Chinedum O. Ojinnaka|Jane N. Bolin|David A. McClellan|Janet Helduser|Philip Nash|Marcia G. Ory
The role of health literacy and communication habits on previous colorectal cancer screening among low-income and uninsured patients
Texas A&M Health Science Center|Texas A&M Health Science Center|Texas A&M Health Science Center|Texas A&M Health Science Center|Texas A&M Health Science Center
determine association health literacy communication habits colorectal cancer crc screening among lowincome patientssurvey responses patients received financial assistance colonoscopy 2011 2014 family medicine residency clinic analyzed using multivariate logistic regression n 456 two dependent variables 1 previous crc screening 2 crc screening adherence independent variables interest health literacy communication habitsover twothirds 6713 respondents previously screened crc multivariate analysis showed decreased likelihood previous crc screening among marginal 052 95 ci 029092 inadequate health literacy 049 95 ci 027087 compared adequate health literacy controlling health literacy significant association educational attainment previous crc screening eliminated thus health literacy mediated relationship educational attainment previous crc screening significant association communication habits previous crc screening significant association screening guideline adherence health literacy communicationlimited health literacy potential barrier crc screening suboptimal crc screening rates reported among lower educational attainment may mediated limited health literacy