Valentina Baccolini|Claudia Isonne|Carla Salerno|Monica Giffi|Giuseppe Migliara|Elena Mazzalai|Federica Turatto|Anna Sinopoli|Annalisa Rosso|Corrado De Vito|Carolina Marzuillo|Paolo Villari
The association between adherence to cancer screening programs and health literacy: A systematic review and meta-analysis
Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome|University of Rome Tor Vergata|Azienda Sanitaria Locale Roma 3|Sapienza University of Rome|Azienda Sanitaria Locale Roma 3|Sapienza University of Rome|Sapienza University of Rome|Sapienza University of Rome
effectiveness cancer screening program relies adherence rate health literacy hl investigated among factors could influence participation findings always consistent aim metaanalysis summarize evidence adequate level hl ahl adherence cancer screening programs pubmed scopus web science searched crosssectional studies conducted country provided raw data unadjusted adjusted odds ratio associations interest included quality studies assessed newcastleottawa scale inversevariance random effects methods used produce pooled ors associated confidence interval ci stratified time interval eg undergoing screening last period least lifetime cancer type considering unadjusted adjusted estimates separately sensitivity analysis performed studies providing estimates overall 15 articles averagetogood quality pooled found significant association ahl higher screening participation breast cervical colorectal cancer independently factors overall n 7 aor 173 95 ci 127236 n 3 aor 164 95 ci 130209 n 5 aor 125 95 ci 112139 respectively timestratified analyses sensitivity analyses confirmed results health literacy seems critical effective cancer prevention given high prevalence illiterate people across world longterm action plan needed