Lindsay C. Kobayashi|Jane Wardle|Christian von Wagner
Limited health literacy is a barrier to colorectal cancer screening in England: Evidence from the English Longitudinal Study of Ageing
University College London|University College London|University College London
determine association health literacy participation publicly available colorectal cancer crc screening england using data english longitudinal study ageing elsaelsa populationbased study english adults aged 50 years health literacy participation national crc screening programme covariates interviewassessed 201011 ageeligible screening 2006 11 included present analysis n3087 association health literacy screening estimated using multivariableadjusted logistic regression73 participants adequate health literacy skills screening uptake 58 among adequate 48 among limited health literacy skills adequate health literacy associated greater odds crc screening multivariable adjusted or120 95 ci 100144 independent predictors screening age or092 95 ci 091094 per one year increase female sex or131 95 ci 111154 higher wealth quintile or188 95 ci 143249limited health literacy barrier participation englands national publicly available crc screening programme interventions include appropriate design information materials provision alternative support increased oneonone interaction health care professionals