David P. Miller|Caroline D Brownlee|Thomas P. McCoy|Michael Pignone
The effect of health literacy on knowledge and receipt of colorectal cancer screening: a survey study
Wake Forest University|Johns Hopkins Medicine|Johns Hopkins University|Wake Forest University|University of North Carolina at Chapel Hill
estimated onehalf americans limited health literacy skills low literacy associated less receipt preventive services impact colorectal cancer crc screening unclear sought determine whether low literacy affects patients knowledge receipt crc screening pilot survey study patients aged 50 years older large universityaffiliated internal medicine practice assessed patients knowledge receipt crc screening basic sociodemographic information health literacy level defined limited literacy reading ninth grade level determined rapid estimate adult literacy medicine bivariate analyses exact logistic regression used determine association limited health literacy knowledge receipt crc screening approached 105 patients yield target sample 50 completing survey recruitment rate 48 subjects female 72 africanamerican 58 household incomes less 25000 87 overall 48 patients limited literacy skills 95 ci 35 61 limited literacy patients less likely adequate literacy patients able name describe crc screening test 50 vs 96 p 001 multivariable model limited literacy patients 44 less likely knowledgeable crc screening rr 056 p 001 selfreported screening rates similar 54 vs 58 p 088 patients limited literacy skills less likely knowledgeable crc screening compared adequate literacy patients primary care providers ensure patients understanding crc screening discussing screening options research needed determine educating low literacy patients crc screening increase screening rates