Cargando…
Cross-cultural comparisons of limited cancer health literacy rates
PURPOSE: This study aims to compare the limited cancer health literacy (LCHL) rates among White (U.S.), Black (U.S.) and Chinese (H.K.) cancer patients using the Cancer Health Literacy Test - 6 (CHLT-6) and its recent adaptation in Chinese. RATIONALE: Arbitrary nature of determining LCHL using the c...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10596640/ http://dx.doi.org/10.1093/eurpub/ckad160.1397 |
_version_ | 1785125152465354752 |
---|---|
author | Dumenci, L Wing-Lok, C Pun, J |
author_facet | Dumenci, L Wing-Lok, C Pun, J |
author_sort | Dumenci, L |
collection | PubMed |
description | PURPOSE: This study aims to compare the limited cancer health literacy (LCHL) rates among White (U.S.), Black (U.S.) and Chinese (H.K.) cancer patients using the Cancer Health Literacy Test - 6 (CHLT-6) and its recent adaptation in Chinese. RATIONALE: Arbitrary nature of determining LCHL using the cut-score method is a major obstacle to scientifically investigate racial/ethnic differences in LCHL rates. To overcome, we used the multi-group latent class analysis (LCA) to test invariant measurement properties of the CHLT-6, a necessary condition to claim that the differences in LCHL rates reflect true group differences. RESULTS: Data included 1,899 cancer patients: White (N = 806) and Black (N = 491) and Chinese (N = 602). Measurement invariance test between the unconstrained and conditional probability constrained multi-group LCA favored the latter using the Bayesian Information Criterion (BIC: 10,388 vs.10,334) indicating that the LCHL label has the same meaning between three groups. The CHLT-6 determines cancer patients with LCHL with high accuracy (>90%) in all three groups. The model-based estimates of LCHL rates varied across groups: White (4%), Black (50%), and Chinese (25%). CONCLUSIONS: This study provides a strong construct validity evidence for the CHLT-6 by showing that it has invariant measurement properties between racial/ethnic groups and that it assigns cancer patients into LCHL group with high accuracy. Causal mechanisms underlying a wide range of LCHL rates need further explorations. KEY MESSAGES: • A substantial difference in limited cancer health literacy rates among White (U.S), Black (U.S.), and Chinese (Hong Kong) cancer patients. • The CHLT-6 accurately captures the limited cancer health literacy in diverse racial/ethnic groups. |
format | Online Article Text |
id | pubmed-10596640 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-105966402023-10-25 Cross-cultural comparisons of limited cancer health literacy rates Dumenci, L Wing-Lok, C Pun, J Eur J Public Health Poster Displays PURPOSE: This study aims to compare the limited cancer health literacy (LCHL) rates among White (U.S.), Black (U.S.) and Chinese (H.K.) cancer patients using the Cancer Health Literacy Test - 6 (CHLT-6) and its recent adaptation in Chinese. RATIONALE: Arbitrary nature of determining LCHL using the cut-score method is a major obstacle to scientifically investigate racial/ethnic differences in LCHL rates. To overcome, we used the multi-group latent class analysis (LCA) to test invariant measurement properties of the CHLT-6, a necessary condition to claim that the differences in LCHL rates reflect true group differences. RESULTS: Data included 1,899 cancer patients: White (N = 806) and Black (N = 491) and Chinese (N = 602). Measurement invariance test between the unconstrained and conditional probability constrained multi-group LCA favored the latter using the Bayesian Information Criterion (BIC: 10,388 vs.10,334) indicating that the LCHL label has the same meaning between three groups. The CHLT-6 determines cancer patients with LCHL with high accuracy (>90%) in all three groups. The model-based estimates of LCHL rates varied across groups: White (4%), Black (50%), and Chinese (25%). CONCLUSIONS: This study provides a strong construct validity evidence for the CHLT-6 by showing that it has invariant measurement properties between racial/ethnic groups and that it assigns cancer patients into LCHL group with high accuracy. Causal mechanisms underlying a wide range of LCHL rates need further explorations. KEY MESSAGES: • A substantial difference in limited cancer health literacy rates among White (U.S), Black (U.S.), and Chinese (Hong Kong) cancer patients. • The CHLT-6 accurately captures the limited cancer health literacy in diverse racial/ethnic groups. Oxford University Press 2023-10-24 /pmc/articles/PMC10596640/ http://dx.doi.org/10.1093/eurpub/ckad160.1397 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Poster Displays Dumenci, L Wing-Lok, C Pun, J Cross-cultural comparisons of limited cancer health literacy rates |
title | Cross-cultural comparisons of limited cancer health literacy rates |
title_full | Cross-cultural comparisons of limited cancer health literacy rates |
title_fullStr | Cross-cultural comparisons of limited cancer health literacy rates |
title_full_unstemmed | Cross-cultural comparisons of limited cancer health literacy rates |
title_short | Cross-cultural comparisons of limited cancer health literacy rates |
title_sort | cross-cultural comparisons of limited cancer health literacy rates |
topic | Poster Displays |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10596640/ http://dx.doi.org/10.1093/eurpub/ckad160.1397 |
work_keys_str_mv | AT dumencil crossculturalcomparisonsoflimitedcancerhealthliteracyrates AT winglokc crossculturalcomparisonsoflimitedcancerhealthliteracyrates AT punj crossculturalcomparisonsoflimitedcancerhealthliteracyrates |