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首页> 外文期刊>Journal of health communication >Patient Numeracy, Perceptions of Provider Communication, and Colorectal Cancer Screening Utilization
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Patient Numeracy, Perceptions of Provider Communication, and Colorectal Cancer Screening Utilization

机译：患者的才智，提供者沟通的感知以及结肠直肠癌筛查的利用

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Patients with poor numeracy skills may have difficulty participating in shared-decision making, affecting their utilization of colorectal cancer (CRC) screening. We explored the relationship between numeracy, provider communication, and CRC screening. Data were from the 2007 National Cancer Institute Health Information Trends Survey. Individuals age 50 years or older responded via mail or phone to items measuring numeracy, perceptions of provider communication quality, and CRC screening. After accounting for national sampling weights, multivariate logistic regression models examined the association between these factors. A total of 1,436 subjects responded to an objective numeracy item via mail, and 3,286 responded to a subjective numeracy item via mail or phone; 22.6% had low objective numeracy, and 39.4% had low subjective numeracy. Low subjective numeracy was associated with a lower likelihood of perceiving high quality provider communication (OR 0.63-0.73), but for low objective numeracy, the opposite was observed (OR 1.51-1.64). Low objective or subjective numeracy was associated with less CRC screening. There was significant interaction between subjective numeracy, perceptions of provider communication, and CRC screening. Patient numeracy is associated with perceptions of provider communication quality. For individuals with low subjective numeracy, perceiving high quality communication offset the association between low numeracy and underutilization of CRC screening.
机译：计算能力差的患者可能难以参与共同决策，从而影响他们对大肠癌（CRC）筛查的利用。我们探讨了计算能力，提供者沟通和CRC筛查之间的关系。数据来自2007年美国国家癌症研究所健康信息趋势调查。 50岁或50岁以上的个人通过邮件或电话回复了计算能力，对提供者的通信质量的看法以及CRC筛查的项目。在考虑了国家抽样权重之后，多元逻辑回归模型检查了这些因素之间的关联。共有1,436名受试者通过邮件对客观计算项目做出了反应，而3,286名受试者通过邮件或电话对一种计算方法作出了反应; 22.6％的人的客观计算能力低，39.4％的人的主观计算能力低。低主观计算能力与较低质量的提供者沟通的可能性较低（OR 0.63-0.73），但是对于低客观计算能力，则相反（OR 1.51-1.64）。较低的客观或主观计算能力与较少的CRC筛查有关。在主观计算，提供者沟通的认知和CRC筛查之间存在显着的相互作用。患者的计算能力与对提供者沟通质量的看法有关。对于主观计算能力低的人，感知高质量的沟通会抵消低计算能力与CRC筛查利用不足之间的关联。

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