Kyounghae Kim|Hae Ra Han
Potential links between health literacy and cervical cancer screening behaviors: a systematic review
Johns Hopkins University|Johns Hopkins University
objective study critically appraise empirical evidence investigating pathways health literacy hl cervical cancer screeninga comprehensive search undertaken identify englishlanguage studies published may 2014 measured hl cervical cancer screening screening eligibility identified 12 articles met inclusion criterianine studies yielded positive association hl cervical cancer screening five studies investigated relationships hl psychosocial variables cervical cancer screening found hl associated cervical cancer knowledge n 4 cancer worry n 2 separately cancer knowledge n 2 perceived barriers n 1 correlated cervical cancer screening one study investigated indirect pathway hl cervical cancer screening health knowledge although indirect pathway nonsignificant overall investigations tended focus printrelated hl domain included englishspeaking spanishspeaking women addition studies limited lack theoretical basis n 10 temporality n 10 use selfreported screening status n 7evidence supports positive link hl cervical cancer screening limited evidence delineate indirect pathways linking hl cervical cancer screening studies using multidimensional validated measure hl needed diverse groups women particularly heightened burden cervical cancer continuing cervical cancer disparities among culturally linguistically diverse women delineating hl influences cervical cancer screening may help develop effective intervention strategies reduce disparities experienced women