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. 2014 Feb;94(2):149-57.
doi: 10.1016/j.pec.2013.10.001. Epub 2013 Oct 14.

Health literacy and cancer screening: a systematic review

Benjamin R Oldach  1 , Mira L Katz  2
Affiliations

Health literacy and cancer screening: a systematic review

Benjamin R Oldach et al. Patient Educ Couns. 2014 Feb.

Abstract

Objective: To evaluate published evidence about health literacy and cancer screening.

Methods: Seven databases were searched for English language articles measuring health literacy and cancer screening published in 1990-2011. Articles meeting inclusion criteria were independently reviewed by two investigators using a standardized data abstraction form. Abstracts (n=932) were reviewed and full text retrieved for 83 articles. Ten articles with 14 comparisons of health literacy and cancer screening according to recommended medical guidelines were included in the analysis.

Results: Most articles measured health literacy using the S-TOFHLA instrument and documented cancer screening by self-report. There is a trend for an association of inadequate health literacy and lower cancer screening rates, however, the evidence is mixed and limited by study design and measurement issues.

Conclusion: A patient's health literacy may be a contributing factor to being within recommended cancer screening guidelines.

Practice implications: Future research should: be conducted using validated health literacy instruments; describe the population included in the study; document cancer screening test completion according to recommended guidelines; verify the completion of cancer screening tests by medical record review; adjust for confounding factors; and report effect size of the association of health literacy and cancer screening.

Keywords: Cancer; Cancer screening; Health literacy.

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Figure 1
Study flow diagram.
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References

    1. Siegel R, Ward E, Brawley O, Jemal A. Cancer statistics, 2011: the impact of eliminating socioeconomic and racial disparities on premature cancer deaths. CA Cancer J Clin. 2011;61:212–36. - PubMed
    1. Smith RA, Cokkinides V, Brawley OW. Cancer screening in the United States, 2012: A review of current American Cancer Society guidelines and current issues in cancer screening. CA Cancer J Clin. 2012;62:129–142. - PubMed
    1. Davis TC, Williams MV, Marin E, Parker RM, Glass J. Health literacy and cancer communication. CA Cancer J Clin. 2002;52:134–49. - PubMed
    1. Institute of Medicine of the National Acadamies . Health Literacy: A Prescription to End Confusion. Washington, DC: 2004.
    1. Christ WG, Potter WJ. Media literacy, media education, and the academy. Journal Comm. 1998;48:5–15.

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