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The Association of English Functional Health Literacy and the Receipt of Mammography among Hispanic Women Compared to Non-Hispanic U.S.-Born White Women

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  • Hajar Kadivar
  • Kelly M Kenzik
  • Darren A Dewalt
  • I-Chan Huang

Abstract

Background: Breast cancer is a leading cause of cancer death among Hispanic women in the U.S., and mammography is the recommended screening for early diagnosing and preventing breast cancer. Several barriers exist to influence mammography utilization including poor health literacy. However, it is unclear whether the effect of health literacy on mammography utilization is consistent between Hispanic women and non-Hispanic White women. The main objective of this study was to examine association between functional health literacy and the receipt of mammography among Hispanic women compared to non-Hispanic White women in the U.S. Methods: A cross-sectional design using participants engaged in the National Assessment of Adult Literacy. Study sample comprised of 4,249 Hispanic and non-Hispanic U.S.-born White women ≥ 40 years of age who completed the functional health literacy assessment. Regression analyses were performed to test the association between health literacy and receipt of mammography. Among Hispanic women, analyses considered the influence of language-preference acculturation. Results: Equal percentages of Hispanic (59.3%) and non-Hispanic White (60.6%) women received mammography. After adjusting for covariates, health literacy was positively associated with receiving mammography among U.S.-born White women (β = 0.14, p

Suggested Citation

  • Hajar Kadivar & Kelly M Kenzik & Darren A Dewalt & I-Chan Huang, 2016. "The Association of English Functional Health Literacy and the Receipt of Mammography among Hispanic Women Compared to Non-Hispanic U.S.-Born White Women," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-11, October.
    • Handle: RePEc:plo:pone00:0164307
    DOI: 10.1371/journal.pone.0164307
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    References listed on IDEAS

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    1. O'Malley, A.S. & Kerner, J. & Johnson, A.E. & Mandelblatt, J., 1999. "Acculturation and breast cancer screening among hispanic women in New York City," American Journal of Public Health, American Public Health Association, vol. 89(2), pages 219-227.
    2. Suarez, L., 1994. "Pap smear and mammogram screening in Mexican-American women: The effects of acculturation," American Journal of Public Health, American Public Health Association, vol. 84(5), pages 742-746.
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