Relationships Between Health Literacy and Genomics-Related Knowledge, Self-Efficacy, Perceived Importance, and Communication in a Medically Underserved Population
Relationships Between Health Literacy and Genomics-Related Knowledge, Self-Efficacy, Perceived Importance, and Communication in a Medically Underserved Population
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DOI：
10.1080/10810730.2016.1144661
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发表时间：
2016-03-28
影响因子：
4.4
通讯作者：
Goodman, Melody S.
中科院分区：
文献类型：
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作者：
Kaphingst, Kimberly A.;Blanchard, Melvin;Goodman, Melody S.
基因组信息在临床护理中的重要性日益增加，需要检查个人如何理解、重视和沟通这些信息。基于基因组学相关健康素养的概念框架，我们研究了健康素养是否与知识、自我效能、遗传和家族健康史（FHH）的感知重要性以及在医疗服务不足人群中关于FHH的交流有关。分析样本由一家大型城市医院初级保健诊所的624名患者组成。大约一半的参与者（47%）健康素养有限；55%的人没有高中以上的学历，58%是黑人。在多变量模型中，有限的健康素养与较低的遗传知识相关(beta=-0.55， SE=0.10, p
The increasing importance of genomic information in clinical care heightens the need to examine how individuals understand, value, and communicate about this information. Based on a conceptual framework of genomics-related health literacy, we examined whether health literacy was related to knowledge, self-efficacy, and perceived importance of genetics and family health history (FHH) and communication about FHH in a medically underserved population. The analytic sample was composed of 624 patients at a primary care clinic in a large urban hospital. About half of the participants (47%) had limited health literacy; 55% had no education beyond high school, and 58% were Black. In multivariable models, limited health literacy was associated with lower genetic knowledge (beta=-0.55, SE=0.10, p