Evidence map›Paper›PMID 27043759›Full record

ArticleJournal of health communication2016

Relationships Between Health Literacy and Genomics-Related Knowledge, Self-Efficacy, Perceived Importance, and Communication in a Medically Underserved Population.

Kimberly A Kaphingst, Melvin Blanchard, Laurel Milam, Manusheela Pokharel, Ashley Elrick, Melody S Goodman

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of health communication, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03548779 (North Carolina Genomic Evaluation by Next-generation Exome Sequencing, 2), which is not on this map. Cited by 70 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 2 pooled it
17.9field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT03548779 nacompletednot on this mapstarted 2018, after this paper: background citation

North Carolina Genomic Evaluation by Next-generation Exome Sequencing, 2

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2018 to 2024Enrolled548ConditionsEpilepsy, Seizure, Neuromuscular Diseases, Brain MalformationArmsPre-visit prep, usual care + exome seq
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 2 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Pooled it
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  12. Genetic risk disclosure and behavioural change: not so fast.European journal of preventive cardiology · 2026
    Article
  13. Interaction of identity and beliefs with genetic literacy.American journal of human genetics · 2026
    Article
  14. Knowledge, Perceptions, and Barriers to Collection of Family Health History Data.Journal of the American Board of Family Medicine : JABFM · 2026
    Article
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Kimberly A Kaphingsta Huntsman Cancer Institute , University of Utah , Salt Lake City , Utah , USA.
Melvin Blanchardc Department of Medicine , Washington University School of Medicine , St. Louis , Missouri , USA.
Laurel Milamd Division of Public Health Sciences , Washington University School of Medicine , St. Louis , Missouri , USA.
Manusheela Pokharelb Department of Communication , University of Utah , Salt Lake City , Utah , USA.
Ashley Elrickb Department of Communication , University of Utah , Salt Lake City , Utah , USA.
Melody S Goodmand Division of Public Health Sciences , Washington University School of Medicine , St. Louis , Missouri , USA.
Washington University in St. Louis · USUniversity of Utah · USHuntsman Cancer Institute · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
NCI NIH HHS P30 CA091842NCI NIH HHS P30 CA91842
6 · The paper itself

Abstract

The increasing importance of genomic information in clinical care heightens the need to examine how individuals understand, value, and communicate about this information. Based on a conceptual framework of genomics-related health literacy, we examined whether health literacy was related to knowledge, self-efficacy, and perceived importance of genetics and family health history (FHH) and communication about FHH in a medically underserved population. The analytic sample was composed of 624 patients at a primary care clinic in a large urban hospital. About half of the participants (47%) had limited health literacy; 55% had no education beyond high school, and 58% were Black. In multivariable models, limited health literacy was associated with lower genetic knowledge (β = -0.55, SE = 0.10, p < .0001), lower awareness of FHH (odds ratio [OR] = 0.50, 95% confidence interval [CI; 0.28, 0.90], p = .020), and greater perceived importance of genetic information (OR = 1.95, 95% CI [1.27, 3.00], p = .0022) but lower perceived importance of FHH information (OR = 0.47, 95% CI [0.26, 0.86], p = .013) and more frequent communication with a doctor about FHH (OR = 2.02, 95% CI [1.27, 3.23], p = .0032). The findings highlight the importance of considering domains of genomics-related health literacy (e.g., knowledge, oral literacy) in developing educational strategies for genomic information. Health literacy research is essential to avoid increasing disparities in information and health outcomes as genomic information reaches more patients.

Indexed as

GenomicsHealth Knowledge, Attitudes, PracticeUrban PopulationAdultCommunicationFemaleHealth LiteracyHospitals, UrbanHumansMaleMiddle AgedMissouriPrimary Health CareSelf Efficacy

Identifiers

PMID27043759
PMCPMC5546792
OpenAlexW2337132762

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.