Horshauge Petricia Marie, Gabel Pernille, Larsen Mette Bach, Kirkegaard Pia, Edwards Adrian, Andersen Berit
Department of Public Health Programmes, Randers Regional Hospital, Denmark.
Department of Clinical Medicine, Aarhus University, Denmark.
Prev Med Rep. 2020 May 29;19:101132. doi: 10.1016/j.pmedr.2020.101132. eCollection 2020 Sep.
There are multiple reasons for not participating in colorectal cancer screening, but the role of health literacy in screening uptake is not well understood. The aims of this study were to determine the association between health literacy and colorectal cancer screening uptake and to explore whether socioeconomic and -demographic characteristics and worry and attitude variables modify this association. In a cross-sectional study, 10,030 53-74-year-old randomly selected citizens resident in Central Denmark Region received a questionnaire assessing health literacy using the European Health Literacy Survey Short Scale 16-item. Data on colorectal cancer screening uptake were obtained from the Danish Colorectal Cancer Screening database, and socioeconomic and -demographic data were linked from Statistics Denmark. The response rate was 71% (n = 7142). Odds ratio (OR) for uptake was 1.06 (95% confidence interval (CI): 0.96, 1.19) for problematic health literacy and 1.00 (95% CI: 0.87, 1.16) for inadequate health literacy, when using adequate health literacy as the reference value. The association was not modified by socioeconomic or -demographic characteristics, worry or attitude. No association was found between health literacy and colorectal cancer screening uptake. Future research needs to clarify which dimensions of health literacy may predict screening uptake and how it is best measured.
不参与结直肠癌筛查有多种原因，但健康素养在筛查接受度方面的作用尚未得到充分理解。本研究的目的是确定健康素养与结直肠癌筛查接受度之间的关联，并探讨社会经济和人口统计学特征以及担忧和态度变量是否会改变这种关联。在一项横断面研究中，随机抽取的10,030名居住在丹麦中部地区的53 - 74岁公民收到了一份问卷，该问卷使用欧洲健康素养调查简表16项来评估健康素养。结直肠癌筛查接受度的数据来自丹麦结直肠癌筛查数据库，社会经济和人口统计学数据则与丹麦统计局的数据相链接。回复率为71%（n = 7142）。以充足健康素养作为参考值时，健康素养存在问题的人群接受筛查的比值比（OR）为1.06（95%置信区间（CI）：0.96，1.19），健康素养不足的人群接受筛查的比值比为1.00（95%CI：0.87，1.16）。该关联未因社会经济或人口统计学特征、担忧或态度而改变。未发现健康素养与结直肠癌筛查接受度之间存在关联。未来的研究需要阐明健康素养的哪些维度可能预测筛查接受度以及如何进行最佳测量。
