Kathleen M. Mazor|Andrew E. Williams|Douglas Roblin|Bridget Gaglio|Sarah L. Cutrona|Mary E. Costanza|Paul Han|Judith Wagner|Hassan Fouayzi|Thalia S. Field
Health Literacy and Pap Testing in Insured Women
University of Massachusetts Chan Medical School|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|Maine Medical Center|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School
several studies found link health literacy participation cancer screening however relied selfreport determine screening status health literacy measures assessed print literacy purpose study examine relationship participation cervical cancer screening papanicolaou pap testing two forms health literacyreading listening demographically diverse sample recruited pool insured women georgia massachusetts hawaii colorado june 2009 april 2010 health literacy assessed using cancer message literacy testlistening cancer message literacy testreading adherence cervical cancer screening ascertained electronic administrative data pap test utilization relationship health literacy adherence evidencebased recommendations pap testing examined using multivariate logistic regression models data 527 women aged 40 65 analyzed reported 527 women 397 75 date pap testing higher health literacy scores listening reading predicted date fact health literacy listening associated screening behavior even insured population suggests independent effects beyond access care patients difficulty understanding spoken recommendations cancer screening may risk underutilizing screening result