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APHA Scientific Session and Event Listing

Dione T. Otey, MPH, DrPH cand, Columbia University, 3071 Perry Avenue, Apt C, Bronx, NY 10046, 718-324-8165, dionneotey@yahoo.com

Numerous studies assert that although African-American women are less likely to be diagnosed with breast cancer than White women, they are more likely to die from the disease. This existing disparity in the mortality rate, particularly for African-American women aged 65 and older, may be linked to numerous factors including health literacy and knowledge about breast cancer. The primary aim of this study is to assess the health literacy levels and breast cancer knowledge of a sample of senior African-American women in Harlem, New York. Cancer knowledge, attitudes, and practices were assessed via interviews. Reading ability was assessed via the Rapid Estimate of Adult Literacy in Medicine and comprehension via the Short Test of Functional Health Literacy in Adults. Pilot interview results (n=25) revealed an average REALM score of 53.16 (equivalent to a "7th-8th grade" level), while the average STOFHLA core was 20.17 (equivalent to a "marginal" functional health literacy level). The average amount of education for the sample was 11.56 years. Knowledge was assessed via the Breast Cancer Perceptions and Knowledge Survey. Responses revealed that 64% of women in the sample believed that being hit on the breast can cause cancer; almost 30% believed that breast cancer is more common in women with big breasts, and 48% stated that certain sexual activities can increase one's risk of breast cancer. When asked to discuss breast cancer risk factors, most women could not. Open-ended responses from questions asking participants to define common terms related to breast cancer will also be presented.

Learning Objectives:

• List risk factors associated with breast cancer in African-American women.
• Compare the average health literacy level for the sample with the national average level.

Presenting author's disclosure statement:

Not Answered