Samantha Garbers
Functional health literacy in Spanish-speaking Latinas seeking breast cancer screening through the National Breast and Cervical Cancer Screening Program
Public Health Solutions
analysis examines association functional health literacy followup mammography among women receiving breast cancer screening national breast cervical cancer early detection program site new york city provides universal bilingual case managementa total 707 latinas spoke spanish primary language completed survey health demographic characteristics test functional health literacy spanish tofhlas survey results matched clinical outcome dataamong survey participants 98 foreignborn 99 health insurance study found significant differences access health information past screening behavior women without adequate health literacy spanish less likely receive clinical resolution abnormal mammograms within 60 days 818 overall n 110 return repeat mammogram within 18 months 572 overall n 697 fact among referred pap test n 310 women without adequate health literacy likely receive pap test within 60 days mammogram adequate health literacy 82 compared 71 183 95 ci 104322the lack significantly lower followup outcomes among women inadequate marginal functional health literacy population primary spanishspeaking latinas suggests women accessed screening services programmatic approaches may exist mitigate barriers followup ensure optimal cancer screening outcomes women literacy levels