Education level, not health literacy, associated with information needs for patients with cancer

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• 作者：Robin K.  ; Matsuyama^a ;   ; ^{Rmatsuyama@vcu.edu} ; Maureen  ; Wilson-Genderson^b ; Laura  ; Kuhn^b ; Drew  ; Moghanaki^c ; Hetal  ; Vachhani^d ; Michael  ; Paasche-Orlow^e
• 关键词：Education ; Educational attainment ; Health literacy ; Cancer ; Information needs
• 刊名：Patient Education and Counseling
• 出版年：2011
• 出版时间：December 2011
• 年：2011
• 卷：85
• 期：3
• 页码：e229-e236
• 全文大小：260 K

文摘

Objective

Cancer patients receiving adjuvant therapy encounter increasingly complex situations and decisions with each new procedure and therapy. To make informed decisions about care, they need to be able to access, process, and understand information. Individuals with limited health literacy may not be able to obtain or understand important information about their cancer and treatment. The rate of low health literacy has been shown to be higher among African Americans than among non-Hispanic Whites. This study examined the associations between race, health literacy, and self-reported needs for information about disease, diagnostic tests, treatments, physical care, and psychosocial resources.

Methods

Measures assessing information needs were administered to 138 newly diagnosed cancer patients. Demographics were assessed by survey and health literacy was assessed with two commonly used measures: the Rapid Estimate Adult Literacy in Medicine (REALM) and the Short Test of Health Literacy in Adults (STOFHLA).

Results

Study findings indicate that educational attainment, rather than health literacy, is a significant predictor of information needs.

Conclusion

Overcoming barriers to information needs may be less dependent on literacy considerations and more dependent on issues that divide across levels of educational attainment.

Practice implications

Oncologists and hospital staff should be attentive to the fact that many patients require additional assistance to meet their information needs.