ArticleSpringerPlus2015
Health literacy and meeting breast and cervical cancer screening guidelines among Asians and whites in California.
Article in SpringerPlus, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
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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
33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Cervical cancer research disparities among African immigrant women in the United States: A systematic review.Palliative & supportive care · 2026Pooled it
- Determinants of Cancer Screening Disparities Among Asian Americans: A Systematic Review of Public Health Surveys.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Pooled it
- Pooled it
- Comparative Effectiveness of 2 Interventions to Increase Breast, Cervical, and Colorectal Cancer Screening Among Women in the Rural US: A Randomized Clinical Trial.JAMA network open · 2023Trial
- A Descriptive Analysis of Cancer Screening Health Literacy Among Black Women Living with HIV in Baltimore, Maryland.Health literacy research and practice · 2022Trial
- Digital Health Information Use, Trust, and Language-Related Disparities in Health Literacy in South Tyrol, Italy: Cross-Sectional Survey Study.JMIR formative research · 2026Article
- Disparities in early-stage cervical cancer detection: the critical role of educational attainment in 75,268 women in Hubei Province.BMC public health · 2026Article
- Adherence to Breast Cancer Screening Guidelines Among Age-Eligible US Women: Findings From NHIS 2021.Cancer medicine · 2025Article
- Factors associated with awareness of and undergoing Pap smear tests among Jordanian women.Narra J · 2024Article
- Comparing the effects of premarital booklet- and video-based educations on the reproductive health literacy of engaged couples.Health science reports · 2024Article
- Disparities in Pancreatic Cancer Outcomes in the Disaggregated Asian American Population.Annals of surgical oncology · 2024Article
- At the Heart of Resilience: Empowering Women's Agency in Navigating Cardiovascular Disease.CJC open · 2024Review
- Article
- [Determinants of the utilization of cancer screening among older adults in Saxony-Anhalt-What is the influence of health literacy?]Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- Race, Ethnicity, and Socioeconomic Factors as Determinants of Cachexia Incidence and Outcomes in a Retrospective Cohort of Patients With Gastrointestinal Tract Cancer.JCO oncology practice · 2023Article
- Limited English Proficiency and Screening for Cervical, Breast, and Colorectal Cancers among Asian American Adults.Journal of racial and ethnic health disparities · 2023Article
- The Association of Health Literacy with Intention to Vaccinate and Vaccination Status: A Systematic Review.Vaccines · 2022Review
- Improving Cervical Cancer Screening Rates at an Urban Federally Qualified Health Center Family Medicine Residency Clinic.The Permanente journal · 2022Article
- Knowledge Gaps, Challenges, and Opportunities in Health and Prevention Research for Asian Americans, Native Hawaiians, and Pacific Islanders: A Report From the 2021 National Institutes of Health Workshop.Annals of internal medicine · 2022Article
- Health literacy in communication, decision-making and outcomes among cancer patients, their families and clinicians in India: A multicentre cross-sectional qualitative study.Psycho-oncology · 2022Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesEmpirical evidence regarding cancer screening and health literacy is mixed. Cancer is the leading cause of death in Asian Americans, yet screening rates are notably low. Using a population-based sample, we determined if health literacy: (1) was associated with breast and cervical cancer screening, and (2) helped to explain Asian cancer screening disparities.
methodsWe analyzed the 2007 California Health Interview Survey for Asian (Japanese, Chinese, Filipino, Korean, Vietnamese, other Asian) and white women within age groups relevant to US Preventive Services Task Force (USPSTF) screening guidelines: cervical: ages 21-65 (n = 15,210) and breast: ages 50-74 (n = 11,163). Multilevel logistic regression models predicted meeting USPSTF screening guidelines both with and without self-reported health literacy controlling for individual-level and contextual-level factors.
resultsLow health literacy significantly (p < 0.05) predicted lower cancer screening in final models for both cancer types. In unadjusted models, Asians were significantly less likely than whites to receive both screening types and significantly more likely to report low health literacy. However, in multivariable models, the addition of the low health literacy variable did not diminish Asian vs. white cancer screening disparities.
conclusionsSelf-reported health literacy predicted cervical and breast cancer screening, but was not able to explain Asian cancer screening disparities. We provide new evidence to support a relationship between health literacy and cancer screening. Health literacy is likely a useful focus for interventions to improve cancer screening and ultimately reduce the burden of cancer. To specifically reduce Asian cancer disparities, additional areas of focus should be considered.
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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.