2010 Jun 1;116(11):2531-42
pubmed: 20310056
CA Cancer J Clin. 2012 Nov-Dec;62(6):353-63
pubmed: 22987448
J Obstet Gynecol Neonatal Nurs. 2012 Nov-Dec;41(6):E1-E12
pubmed: 23030624
Evid Rep Technol Assess (Full Rep). 2011 Mar;(199):1-941
pubmed: 23126607
Clin Nurs Res. 2013 Nov;22(4):402-15
pubmed: 23729023
Patient Educ Couns. 2014 Feb;94(2):149-57
pubmed: 24207115
Calif J Health Promot. 2013;11(1):45-57
pubmed: 24587769
South Med J. 2014 May;107(5):281-8
pubmed: 24937725
Psychooncology. 2016 Feb;25(2):122-30
pubmed: 26086119
CA Cancer J Clin. 2015 Nov-Dec;65(6):457-80
pubmed: 26375877
Cult Health Sex. 2016;18(6):710-22
pubmed: 26671002
Matern Child Health J. 2016 Nov;20(11):2336-2347
pubmed: 27451859
Cancer Nurs. 2017 Sep/Oct;40(5):420-427
pubmed: 27472190
World J Clin Oncol. 2016 Oct 10;7(5):406-413
pubmed: 27777883