The Relationship Between Health Literacy and Nonrecommended Cancer Screening
| Autor: | Quoc-Dien Trinh, Jesse D. Sammon, Peter Herzog, David-Dan Nguyen, Madeline C. Rutan, Kerry L. Kilbridge |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Epidemiology MEDLINE Uterine Cervical Neoplasms Breast Neoplasms Health literacy 01 natural sciences 03 medical and health sciences 0302 clinical medicine Breast cancer Health care Cancer screening medicine Humans Mass Screening 030212 general & internal medicine 0101 mathematics Early Detection of Cancer Screening procedures Behavioral Risk Factor Surveillance System business.industry 010102 general mathematics Public Health Environmental and Occupational Health Prostatic Neoplasms Prostate-Specific Antigen medicine.disease Health Literacy Cross-Sectional Studies Prostate cancer screening Family medicine Female business |
| Zdroj: | American Journal of Preventive Medicine. 60:e69-e72 |
| ISSN: | 0749-3797 |
| DOI: | 10.1016/j.amepre.2020.08.018 |
| Popis: | Health literacy affects how patients behave within the healthcare system. Overutilization of screening procedures inconsistent with the U.S. Preventive Services Task Force guidelines contributes to the high cost of health care. The authors hypothesize that higher health literacy supports guideline-concordant screening. This study assesses the effect of health literacy on nonrecommended prostate, breast, and cervical cancer screening in patients older than the recommended screening age limit.The 2016 Behavioral Risk Factor Surveillance System included health literacy modules. Respondents self-reported their ability to obtain and understand health information, resulting in 4 health literacy rankings. The authors calculated the population-weighted proportion of respondents in each health literacy category who underwent screening past the Task Force‒recommended age limit. The ORs of nonrecommended screening for each malignancy were calculated, with low health literacy as the ref category.Individuals with higher health literacy underwent more nonrecommended screening. Nonrecommended prostate cancer screening was performed in 27.4% (95% CI=23.7%, 31.4%) and 47.7% (95% CI=44.1%, 51.3%) of respondents with low and high health literacy, respectively (p0.001). Nonrecommended breast cancer screening was performed in 46.8% (95% CI=42.6%, 51.1%) and 67.7% (95% CI=64.2%, 71.1%) of respondents with low and high health literacy, respectively (p=0.002). Nonrecommended cervical cancer screening was performed in 33.8% (95% CI=31.1%, 36.5%) and 48.4% (95% CI=46.3%, 50.5%) of respondents with low and high health literacy, respectively (p0.001). Individuals with high health literacy were significantly more likely than those with low health literacy to screen against the recommendations for prostate (OR=1.73, 95% CI=1.34, 2.23, p0.001), cervical (OR=1.533, 95% CI=1.31, 1.80, p0.001), and breast (OR=8.213, 95% CI=4.90, 13.76, p0.001) cancer.Higher health literacy correlates with increased rates of screening beyond the recommended age, contrary to the study hypothesis. Breast cancer demonstrated the highest rates of nonrecommended screening. |
| Databáze: | OpenAIRE |
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