Patrick Abi Nader, Evan Hilberg, John M Schuna, Deborah H John, Katherine B Gunter
Teacher-Level Factors, Classroom Physical Activity Opportunities, and Children's Physical Activity Levels
Journal of physical activity & health
aimed assess whether nativity differences socioeconomic ses barriers health literacy associated healthcare delays among us cancer survivors us survey data analyzed among adult participants ever diagnosed cancer binary measure healthcare delay 1 delays versus delays created health literacy assessed using brief health literacy screen composite measure ses barriers education employment housing income insurance statuses created 0 1 2 3 multivariable logistic regression model tested associations 1 ses barriers health literacy healthcare delays 2 whether nativity modified relationship median participant age 64 years n 10020 8 foreignborn 18 ethnic minorities compared survivors ses barriers 3 higher likelihood experiencing healthcare delays 218 95 ci 184 258 every additional barrier odds healthcare delays greater among foreignborn 172 143 208 usborn 127 121 134 every 1unit increase health literacy among usborn odds healthcare delay decreased 9 091 089 094 found ses barriers healthcare delays greater impact among foreignborn usborn cancer survivors higher health literacy may mitigate healthcare delays among us cancer survivors healthcare providers systems policymakers assess address social determinants health promote health literacy way minimize healthcare delays among foreign usborn cancer survivors