Optimizing health literacy to facilitate reproductive health decision-making in adolescent and young adults with cancer.

Optimizing health literacy to facilitate reproductive health decision-making in adolescent and young adults with cancer.
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DOI:
10.1002/pbc.28476
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发表时间:
2023-09
影响因子:
3.2
通讯作者:
Quinn GP
Quinn GP
中科院分区:
医学3区
文献类型:
--
作者:
Nahata L;Anazodo A;Cherven B;Logan S;Meacham LR;Meade CD;Zarnegar-Lumley S;Quinn GP

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尽管被许多组织视为“护理标准”,但对于新诊断出患有癌症和生存期间的青少年和年轻人(AYA)来说,生育和生殖健康的沟通和咨询实践仍然不一致。已知影响医疗环境中信息提供和接收方式的因素之一是健康素养。提供者应考虑健康素养,以优化与 AYA 的生殖健康沟通,因为他们应对诊断,了解这对他们的未来意味着什么,处理有关治疗方案的信息,了解其对生育力的潜在有害影响,快速做出有关生育力保留的决定,并指导未来的计划生育课程。因此,本手稿的目的是:a)总结生殖健康素养的文献; b) 描述健康素养框架; c) 研究评估健康素养的方法; d) 确定在 AYA 肿瘤生育环境中加强临床医患沟通的方法。
Despite being considered “standard of care” by many organizations, fertility and reproductive health communications and counseling practices remain inconsistent for adolescents and young adults (AYAs) newly diagnosed with cancer and during survivorship. One factor known to affect how information is provided and received in the medical setting is health literacy. Providers should consider health literacy to optimize reproductive health communication with AYAs as they cope with their diagnosis, understand what it means for their future, process information about treatment options, learn about their potential harmful effects on fertility, make quick decisions about fertility preservation, and navigate a future family planning course. Thus, the objectives of this manuscript are to: a) summarize literature on reproductive health literacy; b) describe health literacy frameworks; c) examine ways to assess health literacy; and d) identify ways to enhance clinician-patient communication in the AYA oncofertility setting.
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