Health literacy and the health status of men with prostate cancer

被引:35
|
作者
Goodwin, Belinda C. [1 ,2 ]
March, Sonja [2 ,3 ]
Zajdlewicz, Leah [4 ]
Osborne, Richard H. [5 ,6 ]
Dunn, Jeff [2 ,4 ,7 ]
Chambers, Suzanne K. [4 ,8 ,9 ,10 ]
机构
[1] Univ Southern Queensland, Inst Resilient Reg, Sinnathamby Dr, Springfield, Qld, Australia
[2] Univ Southern Queensland, Inst Resilient Reg, Springfield Cent, Qld, Australia
[3] Univ Southern Queensland, Sch Psychol & Counselling, Springfield Cent, Qld, Australia
[4] Canc Council Queensland, Canc Res Ctr, Fortitude Valley, Qld, Australia
[5] WHO Collaborat Ctr Hlth Literacy, Hlth Syst Improvement Unit, Perth, WA, Australia
[6] Deakin Univ, Sch Hlth & Social Dev, Geelong, Vic, Australia
[7] Griffith Univ, Sch Med, Brisbane, Qld, Australia
[8] Univ Technol Sydney, Fac Hlth, Sydney, NSW, Australia
[9] Griffith Univ, Menzies Hlth Inst, Southport, Qld, Australia
[10] Prostate Canc Fdn Australia, St Leonards, NSW, Australia
基金
英国医学研究理事会;
关键词
cancer; health literacy; health status indicators; mental health; oncology; prostate cancer; psychometrics; QUALITY-OF-LIFE; ACTIVE SURVEILLANCE; PATIENT NAVIGATION; QUESTIONNAIRE HLQ; CARCINOMA; DISTRESS; STAGE;
D O I
10.1002/pon.4834
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective: To test the Health Literacy Questionnaire (HLQ) in a sample of men with prostate cancer and examine the components of health literacy that are most strongly associated with mental and physical health-related quality of life in men with prostate cancer. Method: Members (N = 565) of a state-wide prostate cancer support network in Queensland, Australia (M-age= 71.14, SD = 8.68) completed the HLQ along with the Medical Outcomes Study, 36-item short-form health survey (SF-36). Confirmatory factor analysis was employed to assess the internal structure of the HLQ. The effects (bs) of each of the nine health literacy factors on mental and physical health status were graphed and compared using Fishers exact test for comparing parameter estimates. Results: Fit indices including RMSEA (0.069, CI = 0.066-0.072), CFI (.853), and TLI (.839), alongside item loadings and internal consistency (Cronbach alphas > 0.80) for the nine-factor model, supported the robustness of the HLQ for use in this prostate cancer sample. Health literacy factors reflecting social and health provider support, navigating health systems, finding and understanding health information, and active engagement with providers shared small to moderate associations with mental health status and little to no association with physical health status. Conclusion: Findings provide support for the use of the HLQ as a valid and reliable measure of health literacy in men with prostate cancer. Although further research is required to establish causality, interventions that aim to improve skills in connecting and effectively communicating with health care services and providers might lead to better mental health related quality of life for men with prostate cancer.
引用
收藏
页码:2374 / 2381
页数:8
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