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Authors
Mazor, Kathleen M.Williams, Andrew E.
Roblin, Douglas W.
Gaglio, Bridget
Cutrona, Sarah L
Costanza, Mary E.
Han, Paul K. J.
Wagner, Joann L.
Fouayzi, Hassan
Field, Terry S.
Document Type
Journal ArticlePublication Date
2014-12-01Keywords
AdultAged
Early Detection of Cancer
Female
Follow-Up Studies
*Health Knowledge, Attitudes, Practice
*Health Literacy
Health Services Accessibility
Humans
*Insurance, Health
Middle Aged
Papanicolaou Test
Patient Acceptance of Health Care
Questionnaires
Uterine Cervical Neoplasms
*Vaginal Smears
UMCCTS funding
Community Health and Preventive Medicine
Health Services Research
Neoplasms
Obstetrics and Gynecology
Oncology
Public Health Education and Promotion
Translational Medical Research
Women's Health
Metadata
Show full item recordAbstract
Several studies have found a link between health literacy and participation in cancer screening. Most, however, have relied on self-report to determine screening status. Further, until now, health literacy measures have assessed print literacy only. The purpose of this study was to examine the relationship between participation in cervical cancer screening (Papanicolaou [Pap] testing) and two forms of health literacy-reading and listening. A demographically diverse sample was recruited from a pool of insured women in Georgia, Massachusetts, Hawaii, and Colorado between June 2009 and April 2010. Health literacy was assessed using the Cancer Message Literacy Test-Listening and the Cancer Message Literacy Test-Reading. Adherence to cervical cancer screening was ascertained through electronic administrative data on Pap test utilization. The relationship between health literacy and adherence to evidence-based recommendations for Pap testing was examined using multivariate logistic regression models. Data from 527 women aged 40 to 65 were analyzed and are reported here. Of these 527 women, 397 (75 %) were up to date with Pap testing. Higher health literacy scores for listening but not reading predicted being up to date. The fact that health literacy listening was associated with screening behavior even in this insured population suggests that it has independent effects beyond those of access to care. Patients who have difficulty understanding spoken recommendations about cancer screening may be at risk for underutilizing screening as a result.Source
J Cancer Educ. 2014 Dec;29(4):698-701. doi: 10.1007/s13187-014-0629-7. Link to article on publisher's site
DOI
10.1007/s13187-014-0629-7Permanent Link to this Item
http://hdl.handle.net/20.500.14038/50466PubMed ID
24633725Related Resources
ae974a485f413a2113503eed53cd6c53
10.1007/s13187-014-0629-7
Scopus Count
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