Nancy S. Morris|Terry S. Field|Joann L. Wagner|Sarah L. Cutrona|Douglas Roblin|Bridget Gaglio|Andrew E. Williams|Paul Han|Mary E. Costanza|Kathleen M. Mazor
The Association Between Health Literacy and Cancer-Related Attitudes, Behaviors, and Knowledge
University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente|Maine Medical Center|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School
using multidimensional assessment health literacy cancer message literacy testlistening cancer message literacy testreading lipkus numeracy scale authors assessed stratified random sample 1013 insured adults 4070 years age authors explored whether low health literacy across 3 domains n 111 associated sets variables likely affect engagement cancer prevention screening activities attitudes behaviors relating health care encounters providers b attitudes toward cancer health c knowledge cancer screening tests attitudes toward health related media actual media use adults low health literacy likely report avoiding doctors visits fatalistic attitudes toward cancer less accurate identifying purpose cancer screening tests likely avoid information diseases compared participants lower health literacy likely say would seek information cancer prevention screening health care professional less likely turn internet first information lower health literacy reported reading fewer days using computer fewer days participants authors assessed association low health literacy colorectal cancer screening ageappropriate subgroup colorectal cancer screening recommended insured subjects receiving care integrated health care delivery systems low health literacy less likely date screening colorectal cancer difference statistically significant