Health Literacy, Health Numeracy, and Cancer Screening Patterns in the Zuni Pueblo: Insights from and Limitations of "Standard" Questions.
Journal
Journal of cancer education : the official journal of the American Association for Cancer Education
ISSN: 1543-0154
Titre abrégé: J Cancer Educ
Pays: England
ID NLM: 8610343
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
accepted:
09
10
2022
medline:
5
6
2023
pubmed:
6
11
2022
entrez:
5
11
2022
Statut:
ppublish
Résumé
American Indians experience disparities in cancer screening, stage at disease diagnoses, and 5-year cancer survival. This study investigates how health literacy and health numeracy may be linked to cancer screening behaviors of Zuni Pueblo members using a survey exploring screening behaviors related to breast, cervical, and colorectal cancers. As part of a larger community-based cancer prevention and control project, Zuni Health Initiative staff conducted surveys from October 2020 through April 2021 of 281 participants (men ages 50-75 and women ages 21-75) from the Zuni Pueblo. Bivariate and multivariable analyses investigated associations between health literacy/numeracy measures and cancer screening behaviors. Bivariate analyses showed some associations between distinct measures of health literacy/numeracy and colorectal cancer (CRC) screening, including both colonoscopy (health literacy) and fecal occult blood testing (FOBT) (health numeracy), as well as cervical cancer screening (health literacy). There were no statistically significant associations between health literacy/numeracy measures and mammogram screening for breast cancer. In multivariable analyses, there were no consistent patterns between health literacy/numeracy and screening for any cancer. There are some individual findings worth noting, such as statistically significant findings for health numeracy and FOBT (those reporting lower health numeracy were less likely to report FOBT). An important finding of this study is that questions used to assess health literacy/numeracy did not identify associations aligned with previous research. We reflect on the ways the "standard" questions may not be sufficiently tailored to the Zuni experience and may contribute to health equity barriers.
Identifiants
pubmed: 36334245
doi: 10.1007/s13187-022-02227-y
pii: 10.1007/s13187-022-02227-y
pmc: PMC9638364
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1023-1033Subventions
Organisme : NIGMS NIH HHS
ID : P20 GM103451
Pays : United States
Informations de copyright
© 2022. The Author(s) under exclusive licence to American Association for Cancer Education.
Références
Bastani R, Maxwell AE, Bradford C, Das IP, Yan KX (1999) Tailored risk notification for women with a family history of breast cancer. Prev Med 29(5):355–364
doi: 10.1006/pmed.1999.0556
pubmed: 10564627
Bastani R, Gallardo NV, Maxwell AE (2001) Barriers to colorectal cancer screening among ethnically diverse high-and average-risk individuals. J Psychosoc Oncol 19(3–4):65–84
doi: 10.1300/J077v19n03_06
Bastani R, Glenn BA, Taylor VM, Chen MS Jr, Nguyen TT, Stewart SL, Maxwell AE (2010) Integrating theory into community interventions to reduce liver cancer disparities: the Health Behavior Framework. Prev Med 50(1–2):63–67
doi: 10.1016/j.ypmed.2009.08.010
pubmed: 19716379
Brega AG, Ang A, Vega W, Jiang L, Beals J, Mitchell CM, Moore K, Manson SM, Acton KJ, Roubideaux Y, Special Diabetes Program for Indians Healthy Heart Demonstration Project (2012) Mechanisms underlying the relationship between health literacy and glycemic control in American Indians and Alaska Natives. Patient educ couns 88(1):61–68
doi: 10.1016/j.pec.2012.03.008
pubmed: 22497973
Carlson T (2019) Mana motuhake o Ngāti Porou: decolonising health literacy. Sites: a journal of social anthropology and cultural studies, 16(2).
Datta GD et al (2006) Individual-, neighborhood-, and state-level socioeconomic predictors of cervical carcinoma screening among US black women: a multilevel analysis. Cancer: Interdisciplinary International Journal of the American Cancer Society 106(3):664–669
doi: 10.1002/cncr.21660
Erickson P (2004) A health outcomes framework for assessing health status and quality of life: enhanced data for decision making. JNCI Monographs 2004(33):168–177
doi: 10.1093/jncimonographs/lgh006
Filippi MK, James AS, Brokenleg S, Talawyma M, Perdue DG, Choi WS, Greiner KA, Daley CM (2013) Views, barriers, and suggestions for colorectal cancer screening among American Indian women older than 50 years in the Midwest. J Prim Care Community Health 4(3):160–166
doi: 10.1177/2150131912457574
pubmed: 23799701
Guerra CE, Dominguez F, Shea JA (2005) Literacy and knowledge, attitudes, and behavior about colorectal cancer screening. J Health Commun 10(7):651–663
doi: 10.1080/10810730500267720
pubmed: 16278201
Helitzer D, Hollis C, Sanders M, Roybal S (2012) Addressing the “other” health literacy competencies—knowledge, dispositions, and oral/aural communication: development of TALKDOC, an intervention assessment tool. J Health Commun 17(sup3):160–175
doi: 10.1080/10810730.2012.712613
pubmed: 23030568
pmcid: 3579650
Islami F, Guerra CE, Minihan A, Yabroff KR, Fedewa SA, Sloan K, Wiedt TL, Thomson B, Siegel RL, Nargis N, Winn RA (2022) American Cancer Society’s report on the status of cancer disparities in the United States, 2021. CA: A Cancer J Clinicians 72(2):112–143
Kaur JS, Dignan M, Burhansstipanov L, Baukol P, Claus C (2006) The “spirit of eagles” legacy. Cancer 107(S8):1987–1994
doi: 10.1002/cncr.22152
pubmed: 16944468
Mobley LR et al (2010) Community contextual predictors of endoscopic colorectal cancer screening in the USA: spatial multilevel regression analysis. Int J Health Geogr 9(1):1–11
doi: 10.1186/1476-072X-9-44
Oldach BR, Katz ML (2014) Health literacy and cancer screening: a systematic review. Patient Educ Couns 94(2):149–157
doi: 10.1016/j.pec.2013.10.001
pubmed: 24207115
Pourat N et al (2010) Access versus acculturation: identifying modifiable factors to promote cancer screening among Asian American women. Medical care, p. 1088–1096
Safi S, Ghahate D, Bobelu J, Sussman AL, Rodman J, Wandinger-Ness A, Mishra SI, Faber T, Willman C, Shah V (2021) Assessing knowledge and perceptions about cancer among American Indians of the Zuni Pueblo, NM. J Canc Educ, pp.1–8
Siegel RL, Miller KD, Fuchs HE, Jemal A (2022) Cancer statistics, 2022. CA Cancer J Clin 72(1):7–33
doi: 10.3322/caac.21708
pubmed: 35020204
Sentell T et al (2015) Health literacy and meeting breast and cervical cancer screening guidelines among Asians and whites in California. Springerplus 4(1):1–9
doi: 10.1186/s40064-015-1225-y
Thewes B, McCaffery K, Davis E, Garvey G (2018) Insufficient evidence on health literacy amongst indigenous people with cancer: a systematic literature review. Health Promot Int 33(2):195–218
pubmed: 27543930
U.S. Census Bureau, 2022. Zuni Pueblo CDP, New Mexico, V2021. Available at: https://www.census.gov/quickfacts/zunipueblocdpnewmexico . Accessed on June 30, 2022
White MC, Espey DK, Swan J, Wiggins CL, Eheman C, Kaur JS (2014) Disparities in cancer mortality and incidence among American Indians and Alaska Natives in the United States. Am J Public Health 104(S3):S377–S387
doi: 10.2105/AJPH.2013.301673
pubmed: 24754660
pmcid: 4035862
Yost KJ, Bauer MC, Buki LP, Austin-Garrison M, Garcia LV, Hughes CA, Patten CA (2017) Adapting a cancer literacy measure for use among Navajo women. J Transcult Nurs 28(3):278–285
doi: 10.1177/1043659616628964
pubmed: 26879319