ArticlePreventive medicine reports2015
The role of health literacy and communication habits on previous colorectal cancer screening among low-income and uninsured patients.
Article in Preventive medicine reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- Health Literacy among Medically Underserved: The Role of Demographic Factors, Social Influence, and Religious Beliefs.Journal of health communication · 2017Trial
- Addressing colorectal cancer screening gaps in Uruguay: a health literacy perspective.Cancer causes & control : CCC · 2026Article
- Understanding Barriers to Colon Cancer Screening Among Individuals Experiencing Housing Insecurity in Los Angeles.Cureus · 2025Article
- The Association Between Health Literacy and Colorectal Cancer Screening: Findings Using a Three-Question Health Literacy Measure.Journal of gastrointestinal cancer · 2025Article
- Development and psychometric validation of the Colorectal Cancer Literacy Scale-Uruguay Version.Frontiers in public health · 2023Article
- The Nine Cancer Frames: A Tool to Facilitate Critical Reading of Cancer-Related Information.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022Article
- Health literacy in communication, decision-making and outcomes among cancer patients, their families and clinicians in India: A multicentre cross-sectional qualitative study.Psycho-oncology · 2022Article
- Cloud-based multi-media systems for patient education and adherence: a pilot study to explore patient compliance with colonoscopy procedure preparation.Health systems (Basingstoke, England) · 2019Article
- Cervical and colorectal cancer screening prevalence before and after Affordable Care Act Medicaid expansion.Preventive medicine · 2019Article
- Questionnaire Validation of Colorectal Cancer Literacy Scale among Thai People in Northeastern ThailandAsian Pacific journal of cancer prevention : APJCP · 2019Article
- An Exploratory Analysis of the Role of Religion in Colorectal Cancer Screening among Safety-Net Clinic Patients.Journal of geriatric medicine and gerontology · 2019Article
- Patient-rated importance of key information on screening colonoscopy in Germany: a survey of statutory health insurance members.BMJ open · 2018Article
- Health Literacy Is an Independent Predictor of Cancer Patients' Hospitalizations.Health literacy research and practice · 2017Article
- Knowledge and Informed Decision-Making about Population-Based Colorectal Cancer Screening Participation in Groups with Low and Adequate Health Literacy.Gastroenterology research and practice · 2016Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the association between health literacy, communication habits and colorectal cancer (CRC) screening among low-income patients.
methodsSurvey responses of patients who received financial assistance for colonoscopy between 2011 and 2014 at a family medicine residency clinic were analyzed using multivariate logistic regression (n = 456). There were two dependent variables: (1) previous CRC screening and (2) CRC screening adherence. Our independent variables of interest were health literacy and communication habits.
resultsOver two-thirds (67.13%) of respondents had not been previously screened for CRC. Multivariate analysis showed a decreased likelihood of previous CRC screening among those who had marginal (OR = 0.52; 95% CI = 0.29-0.92) or inadequate health literacy (OR = 0.49; 95% CI = 0.27-0.87) compared to those with adequate health literacy. Controlling for health literacy, the significant association between educational attainment and previous CRC screening was eliminated. Thus, health literacy mediated the relationship between educational attainment and previous CRC screening. There was no significant association between communication habits and previous CRC screening. There was no significant association between screening guideline adherence, and health literacy or communication.
conclusionLimited health literacy is a potential barrier to CRC screening. Suboptimal CRC screening rates reported among those with lower educational attainment may be mediated by limited health literacy.
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