Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Department of Family Medicine, E-Da Hospital, Kaohsiung City, Taiwan.
Women Health. 2021 May-Jun;61(5):408-419. doi: 10.1080/03630242.2021.1917477. Epub 2021 Apr 26.
This study was designed to explore the association among health literacy and cancer screening behaviors in Taiwanese females. A total of 353 community-dwelling females were recruited in this cross-sectional study from February to October 2015. Demographic, socioeconomic and personal behavior variables including physical activity, community activity, smoking, alcohol consumption, and betel nut chewing were recorded. Health literacy was evaluated using the Mandarin version of the European Health Literacy Survey Questionnaire. Data on screening behaviors for cervical, breast and colorectal cancers were confirmed by the Taiwanese National eHealth Database. Most respondents with inadequate or problematic general health literacy had no or irregular screening behaviors for cervical, breast and colorectal cancers. In multivariable regression analysis, women with inadequate health literacy were at a greater risk (Odds ratio = 5.71; 95% CI: 1.40-23.26) of having no previous Pap smear screening or >3 years screening interval regardless of education level. However, this association was not detected for breast or colorectal cancer. Women with inadequate health literacy were more likely to have irregular cervical cancer screening, however no associations among health literacy and breast or colorectal cancer were detected. The impact of health literacy on cancer screening behavior warrants further attention and research.
本研究旨在探讨台湾女性健康素养与癌症筛检行为之间的关联。本横断面研究于 2015 年 2 月至 10 月招募了 353 名社区居住的女性。记录了人口统计学、社会经济和个人行为变量，包括身体活动、社区活动、吸烟、饮酒和嚼槟榔。健康素养使用简体中文版欧洲健康素养调查问卷进行评估。癌症筛检行为的数据通过台湾国家电子健康数据库确认。大多数一般健康素养不足或有问题的受访者没有或不定期进行宫颈癌、乳腺癌和结直肠癌的筛检。在多变量回归分析中，健康素养不足的女性无论教育程度如何，都更有可能没有进行过巴氏涂片筛查或筛查间隔超过 3 年（优势比=5.71；95%置信区间：1.40-23.26）。然而，这一关联在乳腺癌或结直肠癌中并未被发现。健康素养不足的女性更有可能不定期进行宫颈癌筛检，但健康素养与乳腺癌或结直肠癌之间没有关联。健康素养对癌症筛检行为的影响值得进一步关注和研究。
