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Health Education Research Advance Access published online on October 27, 2009
Health Education Research, doi:10.1093/her/cyp056
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© The Author 2009. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Longitudinal analysis of domain-level breast cancer literacy among African-American women

Athur Mabiso1,*, Karen Patricia Williams1,2, David Todem3 and Thomas N. Templin4

1 Department of Obstetrics, Gynecology and Reproductive Biology, Michigan State University, 224 West Fee Hall, East Lansing, MI 48824, USA
2 Department of Population Studies, Barbara Ann Karmanos Cancer Institute, Detroit, MI 48201, USA
3 Division of Biostatistics, Department of Epidemiology, Michigan State University, B601 West Fee Hall, East Lansing, MI 48824, USA
4 Center for Health Research, College of Nursing, Wayne State University, 321 Cohn Building, Detroit, MI 48202, USA

Correspondence to: * A. Mabiso. E-mail: Athur.Mabiso{at}ht.msu.edu

Functional breast cancer literacy was assessed among African-American women and measured at the domain level over time. We used the Kin KeeperSM Cancer Prevention Intervention to educate 161 African-American women on three domains of breast cancer literacy: (i) cancer awareness, (ii) knowledge of breast cancer screening modalities and (iii) cancer prevention and control. A breast cancer literacy assessment was administered pre- and post-educational intervention at two time points followed by another assessment 12 months after the second intervention. Generalized estimating equations were specified to predict the probability of correctly answering questions in each domain over time. Domain-level literacy differentials exist; at baseline, women had higher test scores in the breast cancer prevention and control domain than the cancer awareness domain (odds ratio = 1.67, 95% confidence interval 1.19–2.34). After Kin KeeperSM Cancer Prevention Intervention, African-American women consistently improved their breast cancer literacy in all domains over the five time stages (P < 0.001) though at different rates for each domain. Differences in domain-level breast cancer literacy highlight the importance of assessing literacy at the domain level. Interventions to improve African-American women's breast cancer literacy should focus on knowledge of breast cancer screening modalities and cancer awareness domains.

Received on March 25, 2009; accepted on September 2, 2009


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