Document Detail

Health literacy, health communication challenges, and cancer screening among rural native Hawaiian and Filipino women.
MedLine Citation:
PMID:  23536194     Owner:  NLM     Status:  MEDLINE    
Native Hawaiians and Filipinos are disproportionately impacted by cancer and are less likely to participate in cancer screening than whites. Limited information exists about health information pathways and health communication challenges as they relate to cancer screening in these groups. Six focus groups (n=77) of Native Hawaiian and Filipino women age 40+years were conducted to investigate these research gaps. Participants noted many health information challenges. Challenges were both practical and interpersonal and included both written and oral health communication. Practical challenges included "big" words, complexity of terms, and lack of plain English. Interpersonal issues included doctors rushing, doctors not assessing comprehension, and doctors treating respondents as patients not people. Women noted that they would often not ask questions even when they knew they did not understand because they did not want the provider to think negatively of them. Overarching themes to improve cancer communication gaps included: (1) the importance of family and community in health information dissemination, (2) the key role women play in interpreting health information for others, (3) the importance of personal experience and relationships to the salience of health information, and (4) the desire for local cultural relevance in health communication. Findings are discussed in light of the 2010 National Action Plan for Health Literacy.
Tetine Sentell; May Rose Dela Cruz; Hyun-Hee Heo; Kathryn L Braun
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of cancer education : the official journal of the American Association for Cancer Education     Volume:  28     ISSN:  1543-0154     ISO Abbreviation:  J Cancer Educ     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-05-28     Completed Date:  2013-10-17     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  8610343     Medline TA:  J Cancer Educ     Country:  England    
Other Details:
Languages:  eng     Pagination:  325-34     Citation Subset:  IM    
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MeSH Terms
Asian Americans*
Communication Barriers*
Focus Groups
Health Education
Health Literacy*
Health Services Accessibility
Information Dissemination
Mass Screening
Neoplasms / ethnology*,  prevention & control*
Philippines / ethnology
Rural Population*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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