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The association between health literacy and cancer-related attitudes, behaviors, and knowledge

机译:健康素养与癌症相关的态度,行为和知识之间的关联

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Using a multidimensional assessment of health literacy (the Cancer Message Literacy Test-Listening, the Cancer Message Literacy Test-Reading, and the Lipkus Numeracy Scale), the authors assessed a stratified random sample of 1013 insured adults (40-70 years of age). The authors explored whether low health literacy across all 3 domains (n =111) was associated with sets of variables likely to affect engagement in cancer prevention and screening activities: (a) attitudes and behaviors relating to health care encounters and providers, (b) attitudes toward cancer and health, (c) knowledge of cancer screening tests, and (d) attitudes toward health related media and actual media use. Adults with low health literacy were more likely to report avoiding doctor's visits, to have more fatalistic attitudes toward cancer, to be less accurate in identifying the purpose of cancer screening tests, and more likely to avoid information about diseases they did not have. Compared with other participants, those with lower health literacy were more likely to say that they would seek information about cancer prevention or screening from a health care professional and less likely to turn to the Internet first for such information. Those with lower health literacy reported reading on fewer days and using the computer on fewer days than did other participants. The authors assessed the association of low health literacy with colorectal cancer screening in an age-appropriate subgroup for which colorectal cancer screening is recommended. In these insured subjects receiving care in integrated health care delivery systems, those with low health literacy were less likely to be up to date on screening for colorectal cancer, but the difference was not statistically significant.
机译:作者使用健康素养的多维评估方法(癌症信息素养测验,癌症信息素养测验和Lipkus智力量表),对1013名受保成年人(40-70岁)的分层随机样本进行了评估。 。作者探讨了所有3个领域的低健康素养(n = 111)是否与可能影响参与癌症预防和筛查活动的变量集有关:(a)与卫生保健遭遇和提供者有关的态度和行为,(b)对癌症和健康的态度,(c)对癌症筛查测试的了解,以及(d)对健康相关媒体和实际媒体使用的态度。健康素养较低的成年人更有可能报告避免去看医生,对癌症的宿命态度更强,在确定癌症筛查测试目的时准确性较差,并且更有可能避免有关他们没有的疾病的信息。与其他参与者相比,健康素养较低的人们更有可能说,他们将向医疗保健专业人员寻求有关癌症预防或筛查的信息,并且不太可能首先上网寻求此类信息。与其他参与者相比,健康知识水平较低的人报告的阅读时间和使用计算机的时间都更少。作者评估了低健康素养与大肠癌筛查在推荐年龄的亚组中的相关性,该亚组推荐大肠癌筛查。在这些接受了综合医疗保健提供系统护理的被保险人中,健康素养较低的人较不大可能接受大肠癌筛查,但差异无统计学意义。

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