Association Between Cancer Literacy and Cancer-Related Behaviour: Evidence from Ticino, Switzerland

Overview

Journal J Public Health Res

Publisher Sage Publications

Specialty Public Health

Date 2014 Oct 25

PMID 25343138

Citations 12

Authors

Nicola Diviani

Peter J Schulz

Affiliations

Soon will be listed here.

Abstract

Background: This paper details the role of different dimensions of health literacy in the relationship between health literacy and cancer-related health behaviours. In particular, Cancer Literacy is studied as an exemplar of a dimension of health literacy beyond basic reading and writing skills. The link between functional health literacy, Cancer Literacy and cancer-related health behaviours is investigated in a sample of Ticino (Switzerland) residents (n=639).

Design And Methods: Detailed data is collected about respondents' functional health literacy, Cancer Literacy, cancer information seeking behaviour, engagement in cancer preventive behaviours, participation to cancer screenings, and intention to adhere to current screening recommendations.

Results: Results confirm the added value of Cancer Literacy - compared to functional health literacy - in explaining people's cancer information seeking behaviour, their participation to several cancer screenings and their screening intention, underscoring the need to take into account dimensions of health literacy beyond basic functional skills.

Conclusions: From a public health perspective, findings provide further evidence on the importance of adapting informational and educational communication intervention designed to improve cancer prevention and screening to different audiences. Significance for public healthFrom a public health perspective, our findings underscore the importance of adapting informational and educational communication interventions designed to improve cancer prevention and screening to different audiences, which could differ not only in their functional health literacy, and in particular to put into place strategies to evaluate their success, including the actual transformation of information in relevant knowledge that can be used as a basis for health decision making. Moreover, the cancer literacy score is able to provide researchers and public health officials with detailed information on which are the main gaps in cancer knowledge and to identify the segments of the population that are more at risk. This information could be used to design and develop targeted informational campaigns for low health literate citizens.

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References

DeWalt D, Berkman N, Sheridan S, Lohr K, Pignone M . Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med. 2004; 19(12):1228-39. PMC: 1492599. DOI: 10.1111/j.1525-1497.2004.40153.x. View

Davis T, Arnold C, Berkel H, Nandy I, Jackson R, Glass J . Knowledge and attitude on screening mammography among low-literate, low-income women. Cancer. 1996; 78(9):1912-20. DOI: 10.1002/(sici)1097-0142(19961101)78:9<1912::aid-cncr11>3.0.co;2-0. View

Friedman D, Corwin S, Dominick G, Rose I . African American men's understanding and perceptions about prostate cancer: why multiple dimensions of health literacy are important in cancer communication. J Community Health. 2009; 34(5):449-60. DOI: 10.1007/s10900-009-9167-3. View

Davis T, Long S, Jackson R, Mayeaux E, George R, Murphy P . Rapid estimate of adult literacy in medicine: a shortened screening instrument. Fam Med. 1993; 25(6):391-5. View

Hawkins N, Berkowitz Z, Peipins L . What does the public know about preventing cancer? Results from the Health Information National Trends Survey (HINTS). Health Educ Behav. 2007; 37(4):490-503. DOI: 10.1177/1090198106296770. View

Chew L, Bradley K, Boyko E . Brief questions to identify patients with inadequate health literacy. Fam Med. 2004; 36(8):588-94. View

Vanderpool R, Kornfeld J, Rutten L, Squiers L . Cancer information-seeking experiences: the implications of Hispanic ethnicity and Spanish language. J Cancer Educ. 2009; 24(2):141-7. PMC: 3101580. DOI: 10.1080/08858190902854772. View

Lindau S, Tomori C, Lyons T, Langseth L, Bennett C, Garcia P . The association of health literacy with cervical cancer prevention knowledge and health behaviors in a multiethnic cohort of women. Am J Obstet Gynecol. 2002; 186(5):938-43. DOI: 10.1067/mob.2002.122091. View

Warner D, Procaccino J . Women seeking health information: distinguishing the web user. J Health Commun. 2007; 12(8):787-814. DOI: 10.1080/10810730701672090. View

10.

Anker A, Reinhart A, Feeley T . Health information seeking: a review of measures and methods. Patient Educ Couns. 2011; 82(3):346-54. DOI: 10.1016/j.pec.2010.12.008. View

11.

Ishikawa H, Yano E . Patient health literacy and participation in the health-care process. Health Expect. 2008; 11(2):113-22. PMC: 5060442. DOI: 10.1111/j.1369-7625.2008.00497.x. View

12.

Diviani N, Schulz P . First insights on the validity of the concept of Cancer Literacy: a test in a sample of Ticino (Switzerland) residents. Patient Educ Couns. 2011; 87(2):152-9. DOI: 10.1016/j.pec.2011.08.016. View

13.

Garbers S, Chiasson M . Inadequate functional health literacy in Spanish as a barrier to cervical cancer screening among immigrant Latinas in New York City. Prev Chronic Dis. 2005; 1(4):A07. PMC: 1277947. View

14.

Saltonstall R . Healthy bodies, social bodies: men's and women's concepts and practices of health in everyday life. Soc Sci Med. 1993; 36(1):7-14. DOI: 10.1016/0277-9536(93)90300-s. View

15.

Von Wagner C, Knight K, Steptoe A, Wardle J . Functional health literacy and health-promoting behaviour in a national sample of British adults. J Epidemiol Community Health. 2007; 61(12):1086-90. PMC: 2465677. DOI: 10.1136/jech.2006.053967. View

16.

Von Wagner C, Semmler C, Good A, Wardle J . Health literacy and self-efficacy for participating in colorectal cancer screening: The role of information processing. Patient Educ Couns. 2009; 75(3):352-7. DOI: 10.1016/j.pec.2009.03.015. View

17.

Ramanadhan S, Viswanath K . Health and the information nonseeker: a profile. Health Commun. 2006; 20(2):131-9. DOI: 10.1207/s15327027hc2002_4. View

18.

Chew L, Griffin J, Partin M, Noorbaloochi S, Grill J, Snyder A . Validation of screening questions for limited health literacy in a large VA outpatient population. J Gen Intern Med. 2008; 23(5):561-6. PMC: 2324160. DOI: 10.1007/s11606-008-0520-5. View

19.

Kim S, Knight S, Tomori C, Colella K, Schoor R, Shih L . Health literacy and shared decision making for prostate cancer patients with low socioeconomic status. Cancer Invest. 2001; 19(7):684-91. DOI: 10.1081/cnv-100106143. View

20.

Halbert C, Barg F, Guerra C, Shea J, Armstrong K, Ferguson M . Cultural, economic, and psychological predictors of colonoscopy in a national sample. J Gen Intern Med. 2011; 26(11):1311-6. PMC: 3208466. DOI: 10.1007/s11606-011-1783-9. View