Kimberly A. Kaphingst|Melvin Blanchard|Laurel Milam|Manusheela Pokharel|Ashley Elrick|Melody S. Goodman
Relationships Between Health Literacy and Genomics-Related Knowledge, Self-Efficacy, Perceived Importance, and Communication in a Medically Underserved Population
Huntsman Cancer Institute|University of Utah|Washington University in St. Louis|Washington University in St. Louis|University of Utah|University of Utah|Washington University in St. Louis
increasing importance genomic information clinical care heightens need examine individuals understand value communicate information based conceptual framework genomicsrelated health literacy examined whether health literacy related knowledge selfefficacy perceived importance genetics family health history fhh communication fhh medically underserved population analytic sample composed 624 patients primary care clinic large urban hospital half participants 47 limited health literacy 55 education beyond high school 58 black multivariable models limited health literacy associated lower genetic knowledge 055 se 010 p 0001 lower awareness fhh odds ratio 050 95 confidence interval ci 028 090 p 020 greater perceived importance genetic information 195 95 ci 127 300 p 0022 lower perceived importance fhh information 047 95 ci 026 086 p 013 frequent communication doctor fhh 202 95 ci 127 323 p 0032 findings highlight importance considering domains genomicsrelated health literacy eg knowledge oral literacy developing educational strategies genomic information health literacy research essential avoid increasing disparities information health outcomes genomic information reaches patients