Evidence map›Paper›PMID 24287122›Full record

ArticlePreventive medicine2014

Limited health literacy is a barrier to colorectal cancer screening in England: evidence from the English Longitudinal Study of Ageing.

Lindsay C Kobayashi, Jane Wardle, Christian von Wagner

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Preventive medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 3 syntheses or guidelines pooled it, 167 citations in OpenAlex.

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25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Lindsay C KobayashiHealth Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK. Electronic address: l.kobayashi.12@ucl.ac.uk.
Jane WardleHealth Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK. Electronic address: j.wardle@ucl.ac.uk.
Christian von WagnerHealth Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK. Electronic address: c.wagner@ucl.ac.uk.
Public Health England · GBObayashi (Japan) · JP

Funding

Cancer Research UK 14134Cancer Research UK C1418/A14134CIHR
6 · The paper itself

Abstract

objectiveTo determine the association between health literacy and participation in publicly available colorectal cancer (CRC) screening in England using data from the English Longitudinal Study of Ageing (ELSA).

methodsELSA is a population-based study of English adults aged ≥ 50 years. Health literacy, participation in the national CRC screening programme, and covariates were interview-assessed in 2010-11. All those age-eligible for screening from 2006 to 11 were included in the present analysis (n=3087). The association between health literacy and screening was estimated using multivariable-adjusted logistic regression.

results73% of participants had adequate health literacy skills. Screening uptake was 58% among those with adequate and 48% among those with limited health literacy skills. Having adequate health literacy was associated with greater odds of CRC screening (multivariable adjusted OR=1.20; 95% CI: 1.00-1.44), independent of other predictors of screening: age (OR=0.92; 95% CI: 0.91-0.94 per one year increase), female sex (OR=1.31; 95% CI: 1.11-1.54), and being in a higher wealth quintile (OR=1.88; 95% CI: 1.43-2.49).

conclusionsLimited health literacy is a barrier to participation in England's national, publicly available CRC screening programme. Interventions should include appropriate design of information materials, provision of alternative support, and increased one-on-one interaction with health care professionals.

Indexed as

AgingAgedCohort StudiesColorectal NeoplasmsEnglandFemaleHealth Knowledge, Attitudes, PracticeHealth LiteracyHealth PromotionHealth Status DisparitiesHumansInterviews as TopicLongitudinal StudiesMaleMass ScreeningMiddle AgedColorectal cancer screeningCommunicationEarly detectionFaecal occult blood testHealth equityHealth literacyOrganised Screening

Identifiers

PMID24287122
PMCPMC3969575
OpenAlexW2069792452

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.