Connie L. Arnold|Alfred Rademaker|Stacy Cooper Bailey|Julia M. Esparza|Cristalyn Reynolds|Dachao Liu|Daci Platt|Terry C. Davis
Literacy Barriers to Colorectal Cancer Screening in Community Clinics
Louisiana State University Health Sciences Center Shreveport|Northwestern University|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Louisiana State University Health Sciences Center Shreveport
article examines relationship literacy colorectal cancer crc screening knowledge beliefs experiences focus fecal occult blood tests fobts participants 975 patients 8 louisiana federally qualified health centers participants 50 years age older date crc screening approximately half 52 low literacy less 9thgrade level participants low literacy less likely adequate literacy aware advertisements promoting crc screening 587 vs 763 p 0001 believe helpful find crc early 745 vs 919 p 0001 majority participants positive beliefs benefits crc screening using fobts participants low literacy perceived barriers fobt completion likely strongly agree agree fobts would confusing embarrassing lot trouble however none remained significant multivariate analyses controlling relevant covariates confidence able obtain fobt kit high among low adequate literacy 898 vs 931 respectively p 20 yet multivariate analyses revealed significant difference regard literacy p 04 lowliteracy participants indicating less confidence significant difference literacy ever receiving physician recommendation crc screening 384 low vs 390 adequate p 79 however multivariate analyses revealed significant differences fobt completion literacy p 036 overall findings suggest literacy factor patients crc knowledge beliefs confidence obtaining fobt