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The Impact of Health Literacy, Cultu...

Cudjoe, Joycelyn.

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The Impact of Health Literacy, Culture and Psychosocial Factors on the Pap Testing Behaviors of African Immigrant Women in the United States.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The Impact of Health Literacy, Culture and Psychosocial Factors on the Pap Testing Behaviors of African Immigrant Women in the United States./
作者:	Cudjoe, Joycelyn.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
面頁冊數:	180 p.
附註:	Source: Dissertations Abstracts International, Volume: 81-08, Section: A.
Contained By:	Dissertations Abstracts International81-08A.
標題:	Public health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27726282
ISBN:	9781392628980

The Impact of Health Literacy, Culture and Psychosocial Factors on the Pap Testing Behaviors of African Immigrant Women in the United States.
Cudjoe, Joycelyn.

The Impact of Health Literacy, Culture and Psychosocial Factors on the Pap Testing Behaviors of African Immigrant Women in the United States. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 180 p.

Source: Dissertations Abstracts International, Volume: 81-08, Section: A.

Thesis (Ph.D.)--The Johns Hopkins University, 2019.

This item must not be sold to any third party vendors.

Background: African immigrant (AI) women have low Pap testing rates. Limited health literacy is a major barrier to cancer screening particularly among racial/ethnic minority populations. Sources and types of health information have the potential to shape health literacy levels and inform the Pap testing behaviors. However, how health literacy, sources and types of health information along with cultural and psychosocial correlates impact the Pap testing behaviors of AI women remains unknown.Objective: To examine how sources and types of health information impact health literacy and health information exchange, and in turn, how health literacy, culture and psychosocial (cancer knowledge, self-efficacy, decisional balance, cultural beliefs) factors influence the Pap testing behaviors of AI women.Methods: Using an explanatory mixed-methods approach, a convenience sample of AI women (N=167) completed study surveys followed by semi-structured individual telephone interviews with a purposive sub-sample (n=20) of survey participants. An adapted Health Literacy Skills (HLS) conceptual framework guided the selection of study variables. Qualitative and quantitative data were merged to describe differences and similarities in AI women's experiences and display of health literacy by different sources and types of health information.Results: Using multiple sources of health information (adjusted OR [aOR]: 0.11, p<0.01), having negative cultural beliefs (aOR: 0.17, p=0.01) and high self-efficacy (aOR: 9.38, p<0.01) were significantly associated with Pap testing. Healthcare providers (78%), female friends (46%) and internet (45%) were the most common sources of health information used by AI women followed by female relatives (32%), television (22%), social media (17%) and church (16%). Content analysis revealed: Healthcare provider was rated the most credible source; family/friends personal experiences made health information more relatable; church as the least endorsed source. Health information presented verbally (aOR: 5.51, p=0.01) was associated with higher health literacy. Most AI women had health information presented in verbal form (80%), with pictures (43%) being the least popular type of health information.Conclusion: Cultural beliefs play a significant role in shaping AI women's Pap testing behaviors regardless of other known social determinants of health (education, English proficiency, age, access to primary care). Disseminating health information using multiple sources such as healthcare providers and peer educators (female family/friends) and exchanging health information in verbal form could shape health literacy and inform Pap testing among AI women. Using the internet to recruit study participants appears to be a promising strategy to consider for future studies that include AIs.

ISBN: 9781392628980Subjects--Topical Terms:

534748
Public health.

The Impact of Health Literacy, Culture and Psychosocial Factors on the Pap Testing Behaviors of African Immigrant Women in the United States.
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