Logistic models predicting met the US preventive service task force cancer screening guidelines for breast, cervical and colorectal cancer (CRC) by low health literacy (LHL) and limited English proficiency (LEP) combinations in 2007 California Health Interview Survey among Chinese respondents
Breast cancer screening | Cervical cancer screening | CRC screening | |
---|---|---|---|
OR (95% CI) | OR (95% CI) | OR (95% CI) | |
LHL and LEP combinations | |||
LHL and LEP | 0.21 (0.08 to 0.54)* | 0.41 (0.15 to 1.13) | 0.49 (0.25 to 0.97)* |
LEP only | 0.85 (0.27 to 2.72) | 0.60 (0.15 to 2.34) | 0.50 (0.21 to 1.17) |
LHL only | 0.92 (0.24 to 3.57) | 0.37 (0.15 to 0.92)* | 0.50 (0.23 to 1.08) |
Neither | Ref | Ref | Ref |
Education | |||
Less than HS | 1.34 (0.32 to 5.73) | 0.92 (0.23 to 3.73) | 0.50 (0.14 to 1.82) |
High school graduation | 1.10 (0.34 to 3.45) | 1.28 (0.40 to 4.10) | 1.01 (0.46 to 2.26) |
College graduation | 0.46 (0.16 to 1.37) | 1.14 (0.40 to 3.28) | 0.77 (0.33 to 1.77) |
More than college degree | Ref | Ref | Ref |
Control variables | |||
Born in USA | 0.72 (0.16 to 3.26) | 0.91 (0.30 to 2.75) | 0.85 (0.41 to 1.80) |
Age | 1.02 (0.96 to 1.07) | 1.06 (1.03 to 1.10)* | 1.04 (0.99 to 1.08) |
Female | – | – | 0.89 (0.49 to 1.61) |
≤100% Fed poverty level | 1.50 (0.44 to 5.13) | 0.95 (0.29 to 3.08) | 0.96 (0.35 to 2.64) |
Rural residency | 1.01 (0.17 to 6.06) | 0.45 (0.09 to 2.20) | 1.23 (0.25 to 6.07) |
Married | 0.66 (0.23 to 1.89) | 2.29 (1.06 to 4.94)* | 0.76 (0.27 to 2.10) |
Insured | 0.92 (0.23 to 3.66) | 1.31 (0.44 to 3.91) | 2.32 (0.81 to 6.64) |
Visited doctor in past year | 4.90 (1.67 to 14.36)* | 2.57 (1.31 to 5.05)* | 2.04 (1.06 to 3.93)* |
Language discordant provider | 0.59 (0.21 to 1.63) | – | – |
*Factors significant p<0.05.
LEP, limited English proficiency; LHL, lowhealth literacy; HS, high school.