التفاصيل البيبلوغرافية
| العنوان: |
Poor health literacy associated with stronger perceived barriers to breast cancer screening and overestimated breast cancer risk. |
| المؤلفون: |
Poon, Paul K. M., King Wa Tam, Lam, Thomas, Luk, Arthur K. C., Chu, Winnie C. W., Cheung, Polly, Wong, Samuel Y. S., Sung, Joseph J. Y. |
| المصدر: |
Frontiers in Oncology; 1/5/2023, Vol. 13, p1-12, 12p |
| مصطلحات موضوعية: |
HEALTH literacy, EARLY detection of cancer, BREAST cancer, DISEASE risk factors, HEALTH Belief Model |
| مستخلص: |
Background: Low health literacy (HL) is negatively associated with mammography screening uptake. However, evidence of the links between poor HL and low mammography screening participation is scarce. Methods: We conducted a cross-sectional questionnaire survey among participants of a cancer screening program. We measured HL using a validated Chinese instrument. We assessed breast cancer screening-related beliefs using the Health Belief Model and the accuracy of risk perception. We used multivariable regression models to estimate the relationship between HL and the outcomes. Results: A total of 821 females were included. 264 (32.2%) had excellent or sufficient, 353 (43.0%) had problematic, and 204 (24.8%) had inadequate health literacy (IHL). Women with IHL were more likely to agree that high price (β = -0.211, 95% CI -0.354 to -0.069), lack of time (β = -0.219, 95% CI -0.351 to -0.088), inconvenient service time (β = -0.291, 95% CI -0.421 to -0.160), long waiting time (β = -0.305, 95% CI -0.447 to -0.164), fear of positive results (β = -0.200, 95% CI -0.342 to -0.058), embarrassment (β = -0.225, 95% CI -0.364 to -0.086), fear of pain (β = -0.154, 95% CI -0.298 to -0.010), fear of radiation (β = -0.177, 95% CI -0.298 to -0.056), lack of knowledge on service location (β = -0.475, 95% CI -0.615 to -0.335), and lack of knowledge on mammography (β = -0.360, 95% CI -0.492 to -0.228) were barriers. They were also less likely to have an accurate breast cancer risk perception (aOR 0.572, 95% CI 0.341 to 0.956). Conclusion: Women with lower HL could have stronger perceived barriers to BC screening and an over-estimation of their breast cancer risk. Tackling emotional and knowledge barriers, financial and logistical assistance, and guidance on risk perception are needed to increase their breast cancer screening uptake. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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