T Sentell|Janice Y. Tsoh|Terry C. Davis|James W. Davis|Kathryn L. Braun
Low health literacy and cancer screening among Chinese Americans in California: a cross-sectional analysis
University of Hawaii System|University of Hawai?i at M?noa|University of California, San Francisco|Louisiana State University Health Sciences Center New Orleans|University of Hawai?i at M?noa|Papa Ola Lokahi|University of Hawai?i at M?noa|University of Hawaii System
h3objectivesh3 cancer leading cause death among asian americans chinese americans comprise largest asian american ethnic group low health literacy lhl associated lower cancer screening rates association studied chinese americans examined relationship lhl meeting us preventive service task force uspstf guidelines cervical colorectal breast cancer screening among chinese americans h3designh3 observational study chinese respondents 2007 california health interview survey populationbased survey interview languages included english cantonese mandarin h3settingh3 california usa h3participantsh3 chinese respondents agegender groupings appropriate uspstf cancer screening guidelines icervicali women ages 2165 n632 icolorectali men women ages 5075 n488 ibreasti women ages 5074 n326 h3outcomesh3 relationships tested using multivariable logistic regression models controlling healthcare access demographic factors including limited english proficiency lep combined effects lhl lep specifically examined lhl measured 2items perceived easeofuse written medical materials study variables selfreported h3resultsh3 cancer screening percentages among chinese americans 778 cervical 509 colorectal 479 women 542 men 855 breast lhl associated lower odds meeting breast cancer screening guidelines 041 95 ci 020 082 respondents lhl lep significantly less likely uptodate colorectal 049 95 ci 025 097 breast cancer screening 021 95 ci 008 054 neither health communication barrier multivariable models seen physician past year significant predictor uptodate screening h3conclusionsh3 chinese americans lhl lep negatively associated uptodate breast colorectal cancer screening independent recent physician visit efforts promote cancer screening among chinese americans consider address lhl lep physician access barriers