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Working with African American women to develop a cancer literacy assessment tool
Karen Patricia Williams1, Patricia B Mullan, Faith Fletcher
1Michigan State University, East Lansing, MI 48824, USA. Karen.Williams@ht.msu.edu
Background:
Although African American women have a lower incidence of breast cancer, they suffer a 30% higher age-adjusted mortality. Lower health literacy levels diminish women's ability to engage in cancer prevention and detection activities.
Methods:
We conducted a focus group with lay health workers, following their completion of structured literacy assessments.
Results:
The women's performance established the feasibility and acceptability of incorporating literacy assessments. However, the findings identified perceived limits in existing measures and identified attributes that should be included in cancer-focused literacy assessments.
Conclusions:
A cancer-specific literacy assessment could assist community health workers in measuring women's functional cancer literacy.
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