Effects of Education via WhatsApp vs Compact Disk on Health Literacy and Behavior of Middle-Aged Women about Screening Methods of Breast Cancer

Introduction Despite expanding interest in cancer survivorship, little is known about urban Asian breast cancer survivors whose experience may differ from those in suburban and rural locations. This study explores survivors’ challenges to maximize outcomes and identify common and unique themes among urban Asian survivors. Information was obtained from the survivors and outreach workers from their community. Methodology Descriptive qualitative methods including semistructured interview guides were used to plan, conduct, and analyze both individual interviews of Asian women ( n = 6) and a focus group ( n = 7) composed of community outreach workers. Results The interview and focus group findings, endorsed themes of communication/language, trust, and privacy, with generational differences. Poor health literacy in both survivors and providers was identified. Discussion Nurses are in a unique position to use the themes identified to both assist survivors expand their health literacy and lobby for resources for providers to promote culturally congruent care.

Download Full-text

Disparities in access to mobile devices and e-health literacy among breast cancer survivors

Supportive Care in Cancer ◽

10.1007/s00520-021-06407-2 ◽

2021 ◽

Author(s):

Zoe Moon ◽

Mira Zuchowski ◽

Rona Moss-Morris ◽

Myra S. Hunter ◽

Sam Norton ◽

...

Keyword(s):

Breast Cancer ◽

Health Literacy ◽

Cancer Survivors ◽

Mobile Devices ◽

Breast Cancer Survivors ◽

Social Deprivation ◽

Logistic Regressions ◽

Widespread Access ◽

The Relationship ◽

Questionnaire Pack

Abstract Background The number of e-health interventions developed for breast cancer survivors continues to increase. However, issues with engagement and retention are common. This study aimed to explore e-health literacy rates and access to smartphones and tablets in a large sample of breast cancer survivors. Methods In study 1, women were recruited from outpatient breast clinics across England and Wales. Eligible women were asked to complete a questionnaire pack to assess their access to devices and their e-health literacy. Multiple regression analyses were run to assess the relationship between technology access and e-health literacy with sociodemographic variables such as age, social deprivation, and education. Study 2 presents a smaller sample recruited through social media who answered a questionnaire relating to use of mobile devices and e-health, and apps. Results Two thousand nine women participated in the study. Seventy-one percent had access to a smartphone, 54% had access to a tablet, and 20% did not have access to either device. Multiple logistic regressions showed that women who were younger, had higher levels of education, and who were from less deprived areas were more likely to have access to either device. Poorer e-health literacy was associated with being older, having less education, and not having access to a mobile device. Conclusions Whilst the results show relatively widespread access to mobile devices, there is evidence of a digital divide across some groups. Online interventions should be developed with consideration of individuals who are less e-health-literate and less technologically adept in order to increase the likelihood of engagement.

Download Full-text

Coffee Intake Interacted with the Bcl-2 rs1944420, rs7236090, and rs2849382 Haplotype to Influence Breast Cancer Risk in Middle-Aged Women

Nutrition and Cancer ◽

10.1080/01635581.2021.1871926 ◽

2021 ◽

pp. 1-10

Author(s):

Meiling Liu ◽

Sang Shin Song ◽

Sunmin Park

Keyword(s):

Breast Cancer ◽

Breast Cancer Risk ◽

Cancer Risk ◽

Middle Aged ◽

Coffee Intake

Download Full-text

Opioid Literacy in an Immigrant Group in Rural Area: Use of Social Determinant of Health Framework

Innovation in Aging ◽

10.1093/geroni/igaa057.1277 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 397-397

Author(s):

Hee Yun Lee ◽

Eun Young Choi ◽

Jieun Song ◽

Jamie Gajos ◽

Yan Luo

Keyword(s):

Older Adults ◽

Young Adults ◽

Health Literacy ◽

Rural Area ◽

Limited English Proficiency ◽

English Proficiency ◽

Age Groups ◽

Social Determinant ◽

Opioid Overdose ◽

Middle Aged

Abstract Opioid overdose risk is particularly high in immigrant communities partly due to limited English proficiency (Guarino et al., 2015). Previous studies reported that social determinants of health (SDH) have been associated with risk for opioid overdose (Dasgupta et al., 2018). The current study examines the association between SDH and literacy of opioid overdose risk among the immigrant population living in a rural area. Specifically, we examine the association in various age groups including young adults (aged 20 to 34), middle-aged (aged 35 to 49), and older adults (ages 50 to 75). Data were drawn from a sample of Korean American immigrants residing in rural Alabama (N=225). The participants administered the Brief Opioid Knowledge (BOOK) Questionnaire (Dunn et al., 2016). Multiple regression analyses were conducted for three age groups to identify predictors of opioid literacy. Overall, older adults had lower levels of opioid literacy relative to their younger counterparts. Among young adults, low English proficiency, more chronic conditions, and greater depressive symptoms were significant predictors of limited opioid literacy. For the middle-aged adults, lower levels of health literacy and more pain symptoms were associated with limited opioid literacy. Among older adults, women, those with higher English proficiency, and lower health literacy had lower levels of opioid literacy. The findings demonstrated a greater vulnerability of older immigrants to limited opioid literacy. Different predictors based on SDH of limited opioid literacy across age groups have implications for tailored health promotion strategies to reduce opioid overdose risk.

Download Full-text

Disaster Health Literacy of Middle-aged Women

Journal of Menopausal Medicine ◽

10.6118/jmm.2018.24.3.150 ◽

2018 ◽

Vol 24 (3) ◽

pp. 150 ◽

Cited By ~ 5

Author(s):

Bahar Seifi ◽

Ghader Ghanizadeh ◽

Hesam Seyedin

Keyword(s):

Health Literacy ◽

Middle Aged

Download Full-text

Serum N-glycan profiles differ for various breast cancer subtypes

Glycoconjugate Journal ◽

10.1007/s10719-021-10001-3 ◽

2021 ◽

Author(s):

Gerda C. M. Vreeker ◽

Kiki M. H. Vangangelt ◽

Marco R. Bladergroen ◽

Simone Nicolardi ◽

Wilma E. Mesker ◽

...

Keyword(s):

Breast Cancer ◽

Early Detection ◽

Cancer Patients ◽

High Resolution Mass Spectrometry ◽

Case Control ◽

Total Serum ◽

Screening Methods ◽

Breast Cancer Patients ◽

Cancer Subtypes ◽

Control Comparison

AbstractBreast cancer is the most prevalent cancer in women. Early detection of this disease improves survival and therefore population screenings, based on mammography, are performed. However, the sensitivity of this screening modality is not optimal and new screening methods, such as blood tests, are being explored. Most of the analyses that aim for early detection focus on proteins in the bloodstream. In this study, the biomarker potential of total serum N-glycosylation analysis was explored with regard to detection of breast cancer. In an age-matched case-control setup serum protein N-glycan profiles from 145 breast cancer patients were compared to those from 171 healthy individuals. N-glycans were enzymatically released, chemically derivatized to preserve linkage-specificity of sialic acids and characterized by high resolution mass spectrometry. Logistic regression analysis was used to evaluate associations of specific N-glycan structures as well as N-glycosylation traits with breast cancer. In a case-control comparison three associations were found, namely a lower level of a two triantennary glycans and a higher level of one tetraantennary glycan in cancer patients. Of note, various other N-glycomic signatures that had previously been reported were not replicated in the current cohort. It was further evaluated whether the lack of replication of breast cancer N-glycomic signatures could be partly explained by the heterogenous character of the disease since the studies performed so far were based on cohorts that included diverging subtypes in different numbers. It was found that serum N-glycan profiles differed for the various cancer subtypes that were analyzed in this study.

Download Full-text