ArticleBMJ open2019
Relationship between health literacy and quality of life among cancer survivors in China: a cross-sectional study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Pooled it
- Evaluating an innovative support programme for older long-term cancer survivors (IMPULS-A): protocol for a randomised controlled trial.BMJ open · 2026Article
- Spiritual Well-Being as a Patient-Reported Assessment Dimension in Advanced Cancer: Clinical Validation and Quality-of-Life Implications.Healthcare (Basel, Switzerland) · 2026Article
- Factors associated with self-care engagement among oesophageal and gastric cancer survivors: a population-based cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Article
- Health literacy, illness perception, and their association with medication adherence in end-stage renal disease.International urology and nephrology · 2025Observational
- Exploring the influence of health and digital health literacy on quality of life and follow-up compliance in patients with primary non-muscle invasive bladder cancer: a prospective, single-center study.World journal of urology · 2025Observational
- Cancer Recurrence Fear and Return to Work in Breast Cancer Survivors:The Mediating Effects of Health Literacy.Journal of multidisciplinary healthcare · 2025Article
- Quality of life among French breast cancer survivors in comparison with cancer-free women: the Seintinelles study.BMC women's health · 2024Article
- Effects of social support and self-efficacy on eHealth literacy in Korean women undergoing breast cancer treatment: A secondary analysis.Asia-Pacific journal of oncology nursing · 2023Article
- The effect of health literacy, self-efficacy, social support and fear of disease progression on the health-related quality of life of patients with cancer in China: a structural equation model.Health and quality of life outcomes · 2023Article
- Development and Validation of a Food and Nutrition Literacy Questionnaire for Chinese Adults.Nutrients · 2022Article
- Mental health literacy and quality of life in Iran: a cross-sectional study.BMC psychiatry · 2021Article
- The effect of health literacy on health status among residents in Qingdao, China: a path analysis.Environmental health and preventive medicine · 2021Article
- Awareness of diagnosis, treatment and risk of late effects in Chinese survivors of childhood cancer in Hong Kong.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Association of health literacy and medication adherence with health-related quality of life (HRQoL) in patients with ischemic heart disease.Health and quality of life outcomes · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the association between health literacy (HL) and quality of life (QOL) among cancer survivors in China.
designCross-sectional study in China. SETTING AND
participantsThis is a cross-sectional observational study of 4589 cancer survivors aged 18 years and older from the Shanghai Cancer Rehabilitation Club. Participants were enrolled and completed the questionnaires between May and July 2017. MEASUREMENT: HL was assessed by three established screening questions and QOL was evaluated using the simplified Chinese version of the European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire-Core 30 items. Answers to all questionnaires were collected through face-to-face interviews or through self-administered questionnaires for literate participants. Participants were excluded if they did not answer any one of the HL questions. Baseline characteristics were compared by levels of HL using χ
resultsThere were 4589 participants included in the study. The calculated results of IRT scale parameters of HL entries indicate that the entries have better discrimination and difficulty. Of the 4589 respondents, 159 (3.5%) had low HL. After adjusting for sociodemographic characteristics, treatment regimen and years with cancers, for each one-point decrement in HL score the QOL score increased by 2.07 (p<0.001). Cancer survivors with low HL were less likely than those with adequate HL to achieve better QOL. In logistic regression, low HL was independently associated with poor QOL (adjusted OR, 2.81; 95% CI 1.94 to 4.06; p<0.001).
conclusionsLow HL was independently associated with poor QOL among cancer survivors of the Shanghai Cancer Rehabilitation Club.
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