ArticleJournal of health communication2013
The association between health literacy and cancer-related attitudes, behaviors, and knowledge.
Article in Journal of health communication, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06965608 (Feasibility Study to Actively Disseminate the Latin America and the Caribbean Code Against Cancer in Primary Healthcare Centers in Aparecida de Goiania), which is not on this map. Cited by 88 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Feasibility Study to Actively Disseminate the Latin America and the Caribbean Code Against Cancer in Primary Healthcare Centers in Aparecida de Goiania (Brazil) - FLACC-Brazil
Who cites it
88 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Prevalence and predictors of medical information avoidance: a systematic review and meta-analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Pooled it
- Shaping Alcohol Health Literacy: A Systematic Concept Analysis and Review.Health literacy research and practice · 2020Pooled it
- Health Literacy and Women's Reproductive Health: A Systematic Review.Journal of women's health (2002) · 2016Pooled it
- Different Measures, Different Outcomes? A Systematic Review of Performance-Based versus Self-Reported Measures of Health Literacy and Numeracy.Journal of general internal medicine · 2015Pooled it
- The effect of counseling based on health promotion awareness on self-care needs and reproductive and sexual health literacy of newly married women: a randomized controlled clinical trial study.BMC women's health · 2024Trial
- Edmonton Symptom Assessment Scale Time Duration of Self-Completion Versus Assisted Completion in Patients with Advanced Cancer: A Randomized Comparison.The oncologist · 2021Trial
- Advanced Notification Calls Prior to Mailed Fecal Immunochemical Test in Previously Screened Patients: a Randomized Controlled Trial.Journal of general internal medicine · 2020Trial
- A Cardiovascular Health Intervention for Spanish Speakers: The Health Literacy and ESL Curriculum.Journal of community health · 2018Trial
- Improving comprehension of genetic counseling for hereditary breast and ovarian cancer clients with a visual tool.PloS one · 2018Trial
- Health Literacy among Medically Underserved: The Role of Demographic Factors, Social Influence, and Religious Beliefs.Journal of health communication · 2017Trial
- Cancer prevention literacy in Europe: a cross-sectional study.European journal of public health · 2026Article
- Exploring individual and contextual determinants of cancer prevention behaviour change in the European Union: a qualitative study to inform implementation of the European Code Against Cancer.The Lancet regional health. Europe · 2026Article
- Cancer Prevention Literacy Questionnaire (CPL-Q): development and validation within the World Code Against Cancer Framework.BMC public health · 2026Article
- Addressing colorectal cancer screening gaps in Uruguay: a health literacy perspective.Cancer causes & control : CCC · 2026Article
- The mediating role of out-of-hospital adherence between health literacy and quality of life in Chinese stroke survivors: a cross-sectional study.Frontiers in public health · 2026Article
- The Role of Health Literacy in Perceived Information Provision, Satisfaction, and Health-related Quality of Life Among Rare and Common Cancer Patients: A Population-based Registry Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Article
- Breast cancer patient experiences with and preferences for time alone with their cancer care team.Patient education and counseling · 2025Article
- Routes to Diagnosis in Lung Cancer-Do Socio-Demographics Matter? An English Population-Based Study.Cancers · 2025Article
- Low levels of awareness and motivation towards cancer prevention amongst the general public in Sweden: a cross-sectional study focusing on the European Code Against Cancer.BMC public health · 2025Article
- Unlocking prevention: the role of health literacy in cervical cancer screening: community nursing perspective.BMC nursing · 2025Article
28 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.