Predicting Health Literacy Among English-as-a-Second-Language Older Chinese Immigrant Women to Canada: Comprehension of Colon Cancer Prevention Information.

06:00 EDT 21st September 2010 | BioPortfolio

Summary of "Predicting Health Literacy Among English-as-a-Second-Language Older Chinese Immigrant Women to Canada: Comprehension of Colon Cancer Prevention Information."

Inadequate health literacy has been identified as a barrier to the utilization of health-care services, including cancer screening. This study examined predictors of health literacy among 106 older Chinese immigrant women to Canada and how colon cancer information presented in their first versus second language affected health literacy skill. Only 38.7% of the women had adequate health literacy based on Short Test of Functional Health Literacy for Adults, and 54.3% had adequate comprehension of the colon cancer information. Comprehension of the cancer information was significantly lower among women who received the information in English compared with those who received the information in Chinese. Age, acculturation, self-reported proficiency reading English, and education were significant predictors of health literacy but varied depending on the measure of health literacy used and language of the information. Presentation of cancer prevention information in one's first rather than second language improves health literacy but does not eliminate comprehension difficulties for older ESL Chinese immigrants.


Department of Health Studies and Gerontology, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON, Canada, N2L 3G1.

Journal Details

This article was published in the following journal.

Name: Journal of cancer education : the official journal of the American Association for Cancer Education
ISSN: 1543-0154


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