Characterizing Health Literacy Among Spanish Language-Preferring Latinos Ages 50–75

Christy, Shannon M.; Cousin, Lakeshia; Sutton, Steven K.; Chavarria, Enmanuel A.; Abdulla, Rania; Gutierrez, Liliana; Sánchez, Julián; Lopez, Diana; Gwede, Clement K.; Meade, Cathy D.

doi:10.1097/nnr.0000000000000519

Cited by 14 publications

(15 citation statements)

References 31 publications

(66 reference statements)

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“…For each item assessing PHM constructs, response options were based on a 5-point Likert scale, ranging from 1 (strongly disagree) to 5 (strongly agree). Four items assessed salience and coherence, or the perception that performing a health behavior is consistent with their beliefs about how to protect and maintain health [24][25][26]29,30,49,50]. Three items assessed perceived susceptibility, or one's perceived personal risk for developing CRC or colon polyps [24,25,30,49].…”

Section: Preventive Health Model Variablesmentioning

confidence: 99%

“…Three items assessed perceived susceptibility, or one's perceived personal risk for developing CRC or colon polyps [24,25,30,49]. Two items assessed cancer worry, or one's concern that completing CRC screening will reveal a health concern [24,26,29,30,49,50,53].…”

Section: Preventive Health Model Variablesmentioning

confidence: 99%

“…Two items measured response efficacy, or the belief that adopting a behavior will be effective in reducing disease threat [24,29,30,49,50]. Four items measured social influence, or the influence of family members and doctors or health professionals on an individual's willingness to comply with CRC screening [24,26,29,30,49,50]. Five items assessed religiosity, or the extent to which religious beliefs might influence medical decision-making, such as CRC screening [29,30,51,54].…”

Section: Preventive Health Model Variablesmentioning

confidence: 99%

“…Four items measured social influence, or the influence of family members and doctors or health professionals on an individual's willingness to comply with CRC screening [24,26,29,30,49,50]. Five items assessed religiosity, or the extent to which religious beliefs might influence medical decision-making, such as CRC screening [29,30,51,54]. Six items measured self-efficacy for screening using FIT, or attitudes and confidence toward completing FIT testing [24][25][26]29,30,49,55].…”

Section: Preventive Health Model Variablesmentioning

confidence: 99%

“…Prior studies suggest that sociodemographic and PHM constructs, such as higher social influence and religious beliefs, were associated with lower health literacy among English-preferring individuals [27,28]. By contrast, lower cancer worry and lower religious beliefs [29] were associated with adequate health literacy to understand written health information, and higher educational attainment was significantly associated with adequate health literacy in completing health forms among SD Latino adults aged 50 to 75 years [29]. However, less is known about how sociodemographic variables and PHM constructs might influence OHI seeking or eHealth literacy among SD Latino adults.…”

Section: Introductionmentioning

confidence: 97%

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Online Health Information Seeking and eHealth Literacy Among Spanish Language–Dominant Latino Adults Receiving Care in a Community Clinic: Secondary Analysis of Pilot Randomized Controlled Trial Data

Chavarria¹,

Christy²,

Feng³

et al. 2022

JMIR Form Res

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Background eHealth literacy is the ability to seek, obtain, and decipher online health information (OHI) for health and disease management. Rapid developments in eHealth (eg, health care services and online information) place increased demands on patients to have high eHealth literacy levels. Yet, greater emphasis on eHealth may disproportionately affect groups with limited eHealth literacy. Cultural background, language, and eHealth literacy are influential considerations affecting health care and information access, health care use, and successful eHealth resource use, and they may influence OHI seeking for behavioral change toward cancer prevention. Objective This study aimed to characterize the extent of OHI seeking and eHealth literacy among Spanish-dominant (SD) Latino adults aged 50 to 75 years. Further, we aimed to examine potential associations between sociodemographic characteristics, Preventive Health Model (PHM) constructs, OHI-seeking behaviors, and eHealth literacy, separately. Methods Participants (N=76) self-identified as Latino, were enrolled in a colorectal cancer (CRC) screening intervention, were aged 50 to 75 years, were at average risk for CRC, were not up to date with CRC screening, and preferred receiving health information in Spanish. We describe participants’ sociodemographic characteristics, PHM constructs, OHI-seeking behaviors, and eHealth literacy—among those seeking OHI—assessed at enrollment. Descriptive analyses were first performed for all variables. Next, primary univariate logistic analyses explored possible associations with OHI seeking. Finally, using data from those seeking OHI, exploratory univariate analyses sought possible associations with eHealth literacy. Results A majority (51/76, 67%) of the participants were female, 62% (47/76) reported not having graduated high school, and 41% (31/76) reported being unemployed or having an annual income of less than US $10,000. Additionally, 75% (57/76) of the participants reported not having health insurance. In total, 71% (54/76) of the participants reported not having sought OHI for themselves or others. Univariate logistic regression suggested that higher educational attainment was significantly associated with an increased likelihood of having sought OHI (odds ratio 17.4, 95% CI 2.0-150.7; P=.009). Among those seeking OHI (22/76, 29%), 27% (6/22) were at risk of having low eHealth literacy based on an eHealth Literacy Scale score of less than 26. Among OHI seekers (22/76, 29%), an examination of associations found that higher eHealth literacy was associated with greater self-efficacy for screening with the fecal immunochemical test (β=1.20, 95% CI 0.14-2.26; P=.02). Conclusions Most SD Latino participants had not sought OHI for themselves or others (eg, family or friends), thus potentially limiting access to beneficial online resources. Preliminary findings convey that higher eHealth literacy occurs among those with higher self-efficacy for CRC screening. Findings inform areas of focus for future larger-scale investigations, including further exploration of reasons for not seeking OHI among SD Latino adults and an in-depth look at eHealth literacy and cancer screening behaviors. Trial Registration ClinicalTrials.gov NCT03078361; https://clinicaltrials.gov/ct2/show/NCT03078361

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Section: Preventive Health Model Variablesmentioning

confidence: 99%

Section: Preventive Health Model Variablesmentioning

confidence: 99%

Section: Preventive Health Model Variablesmentioning

confidence: 99%

Section: Preventive Health Model Variablesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

See 3 more Smart Citations

Online Health Information Seeking and eHealth Literacy Among Spanish Language–Dominant Latino Adults Receiving Care in a Community Clinic: Secondary Analysis of Pilot Randomized Controlled Trial Data

Chavarria¹,

Christy²,

Feng³

et al. 2022

JMIR Form Res

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Interventions for improving health literacy in migrants

Baumeister,

Aldin,

Chakraverty

et al. 2023

Cochrane Database of Systematic Reviews

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Cancer‐related knowledge, beliefs, and behaviors among Hispanic/Latino residents of Indiana

et al. 2023

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Background Cancer is the leading cause of death for Hispanics in the USA. Screening and prevention reduce cancer morbidity and mortality. Methods This study administered a cross‐sectional web‐based survey to self‐identified Hispanic residents in the state of Indiana to assess their cancer‐related knowledge, beliefs, and behaviors, as well as to identify what factors might be associated with cancer screening and prevention. Chi‐square and Fisher's exact test were used to compare associations and logistic regression used to develop both univariate and multivariate regression models. Results A total of 1520 surveys were completed, median age of respondents was 53, 52% identified as men, 50.9% completed the survey in Spanish, and 60.4% identified the USA as their country of birth. Most were not able to accurately identify ages to begin screening for breast, colorectal, or lung cancer, and there were significant differences in cancer knowledge by education level. US‐born individuals with higher income and education more often believed they were likely to develop cancer and worry about getting cancer. Sixty eight percent of respondents were up‐to‐date with colorectal, 44% with breast, and 61% with cervical cancer screening. Multivariate models showed that higher education, lack of fatalism, older age, lower household income, and unmarried status were associated with cervical cancer screening adherence. Conclusions Among a Hispanic population in the state of Indiana, factors associated with cervical cancer screening adherence were similar to the general population, with the exceptions of income and marital status. Younger Hispanic individuals were more likely to be adherent with breast and colorectal cancer screening, and given the higher incidence of cancer among older individuals, these results should guide future research and targeted outreach.

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Characterizing Health Literacy Among Spanish Language-Preferring Latinos Ages 50–75

Cited by 14 publications

References 31 publications

Online Health Information Seeking and eHealth Literacy Among Spanish Language–Dominant Latino Adults Receiving Care in a Community Clinic: Secondary Analysis of Pilot Randomized Controlled Trial Data

Online Health Information Seeking and eHealth Literacy Among Spanish Language–Dominant Latino Adults Receiving Care in a Community Clinic: Secondary Analysis of Pilot Randomized Controlled Trial Data

Interventions for improving health literacy in migrants

Cancer‐related knowledge, beliefs, and behaviors among Hispanic/Latino residents of Indiana

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