Evidence map›Paper›PMID 30022378›Full record

ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2019

The Relationship Between Health Literacy, Cancer Prevention Beliefs, and Cancer Prevention Behaviors.

Sasha A Fleary, Michael K Paasche-Orlow, Patrece Joseph, Karen M Freund

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2019. 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 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06965608 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

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

TypeinterventionalSponsorHospital Israelita Albert EinsteinRan2025 to 2025Enrolled1,200ConditionsCancer, Latin America and the Caribbean Code Against Cancer (LAC Code)ArmsWhatsApp-Based Cancer Prevention Messaging, Online Cancer Prevention Workshop for Healthcare Professionals, Combined WhatsApp Messaging and Online Workshop
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Cancer and Health Inequalities.British journal of cancer · 2026
    Review
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  4. Article
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  7. Review
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  9. A Mobile Exhibition to Advance Cancer Prevention Awareness: A Cross-Sectional Evaluation Using the RE-AIM Framework.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
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  14. Review
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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

4 authors.

Sasha A FlearyEliot-Pearson Department of Child Study and Human Development, Tufts University, Medford, MA, 02155, USA. Sasha.fleary@tufts.edu.ORCID http://orcid.org/0000-0001-9237-2407
Michael K Paasche-OrlowBoston University School of Medicine, Boston, MA, USA.
Patrece JosephEliot-Pearson Department of Child Study and Human Development, Tufts University, Medford, MA, 02155, USA.
Karen M FreundTufts University School of Medicine, Boston, MA, USA.

Funding

Tufts BIRCWH ProgramK12HD092535 · NICHD · TUFTS UNIVERSITY BOSTON · PI FREUND, KAREN, JAFFE, IRIS Z · 2017 to 2023
$4.3M
NICHD NIH HHS K12 HD092535NIH HHS 1K12HD092535
6 · The paper itself

Abstract

While cancer prevention behaviors have been clearly defined, many people do not engage in these risk-reduction behaviors. Factors such as cancer prevention beliefs and limited health literacy may undermine cancer prevention behavior recommendations. This study explored the relationships between cancer prevention beliefs, health literacy, and cancer prevention behaviors. Data were analyzed from the 2013 Health Information National Trends Survey (n = 1675). Regression analyses for four cancer prevention belief (prevention is not possible, cancer is fatal, there are too many recommendations for prevention, everything causes cancer) statements were modeled, including health literacy and sociodemographic variables as predictors. In addition, separate regression analyses predicted four cancer prevention behaviors (fruit and vegetable consumption, physical activity, cigarette smoking) from cancer prevention beliefs, health literacy, and sociodemographic variables. Participants with low health literacy were more likely to hold fatalistic cancer prevention beliefs than those with higher health literacy. Cancer prevention beliefs were related to less fruit and vegetable consumption, fewer days of physical activity, and with being a nonsmoker after controlling for sociodemographic variables. Health literacy was not a significant predictor of cancer prevention behaviors. Given the relationship between health literacy and cancer prevention beliefs, research is needed to ascertain how to empower patients with low health literacy to have a more realistic understanding of cancer.

Indexed as

CultureHealth BehaviorHealth Knowledge, Attitudes, PracticeHealth LiteracyAdolescentAdultAgedExerciseFemaleHumansMaleMarital StatusMiddle AgedNeoplasmsRisk Reduction BehaviorSurveys and QuestionnairesCancerCancer prevention behaviorsCigarette smokingDietFatalismFruits and vegetablesHealth literacyPhysical activity

Identifiers

PMID30022378
PMCPMC6339599

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.