Health literacy levels and views about being invited to a colorectal cancer screening program
Autor: | Anna Jervaeus, Rolf Hultcrantz, Josefin Wångdahl, Kaisa Fritzell, Johanna Wangmar, Yvonne Wengström |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Colorectal cancer MEDLINE Colonoscopy Health literacy law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Social medicine Surveys and Questionnaires Health care medicine Humans Mass Screening Radiology Nuclear Medicine and imaging 030212 general & internal medicine Early Detection of Cancer Sweden medicine.diagnostic_test business.industry Hematology General Medicine Middle Aged medicine.disease Focus group Health Literacy Oncology 030220 oncology & carcinogenesis Family medicine Female Colorectal Neoplasms business |
Zdroj: | Acta Oncologica. 57:743-749 |
ISSN: | 1651-226X 0284-186X |
Popis: | Sweden has not yet implemented a national screening program for colorectal cancer, but a nationwide study is ongoing; the Screening of Swedish Colons (SCREESCO). Previous research shows that the use of health care services, together with several health-related outcomes, is associated with an individual's level of health literacy. However, the relation between health literacy and participation in colorectal cancer screening has produced varying results reported within the few studies addressing this issue and therefore, further research is warranted.The aim was to explore health literacy and views about being invited to screening, among participants and non-participants in a national colorectal cancer screening program. They were randomly sampled to fecal immunochemical test or colonoscopy and a mixed methods approach was applied, using questionnaires, focus group discussions and interviews.The majority of individuals, whether they were participants or non-participants in the SCREESCO program, had an acceptable level of health literacy and no significant differences in health literacy levels between the groups were found. Participants expressed that it was important and appreciated to be able to choose information sources on an individual basis. Among non-participants, the importance of receiving invitations with a clear message that quickly draws one's attention was highlighted. However, both groups expressed a positive outlook towards the invitation. The mixed methods approach revealed that findings from interviews and focus group discussions corresponded to items in the health literacy scales.A majority of individuals displayed acceptable levels of health literacy, regardless of whether they chose to participate or not. Similarities between the groups were seen in the qualitative findings regarding views of the invitation. Currently, the SCREESCO invitation letter is distributed by regular mail, but in the future a more dynamic approach could be valuable to increase clarity in the message about importance of screening. |
Databáze: | OpenAIRE |
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