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Application of the health literacy framework to diet-related cancer prevention conversations of older immigrant women to Canada

Bibliographic Data

ID22945258
AuthorsMaria D Thomson (0000-0002-5729-8720, Virginia Commonwealth University), Laurie Hoffman‐goetz (University of Waterloo, corresponding author), L Hoffman-Goetz
Year2012
Volume27
Issue1
Pages33-44
Publication date2012-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dar019
PMID21421578
OpenAlexW2126209530
LanguageEN
Citations received1
References cited39

Health literacy, conceptualized as a framework involving basic (functional), interactive and critical skill sets, is a key determinant of health. Application of the health literacy framework (HLF) to immigrant populations has been limited. Our objective was to apply the HLF to discourses about diet-related colon cancer prevention among English-as-a-Second-Language (ESL) immigrant women. We also explored whether these discussions could inform the development of culturally appropriate information and potentially increase health literacy. Interviews were conducted with 64 older Spanish-speaking ESL immigrant women. Directed content analysis guided by the HLF was used to identify themes. Diet-related conversations were initiated by 43 (67%) participants. Four themes were identified: general information requests-low functional health literacy (FHL) (n = 23/43), specific nutrition inquiries-high FHL (n = 17/43), actions for healthy eating-low interactive health literacy (IHL) (n = 8/43) and community communication issues-high IHL (n = 3/43). No conversations representing critical health literacy were identified. Five women discussed both FHL and IHL themes. Women's diet-related conversations followed a continuum of increasing information needs supporting the HLF.

Cancer · Cancer prevention · Health care · Health communication · Health education · Health equity · Health literacy · Immigration · Language barrier · Literacy · Pedagogy · Political science · Public health · Breastfeeding Practices and Influences · Communication · Health Literacy and Information Accessibility · Medicine · Nursing · Psychology · Gerontology

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Unique citing works1
Citations per year0,08
Citation span2014 - 2014 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1
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