The associations between objective numeracy and colorectal cancer screening knowledge, attitudes and defensive processing in a deprived community sample

被引：19

作者：

Smith, Samuel G. ^{[1
,2
,3
]}

Kobayashi, Lindsay C. ^{[1
]}

Wolf, Michael S. ^{[3
]}

Raine, Rosalind ^{[1
]}

Wardle, Jane ^{[1
]}

von Wagner, Christian ^{[1
]}

机构：

[1] UCL, London WC1E 6BT, England

[2] Queen Mary Univ London, London, England

[3] Northwestern Univ, Evanston, IL 60208 USA

来源：

JOURNAL OF HEALTH PSYCHOLOGY | 2016年 / 21卷 / 08期

基金：

英国医学研究理事会; 美国国家卫生研究院;

关键词：

attitudes; colorectal cancer; health communication; health literacy; numeracy; screening; HEALTH LITERACY; INFORMATION AVOIDANCE; DECISION-MAKING; PARTICIPATION; PROGRAM; INEQUALITIES; AWARENESS; BARRIERS; BELIEFS; IMPACT;

D O I：

10.1177/1359105314560919

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

We examined associations between numeracy and sociocognitive factors associated with colorectal cancer screening uptake (n=964). Nearly half (45.7%) of the respondents incorrectly answered a numeracy question (low numeracy). Low numeracy respondents were less knowledgeable about colorectal cancer (p<.001), less positive towards screening (emotional, p<.001 and practical, p=.001) and less likely to intend to participate in screening (p=.001). They also reported greater defensive processing of cancer information (p=.001). Sociocognitive factors fully mediated the relationship between numeracy and screening intention. Addressing numeracy issues may reduce inequalities in CRC screening participation, but communication strategies could be limited by the tendency process cancer information defensively.

引用

页码：1665 / 1675

页数：11

共 45 条

[1]

[Anonymous], APPROACH DEV INFORM

[2]

[Anonymous], PREDICTING HLTH BEHA

[3] Once-only flexible sigmoidoscopy screening in prevention of colorectal cancer: a multicentre randomised controlled trial [J].

Atkin, Wendy S. ;

Edwards, Rob ;

Kralj-Hans, Ines ;

Wooldrage, Kate ;

Hart, Andrew R. ;

Northover, John M. A. ;

Parkin, D. Max ;

Wardle, Jane ;

Duffy, Stephen W. ;

Cuzick, Jack .

LANCET, 2010, 375 (9726) :1624-1633

[4] Increasing Awareness of Gynecological Cancer Symptoms and Reducing Barriers to Medical Help Seeking: Does Health Literacy Play a Role? [J].

Boxell, Emily M. ;

Smith, Samuel G. ;

Morris, Melanie ;

Kummer, Sonja ;

Rowlands, Gill ;

Waller, Jo ;

Wardle, Jane ;

Simon, Alice E. .

JOURNAL OF HEALTH COMMUNICATION, 2012, 17 :265-279

[5]

Cancer Research UK, 2011, BOW CANC MORT STAT

[6] Strategies to Improve Repeat Fecal Occult Blood Testing Cancer Screening [J].

Davis, Terry C. ;

Arnold, Connie L. ;

Bennett, Charles L. ;

Wolf, Michael S. ;

Reynolds, Cristalyn ;

Liu, Dachao ;

Rademaker, Alfred .

CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION, 2014, 23 (01) :134-143

[7] Colorectal cancer screening knowledge, attitudes, and beliefs among veterans: Does literacy make a difference? [J].

Dolan, NC ;

Ferreira, MR ;

Davis, TC ;

Fitzgibbon, ML ;

Rademaker, A ;

Liu, D ;

Schmitt, BP ;

Gorby, N ;

Wolf, M ;

Bennett, CL .

JOURNAL OF CLINICAL ONCOLOGY, 2004, 22 (13) :2617-2622

[8] Health literacy: Exploring future directions and potential contributions from health psychology [J].

Estacio, Emee Vida ;

Comings, John .

JOURNAL OF HEALTH PSYCHOLOGY, 2013, 18 (08) :997-1003

[9] French colorectal cancer screening pilot programme: results of the first round [J].

Goulard, Helene ;

Boussac-Zarebska, Marjorie ;

Ancelle-Park, Rosemary ;

Bloch, Juliette .

JOURNAL OF MEDICAL SCREENING, 2008, 15 (03) :143-148

[10] Reducing Health-Information Avoidance Through Contemplation [J].

Howell, Jennifer L. ;

Shepperd, James A. .

PSYCHOLOGICAL SCIENCE, 2013, 24 (09) :1696-1703

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