Colorectal cancer screening knowledge, attitudes, and beliefs among veterans: Does literacy make a difference?
Colorectal cancer screening knowledge, attitudes, and beliefs among veterans: Does literacy make a difference?
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DOI：
10.1200/jco.2004.10.149
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发表时间：
2004-07-01
影响因子：
45.3
通讯作者：
Bennett, CL
中科院分区：
文献类型：
--
作者：
Dolan, NC;Ferreira, MR;Bennett, CL
目的 评估近期未接受结直肠癌筛查的退伍军人识字率较低是否与对结直肠癌筛查的知识较差以及对结直肠癌筛查持更消极的态度和信念有关。 患者和方法 对 377 名近期未接受结直肠癌筛查的 50 岁及以上男性退伍军人进行了调查，了解他们对结直肠癌筛查的知识、态度和信念。患者的识字能力通过成人医学识字能力快速评估（一项单独进行的阅读筛选测试）进行评估。结果 377 名男性中，36% 的识字水平达到八年级或更高。识字率较低的男性没有听说过结直肠癌的可能性是男性的 3.5 倍（8.8% vs 2.5%；P = .006），不知道筛查测试的可能性是男性的 1.5 倍（58.4% vs 40.9%；P = .0001），并且更有可能对粪便潜血检测 (FOBT) 持消极态度，但对柔性乙状结肠镜检查持消极态度。具体而言，读写能力较低的男性担心 FOBT 混乱的可能性是其两倍（26.7% vs 13.3%；P = .008），感觉 FOBT 不方便的可能性是其 1.5 倍（28.7% vs 18%；P = .05），表示即使医生推荐也不会使用 FOBT 套件的可能性是其四倍（17.9% v 4.0%；P = .02)。结论 识字率有限可能是退伍军人结直肠癌筛查中被忽视的障碍。
Purpose To evaluate whether lower literacy is associated with poorer knowledge and more negative attitudes and beliefs toward colorectal cancer screening among veterans without recent colorectal cancer screening.Patients and Methods Three hundred seventy-seven male veterans, age 50 years and older, who had not undergone recent colorectal cancer screening, were surveyed about their knowledge, attitudes, and beliefs regarding colorectal cancer screening. Patients' literacy was assessed with the Rapid Estimate of Adult Literacy in Medicine, an individually administered screening test for reading.Results Thirty-six percent of the 377 men had an eighth grade literacy level or higher. Men with lower literacy were 3.5 times as likely not to have heard about colorectal cancer (8.8% v 2.5%; P = .006), 1.5 times as likely not to know about screening tests (58.4% v 40.9%; P = .0001), and were more likely to have negative attitudes about fecal occult blood testing (FOBT), but not about flexible sigmoidoscopy. Specifically, men with lower literacy skills were two times as likely to be worried that FOBT was messy (26.7% v 13.3%; P = .008), 1.5 times as likely to feel that FOBT was inconvenient (28.7% v 18%; P = .05), and four times as likely to state they would not use an FOBT kit even if their physician recommended it (17.9% v 4.0%; P = .02).Conclusion Limited literacy may be an overlooked barrier in colorectal cancer screening among veterans.