Development and Validation of the Assessment of Health Literacy in Breast and Cervical Cancer Screening
Development and Validation of the Assessment of Health Literacy in Breast and Cervical Cancer Screening
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DOI：
10.1080/10810730.2014.936569
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发表时间：
2014-01-01
影响因子：
4.4
通讯作者：
Tam Nguyen
中科院分区：
文献类型：
--
作者：
Han, Hae-Ra;Huh, Boyun;Tam Nguyen
对许多人来说，有限的健康知识是有效预防健康行为（如癌症筛查）的主要障碍，但目前还没有针对乳腺癌和宫颈癌筛查的全面健康知识措施。本文的目的是描述在乳腺癌和宫颈癌筛查背景下衡量健康素养的新工具的开发和测试，即癌症筛查健康素养评估（AHL-C）。AHL-C是基于Baker的健康素养概念，并从两个最流行的健康素养测试，成人医学素养快速估计和成人功能健康素养测试建模。AHL-C由四个分量表组成；识字、算术、理解力和熟悉度。我们使用了560名韩裔美国移民妇女的基线数据，这些妇女参加了一项以社区为基础的随机试验，旨在测试以健康素养为重点的干预措施对促进乳腺癌和宫颈癌筛查的效果。严格的心理测试支持AHL-C是可靠的，有效的，并与理论选择的变量显著相关。未来的研究需要测试AHL-C在预测癌症筛查结果方面的效用。
For many people limited health literacy is a major barrier to effective preventive health behavior such as cancer screening, yet a comprehensive health literacy measure that is specific to breast and cervical cancer screening is not readily available. The purpose of this article is to describe the development and testing of a new instrument to measure health literacy in the context of breast and cervical cancer screening, the Assessment of Health Literacy in Cancer Screening (AHL-C). The AHL-C is based on Baker's conceptualization of health literacy and modeled from the two most popular health literacy tests, the Rapid Estimate of Adult Literacy in Medicine and the Test of Functional Health Literacy in Adults. The AHL-C consists of four subscales; print literacy, numeracy, comprehension, and familiarity. We used baseline data from 560 Korean American immigrant women who participated in a community-based randomized trial designed to test the effect of a health literacy-focused intervention to promote breast and cervical cancer screening. Rigorous psychometric testing supports that the AHL-C is reliable, valid, and significantly correlated with theoretically selected variables. Future research is needed to test the utility of the AHL-C in predicting cancer screening outcomes.