Ian K. Komenaka|Jesse Nodora|Chiu Hsieh Hsu|Mar??a Elena Mart??nez|Sonal Gandhi|Marcia E. Bouton|Anne E. Klemens|Lauren I. Wikholm|Barry D. Weiss
Association of Health Literacy With Adherence to Screening Mammography Guidelines
brief objective investigate relationship health literacy screening mammography methods patients seen breast clinic underwent prospective assessment health literacy january 2010 april 2013 women least 40 years age included men women diagnosed breast cancer age 40 years excluded routine health literacy assessment performed using newest vital sign demographic data also collected medical records reviewed determine patients undergone screening mammography women aged 4049 years considered undergone screening another mammogram within 2 years women 50 years older considered undergone screening mammography another mammogram within 1 year results total 1664 consecutive patients aged 40 years older seen patient declined health literacy assessment 516 31 patients undergone screening mammography logistic regression analysis included ethnicity language education smoking status insurance status employment income family history found three factors associated obtaining mammogram low health literacy odds ratio 027 95 confidence interval ci 019037 p001 smoking 064 95 ci 047085 p002 uninsured 066 95 ci 051085 p001 conclusion sociodemographic variables examined health literacy strongest relationship use screening mammography level evidence iii among sociodemographic variables examined health literacy strongest relationship use screening mammography