Utilizing a Multidimensional Health Literacy Framework to Assess Cervical Cancer Screening Nonadherence

Bibliographic Data

ID21650573
AuthorsAnnalynn M Galvin (0000-0003-0868-8316, University of North Texas Health Science Center, Fort Worth, TX, USA, corresponding author), Ashvita Garg (0000-0003-4930-1712, University of North Texas Health Science Center, Fort Worth, TX, USA), Sarah Matthes (University of North Texas Health Science Center, Fort Worth, TX, USA), Erika L Thompson (0000-0002-7115-0001, University of North Texas Health Science Center, Fort Worth, TX, USA)
Year2021
Volume48
Issue5
Pages710-718
Publication date2021-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Education & Behavior (JOURNAL)
Journal identifiersISSN: 1090-1981 • E-ISSN: 1552-6127
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/10901981211001851
PMID33829878
OpenAlexW3142471054
LanguageEN
Citations received1
References cited35

Health literacy is an amenable factor that can improve screening uptake. However, associations between the multidimensional health literacy domains and cervical cancer screening nonadherence are not known and should be considered to improve screening rates. The current quantitative study assessed the associations of multiple health literacy domains with cervical cancer screening nonadherence. Women aged 30 to 65 years without a hysterectomy were surveyed online ( N = 812). Assessing, understanding, and appraising measures from the European Health Literacy Survey Questionnaire were adapted for cervical cancer screening. The outcome variable measured the application of cervical cancer information regarding adherence to the 2012 cervical cancer screening guidelines (yes/no). Adjusted logistic regression odds ratios (aORs) estimated nonadherence. Most of the women were non-Hispanic (81.4%) or White (68.1%), and aged 30 to 39 years (40%). The majority of the women (71%) were adherent to screening recommendations. The model with all domains of health literacy had the best model fit statistics compared with other models with different health literacy components. Older age and lack of insurance were statistically significant for screening nonadherence. Difficulty understanding health information (aOR = 3.15; 95% confidence interval [CI; 1.80, 5.51]) and less worry about cervical cancer (aOR = 1.74; 95% CI [1.03, 2.94]) were associated with higher odds of nonadherence. Higher cervical cancer knowledge (aOR = 0.93; 95% CI [0.87, 0.98]) and Hispanic ethnicity (aOR = 0.36; 95% CI [0.21, 0.61)] were associated with lower odds of nonadherence. Incorporating a multidimensional health literacy framework may better inform the need to develop easily understood interventions that address cervical cancer perceived vulnerability and acknowledge systemic sociodemographic influences on screening perceptions

Cancer · Cancer screening · Cervical cancer · Confidence interval · Family medicine · Health care · Health information · Health Information National Trends Survey · Health literacy · Logistic regression · Odds · Odds ratio · Psychiatry · Worry · Cervical Cancer and HPV Research · Demography · Global Cancer Incidence and Screening · Health Literacy and Information Accessibility · Medicine · Gerontology · Internal Medicine

Tools

Open DOI