Juan Xia|Peng Wu|Qinglong Deng|Rui Yan|Renren Yang|Binghui Lv|Jiwei Wang|Jinming Yu
Relationship between health literacy and quality of life among cancer survivors in China: a cross-sectional study
Capital Medical University|Fudan University|Fudan University|Fudan University|Fudan University|Fudan University|Fudan University|Fudan University|Fudan University
evaluate association health literacy hl quality life qol among cancer survivors chinacrosssectional study chinathis crosssectional observational study 4589 cancer survivors aged 18 years older shanghai cancer rehabilitation club participants enrolled completed questionnaires may july 2017hl assessed three established screening questions qol evaluated using simplified chinese version european organisation research treatment cancer qualityoflife questionnairecore 30 items answers questionnaires collected facetoface interviews selfadministered questionnaires literate participants participants excluded answer one hl questions baseline characteristics compared levels hl using 2 test categorical variables wilcoxon ranksum test nonnormal continuous variables item response theory irt used evaluate existing measure hl linear regression logistic regression models used investigate association hl qol sas v94 multilog v703 used analysisthere 4589 participants included study calculated results irt scale parameters hl entries indicate entries better discrimination difficulty 4589 respondents 159 35 low hl adjusting sociodemographic characteristics treatment regimen years cancers onepoint decrement hl score qol score increased 207 p0001 cancer survivors low hl less likely adequate hl achieve better qol logistic regression low hl independently associated poor qol adjusted 281 95 ci 194 406 p0001low hl independently associated poor qol among cancer survivors shanghai cancer rehabilitation club