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Dt Otey, MPH, DrPH cand, School of Public Health Division of Sociomedical Sciences, Columbia University, 3071 Perry Ave Suite 3C, Bronx, NY 10467, (917) 570-7638, 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. Because previous research has reported that older minority women are less likely to adhere to screening guidelines than White women, high mortality rates may be related to the underutilization of preventive measures, a factor linked to low health literacy levels. The primary aim of this study is to evaluate the relationship between health literacy and breast cancer prevention practices in a sample of senior African-American women in Harlem, New York. Women, aged 50 and older, were interviewed to assess cancer knowledge, attitudes, and practices. 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 52.4 (equivalent to a 7th-8th grade level), while the average STOFHLA score was 21.87 (equivalent to a marginal functional health literacy level). According to preliminary results, 96% of women reported that they had received a mammogram at least once, while 80% stated that they currently receive mammograms. As well, 88% reported that they currently practice self-exams (96% had performed a self-exam at least once). These preliminary findings suggest that despite marginal health literacy levels, the majority of women in the sample are practicing some level of prevention. Pilot results will be presented, as well as results from the remaining individuals in the sample.

Learning Objectives:

• State the average health literacy level for a sample of senior African-American women in Harlem, New York
• Describe the breast cancer prevention practices for a sample of senior African-American women in Harlem, New York

Keywords: Breast Cancer, Health Literacy

Presenting author's disclosure statement:

Not Answered