ArticleJournal of health communication2013
Colorectal cancer screening: low health literacy and limited English proficiency among Asians and Whites in California.
Article in Journal of health communication, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
48 citing papers in PubMed, 5 syntheses or guidelines pooled it, 86 citations in OpenAlex.
- Inclusion of Participants With Limited English Proficiency in Autism Research.Autism research : official journal of the International Society for Autism Research · 2026Pooled it
- Electronic Tools to Bridge the Language Gap in Health Care for People Who Have Migrated: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Unraveling the Determinants to Colorectal Cancer Screening Among Asian Americans: a Systematic Literature Review.Journal of racial and ethnic health disparities · 2018Pooled it
- Are cancer-related decision aids appropriate for socially disadvantaged patients? A systematic review of US randomized controlled trials.BMC medical informatics and decision making · 2016Pooled it
- The Relationship between Health Literacy and Health Disparities: A Systematic Review.PloS one · 2015Pooled it
- Variation in Women's Understanding of Prenatal Testing.Obstetrics and gynecology · 2015Trial
- Who is left out? A systematic review on the barriers and facilitators for screening participation reported by people in vulnerable situations with strategies for the future.Public health in practice (Oxford, England) · 2026Review
- Investigating predictive factors of participation in colorectal cancer screening based on the Preventive Health Model (PHM) and health literacy.BMC primary care · 2026Article
- Patient Safety Event Risk and Language Barriers: A Scoping Review.Joint Commission journal on quality and patient safety · 2025Article
- Beyond Bleeding: An Analysis of Presenting Symptoms Among Black Patients with Endometrial Cancer.Health equity · 2025Article
- Multi-faceted strategies to advance health equity in colorectal cancer screening in primary care setting: quality improvement project.BMC health services research · 2024Article
- Impact of English Proficiency on Health Literacy in Older Korean Immigrants: Mediating Effects of Social Support and Acculturation.Journal of immigrant and minority health · 2024Article
- The Impact of Limited English Proficiency on Healthcare Access and Outcomes in the U.S.: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Colon Cancer Disparities in Stage at Presentation and Time to Surgery for Asian Americans, Native Hawaiians, and Pacific Islanders: A Study with Disaggregated Ethnic Groups.Annals of surgical oncology · 2023Article
- The Influence of Social Determinants on Cancer Screening in a Medicaid Sample.American journal of preventive medicine · 2023Article
- Characteristics of Cancer Hospitals with Written Language Access Policies.Journal of immigrant and minority health · 2023Article
- Development and psychometric validation of the Colorectal Cancer Literacy Scale-Uruguay Version.Frontiers in public health · 2023Article
- Disparities Among Limited English Proficient Patients in Colon Cancer Screening with Multi-target DNA Stool Test.Journal of immigrant and minority health · 2022Article
- Article
- Social Determinants, Health Literacy, and Disparities: Intersections and Controversies.Health literacy research and practice · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
The authors examined the relationship between low health literacy (LHL), limited English proficiency (LEP), and meeting current U.S. Preventive Service Task Force colorectal cancer (CRC) screening guidelines for Asians and Whites in California. For 1,478 Asian and 14,410 White respondents 50-75 years of age in the 2007 California Health Interview Survey, the authors examined meeting CRC screening guidelines using multivariable logistic models by LEP and LHL separately and in combination. Analyses were run with the full sample, then separately for Whites and Asians controlling for demographics and insurance. For those with LEP, patient-provider language concordance and CRC screening was examined. Overall, respondents with LEP and LHL were the least likely to meet CRC screening guidelines (36%) followed by LEP-only (45%), LHL-only (51%), and those with neither LHL nor LEP (59%), a hierarchy that remained significant in multivariable models. For Whites, LHL-only was associated with screening, whereas LEP-only and LEP and LHL were significant for Asians. Having a language concordant provider was not significantly associated with CRC screening among those with LEP. Health literacy is associated with CRC screening, but English proficiency is also critical to consider. Asians with both LEP and LHL appear particularly vulnerable to cancer screening disparities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.