1. Relationships among health literacy, knowledge about hormone therapy, self-efficacy, and decision-making among postmenopausal health.
- Author
-
Torres RY and Marks R
- Subjects
- Aged, Community Health Centers, Comprehension, Educational Status, Estrogen Replacement Therapy adverse effects, Female, Hispanic or Latino psychology, Humans, Intention, Middle Aged, New York City, Patient Participation, Postmenopause, Psychometrics, Surveys and Questionnaires, Decision Making, Estrogen Replacement Therapy statistics & numerical data, Health Knowledge, Attitudes, Practice, Patient Acceptance of Health Care ethnology, Patient Acceptance of Health Care psychology, Self Efficacy, Women's Health ethnology
- Abstract
Little is known about how health literacy affects women's decisions about their menopausal health care. This exploratory study provides a crucial first step in gaining an understanding of the relationship between health literacy and potential factors such as knowledge, self-efficacy, and intent to take hormone therapy among postmenopausal women. Data were collected for 106 participants, age range 45-65, who were attending a family clinic. Participants completed a questionnaire that included questions on hormone therapy knowledge, self-efficacy, behavioral intent concerning hormone therapy, and health literacy as well as demographic data. Inferential statistical tests were used to assess the relationships among health literacy, knowledge, self-efficacy, and behavioral intent concerning hormone therapy. Pearson correlations indicated a positive relationship between both health literacy and knowledge about hormone therapy (r = .64; p = .01) and between health literacy and self-efficacy regarding hormone therapy (r = .69; p = .01). Only two variables, health literacy and self-efficacy, achieved sufficient strength to enter the stepwise regression. Sixty-six percent of the variance for behavioral intent concerning hormone therapy was accounted for by decision self-efficacy, and 9% was accounted for by health literacy (R(2) = .75; p < .05). Further research to better understand the relationship between health literacy and self-efficacy and the impact of these factors on actual health outcomes and decision making is likely to have important communication implications for both patients and their providers.
- Published
- 2009
- Full Text
- View/download PDF